Query: stroke

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Braden scale for assessing pneumonia after acute ischaemic stroke
The prevention of pneumonia is critical for patients with acute ischaemic stroke (AIS). The six subscales in the Braden Scale seem to be related to the occurrence of pneumonia. We aimed to evaluate the feasibi...
Source: BMC Geriatrics - October 7, 2019 Category: Geriatrics Authors: Yunlong Ding, Yazhou Yan, Jiali Niu, Yanrong Zhang, Zhiqun Gu, Ping Tang and Yan Liu Tags: Research article Source Type: research

Eligibility, Enrollment, and Completion of Exercise-Based Cardiac Rehabilitation Following Stroke Rehabilitation: What Are the Barriers?
CONCLUSIONS: An OSR-CR partnership provided an effective continuum of care, with approximately 75% of eligible people participating and more than 80% completing. However, just over 1 of 4 eligible people declined participation; therefore, strategies should target lack of interest, transportation, women, and people without diabetes. An alternative program model is needed for people who have severe ambulatory or cognitive deficits and no home exercise support. PMID: 31588512 [PubMed - as supplied by publisher]
Source: Physical Therapy - October 7, 2019 Category: Physiotherapy Authors: Marzolini S, Fong K, Jagroop D, Neirinckx J, Liu J, Reyes R, Grace SL, Oh P, Colella TJF Tags: Phys Ther Source Type: research

A Unique Signature of Cardiac-Induced Cranial Forces During Acute Large Vessel Stroke and Development of a Predictive Model
ConclusionsHeadpulse recordings performed on patients with suspected acute stroke significantly identify those with LVO. The lack of temporal correlation of the headpulse with cardiac contraction and resolution to normal may reflect changes in cerebral blood flow and may provide a useful technique to triage stroke patients for thrombectomy using a noninvasive device.
Source: Neurocritical Care - October 7, 2019 Category: Neurology Source Type: research

Physiological responses and perceived exertion during robot-assisted treadmill walking in non-ambulatory stroke survivors.
Conclusions: The assistance level that non-ambulatory stroke survivors require at their highest tolerable walking speed seems too high to sufficiently stress the cardiorespiratory system during robot-assisted treadmill walking. Implications for rehabilitation The exercise intensity of 20-minute conventional robot-assisted treadmill walking can be low, and might be too low to challenge the cardiorespiratory system of non-ambulatory stroke survivors. Lowering the level of robotic assistance from 100% to 60% does not seem to increase the exercise intensity of 20-minute robot-assisted treadmill walking. PMID: 31588811 [Pu...
Source: Disability and Rehabilitation - October 7, 2019 Category: Rehabilitation Authors: Lefeber N, De Keersmaecker E, Henderix S, Michielsen M, Tamburella F, Tagliamonte NL, Molinari M, de Geus B, Kerckhofs E, Swinnen E Tags: Disabil Rehabil Source Type: research

Incidence and impact of ischemic and hemorrhagic stroke after left ventricular assist device implantation: A nationwide study
ConclusionThe incidence of stroke was ~7% after LVAD placement, and it was associated with significantly higher in-hospital mortality and resource utilization.
Source: Indian Heart Journal - October 6, 2019 Category: Cardiology Source Type: research

Co-Contraction of Lower Limb Muscles Contributes to Knee Stability During Stance Phase in Hemiplegic Stroke Patients.
CONCLUSIONS Our results showed that co-contraction of the rectus femoris muscle contributes to the stability of the knee and lower limb function in hemiplegic stroke patients, and suggests that co-contraction should be considered in the rehabilitation of knee stability during gait in hemiplegic stroke patients. Appropriate rehabilitation assessment planning with hemiplegic stroke patients, such as muscle co-contraction or knee stability of, might be created based on our results. PMID: 31584038 [PubMed - in process]
Source: Medical Science Monitor - October 6, 2019 Category: Research Tags: Med Sci Monit Source Type: research

