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Source: Journal of Neurology, Neurosurgery and Psychiatry

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Total 415 results found since Jan 2013.

The impact of stroke unit care on outcome in a Scottish stroke population, taking into account case mix and selection bias
Conclusions In routine practice, stroke unit admission is associated with a greater likelihood of discharge home and with lower mortality up to 1 year, after correcting for known independent predictors of outcome, and excluding early non-modifiable mortality.
Source: Journal of Neurology, Neurosurgery and Psychiatry - February 12, 2015 Category: Neurosurgery Authors: Turner, M., Barber, M., Dodds, H., Dennis, M., Langhorne, P., Macleod, M. J., on behalf of the Scottish Stroke Care Audit Tags: Open access, Stroke Cerebrovascular disease Source Type: research

Impact of stroke-associated infection on long-term survival: a cohort study
Conclusions SAIs have long-lasting effects on patient survival. This serves to emphasise the importance of immediate access to organised stroke unit care for people with acute stroke, with active physiological monitoring and protocols for early detection and treatment of SAIs.
Source: Journal of Neurology, Neurosurgery and Psychiatry - February 15, 2013 Category: Neurosurgery Authors: Kwan, J., Pickering, R. M., Kunkel, D., Fitton, C., Jenkinson, D., Perry, V. H., Ashburn, A. M., on behalf of the Stroke Association Rehabilitation Research Centre Tags: Stroke Cerebrovascular disease Source Type: research

Stroke patients admitted within normal working hours are more likely to achieve process standards and to have better outcomes
Conclusions Patients with stroke admitted out of hours and at weekends or public holidays are less likely to be managed according to current guidelines. They experience poorer short-term outcomes than those admitted during normal working hours, after correcting for known independent predictors of outcome and early mortality.
Source: Journal of Neurology, Neurosurgery and Psychiatry - January 14, 2016 Category: Neurosurgery Authors: Turner, M., Barber, M., Dodds, H., Dennis, M., Langhorne, P., Macleod, M.-J., on behalf of the Scottish Stroke Care Audit Tags: Open access, Stroke, Radiology Cerebrovascular disease Source Type: research

Comparison of stroke recognition and stroke severity scores for stroke detection in a single cohort
Conclusions The simple CPSS and FAST scores provide good sensitivity for stroke recognition. More complex scores do not result in better diagnostic performance. Stroke severity scores can be repurposed to recognise stroke at the same time because test characteristics are comparable with pure stroke recognition scores. Particular shortcomings of the individual scores are discussed.
Source: Journal of Neurology, Neurosurgery and Psychiatry - August 13, 2015 Category: Neurosurgery Authors: Purrucker, J. C., Hametner, C., Engelbrecht, A., Bruckner, T., Popp, E., Poli, S. Tags: Stroke Cerebrovascular disease Source Type: research

Resource use and quality of care in an urban stroke unit
Conclusion Better outcome measures in ASU could be attributed to the differences between the groups of stroke patients. Prompt therapist input and frequent nursing observations have long been considered to be imperative in the success of ASU; our findings wholly support this and highlight the importance of the multidisciplinary approach. The snapshot data revealed that bed capacity on ASU was sufficient for the number of stroke patients. However capacity was not being utilised efficiently as non–stroke medical boarders occupied beds consistently whilst stroke patients were boarded out to other wards.
Source: Journal of Neurology, Neurosurgery and Psychiatry - October 9, 2013 Category: Neurosurgery Authors: Boyle, J., Casey, H., Doyle, C., Walters, M. Tags: Coma and raised intracranial pressure, Stroke, Hypertension Association of British Neurologists (ABN) joint meeting with the Royal College of Physicians (RCP), London, 23-24 October 2013 Source Type: research

Poststroke dementia is associated with recurrent ischaemic stroke
Conclusions Poststroke dementia predicts recurrence of ischaemic stroke in long-term follow-up and should be considered when estimating prognosis.
Source: Journal of Neurology, Neurosurgery and Psychiatry - June 9, 2013 Category: Neurosurgery Authors: Sibolt, G., Curtze, S., Melkas, S., Putaala, J., Pohjasvaara, T., Kaste, M., Karhunen, P. J., Oksala, N. K. J., Erkinjuntti, T. Tags: Dementia, Stroke, Hypertension, Memory disorders (psychiatry) Cerebrovascular disease Source Type: research

Contrasting impact of fast-test public education on behaviour after tia and minor stroke versus major stroke: a population-based study
Conclusion The U.K. FAST campaign appears to have improved recognition and behaviour after major stroke, but symptom recognition remains poor in TIA and minor stroke and may have been adversely affected. Public education campaigns should consider potential unintended consequences of focussing only on FAST-test symptoms and on major stroke.
Source: Journal of Neurology, Neurosurgery and Psychiatry - October 9, 2013 Category: Neurosurgery Authors: Wolters, F. J., Paul, N. L., Chandratheva, A., Li, L., Rothwell, P. M. Tags: Drugs: CNS (not psychiatric), Stroke, Ear, nose and throat/otolaryngology Association of British Neurologists (ABN) joint meeting with the Royal College of Physicians (RCP), London, 23-24 October 2013 Source Type: research

