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Total 1481 results found since Jan 2013.

Association between tooth loss and medical costs related to stroke in healthy older adults aged over 75 years in Japan
ConclusionWithin the limitations of the present study, the reported findings suggest an independent relationship of tooth loss with increase in medical cost related to stroke among older Japanese adults. Further studies are necessary to substantiate these findings. Geriatr Gerontol Int 2016; ●●: ●●–●●.
Source: Geriatrics and Gerontology International - January 22, 2016 Category: Geriatrics Authors: Masanori Iwasaki, Misuzu Sato, Akihiro Yoshihara, Toshihiro Ansai, Hideo Miyazaki Tags: Original Article: Epidemiology, Clinical Practice and Health Source Type: research

Psychometric Characteristics of the Mutuality Scale in Stroke Patients and Caregivers.
This study tested the theoretical dimensions of the MS in stroke patients and their caregivers. From a scientific and clinical point of view, an assessment of stroke patient and caregiver mutuality would allow dyadic approaches to data analysis and care that account for the nonindependence between the stroke patient and the caregiver. PMID: 27114475 [PubMed - as supplied by publisher]
Source: The Gerontologist - April 24, 2016 Category: Geriatrics Authors: Pucciarelli G, Buck HG, Barbaranelli C, Savini S, Simeone S, Juarez-Vela R, Alvaro R, Vellone E Tags: Gerontologist Source Type: research

Utilization of long-term care after decompressive hemicraniectomy for severe stroke among older patients.
CONCLUSIONS: There is a high rate of mortality among older stroke patients undergoing DHC. Although most survivors of DHC are not permanently institutionalized, there is wide variation in utilization of DHC across the USA. PMID: 27495258 [PubMed - as supplied by publisher]
Source: Aging Clinical and Experimental Research - August 4, 2016 Category: Geriatrics Authors: Fehnel CR, Lee Y, Wendell LC, Thompson BB, Stevenson Potter N, Mor V Tags: Aging Clin Exp Res Source Type: research

Improving Stroke Caregiver Readiness for Transition From Inpatient Rehabilitation to Home.
In this study, we developed a theoretical model for improving stroke caregiver readiness and identifying gaps in caregiver preparation. DESIGN AND METHODS: We interviewed 40 stroke family caregivers caring for 33 stroke survivors during inpatient rehabilitation and within 6 months post-discharge for this grounded theory study. Data were analyzed using dimensional analysis and constant comparative techniques. RESULTS: Caregivers identified critical areas where they felt unprepared to assume the caregiving role after discharge from inpatient rehabilitation. Steps to improve preparation include (a) conducting a risk...
Source: The Gerontologist - November 4, 2016 Category: Geriatrics Authors: Lutz BJ, Young ME, Creasy KR, Martz C, Eisenbrandt L, Brunny JN, Cook C Tags: Gerontologist Source Type: research

Do studies of the weekend effect really allow for differences in illness severity? An analysis of 14 years of stroke admissions
Conclusions</div>the sorts of factors measurable in administrative databases only account for a small part of the prognostically important differences in case-mix between weekday and weekend stroke admissions. While increasing weekend staffing might improve adherence to care standards, evidence that it could save lives is unreliable.</span>
Source: Age and Ageing - October 14, 2016 Category: Geriatrics Source Type: research

317 Incidence of Cognitive Impairment after Stroke: a Retrospective Cohort of Rehabilitation Patients.
ConclusionThis study replicates Pendlebury and Rothwell ’s findings that over a third of people suffering from severe strokes will develop cognitive impairment. This is of critical importance to stroke clinicians as it should prompt frank discussions with stroke patients and their families about prognosis, recovery and future planning.
Source: Age and Ageing - September 16, 2019 Category: Geriatrics Source Type: research

38 Patient and Environmental Factors Influencing Recognition, Response Time, and Treatment of In-Hospital Stroke
ConclusionIn-hospital strokes are frequently missed due to the complexities of the patients involved.  Education programs targeted at enhancing stroke pickup among hospital staff could potentially decrease delays and improve patient outcomes.
Source: Age and Ageing - September 16, 2019 Category: Geriatrics Source Type: research