Photography Project Highlights The Challenges Of Daily Life After Stroke
To find out how people adjust to life after stroke, Swedish researchers studied photos that people took of their daily routines.
Source: Forbes.com Healthcare News - October 6, 2019 Category: Pharmaceuticals Authors: Eva Amsen, Contributor Source Type: news

Stroke-prone Spontaneously Hypertensive Rats Have Reduced Hydroxysteroid 17- β Dehydrogenase 7 Levels for Low Cholesterol Biosynthesis.
Stroke-prone Spontaneously Hypertensive Rats Have Reduced Hydroxysteroid 17-β Dehydrogenase 7 Levels for Low Cholesterol Biosynthesis. Clin Exp Pharmacol Physiol. 2019 Oct 06;: Authors: Matsuoka H, Uchino Y, Choshi M, Nakamura T, Michihara A Abstract Reduced serum cholesterol content was recently reported to be one of the factors responsible for cerebral haemorrhage. Stroke-prone spontaneously hypertensive rats (SHRSP) are known to have lower serum cholesterol content than normotensive Wistar-Kyoto rats (WKY). We previously reported that lower levels of mevalonate pyrophosphate decarboxylase (MPD) an...
Source: Clinical and Experimental Pharmacology and Physiology - October 6, 2019 Category: Drugs & Pharmacology Authors: Matsuoka H, Uchino Y, Choshi M, Nakamura T, Michihara A Tags: Clin Exp Pharmacol Physiol Source Type: research

Potential Impact of C-STAT for Prehospital Stroke Triage Up to 24  Hours on a Regional Stroke System.
Conclusions: Preferential triage of prehospital suspected stroke patients using C-STAT would increase the number of patients transported to the CSC by 11% within six hours and an additional 10% from six to 24 hours. For every patient with LVO as final diagnosis, approximately an additional 6 non-LVO patients would be triaged to a CSC. PMID: 31580180 [PubMed - as supplied by publisher]
Source: Prehospital Emergency Care - October 5, 2019 Category: Endocrinology Tags: Prehosp Emerg Care Source Type: research

Association between CPR-related genetic variants and risk of ischemic stroke: a nested case-control study.
Conclusions: Our study showed genetic variants of CRP-related genes were associated with risk of ischemic stroke. Our findings could provide useful data for the etiology of ischemic stroke. PMID: 31584351 [PubMed - as supplied by publisher]
Source: Neurological Research - October 5, 2019 Category: Neurology Tags: Neurol Res Source Type: research

Thrombolysis with rhPro-UK 3 to 6 hours after embolic stroke in rat.
Conclusions: RhPro-UK had an obvious therapeutic effect on ischemic stroke caused by thrombosis, and could be started within 4.5 h TTW with less side effects of cerebral hemorrhage than that of UK. PMID: 31584350 [PubMed - as supplied by publisher]
Source: Neurological Research - October 5, 2019 Category: Neurology Tags: Neurol Res Source Type: research

Perfusion Computed Tomography in Acute Ischemic Stroke.
This article reviews PCT for the evaluation of AIS patients. PMID: 31582038 [PubMed - in process]
Source: Radiologic Clinics of North America - October 5, 2019 Category: Radiology Authors: Heit JJ, Sussman ES, Wintermark M Tags: Radiol Clin North Am Source Type: research

Causes of Acute Stroke: A Patterned Approach.
This article reviews the imaging patterns of acute strokes, and how the infarct pattern and imaging characteristics can suggest an underlying cause. PMID: 31582037 [PubMed - in process]
Source: Radiologic Clinics of North America - October 5, 2019 Category: Radiology Authors: Knight-Greenfield A, Nario JJQ, Gupta A Tags: Radiol Clin North Am Source Type: research

