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Total 139 results found since Jan 2013.

Satisfaction With Palliative Care After Stroke: A Prospective Cohort Study Brief Reports
Conclusions— Families of patients receiving palliative care at our institution showed generally high satisfaction with palliation after stroke; specific domains were identified for improvement. Further study in larger populations is required.
Source: Stroke - August 26, 2013 Category: Neurology Authors: Blacquiere, D., Bhimji, K., Meggison, H., Sinclair, J., Sharma, M. Tags: Health policy and outcome research, Other Treatment, Acute Cerebral Infarction, Other Stroke Treatment - Medical Brief Reports Source Type: research

Palliative Care for Hospitalized Patients With Stroke Clinical Sciences
This study explores patterns of palliative care utilization and death in hospitalized patients with stroke across the United States.Methods—Using the 2010 to 2012 nationwide inpatient sample databases, we included all patients discharged with stroke identified by International Classification of Diseases-Ninth Revision codes. Strokes were subclassified as ischemic, intracerebral, and subarachnoid hemorrhage. We compared demographics, comorbidities, procedures, and outcomes between patients with and without a palliative care encounter (PCE) as defined by the International Classification of Diseases-Ninth Revision code V66....
Source: Stroke - August 28, 2017 Category: Neurology Authors: Tarvinder Singh, Steven R. Peters, David L. Tirschwell, Claire J. Creutzfeldt Tags: Race and Ethnicity, Quality and Outcomes, Cerebrovascular Disease/Stroke, Intracranial Hemorrhage, Ischemic Stroke Original Contributions Source Type: research

Arterial ischemic stroke in children with cardiac disease
Conclusions: Infants with cyanotic CHD were most frequently affected by AIS during the periprocedural period. Prospective cohort studies are required to determine effective primary and secondary prevention strategies.
Source: Neurology - December 7, 2015 Category: Neurology Authors: Asakai, H., Cardamone, M., Hutchinson, D., Stojanovski, B., Galati, J. C., Cheung, M. M. H., Mackay, M. T. Tags: Childhood stroke, All Cerebrovascular disease/Stroke, All Pediatric, Cardiac, Pediatric stroke; see Cerebrovascular Disease/ Childhood stroke ARTICLE Source Type: research

Palliative Care Consultation Did Not Reduce Length of Stay in a Comprehensive Stroke Center (P1.212)
Conclusion: Palliative care consultation for patients with ischemic or hemorrhagic strokes was not associated with decreased hospital costs or LoS. This is in contrast to previously reported studies. We will further analyze the effect of early palliative care on a larger sample size to validate the findings. We also propose that a standardized palliative care trigger tool be implemented for early PC consultation in patients with debilitating stroke, advanced age, and multiple comorbid conditions.Disclosure: Dr. Tversky has nothing to disclose. Dr. Cheng has nothing to disclose. Dr. Mahmud has nothing to disclose. Dr. Schlo...
Source: Neurology - April 3, 2016 Category: Neurology Authors: Tversky, S., Cheng, D., Mahmud, S., Schloss, E., Wright, P. Tags: Re-admission and Stroke Outcomes Source Type: research

Early transition to comfort measures only in acute stroke patients: Analysis from the Get With The Guidelines-Stroke registry
Conclusions: Early CMO was utilized in about 5% of stroke patients, being more common in ICH and SAH than IS. Early CMO use varies widely between hospitals and is influenced by patient and hospital characteristics.
Source: Neurology Clinical Practice - June 12, 2017 Category: Neurology Authors: Prabhakaran, S., Cox, M., Lytle, B., Schulte, P. J., Xian, Y., Zahuranec, D., Smith, E. E., Reeves, M., Fonarow, G. C., Schwamm, L. H. Tags: All Cerebrovascular disease/Stroke, Palliative care Research Source Type: research

Physical Activity Early after Stroke and Its Association to Functional Outcome 3 Months Later
Conclusions: This study confirms that time in bed in the early phase is associated with poor functional outcome 3 months later, indicating that too much bed rest should be avoided in the early phase after stroke.
Source: Journal of Stroke and Cerebrovascular Diseases - February 14, 2014 Category: Neurology Authors: Torunn Askim, Julie Bernhardt, Øyvind Salvesen, Bent Indredavik Tags: Original Articles Source Type: research

Palliative care for stroke affected by age, gender, stroke type
Whether patients with stroke are referred to palliative care services depends on their age, their gender, and what type of stroke they have had, Australian study results indicate.
Source: MedWire News - Stroke - January 31, 2013 Category: Neurology Source Type: news

