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Specialty: General Medicine

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Total 11289 results found since Jan 2013.

Prevalence of stroke and metabolic disorders in the middle-aged and elderly Chinese with type 2 diabetes.
CONCLUSIONS: The prevalence of stroke was higher in middle-aged and elderly Chinese with type 2 diabetes than that in the general population. With the aggregation of risk factors, the prevalence of stroke increased. PMID: 25316225 [PubMed - in process]
Source: Chinese Medical Journal - October 1, 2014 Category: Journals (General) Authors: Zhang X, Mu Y, Yan W, Ba J, Li H Tags: Chin Med J (Engl) Source Type: research

Clinical characteristics, precipitating factors, management and outcome of patients with prior stroke hospitalised with heart failure: an observational report from the Middle East
Conclusions This observational study reports high prevalence of prior stroke in patients hospitalised with HF. Internists rather than cardiologists were the predominant caregivers in this high-risk group. Patients with stroke had higher risk of in-hospital recurrent strokes and long-term mortality rates. Trial registration number NCT01467973.
Source: BMJ Open - April 23, 2015 Category: Journals (General) Authors: Khafaji, H. A. R., Sulaiman, K., Singh, R., AlHabib, K. F., Asaad, N., Alsheikh-Ali, A., Al-Jarallah, M., Bulbanat, B., AlMahmeed, W., Ridha, M., Bazargani, N., Amin, H., Al-Motarreb, A., AlFaleh, H., Elasfar, A., Panduranga, P., Al Suwaidi, J. Tags: Open access, Cardiovascular medicine Research Source Type: research

Management of ischemic stroke in the hyperacute phase.
Authors: Devos D, Sevin M, De Gaalon S, Lintia-Gaultier A, Guillon B Abstract Over the last 15 years, advances in acute ischemic stroke (AIS) management have led to a significant reduction in the morbidity and mortality related to this serious disease. This has resulted from progress in imaging technology, increased access to imaging procedures, enhanced coordination in stroke care from emergency departments to rehabilitation centers, development of organized inpatient stroke units, and to the widespread use of acute thrombolysis. Once the diagnosis of AIS is confirmed by neuroimaging, the etiological work up is co...
Source: Panminerva Medica - June 4, 2015 Category: Journals (General) Tags: Panminerva Med Source Type: research

Readmissions after stroke: linked data from the Australian Stroke Clinical Registry and hospital databases.
CONCLUSIONS: Linking clinical registry data with routinely collected hospital data for stroke and TIA is feasible in Victoria. Using these linked data, we found that readmission to hospital is common in this patient group and is related to their comorbid conditions. PMID: 26175251 [PubMed - as supplied by publisher]
Source: Med J Aust - July 16, 2015 Category: Journals (General) Authors: Kilkenny MF, Dewey HM, Sundararajan V, Andrew NE, Lannin N, Anderson CS, Donnan GA, Cadilhac DA Tags: Med J Aust Source Type: research

Combined oral contraceptives: the risk of myocardial infarction and ischemic stroke.
CONCLUSIONS: This network meta-analysis showed that the risk of myocardial infarction or ischemic stroke was only increased in women using COCs containing ≥ 50 µg of estrogen. Regarding myocardial infarction or ischemic stroke, prescribing COCs with < 50 µg of estrogen seems safe. When combined with the results of studies on the risk of venous thrombosis in COC users, it seems that the COC pill containing levonorgestrel and 30 µg of estrogen is the safest oral form of hormonal contraception. PMID: 26310586 [PubMed - as supplied by publisher]
Source: Cochrane Database of Systematic Reviews - August 27, 2015 Category: Journals (General) Authors: Roach RE, Helmerhorst FM, Lijfering WM, Stijnen T, Algra A, Dekkers OM Tags: Cochrane Database Syst Rev Source Type: research

Acute Ischemic Stroke on Cancer Patients, a Distinct Etiology? A Case-Control Study.
CONCLUSION: In clinical grounds, hypercoagulopathy as stroke etiology should prompt the physician to screen the patient for occult cancer. PMID: 26667865 [PubMed - in process]
Source: Acta Medica Portuguesa - December 18, 2015 Category: Journals (General) Tags: Acta Med Port Source Type: research

Translating knowledge for action against stroke – using 5-minute videos for stroke survivors and caregivers to improve post-stroke outcomes: study protocol for a randomized controlled trial (Movies4Stroke)
DiscussionMovies4Stroke is a randomized trial testing an application aimed at supporting caregivers and stroke survivors in a LMIC with no rehabilitation or chronic support systems.Trial registrationNCT02202330 (28 January 2015)
Source: Trials - January 27, 2016 Category: Journals (General) Authors: Ayeesha KamalAdeel KhojaBushra UsmaniAbdul MuqeetFabiha ZaidiMasood AhmedSaadia ShakeelNabila SoomroAmbreen GowaniNargis AsadAsma AhmedSaleem SayaniIqbal AzamSarah Saleem Source Type: research