Imaging of Acute Stroke: Current State.
This article reviews the current state of imaging for acute ischemic stroke. Protocolized imaging acquisition using computed tomography in conjunction with coordinated stroke care allows for rapid diagnosis and prompt revascularization. Following the initial evidence to support endovascular therapy for large-vessel occlusion, published between 2014 and 2015, there are now guidelines supporting treatment up to 24 hours after time of onset of symptoms. Neuroimaging remains a central component in diagnosing acute stroke and potentially excluding patients from stroke treatment, as outlined in this article. PMID: 31582036...
Source: Radiologic Clinics of North America - October 5, 2019 Category: Radiology Authors: Hetts S, Khangura R Tags: Radiol Clin North Am Source Type: research

Predictors of caregiver burden after stroke in Nigeria: Effect on psychosocial well-being.
Conclusion: In this study, psychosocial burden in CGs was indexed by various determinants and impacted QoL negatively. Given the integral role of CGs to the care of SSs in the community, mental health services, psychosocial support programs, and stratification based on known vulnerability factors seems viable options for intervention, assessment, and planning. PMID: 31579140 [PubMed]
Source: Indian Journal of Psychiatry - October 4, 2019 Category: Psychiatry Tags: Indian J Psychiatry Source Type: research

Cilostazol use is associated with FIM cognitive improvement during convalescent rehabilitation in patients with ischemic stroke: a retrospective study.
Authors: Senda J, Ito K, Kotake T, Kanamori M, Kishimoto H, Kadono I, Nakagawa-Senda H, Wakai K, Katsuno M, Nishida Y, Ishiguro N, Sobue G Abstract Cilostazol is a phosphodiesterase III-inhibiting antiplatelet agent that is often used to prevent stroke and peripheral artery disease, and its administration has shown significant improvements for cognitive impairment. We investigate the potential of cilostazol for reducing or restoring cognitive decline during convalescent rehabilitation in patients with non-cardioembolic ischemic stroke. The study sample included 371 consecutive patients with lacunar (n = 44) and ath...
Source: Nagoya Journal of Medical Science - October 4, 2019 Category: International Medicine & Public Health Tags: Nagoya J Med Sci Source Type: research

Thrombus Imaging in Acute Stroke: Are We Even Close? Thrombus Imaging in Acute Stroke: Are We Even Close?
Can imaging characteristics of thrombi provide predictive value or useful information for planning endovascular procedures?Stroke
Source: Medscape Today Headlines - October 4, 2019 Category: Consumer Health News Tags: Neurology & Neurosurgery Journal Article Source Type: news

Dance-based exergaming for upper extremity rehabilitation and reducing fall-risk in community-dwelling individuals with chronic stroke. A preliminary study - Subramaniam S, Bhatt T.
This study pri...
Source: SafetyLit - October 4, 2019 Category: International Medicine & Public Health Tags: Age: Elder Adults Source Type: news

Interventions for preventing falls in people after stroke - Denissen S, Staring W, Kunkel D, Pickering RM, Lennon S, Geurts AC, Weerdesteyn V, Verheyden GS.
BACKGROUND: Falls are one of the most common complications after stroke, with a reported incidence ranging between 7% in the first week and 73% in the first year post stroke. This is an updated version of the original Cochrane Review published in 2013. ...
Source: SafetyLit - October 4, 2019 Category: International Medicine & Public Health Tags: Age: Elder Adults Source Type: news

Impact of atrial fibrillation/flutter on the in-hospital mortality of ischemic stroke patients
Stroke is the second leading cause of death worldwide. Ischemic strokes, which are caused by atrial fibrillation/flutter (AF) may be more devastating than those without AF.
Source: Heart Rhythm - October 4, 2019 Category: Cardiology Authors: Karsten Keller, Lukas Hobohm, Philip Wenzel, Thomas M ünzel, Christine Espinola-Klein, Mir A. Ostad Source Type: research

