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Total 274 results found since Jan 2013.
Development and Pilot Implementation of TACTICS VR: A Virtual Reality-Based Stroke Management Workflow Training Application and Training Framework
Front Neurol. 2021 Nov 11;12:665808. doi: 10.3389/fneur.2021.665808. eCollection 2021.ABSTRACTDelays in acute stroke treatment contribute to severe and negative impacts for patients and significant healthcare costs. Variability in clinical care is a contributor to delayed treatment, particularly in rural, regional and remote (RRR) areas. Targeted approaches to improve stroke workflow processes improve outcomes, but numerous challenges exist particularly in RRR settings. Virtual reality (VR) applications can provide immersive and engaging training and overcome some existing training barriers. We recently initiated the TACTI...
Source: Rural Remote Health - December 3, 2021 Category: Rural Health Authors: Rebecca J Hood Steven Maltby Angela Keynes Murielle G Kluge Eugene Nalivaiko Annika Ryan Martine Cox Mark W Parsons Christine L Paul Carlos Garcia-Esperon Neil J Spratt Christopher R Levi Frederick R Walker Source Type: research
EP51* Burden of tough to retrieve clots in acute ischemic stroke: clinical and economic impact of increasing retrieval attempts in mechanical thrombectomy
ConclusionOdds of achieving good outcomes decline with MT passes, while care costs increase. Thrombectomy devices that improve interaction with tough clots for rapid and complete retrieval in fewer passes may improve clinical and economic outcomes.ReferencesYoo AJ. Journal of Stroke 2017;19(2):121.Douglas A. JNIS 2020;12(6):557–562.Liebeskind DS. Stroke 2011;42(5):1237–1243.Abbasi M. Interventional Neuroradiology 2021;202115910199211009119.Siddiqui AH. Stroke 2021;52(Suppl_1):AP14–AP14.García-Tornel Á. Stroke 2019;50(7):1781–1788.Shireman TI. Stroke 2017;48(2):379–387.DisclosureD...
Source: Journal of NeuroInterventional Surgery - August 24, 2021 Category: Neurosurgery Authors: Alderson, J., Ikeme, S., Tong, C., Cameron, H., Thornton, J. Tags: Treatment Source Type: research
Post-stroke dysphagia: Clinical characteristics and evolution in a single-primary stroke center
CONCLUSION: The presence of the above-mentioned dysphagia predictive factors should alert us to the need for an early approach, starting in the stroke unit, but also after discharge, taking into account its impact on clinical outcomes, mortality and healthcare costs.PMID:36806519 | DOI:10.3233/NRE-220242
Source: NeuroRehabilitation - February 22, 2023 Category: Rehabilitation Authors: Vitor Costa Pereira Lu ís Fontão Gon çalo Engenheiro Filipa Gouveia Lu ísa Pinto Joana Leal Jorge Moreira Catarina Aguiar-Branco Jos é Mário Roriz Source Type: research
Cost of stroke in France
ConclusionsWith healthcare costs representing 3% of total health expenditure in France, stroke constitutes an ongoing burden for the health system and overall economy. Nursing care added nearly half again the amount spent on healthcare, while productivity losses were more limited because nearly 80% of acute incident strokes were in patients over age 65. The high cost of illness underscores the need for improved prevention and interventions to limit the disabling effects of stroke.
Source: European Journal of Neurology - April 8, 2013 Category: Neurology Authors: K. Chevreul, I. Durand‐Zaleski, A. Gouépo, E. Fery‐Lemonnier, M. Hommel, F. Woimant Tags: Original Article Source Type: research
Stroke prevention for patients with atrial fibrillation: improving but not perfect yet
Atrial fibrillation (AF) is the most common cardiac rhythm disorder1 and one of the most important risk factors for stroke, particularly in the elderly. Stroke-related AF is associated with significant morbidity, mortality and healthcare costs.2 Although we have abundant evidence from randomised trials that anticoagulation, and to a lesser extent antiplatelet therapy, is highly efficacious in preventing stroke in patients with AF, these therapies remain underused, especially in older patients. With an ageing population and an AF prevalence that is rapidly rising,1 a better understanding of the stroke prevention practices i...
