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Total 274 results found since Jan 2013.

Depression increases stroke hospitalization cost: an analysis of 17,010 stroke patients in 2008 by race and gender.
Conclusion. Depression in stroke patients is associated with increased hospitalization costs. Higher stroke cost among blacks may reflect the impact of comorbidities and the delay in care of serious health conditions. Attention to early detection of depression in stroke patients might reduce inpatient healthcare costs. PMID: 23555070 [PubMed]
Source: Stroke Research and Treatment - December 2, 2014 Category: Neurology Tags: Stroke Res Treat Source Type: research

Cost-Effectiveness of Recombinant Tissue-Type Plasminogen Activator Within 3 Hours of Acute Ischemic Stroke: Current Evidence Clinical Sciences
Conclusions— Our analysis supports earlier economic evaluations that r-tPA is a cost-effective method to treat stroke. Appropriate use of r-tPA should be prioritized nationally.
Source: Stroke - September 22, 2014 Category: Neurology Authors: Boudreau, D. M., Guzauskas, G. F., Chen, E., Lalla, D., Tayama, D., Fagan, S. C., Veenstra, D. L. Tags: Emergency treatment of Stroke, Thrombolysis Clinical Sciences Source Type: research

Trimming the fat in acute ischemic stroke: an assessment of 24‐h CT scans in tPA patients
ConclusionsOur results demonstrate that routine 24‐h computed tomography scan in patients without 24‐h National Institute of Health Stroke Scale worsening (especially those with baseline National Institute of Health Stroke Scale ≤10) is less likely to yield information that results in a deviation from standard acute stroke care. No patient without worsening and baseline National Institute of Health Stroke Scale ≤10 had parenchymal hematoma on 24‐h computed tomography. Application of the National Institute of Health Stroke Scale to distinguish patients who should have 24‐h follow‐up imaging from those who will...
Source: International Journal of Stroke - June 3, 2014 Category: Neurology Authors: Alexander J. George, Amelia K. Boehme, Casey R. Dunn, T. Beasley, James E. Siegler, Karen C. Albright, Ramy El Khoury, Sheryl Martin‐Schild Tags: Research Source Type: research

Improving Secondary Stroke Prevention Following Acute Ischemic Stroke: A Practice Improvement Project. (P4.287)
CONCLUSIONS: Aggressive lifestyle modification and risk factor management are cornerstones of stroke prevention. Questionnaires and checklist based systems are powerful tools to quickly gather information and assess patient participation in healthcare. In individualized stroke clinics, it is a practical tool to monitor goals of secondary stroke prevention. Further data can clarify if additional instruments like multidisciplinary stroke clinics incorporating nutrition, physical therapy and stroke counseling services will improve outcomes, compliance and reduce stroke recurrence.Disclosure: Dr. Harriott has nothing to disclose.
Source: Neurology - April 9, 2014 Category: Neurology Authors: Harriott, A. Tags: Practice, Policy, and Ethics: Stroke, Critical Care, and Other Source Type: research

Impact of Atrial Fibrillation on Stroke-Related Healthcare Costs Stroke
Conclusion Stroke-related care for IS, HS, and TIA is costly, especially among individuals with AF. Reducing the risk of AF-related stroke is important from both clinical and economic standpoints.
Source: JAHA:Journal of the American Heart Association - November 25, 2013 Category: Cardiology Authors: Sussman, M., Menzin, J., Lin, I., Kwong, W. J., Munsell, M., Friedman, M., Selim, M. Tags: Stroke Source Type: research

The iScore predicts total healthcare costs early after hospitalization for an acute ischemic stroke
ConclusionsThe ischemic Stroke risk score can be useful as a predictor of healthcare utilization and costs early after hospitalization for an acute ischemic stroke.
Source: International Journal of Stroke - October 27, 2015 Category: Neurology Authors: Emmanuel M. Ewara, Wanrudee Isaranuwatchai, Dawn M. Bravata, Linda S. Williams, Jiming Fang, Jeffrey S. Hoch, Gustavo Saposnik, Tags: Research Source Type: research

Clinical Outcomes and Costs of Recurrent Ischemic Stroke: A Systematic Review
Stroke is one of the leading causes of morbidity and mortality worldwide1 associated with significant healthcare costs.2 The burden of stroke is frequently reported as the incidence of first-event stroke, but the prevalence of total stroke events, including recurrent stroke, more accurately reflects the true burden.3,4 Nearly 30% of all strokes are recurrent events, and the risk is highest in the period immediately following a stroke.5 In particular, patients who have suffered an ischemic stroke are at a higher risk of experiencing one or more subsequent strokes.
Source: Journal of Stroke and Cerebrovascular Diseases - April 6, 2022 Category: Neurology Authors: Sophia R. Ferrone, Artem T. Boltyenkov, Zachary Lodato, Joseph O'Hara, Jaclyn Vialet, Ajay Malhotra, Jeffrey M. Katz, Jason J. Wang, Chinara Feizullayeva, Pina C. Sanelli Source Type: research