170 Admissions to a Stroke Unit in an Irish Rehabilitation Hospital: A Review from Speech and Language Therapy
ConclusionCCDs are highly prevalent and represented the largest subtype of communication disorders in this cohort. FIMFAM scores appear useful in assessing CCDs however they display insufficient sensitivity in capturing change within this population. This audit highlights the need for further interdisciplinary research, education and training into cognitive-communication difficulties with post-stroke populations.
Source: Age and Ageing - September 16, 2019 Category: Geriatrics Source Type: research

277 Frailty and Early Supported Discharge (ESD) Post-Stroke: Are Frail Patients Referred to ESD and is Frailty Associated with Rehabilitation Outcomes?
ConclusionFrail patients are not routinely referred for ESD post-stroke. Patients who are pre-frail or frail make similar improvements with ESD compared to non-frail patient in functional independence but not quality of life. Comparable levels of physiotherapy and occupational therapy are provided but frail patients require less SLT. Further research is needed to ascertain if frail patients are appropriate for ESD.
Source: Age and Ageing - September 16, 2019 Category: Geriatrics Source Type: research

Impact of stroke on affective well-being: findings from a large longitudinal nationally representative study.
Conclusion: Panel regression models showed that the incidence of stroke was associated with a decline in positive affect in the total sample and in both sexes. As the general self-efficacy moderated this association, it may be beneficial to enhance self-efficacy and prioritize coping strategies among stroke survivals. PMID: 31583890 [PubMed - as supplied by publisher]
Source: Aging and Mental Health - October 3, 2019 Category: Geriatrics Authors: Buczak-Stec E, König HH, Hajek A Tags: Aging Ment Health Source Type: research

Association between vision impairment and cognitive decline in older adults with stroke: Health and Retirement Study.
Abstract Stroke survivors may experience multiple residual symptoms post-stroke, including vision impairment (VI) and cognitive decline. Prior studies have shown that VI is associated with cognitive decline, but have not evaluated the contribution of VI to post-stroke cognitive changes. We used data from four waves (2010-2016) of the Health and Retirement Study to investigate the cognitive trajectories of stroke survivors with and without VI. Vision (excellent-very good[ref], good, fair-poor) and stroke diagnosis were self-reported. Cognition was defined using the Telephone Interview for Cognitive Status. Regressi...
Source: Aging Clinical and Experimental Research - January 11, 2021 Category: Geriatrics Authors: Hreha KP, Downer B, Ehrlich JR, Howrey B, Taglialatela G Tags: Aging Clin Exp Res Source Type: research

Carotid Intraplaque Neovascularization Predicts Ischemic Stroke Recurrence in Patients with Carotid Atherosclerosis
Conclusions: IPN was an independent predictor of stroke recurrence in patients with a recent ischemic stroke and carotid atherosclerosis. In predicting stroke recurrence, IPN may be an earlier indicator than carotid stenosis and may help stratify the risk of stroke recurrence.Gerontology
Source: Gerontology - February 12, 2021 Category: Geriatrics Source Type: research

The endogenous and exogenous brain-derived neurotrophic factor plays pivotal roles in the pathogenesis of stroke onset in high salt-loaded hypertensive rats
Exp Gerontol. 2021 Feb 17;147:111286. doi: 10.1016/j.exger.2021.111286. Online ahead of print.ABSTRACTBrain-derived neurotrophic factor (BDNF) is known to have neuroprotective effects on multiple neurovascular diseases especially poststroke recovery. On the other hand, BDNF reported to increase blood pressure (BP) which is one of the major risk factors for stroke onset. To clarify the conflicting effects on stroke onset, we examined the expression of endogenous BDNF in relation to stroke onset. In addition, we explored the effect of exogenous central BDNF against stroke onset and all-cause mortality as the primary endpoint...
Source: Experimental Gerontology - February 20, 2021 Category: Geriatrics Authors: Yu Hasegawa Yushin Takemoto Kenyu Hayashi Koki Kameno Shokei Kim-Mitsuyama Source Type: research