Source: Heart - July 19, 2013 Category: Cardiology Authors: Sandhu, R. K., McAlister, F. A. Tags: Health policy, Drugs: cardiovascular system, Epidemiology Editorials Source Type: research
Clinical and In-hospital Process Variables Are Associated With Hospital Length-of-Stay in Acute Ischemic Stroke Patients (P6.246)
CONCLUSIONS: For mild ischemic stroke patients, time to physical therapy evaluation (an in-hospital care process) was associated with LOS and likelihood of return to ED, whereas clinical factors (including mRS, NIHSS score, infarct location) were not. This suggests coordination of inpatient care processes, in addition to assessing and treating co-morbidities, could impact hospital LOS and, perhaps, long-term outcome.Disclosure: Dr. Kim has nothing to disclose. Dr. Conley has nothing to disclose. Dr. Kalanithi has nothing to disclose. Dr. Tai has nothing to disclose.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Kim, S., Conley, J., Kalanithi, L., Tai, W. Tags: Cerebrovascular Disease and Interventional Neurology: Thrombolysis Complications Source Type: research
Implications of stroke and bleeding risk-scores and comorbidities on episode-based bundled payments for patients with nonvalvular atrial fibrillation.
CONCLUSION: NVAF patients accrue variable healthcare costs. Stroke and bleeding risk should be taken into account during the creation of NVAF payment bundles.
PMID: 29164990 [PubMed - as supplied by publisher]
Source: Current Medical Research and Opinion - November 23, 2017 Category: Research Tags: Curr Med Res Opin Source Type: research
The relationship between Home-time, quality of life and costs after ischemic stroke: the impact of the need for mobility aids, home and car modifications on Home-time.
CONCLUSIONS: Home-time is a stroke outcome associated with disease severity, healthcare costs and patient wellbeing. Streamlining the discharge process for those requiring extra material support may lead to cost savings and higher quality-of-life. Implications for rehabilitation Delays in discharge from the acute hospital or rehabilitation facility are incurred when patients need extra material support in order to return home. Staff from the discharging facility should assist families by giving timely information on the availability and the cost of wheel chairs and walkers; and explaining and planning the need of a stair l...
Source: Disability and Rehabilitation - October 2, 2018 Category: Rehabilitation Authors: Dewilde S, Annemans L, Lloyd A, Peeters A, Hemelsoet D, Vandermeeren Y, Desfontaines P, Brouns R, Vanhooren G, Cras P, Michielsens B, Redondo P, Thijs V Tags: Disabil Rehabil Source Type: research
Using telerehabilitation to improve cognitive function in post-stroke survivors: is this the time for the continuity of care?
Post-stroke cognitive disorders can affect different domains, depending on typology of stroke and lesion localization, onset time, age and diagnostic tools used. In recent years, telerehabilitation using virtual reality has been used to reduce the healthcare costs encouraging continuity of care. The aim of our study is to evaluate the efficacy of a virtual reality rehabilitation system in improving cognitive function in stroke survivors. Forty patients affected by stroke were enrolled in this study and randomized into either the control or the experimental groups in order of recruitment. The study lasted 6 months, and incl...
Source: International Journal of Rehabilitation Research - November 7, 2019 Category: Rehabilitation Tags: Original Articles Source Type: research
POSA365 Does Undiagnosed Depression in Stroke Patients Affect the Total Healthcare Expenditures and Health-Related Quality of Life: An Analysis Using Medical Expenditure Panel Survey Data, 2016-2018
This study evaluates the impact of depression diagnosis on health-related quality of life (HRQoL) and healthcare expenditures in stroke patients.
Source: Value in Health - January 1, 2022 Category: International Medicine & Public Health Authors: M Pathan, G Dhingra Source Type: research
Speed up discharge planning at the acute stroke unit: A development and external validation study for the early prediction of discharge home
ConclusionsThe developed decision tree shows acceptable external validity in predicting discharge home in a heterogeneous sample of stroke patients, only based on the patient's actual ADL performance <48 h poststroke. Importantly, discharge was safe, i.e., no re-hospitalization was registered. The tree's application to speed up discharge planning should now be further evaluated.
Source: Frontiers in Neurology - September 16, 2022 Category: Neurology Source Type: research
A comparative study of medication use after stroke in four countries
Stroke is an important cause of morbidity and is responsible for 9% of all deaths worldwide [1,2]. After surviving a stroke, the risk of a recurrent stroke is 5 to 15% [1,3,4]; being responsible for higher mortality, more disability and increased cardiovascular complications [1,4]. Therefore, secondary prevention is of high importance, both in short and in long term, certainly when considering that the total cost for stroke accounts for 2 to 5% of all healthcare costs [2,5].
Source: Clinical Neurology and Neurosurgery - July 3, 2016 Category: Neurosurgery Authors: Sara Desmaele, Koen Putman, Liesbet De Wit, Eddy Dejaeger, Andreas R. Gantenbein, Wilfried Schupp, Stephane Steurbaut, Alain G. Dupont, Kristien De Paepe Source Type: research