Evaluation of the feasibility and acceptability of the 'Care for Stroke intervention in India, a smartphone-enabled, carer-supported, educational intervention for management of disability following stroke
Conclusions Evaluation indicated that the ‘Care for Stroke’ intervention was feasible and acceptable in an Indian context. An assessment of effectiveness is now warranted.
Source: BMJ Open - February 2, 2016 Category: Journals (General) Authors: Sureshkumar, K., Murthy, G., Natarajan, S., Naveen, C., Goenka, S., Kuper, H. Tags: Open access, Geriatric medicine, Global health, Health services research, Public health, Rehabilitation medicine, Research methods Source Type: research

Trends in one-year mortality for stroke in a tertiary academic center in Saudi Arabia: a 5-year retrospective analysis
CONCLUSION: We observed no decline in stroke mortality in our center over the 5-year span. The establishment of stroke systems of care, use of thrombolytic agents, and opening of a stroke unit should play an important role in a decline in stroke mortality.  LIMITATIONS: Retrospective single center study. Mortality data were available only for patients who died in our hospital.   
Source: Annals of Saudi Medicine - May 29, 2016 Category: Journals (General) Tags: ISSUE 3 Source Type: research

Dietary sodium-to-potassium ratio as a risk factor for stroke, cardiovascular disease and all-cause mortality in Japan: the NIPPON DATA80 cohort study
Conclusions Dietary Na–K ratio assessed by a 3-day weighing dietary record was a significant risk factor for mortality from haemorrhagic stroke, all stroke, CVD and all causes among a Japanese population.
Source: BMJ Open - July 12, 2016 Category: Journals (General) Authors: Okayama, A., Okuda, N., Miura, K., Okamura, T., Hayakawa, T., Akasaka, H., Ohnishi, H., Saitoh, S., Arai, Y., Kiyohara, Y., Takashima, N., Yoshita, K., Fujiyoshi, A., Zaid, M., Ohkubo, T., Ueshima, H., on behalf of the NIPPON DATA80 Research Group, on beh Tags: Open access, Epidemiology, Nutrition and metabolism Research Source Type: research

Do socioeconomic disparities in stroke and its consequences decrease in older age?
Conclusions: SES disparities in the older age group were significant and large in absolute terms when considering more severe outcomes such as stroke dependency. These findings question the ability of universal health care systems to answer equitably the need of the aging population.
Source: The European Journal of Public Health - October 5, 2016 Category: Journals (General) Authors: Grimaud, O., Roussel, P., Schnitzler, A., Demmer, R., Menvielle, G. Tags: Socioeconomic determinants Source Type: research

Circuit class therapy for improving mobility after stroke.
CONCLUSIONS: There is moderate evidence that CCT is effective in improving mobility for people after stroke - they may be able to walk further, faster, with more independence and confidence in their balance. The effects may be greater later after the stroke, and are of clinical significance. Further high-quality research is required, investigating quality of life, participation and cost-benefits, that compares CCT with standard care and that also investigates the influence of factors such as stroke severity and age. The potential risk of increased falls during CCT needs to be monitored. PMID: 28573757 [PubMed - as supplied by publisher]
Source: Cochrane Database of Systematic Reviews - June 2, 2017 Category: General Medicine Authors: English C, Hillier SL, Lynch EA Tags: Cochrane Database Syst Rev Source Type: research

Juvenile Stroke.
CONCLUSION: The high rates of cryptogenic stroke and ESUS among patients with juvenile stroke indicate that uncertainties remain in the diagnosis and treatment of this entity. The identification of rare causes of juvenile stroke requires a major diagnostic effort. Which diagnostic tests are useful or necessary in which patients is a matter that is currently decided on an individual basis. This is true, above all, of the indication for long-term cardiac monitoring. PMID: 28835326 [PubMed - in process]
Source: Deutsches Arzteblatt International - August 26, 2017 Category: General Medicine Tags: Dtsch Arztebl Int Source Type: research

Antibiotic therapy for preventing infections in people with acute stroke.
CONCLUSIONS: Preventive antibiotics had no effect on functional outcome or mortality, but significantly reduced the risk of 'overall' infections. This reduction was driven mainly by prevention of urinary tract infection; no effect for pneumonia was found. PMID: 29355906 [PubMed - as supplied by publisher]
Source: Cochrane Database of Systematic Reviews - January 22, 2018 Category: General Medicine Authors: Vermeij JD, Westendorp WF, Dippel DW, van de Beek D, Nederkoorn PJ Tags: Cochrane Database Syst Rev Source Type: research

Projected stroke volumes to provide a 10-year direction for New Zealand stroke services.
CONCLUSION: Efforts to optimise stroke service performance and, increasingly, stroke prevention are required to ensure that the New Zealand Health Service will be able to manage the increased volumes of patients. Better data is required to validate the presented figures, which are largely based on unvalidated health administrative data. PMID: 29927912 [PubMed - in process]
Source: New Zealand Medical Journal - June 22, 2018 Category: General Medicine Tags: N Z Med J Source Type: research