Bone marrow-mesenchymal stem cells modulate microglial activation in the peri-infarct area in rats during the acute phase of stroke.
CONCLUSION: The transplanted BM-MSCs exerted immunomodulatory effect by inactivating the microglias in the peri-infarct area, at least partially, via the CD200-CD200R1 signaling. PMID: 31589902 [PubMed - as supplied by publisher]
Source: Brain Research Bulletin - October 4, 2019 Category: Neurology Authors: Li Z, Ye H, Cai X, Sun W, He B, Yang Z, Xu P Tags: Brain Res Bull 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 4, 2019 Category: Geriatrics Authors: Buczak-Stec E, König HH, Hajek A Tags: Aging Ment Health Source Type: research

Most stroke survivors fear another attack
Fifth of survivors stay silent on their fears, study shows Related items fromOnMedica Millions miss out on vital diabetes health checks Patients with atrial fibrillation to be targeted in stroke reduction programme TV awareness ads on stroke and cancer to be relaunched Fund specialist dementia training to improve care and save money Safeguarding: what lies ahead for 2019
Source: OnMedica Latest News - October 4, 2019 Category: UK Health Source Type: news

Regarding "The association between platelet/lymphocyte ratio, neutrophil/lymphocyte ratio, and carotid artery stenosis and stroke following carotid endarterectomy".
PMID: 31584349 [PubMed - as supplied by publisher]
Source: Vascular - October 4, 2019 Category: Surgery Authors: Raffort J, Lareyre F Tags: Vascular Source Type: research

Clinical Significance of Baseline Neutrophil-to-Lymphocyte Ratio in Patients With Ischemic Stroke or Hemorrhagic Stroke: An Updated Meta-Analysis
Conclusions: Baseline NLR level is a promising predictor of the clinical outcomes in both ischemic and hemorrhagic stroke. In addition, elevated NLR is also associated with a high risk of ischemic stroke occurrence. However, future studies are needed to demonstrate the underlying mechanisms and further explain this association.
Source: Frontiers in Neurology - October 4, 2019 Category: Neurology Source Type: research

PDE3A variant associated with hypertension and brachydactyly syndrome in a patient with ischemic stroke caused by spontaneous intracranial artery dissection: A review of the clinical and molecular genetic features.
Abstract Hypertension and brachydactyly syndrome (HTNB; MIM 112410) is a rare, recently described, autosomal dominant syndromic disease characterized by the triad of brachydactyly type E (BDE), short stature, and hypertension. HTNB is caused by a heterozygous mutation in the PDE3A (MIM 123805) gene on chromosome 12p12; this gene encodes a member of the cGMP-inhibited cyclic nucleotide phosphodiesterase family. PED3A plays a role in many signal transduction pathways, including those involved in vascular smooth muscle proliferation and contraction, cardiac contractility, platelet aggregation, and hormone secretion. ...
Source: European Journal of Medical Genetics - October 4, 2019 Category: Genetics & Stem Cells Authors: Lee CG, Kang K, Yoon RG, Seo JY, Park JM Tags: Eur J Med Genet Source Type: research

Similar Benefits for Thrombectomy, Medical Management, in Mild Stroke Similar Benefits for Thrombectomy, Medical Management, in Mild Stroke
New analyses show no compelling evidence supporting either mechanical thrombectomy or medical management over the other for the treatment of mild stroke, setting the stage for a randomized trial.Medscape Medical News
Source: Medscape Neurology and Neurosurgery Headlines - October 3, 2019 Category: Neurology Tags: Neurology & Neurosurgery News Source Type: news

Estimating Costs of Implementing Stroke Systems of Care and Data-Driven Improvements in the Paul Coverdell National Acute Stroke Program
Source: CDC Preventing Chronic Disease - October 3, 2019 Category: International Medicine & Public Health Tags: Public Health Source Type: news

How Imaging Can Help Us Better Understand the Migraine-Stroke Connection.
Abstract Migraine and stroke are among the most prevalent and disabling neurological diseases. Epidemiologic studies showed that there is an association between migraine and stroke. Migraineurs, especially those with aura, are more likely to develop subclinical infarct-like lesions in the brain and are at risk for cryptogenic or cardioembolic stroke. Migrainous headache can be found at the onset of acute ischemic stroke in some patients, and in rare instances, an infarction can be directly attributed to a prolonged migraine aura, ie, migrainous infarction. Importantly, recent studies suggest that in the event of c...
Source: Headache - October 3, 2019 Category: Neurology Authors: Chen SP, Eikermann-Haerter K Tags: Headache Source Type: research

