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Total 11289 results found since Jan 2013.

Pre-hospital stroke screening and notification of patients with reperfusion-eligible acute ischaemic stroke using modified Face Arm Speech Time test.
CONCLUSION: Implementation of pre-hospital stroke screening using criteria based on a modified version of the FAST test, together with pre-arrival notification, significantly shortened the door-to-reperfusion therapy time for patients with ischaemic stroke. Pre-hospital stroke screening during ambulance transport by EMS personnel who complete a 2-hour focused training session is effective for identifying reperfusion-eligible patients with stroke. PMID: 33284132 [PubMed - as supplied by publisher]
Source: Hong Kong Med J - December 7, 2020 Category: General Medicine Authors: Leung WCY, Teo KC, Kwok WM, Lam LHC, Choi OMY, Tse MMY, Lui WM, Tsang TC, Tsang ACO Tags: Hong Kong Med J Source Type: research

Prevalence of stroke and associated risk factors: a population-based cross-sectional study from the Qinghai-Tibet Plateau of China
Conclusions The prevalence of stroke, the related risk factors and the detection rate of high-risk individuals were clarified. The prevalence rates of hypertension, overweight or obesity and diabetes in the Qinghai-Tibet Plateau were all higher than the Chinese average. Higher-altitude exposure may be an independent risk factor for stroke.
Source: BMJ Open - November 22, 2022 Category: General Medicine Authors: Li, Z., Hu, Q., Ji, W., Fan, Q. Tags: Open access, Epidemiology Source Type: research

Trends of frequency, mortality and risk factors among patients admitted with stroke from 2017 to 2019 to the medical ward at Kilimanjaro Christian Medical Centre hospital: a retrospective observational study
Conclusion The burden of stroke on individuals and health services is increasing over time, which reflects a lack of awareness on the cause of stroke and effective preventive measures. Prioritising interventions directed towards the reduction of non-communicable diseases and associated complications, such as stroke, is urgently needed.
Source: BMJ Open - July 31, 2023 Category: General Medicine Authors: Moshi, B., Yongolo, N., Biswaro, S. M., Maro, H., Linus, S., Siebert, S., Nkenguye, W., McIntosh, E., Shirima, F., Njau, R. E., Andongolile, A. A., Mwanswila, M. J., Halliday, J. E. B., Krauth, S., Kilonzo, K., Walker, R. W., Temu, G. A., Mmbaga, B. T. Tags: Open access, Cardiovascular medicine Source Type: research

Effectiveness of a smartphone-enabled dyadic self-care programme (SDSCP) for stroke survivors and caregivers: study protocol for a randomised controlled trial
This study has been approved by the Ethics Committee of Zhengzhou University (ZZUIRB 2021–115) in January 2021. The results achieved in this study will facilitate the clinical practice to improve self-care of stroke survivors and promote dyadic health outcomes for stroke patients and caregivers. Trial registration number The study was registered with the Chinese Clinical Trial Registry and the registration number is ChiCTR2100053591.
Source: BMJ Open - September 4, 2023 Category: General Medicine Authors: Wang, W., Wang, X., Vellone, E., Zhang, Z. Tags: Open access, Nursing Source Type: research

Training emergency services' dispatchers to recognise stroke: an interrupted time-series analysis
Conclusions: This is the first study to develop, implement and evaluate the impact of a training package for EMDs with the aim of improving the recognition of stroke. Training led to a significant increase in the proportion of stroke patients dispatched as such by EMDs; a small reduction in time from call to arrival at scene by the ambulance also appeared likely. The training package has been endorsed by the UK Stroke Forum Education and Training, and is free to access on-line.
Source: BMC Health Services Research - August 15, 2013 Category: Journals (General) Authors: Caroline WatkinsMichael LeathleyStephanie JonesGary FordTom QuinnChris Sutton Source Type: research

Stroke Literacy in Singapore: Data From a Survey of Public Housing Estate Residents.
Conclusion: In a sample of Singaporean adults residing in a public housing estate, we found evidence of poor stroke literacy, highlighting the need for comprehensive population-based education efforts. There is a role for opportunistic education among those at higher risk of stroke. PMID: 25341630 [PubMed - as supplied by publisher]
Source: Annals of the Academy of Medicine, Singapore - September 1, 2014 Category: Journals (General) Authors: Lim W, Chuang DF, Chue KM, Lee DZ, Leong NJ, Ng ZG, Peng K, Shen X, Tham YN, Wang K, De Silva DA Tags: Ann Acad Med Singapore Source Type: research

VOICES: the value of 6-month clinical evaluation in stroke. The protocol for a planned qualitative study to ascertain the value of stroke follow-up to people affected by stroke
Introduction The National Clinical Guidelines for Stroke recommend ‘routine follow-up of patients 6 months post discharge’. The Sentinel Stroke National Audit Programme sets a standard of 6 months postadmission follow-up, capturing data on process and outcomes. There appears to be no convincing model of stroke follow-up at 6 months, and despite evidence of unmet need in almost 50% of stroke survivors 1–5 years after their stroke, little work focuses on the first 12 months of recovery. By listening to the living experiences of stroke, the research aims to tailor the stroke care pat...
Source: BMJ Open - October 28, 2014 Category: Journals (General) Authors: Jenkins, C., Price, F. Tags: Open access, Evidence based practice, Health services research, Qualitative research, Rehabilitation medicine Protocol Source Type: research

