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Total 2168 results found since Jan 2013.
Impact of financial incentives for inter-provider care coordination on health-care resource utilization among elderly acute stroke patients
ConclusionsOur findings suggest that a payment system for care coordination is inappropriate since it was not associated with a reduction in overall health-care resource utilization. Further, health-care system reform is necessary to improve care continuity across multiple health-care institutions in Japan.
Source: International Journal for Quality in Health Care - May 9, 2017 Category: International Medicine & Public Health Source Type: research
Effects of Cilnidipine, an L/N-Type Calcium Channel Blocker, on Carotid Atherosclerosis in Japanese Post-Stroke Hypertensive Patients: Results from the CA-ATTEND Study.
CONCLUSIONS: Cilnidipine promoted the regression of common carotid IMT in post-stroke hypertensive patients, especially in the thick group. Cilnidipine also reduced the IAD in both normal and thick groups.
PMID: 29225324 [PubMed - as supplied by publisher]
Source: Journal of Atherosclerosis and Thrombosis - December 12, 2017 Category: Cardiology Tags: J Atheroscler Thromb Source Type: research
Dietary Intake of Energy and Nutrients from Breakfast and Risk of Stroke in The Japanese Population: The Circulatory Risk in Communities Study (CIRCS).
CONCLUSIONS: A higher intake of energy from breakfast, primarily saturated or monounsaturated fat, was associated with a reduced risk of intracerebral hemorrhage in Japanese men.
PMID: 29899172 [PubMed - as supplied by publisher]
Source: Journal of Atherosclerosis and Thrombosis - June 15, 2018 Category: Cardiology Tags: J Atheroscler Thromb Source Type: research
Associations of Daily Walking Time With Pneumonia Mortality Among Elderly Individuals With or Without a Medical History of Myocardial Infarction or Stroke: Findings From the Japan Collaborative Cohort Study.
CONCLUSIONS: Regular walking for ≥1 hour/day may reduce the risk of pneumonia mortality in elderly individuals with or without cardiovascular disease history.
PMID: 30249944 [PubMed - as supplied by publisher]
Source: Journal of Epidemiology - September 27, 2018 Category: Epidemiology Tags: J Epidemiol Source Type: research
Body Mass Index and Risks of Incident Ischemic Stroke Subtypes: The Japan Public Health Center-Based Prospective (JPHC) Study.
CONCLUSION: Cumulative average BMI showed a positive linear effect on sub-distribution hazards of lacunar, large-artery occlusive, and cardioembolic strokes in both sexes, except for cardioembolic stroke in women.
PMID: 30555115 [PubMed - as supplied by publisher]
Source: Journal of Epidemiology - December 19, 2018 Category: Epidemiology Tags: J Epidemiol Source Type: research
Energy Intake at Admission for Improving Activities of Daily Living and Nutritional Status among Convalescent Stroke Patients.
Authors: Nishiyama A, Wakabayashi H, Nishioka S, Nagano A, Momosaki R
Abstract
Our aim was to clarify the nutritional status and energy intake needed for activities of daily living (ADL) improvement among convalescent stroke patients. This retrospective cohort study of stroke patients used data from the Japan Rehabilitation Nutrition Database. Mean energy intake per ideal body weight was 26 kcal/kg/day at 1 week after hospitalization. Patients were divided into two groups according to energy intake: ≥26 kcal/kg/day (high) and <26 kcal/kg/day (low). ADL was evaluated using Functional Independence Measure (FIM),...
Source: Neurologia Medico-Chirurgica - May 25, 2019 Category: Neurosurgery Tags: Neurol Med Chir (Tokyo) Source Type: research
Reduction in the doses of direct oral anticoagulants and risk of ischemic stroke events: A hospital survey.
Abstract
Inappropriately reduced doses (IRDs) of direct oral anticoagulants (DOACs) are common in clinical practice. We performed a retrospective review using electronic medical records of St. Marianna University School of Medicine Hospital (a 1200-bed teaching hospital in Japan) to address the prevalence of IRDs and patient-related factors that result in IRDs. We also surveyed DOAC-treated patients who were hospitalized due to a stroke during the 5-year study period to analyze the association between stroke events and IRDs. We found that one in five patients who were newly prescribed a DOAC was treated with IRDs....