Continuous theta burst stimulation provides neuroprotection by accelerating local cerebral blood flow and inhibiting inflammation in a mouse model of acute ischemic stroke.
Abstract Acute ischemic stroke is a leading cause of disability with limited therapeutic options. Continuous theta burst stimulation (cTBS) has recently been shown to be a promising noninvasive therapeutic strategy for neuroprotection in ischemic stroke patients. Here, we investigated the protective effects of cTBS following acute infarction using a photothrombotic stroke (PTS) model in the right posterior parietal cortex (PPC) of C57BL/6 mice. Treatment with cTBS resulted in a reduction in the volume of the infarct region and significantly increased vascular diameter and blood flow velocity in peri-infarct region...
Source: Brain Research - October 3, 2019 Category: Neurology Authors: Wu C, Li MN, Feng YW, He XF, Li WQ, Liang FY, Li X, Li G, Pei Z, Lan Y, Xu GQ Tags: Brain Res Source Type: research

Risk factors for ischemic stroke in patients with non-valvular atrial fibrillation and therapeutic international normalized ratio range.
Conclusions: The group of patients with NVAF and TINR is significantly more burdened by other independent common risk factors for stroke. PMID: 31572466 [PubMed]
Source: Archives of Medical Science - October 2, 2019 Category: General Medicine Tags: Arch Med Sci Source Type: research

Influence of focal vibration over Achilles tendon on the activation of sensorimotor cortex in healthy subjects and subacute stroke patients
The modulation of cerebral activity could induce plastic changes in the cerebral cortex and contribute to motor rehabilitation. Focal vibration over lower-extremity muscles has therapeutic effects on the impaired motor function for stroke patients, but the modulatory effects of focal vibration on brain activity are less known. To explore this problem, this experiment was designed and conducted, in which focal vibration (75 Hz) was applied over the right Achilles tendon of 14 healthy subjects and the affected Achilles tendon of seven subacute stroke patients. Electroencephalography was recorded in the following phases: rest...
Source: NeuroReport - October 2, 2019 Category: Neurology Tags: Clinical Neuroscience Source Type: research

Characterization of stimulus response curves obtained with transcranial magnetic stimulation from bilateral tibialis anterior muscles post stroke
ConclusionOur results highlight the differences between non-linear and linear approaches to best fit the SR curves from bilateral TA muscles in stroke survivors. Although the linear function can appropriately fit the SR curve of the paretic and non-paretic TA, the non-linear function estimated a higher slope. We found the AUC to be a more robust measure that was not affected by the type of curve-fitting approach and only the AUC of the paretic TA showed significant association with walking speeds. A better understanding of SR curve fitting approaches for the TA muscles in individuals with chronic stroke allows for their op...
Source: Neuroscience Letters - October 2, 2019 Category: Neuroscience Source Type: research

Visual processing features in patients with visual spatial neglect recovering from right-hemispheric stroke
ConclusionsOur findings support the use of the event-related potential as a tool for investigating rapid recovery from VSN after stroke and suggest that other factors, such as an asymmetrical omission toward the contralateral side or impairment in the temporal processing capacity, might also be potential biomarkers of recovery.
Source: Neuroscience Letters - October 2, 2019 Category: Neuroscience Source Type: research

Efficacy and Safety of Intravenous Thrombolysis in Patients with Unknown Onset Stroke: A Meta-Analysis.
Conclusions: Intravenous thrombolysis is a better choice for UOS patients for its efficacy and safety. In addition, pretreatment imaging assessment is beneficial for improving the efficacy of thrombolytic therapy. However, it needs more supporting evidences for clinical use in the future. PMID: 31565095 [PubMed - in process]
Source: Behavioural Neurology - October 2, 2019 Category: Neurology Authors: Luan D, Zhang Y, Yang Q, Zhou Z, Huang X, Zhao S, Yuan L Tags: Behav Neurol Source Type: research