Cost-Effectiveness of Thrombolysis Within 4.5 Hours of Acute Ischemic Stroke: Experience From Australian Stroke Center Clinical Sciences
Conclusions— Intravenous tPA within 4.5 hours represents a cost-effective intervention for acute ischemic stroke.
Source: Stroke - July 22, 2013 Category: Neurology Authors: Tan Tanny, S. P., Busija, L., Liew, D., Teo, S., Davis, S. M., Yan, B. Tags: Thrombolysis Clinical Sciences Source Type: research

Measuring Autonomy and Functional Recovery after Stroke
Stroke is a leading cause of death and disability in the world. This life-changing disease affects the patient, family, and society at large. It is a leading cause of human suffering and among the primary reasons for long-term, institutionalized care. The economic impact of stroke is huge; besides direct healthcare costs including rehabilitation, indirect costs such as lost productivity of patients and family caregivers and disability payments are huge.1 The management of patients who have had a stroke is complex with several phases of care that take priority during the course of the illness including (1) emergency treatme...
Source: Journal of Stroke and Cerebrovascular Diseases - September 16, 2015 Category: Neurology Authors: Harold P. Adams, Francois Chollet, Vincent Thijs Source Type: research

Quantified health and cost effects of faster endovascular treatment for large vessel ischemic stroke patients in the Netherlands
Conclusion One-minute faster EVT increases QALYs while cumulative costs remain largely unaffected. Therefore, faster EVT provides better value of care at no extra healthcare costs.
Source: Journal of NeuroInterventional Surgery - November 18, 2021 Category: Neurosurgery Authors: van Voorst, H., Kunz, W. G., van den Berg, L. A., Kappelhof, M., Pinckaers, F. M. E., Goyal, M., Hunink, M. G. M., Emmer, B. J., Mulder, M. J. H. L., Dippel, D. W. J., Coutinho, J. M., Marquering, H. A., Boogaarts, H. D., van der Lugt, A., van Zwam, W. H. Tags: Open access, Ischemic stroke Source Type: research

Risk Factors and Outcomes of Stroke-Associated Pneumonia in Patients with Stroke and Acute Large Artery Occlusion Treated with Endovascular Thrombectomy
Stroke-associated pneumonia (SAP) often increases high hospital mortality, prolongs length of hospital stay, and has considerable economic impact on healthcare costs. We aimed to explore independent predictors of SAP in acute anterior large artery occlusion patients who treated with endovascular treatment (EVT).
Source: Journal of Stroke and Cerebrovascular Diseases - October 14, 2020 Category: Neurology Authors: Yubo Zhu, Jie Gao, Qiushi Lv, Qihua Yin, Dong Yang Source Type: research

Dysphagia-related acute stroke complications: A retrospective observational cohort study
Dysphagia, or impaired swallowing, is reported to affect between 8.1% and 45.3% of patients following stroke.1 Dysphagia is associated with longer length of stay (LOS) in acute hospital, increased healthcare costs, and greater long-term institutionalisation.2,3 Aspiration pneumonia mediates a significant proportion of this deleterious association and, in its own right, is associated with increased length of stay in hospital,4 poorer post-stroke functioning,5,6 and increased mortality.7
Source: Journal of Stroke and Cerebrovascular Diseases - April 12, 2023 Category: Neurology Authors: Verity E. Bond, Sebastian Doeltgen, Timothy Kleinig, Joanne Murray Source Type: research

The iScore predicts total healthcare costs early after hospitalization for an acute ischemic stroke
International Journal of Stroke,Volume 10, Issue 8, Page 1179-1186, December 2015.
Source: International Journal of Stroke - October 26, 2015 Category: Neurology Source Type: research

Healthcare costs before and after stroke in non-valvular atrial fibrillation patients who initiated treatment with rivaroxaban or warfarin.
CONCLUSIONS: Total all-cause costs of care increased in the post-stroke period, and particularly in the patients treated with warfarin relative to those treated with rivaroxaban. The lower rate of stroke in the rivaroxaban cohort suggests that greater pre- to post-stroke cost increases result from more strokes occurring in the warfarin cohort. PMID: 33499689 [PubMed - as supplied by publisher]
Source: Journal of Medical Economics - January 29, 2021 Category: Health Management Tags: J Med Econ Source Type: research