Source: Biological and Pharmaceutical Bulletin - May 11, 2020 Category: Drugs & Pharmacology Authors: Ueda A, Toki S, Kitayama C, Akazawa M Tags: Biol Pharm Bull Source Type: research
Prognostic Value of Serum N-Terminal Pro-Brain Natriuretic Peptide Level over Heart Failure for Stroke Events and Deaths in Patients with Atrial Fibrillation.
Authors: Kuronuma K, Okumura Y, Morikawa T, Yokoyama K, Matsumoto N, Tachibana E, Oiwa K, Matsumoto M, Kojima T, Haruta H, Nomoto K, Sonoda K, Arima K, Kogawa R, Takahashi F, Kotani T, Ohkubo K, Fukushima S, Itou S, Kondo K, Chiku M, Ohno Y, Onikura M, Hirayama A, SAKURA AF Registry Investigators
Abstract
Atrial fibrillation (AF) and heart failure (HF) often coexist. The aims of this study were to explore the factors associated with the serum levels of N-terminal pro-brain natriuretic peptide (NT-proBNP), and the association between prognosis and a history of HF or the serum NT-proBNP level in Japanese patients wit...
Source: International Heart Journal - May 20, 2020 Category: Cardiology Tags: Int Heart J Source Type: research
A rapid response-type doctor car system shortened time to intravenous thrombolytic therapy for patients with ischemic stroke: an observational study at a single emergency center in Japan
ConclusionIn this study, patients with ischemic stroke in RRC group received intravenous thrombolytic therapy in a shorter time compared to the group that received usual care.
Source: International Journal of Emergency Medicine - June 25, 2020 Category: Emergency Medicine Source Type: research
Antithrombotic therapy for stroke prevention in patients with atrial fibrillation in Japan.
Authors: Maruhashi T, Higashi Y
Abstract
INTRODUCTION: Stroke remains one of the major public health problems in Japan. The number of patients with atrial fibrillation (AF) has been steadily increasing with the aging of the Japanese population. Appropriate oral antithrombotic therapy is necessary to prevent AF-related stroke and bleeding complications.
AREAS COVERED: The authors summarize the Japanese guidelines for antithrombotic therapy, as well as the current status of antithrombotic therapy, and future perspectives for antithrombotic therapy for patients with AF in Japan.
EXPERT OPINION: Further improve...
Source: Expert Opinion on Pharmacotherapy - August 12, 2020 Category: Drugs & Pharmacology Tags: Expert Opin Pharmacother Source Type: research
IJERPH, Vol. 17, Pages 8223: Influence of Living Alone or with a Spouse Only on the Short-Term Prognosis in Patients after an Acute Ischemic Stroke
Conclusions&mdash;In patients with acute ischemic stroke, not only living alone but also living with a spouse only may be associated with a worse short-term prognosis, independent of other cardiovascular risks.
Source: International Journal of Environmental Research and Public Health - November 6, 2020 Category: Environmental Health Authors: Ishikawa Hifumi Urashima Tags: Article Source Type: research
Development and Validation of Scoring Indication of Surgical Clipping and Endovascular Coiling for Aneurysmal Subarachnoid Hemorrhage from the Post Hoc Analysis of Japan Stroke Data Bank.
Authors: Yoshiyama M, Ikawa F, Hidaka T, Matsuda S, Ozono I, Toyoda K, Kobayashi S, Yamaguchi S, Kurisu K
Abstract
There are no scoring methods for optimal treatment of patients with aneurysmal subarachnoid hemorrhage (aSAH). We developed a scoring model to predict clinical outcomes according to aSAH risk factors using data from the Japan Stroke Data Bank (JSDB). Of 5344 patients initially registered in the JSDB, 3547 met the inclusion criteria. Patients had been diagnosed with aSAH and treated with surgical clipping or endovascular coiling between 1998 and 2013. We performed multivariate logistic regression for po...
Source: Neurologia Medico-Chirurgica - January 6, 2021 Category: Neurosurgery Tags: Neurol Med Chir (Tokyo) Source Type: research
Psychometric properties of a short version of the Activities-specific Balance Confidence scale-Japanese (Short ABC-J) in community-dwelling people with stroke
Conclusion: The Short ABC-J has good psychometric properties and is a valid and reliable measure of balance self-efficacy in Japanese community-dwelling people with chronic stroke. Further replication studies as well as other psychometric studies are needed.PMID:33678113 | DOI:10.1080/09593985.2021.1888342
Source: Physiotherapy Theory and Practice - March 8, 2021 Category: Physiotherapy Authors: Satomi Ishige Sawako Wakui Yumi Miyazawa Hisashi Naito Source Type: research