Older Patients with Acute Ischemic Stroke Receive Fewer Neurosurgery and Cardiology Consultations (P2.321)
Conclusions: Nearly half of our patient population was age蠅65-years but very few had geriatrics consultation. These patients are not receiving as many cardiology and neurosurgery consultations as the younger population. They are, however, receiving palliative care consults. Our results raise concern that resources are being disproportionately allocated to younger patients. Further study into resource allocation is warranted.Disclosure: Dr. Khawaja has nothing to disclose. Dr. Albright has nothing to disclose. Dr. Boehme has nothing to disclose. Dr. Sands has received research support from Biogen. Dr. Bavarsad Shahri...
Source: Neurology - April 3, 2016 Category: Neurology Authors: Khawaja, A., Albright, K., Boehme, A., Sands, K., Bavarsad Shahripour, R., Shiue, H., Gropen, T. Tags: Stroke Systems of Care Source Type: research

A qualitative study on palliative needs of stroke patients in an Indian tertiary care setting - Doctors & #39; perspective
Conclusions: From the interviews of the clinicians, we can conclude that care of a stroke patient is more than medical management and rehabilitation, as several other aspects of the patient's life are affected by the condition. The quality of life aspect has to be looked upon as an area that requires active intervention in a setting of stroke. Physical disabilities were viewed as the most significant factor in reducing the quality of life. Spiritual needs have a low priority in comparison to other physical needs. Due to high patient load and time constraints, many of the needs are unaddressed. Two important area...
Source: Indian Journal of Palliative Care - January 31, 2019 Category: Palliative Care Authors: Jacob Lloyd Ashna Maria Pinto Shoba Nair Subhash Tarey Source Type: research

Provision of palliative and end-of-life care in stroke units: A qualitative study.
Conclusions:The findings provide encouraging evidence that palliative and end-of-life care have been adopted as key components of specialist stroke care in UK stroke units. However, many patients stand to benefit from earlier identification of palliative care need and a consideration of quality-of-life approaches during active care. Encouraging collaboration and partnership when working with specialist palliative care services would optimise palliative care service delivery and may provide patients and their families with greater opportunities for documenting and achieving preferences for care and achieving a better qualit...
Source: Palliative Medicine - April 11, 2013 Category: Palliative Care Authors: Gardiner C, Harrison M, Ryan T, Jones A Tags: Palliat Med Source Type: research

Hemorrhagic Transformation and Stroke Recurrence in Children with Cardiac Disease Receiving Antithrombotic Therapy for Secondary Stroke Prevention
CONCLUSIONS: In spite of the 24% hemorrhagic transformation rate, antithrombotic therapy has a positive risk-balance in certain cardioembolic stroke subgroups, particularly in those with single-ventricle physiology, when accounting for stroke volume.PMID:34152075 | DOI:10.1111/jth.15428
Source: Thrombosis and Haemostasis - June 21, 2021 Category: Hematology Authors: Elizabeth Pulcine Mike Seed Leonardo R Brand ão Mahmoud Slim Sunitha Palasamudram Manohar Shroff Mahendranath Moharir Gabrielle deVeber Nomazulu Dlamini Source Type: research

Validation of the Longer-term Unmet Needs after Stroke (LUNS) monitoring tool: a multicentre study.
Conclusions:The Longer-term Unmet Needs after Stroke tool is acceptable, reliable, can be self-completed, and used to identify longer-term unmet needs after stroke. PMID: 23787941 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - June 20, 2013 Category: Rehabilitation Authors: LoTS care LUNS study team Tags: Clin Rehabil Source Type: research

Can we Improve on Neuro-prognostication for Patients with Severe Ischemic Stroke? (P6.272)
Conclusions:The outcomes of patients presenting with severe ischemic stroke (NIHSS 16–20, 21+) is poor overall; although there were significant differences in early mortality, these are no longer significant at 90 days. A good recovery was predicted by early rapid improvement in NIHSS. More data is needed to improve neuro-prognostication to inform patients and families on expected outcomes and when to incorporate palliative care.Disclosure: Dr. Bu has nothing to disclose. Dr. Beilman has nothing to disclose. Dr. Sila has received personal compensation for activities with Axio Research, Hoffman La Roche, Medtronic, Ja...
Source: Neurology - April 17, 2017 Category: Neurology Authors: Bu, J., Beilman, C., Sila, C. Tags: Cerebrovascular Disease Health Services Research Source Type: research

Racial Differences in Palliative Care Use After Stroke in Majority-White, Minority-Serving, and Racially Integrated U.S. Hospitals
Conclusions: The odds of receiving palliative care for both white and minority stroke patients is lower in minority compared with white hospitals, suggesting system-level factors as a major contributor to explain race disparities in palliative care use after stroke.
Source: Critical Care Medicine - November 18, 2017 Category: Emergency Medicine Tags: Clinical Investigations Source Type: research