WITHDRAWN: Chuanxiong preparations for preventing stroke.
CONCLUSIONS: Nao-an capsule may be a choice for the primary prevention of stroke. However, the design of the study providing this evidence means that there was potential for results to have been affected by bias from the way participants may have been selected, or from investigators' conflicts of interests. There was a lack of description of the methodology in the two other studies therefore evidence from these was considered too weak to draw any firm conclusions. Further high quality research is required. PMID: 27258581 [PubMed - as supplied by publisher]
Source: Cochrane Database of Systematic Reviews - June 2, 2016 Category: Journals (General) Authors: Yang X, Zeng X, Wu T Tags: Cochrane Database Syst Rev Source Type: research

Predictors of early infection in cerebral ischemic stroke.
CONCLUSION: Patients with older age, tube feeding, lower conscious level, worse baseline stroke severity, large cerebral infarcts in CT scan, and increased IL-10 serum level were more susceptible to infection. The baseline serum level of IL-10 ≥ 14.5 pg/ ml and the size of infarct area > 3.5 cm3 were the independent predictors of PSI. PMID: 27453748 [PubMed - in process]
Source: Journal of Medicine and Life - July 28, 2016 Category: Journals (General) Tags: J Med Life Source Type: research

Acupuncture for stroke rehabilitation.
CONCLUSIONS: From the available evidence, acupuncture may have beneficial effects on improving dependency, global neurological deficiency, and some specific neurological impairments for people with stroke in the convalescent stage, with no obvious serious adverse events. However, most included trials were of inadequate quality and size. There is, therefore, inadequate evidence to draw any conclusions about its routine use. Rigorously designed, randomised, multi-centre, large sample trials of acupuncture for stroke are needed to further assess its effects. PMID: 27562656 [PubMed - as supplied by publisher]
Source: Cochrane Database of Systematic Reviews - August 25, 2016 Category: Journals (General) Authors: Yang A, Wu HM, Tang JL, Xu L, Yang M, Liu GJ Tags: Cochrane Database Syst Rev Source Type: research

Association of dementia with death after ischemic stroke: A two-year prospective study.
In conclusion, the mortality rate is increased in stroke patients with dementia. Dementia is an important risk factor for death after stroke, independent of age, atrial fibrillation, previous stroke, and the severity of the stroke. PMID: 27588095 [PubMed - as supplied by publisher]
Source: Experimental and Therapeutic Medicine - September 3, 2016 Category: Journals (General) Tags: Exp Ther Med Source Type: research

Wake-up stroke: Clinical characteristics, sedentary lifestyle, and daytime sleepiness
Conclusion: Wake-up stroke occurs in approximately 25% of stroke cases. In this study, patients with WUS had more diabetes and sedentary lifestyle. Daytime sleepiness is frequent and is associated with sedentary lifestyle and heavy drinking.Resumo Objetivo: wake-up stroke (WUS) define o acidente vascular cerebral (AVC) que ocorre sem hor ário preciso de início, pois os sintomas manifestam-se ao despertar. Alterações do sono associam-se a maior risco de AVC e doenças cardíacas. Este estudo avalia as características dos pacientes com e sem WUS, a presença de sonolência diurna e os fatores de risco associados. Métod...
Source: Revista da Associacao Medica Brasileira - December 2, 2016 Category: Journals (General) Source Type: research

Suboptimal lipid management before and after ischaemic stroke and TIA —the North Dublin Population Stroke Study
ConclusionsIn this population-based study, LLT recommended by international guidelines was under-used, before and after index stroke/TIA. Strategies to improve adherence are needed.
Source: Irish Journal of Medical Science - January 24, 2018 Category: General Medicine Source Type: research

Bridging the Evidence-to-Practice Gap in Stroke Care
Stroke is particularly devastating globally. Although much progress on stroke has been made, stroke is the second leading cause of death worldwide and the leading cause of death in China, a country with a population greater than 1.5 billion. Indeed, the burden of stroke is substantial in Asian countries because of a higher stroke incidence and evolving access to modern stroke care. Stroke care may be one area of medicine that has a particularly large evidence-to-practice gap. Modern stroke treatment requires technology including imaging equipment, as well as stroke units and rehabilitation units, all of which can be prohib...
Source: JAMA - Journal of the American Medical Association - June 29, 2018 Category: General Medicine Source Type: research

Building Linked Big Data for Stroke in Korea: Linkage of Stroke Registry and National Health Insurance Claims Data.
Conclusion: We could establish big data on stroke by linking CRCS registry and HIRA records, using claims data without personal identifiers. We plan to conduct national stroke research and improve stroke care using the linked big database. PMID: 30595684 [PubMed - in process]
Source: J Korean Med Sci - December 31, 2018 Category: General Medicine Authors: Kim TJ, Lee JS, Kim JW, Oh MS, Mo H, Lee CH, Jeong HY, Jung KH, Lim JS, Ko SB, Yu KH, Lee BC, Yoon BW Tags: J Korean Med Sci Source Type: research