Measuring functional recovery in stroke patients: the responsiveness of ACTIVLIM-Stroke
Conclusions ACTIVLIM-Stroke showed good responsiveness and can detect accurately clinical changes in the functional status of stroke patients. The BI and the 6MWT were also responsive and may provide complementary information while investigating change in functional status. However, in addition to being highly sensitive to change, ACTIVLIM-Stroke presents significant methodological advantages for quantifying functional changes in stroke patients.
Source: Journal of Neurology, Neurosurgery and Psychiatry - November 17, 2014 Category: Neurosurgery Authors: Batcho, C. S., Nduwimana, I., Olouka, J., Halkin, V., Kpadonou, T. G., Thonnard, J.-L. Tags: Stroke Cerebrovascular disease Source Type: research

Incidence and outcome of functional stroke mimics admitted to a hyperacute stroke unit
Conclusions Functional stroke mimics are an important subgroup admitted to acute stroke services and have a distinct demographic and clinical profile. Their outcomes are poorly monitored. Services should be developed to better diagnose and manage these patients.
Source: Journal of Neurology, Neurosurgery and Psychiatry - December 14, 2016 Category: Neurosurgery Authors: Gargalas, S., Weeks, R., Khan-Bourne, N., Shotbolt, P., Simblett, S., Ashraf, L., Doyle, C., Bancroft, V., David, A. S. Tags: Stroke Neuropsychiatry Source Type: research

The prognosis of acute symptomatic seizures after ischaemic stroke
Conclusions Seizure recurrence following AS after ischaemic stroke may appear as acute clustering. Afterwards, seizures may occur as often with a recurrent stroke as without one within 4.2 years. We recommend the use of antiepileptic agents for up to 4 years if the underlying stroke aetiology cannot be fully treated.
Source: Journal of Neurology, Neurosurgery and Psychiatry - December 14, 2016 Category: Neurosurgery Authors: Leung, T., Leung, H., Soo, Y. O. Y., Mok, V. C. T., Wong, K. S. Tags: Epilepsy and seizures, Stroke Source Type: research

Rates and predictors of risk of stroke and its subtypes in diabetes: a prospective observational study
Conclusions Older people with a history of stroke were at highest risk of stroke, but the prognosis and prognostic factors of subtypes were heterogeneous. The results will help clinicians quantify the absolute risk of stroke and its subtypes for typical diabetes patients.
Source: Journal of Neurology, Neurosurgery and Psychiatry - February 15, 2013 Category: Neurosurgery Authors: Hankey, G. J., Anderson, N. E., Ting, R.-D., Veillard, A.-S., Romo, M., Wosik, M., Sullivan, D. R., O'Connell, R. L., Hunt, D., Keech, A. C. Tags: Stroke, Hypertension, Ophthalmology, Ischaemic heart disease Cerebrovascular disease Source Type: research

Cognitive impairment after lacunar stroke: systematic review and meta-analysis of incidence, prevalence and comparison with other stroke subtypes
Background Cognitive impairment and dementia are common after stroke. It is unclear if risk differs between ischaemic stroke subtypes. Lacunar strokes might be less likely to affect cognition than more severe, larger cortical strokes, except that lacunar strokes are associated with cerebral small vessel disease (SVD), which is the commonest vascular cause of dementia. Methods We searched MEDLINE and PsychINFO for studies of mild cognitive impairment (MCI) or dementia after lacunar or cortical ischaemic stroke. We calculated the OR for cognitive impairment/dementia in lacunar versus non-lacunar stroke, and their incidence ...
Source: Journal of Neurology, Neurosurgery and Psychiatry - July 8, 2013 Category: Neurosurgery Authors: Makin, S. D. J., Turpin, S., Dennis, M. S., Wardlaw, J. M. Tags: Open access, Dementia, Stroke, Memory disorders (psychiatry) Cerebrovascular disease Source Type: research

Long term risk of stroke versus acute coronary events after tia and stroke: a population-based study
Conclusion The long–term risk of major vascular events after TIA and stroke remains substantial, but about 70% of fatal and non–fatal events are now accounted for by recurrent stroke rather than acute coronary events.
Source: Journal of Neurology, Neurosurgery and Psychiatry - October 9, 2013 Category: Neurosurgery Authors: Paul, N. L., Mehta, Z., Silver, L., Geraghty, O. C., Rothwell, P. M. Tags: Stroke, Ischaemic heart disease Association of British Neurologists (ABN) joint meeting with the Royal College of Physicians (RCP), London, 23-24 October 2013 Source Type: research

Trends in the incidence of ischaemic stroke in young adults between 1985 and 2011: the Dijon Stroke Registry
Conclusions Multiple factors may account for the increased incidence of ischaemic stroke in people aged <55 years including changes in vascular risk factors, better awareness of the disease and treatment options in the population and among practitioners leading to more frequent referrals for specialised care, and improvements in stroke diagnosis. Stroke prevention must be encouraged even in young adults.
Source: Journal of Neurology, Neurosurgery and Psychiatry - April 10, 2014 Category: Neurosurgery Authors: Bejot, Y., Daubail, B., Jacquin, A., Durier, J., Osseby, G.-V., Rouaud, O., Giroud, M. Tags: Stroke Cerebrovascular disease Source Type: research

The long-term outcomes of depression up to 10 years after stroke; the South London Stroke Register
Conclusions Depression is independently associated with poor health outcomes.
Source: Journal of Neurology, Neurosurgery and Psychiatry - April 10, 2014 Category: Neurosurgery Authors: Ayerbe, L., Ayis, S., Crichton, S., Wolfe, C. D. A., Rudd, A. G. Tags: Long term care, Stroke, Memory disorders (psychiatry) Cerebrovascular disease Source Type: research