Stroke Rate Continues to Fall Among Older Americans
Title: Stroke Rate Continues to Fall Among Older AmericansCategory: Health NewsCreated: 10/1/2019 12:00:00 AMLast Editorial Review: 10/2/2019 12:00:00 AM
Source: MedicineNet Heart General - October 2, 2019 Category: Cardiology Source Type: news

Dietary saturated fat intake and risk of stroke: systematic review and dose-response meta-analysis of prospective cohort studies
ConclusionThis meta-analysis further demonstrated that a higher consumption of dietary SFA is associated with a lower risk of stroke, and every 10 grams/day increase in SFA intake is associated with a 6% relative risk reduction in the rate of stroke. Further research is needed to explore the influence of specific SFA types and different macronutrient replacement models of SFA on the stroke risk.
Source: Nutrition, Metabolism and Cardiovascular Diseases - October 2, 2019 Category: Nutrition Source Type: research

Patterns of participation: Facilitating and hindering aspects related to places for activities outside the home after stroke.
Conclusions: Different combinations of aspects facilitated and hindered whether or not participation changed. To support people with stroke in their endeavour to retain or recapture participation, social support is important to consider in relation to transportation, activities and places outside the home. PMID: 31564178 [PubMed - as supplied by publisher]
Source: Scandinavian Journal of Occupational Therapy - October 2, 2019 Category: Occupational Health Tags: Scand J Occup Ther Source Type: research

Relationship between pre-stroke physical activity and symptoms of post-stroke anxiety and depression: An observational study.
CONCLUSION: In this group of patients with mild symptoms of emotional distress, it seems that pre-stroke physical activity might be protective against post-stroke depression, but not anxiety. Many patients with mild-to-moderate stroke report being equally active before and after the stroke. PMID: 31565752 [PubMed - as supplied by publisher]
Source: Journal of Rehabilitation Medicine - October 2, 2019 Category: Rehabilitation Tags: J Rehabil Med Source Type: research

Effects of aerobic exercise using cycle ergometry on balance and functional capacity in post-stroke patients: a systematic review and meta-analysis of randomised clinical trials.
Conclusions: The cycle ergometer aerobic exercise did not seem to improve balance or functional capacity in post-stroke patients. IMPLICATIONS FOR REHABILITATION Aerobic exercise with cycle ergometer does not improve balance in patients after chronic stroke, but the results for functional capacity are more promising. Beneficial changes in functional capacity can be seen after 12-4 weeks of training, and are dependent on the initial level of physical fitness of each individual. The use of the cycle-ergometer to improve balance and functional capacity was not superior when compared to conventional physiotherapy; therefore, a...
Source: Disability and Rehabilitation - October 2, 2019 Category: Rehabilitation Authors: Da Campo L, Hauck M, Marcolino MAZ, Pinheiro D, Plentz RDM, Cechetti F Tags: Disabil Rehabil Source Type: research

Possible Biomarker for an Important Yet Neglected Symptom After Stroke  - Metalloproteinase-9 and Post-Stroke Depression.
Possible Biomarker for an Important Yet Neglected Symptom After Stroke - Metalloproteinase-9 and Post-Stroke Depression. Circ J. 2019 Oct 02;: Authors: Wakisaka Y PMID: 31582640 [PubMed - as supplied by publisher]
Source: Circulation Journal - October 2, 2019 Category: Cardiology Authors: Wakisaka Y Tags: Circ J Source Type: research

Stroke Rate Continues to Fall for Older Americans
Starting in the late 1980s, stroke rates among older Americans began to fall -- and the decline shows no signs of stopping, a new study finds.
Source: WebMD Health - October 1, 2019 Category: Consumer Health News Source Type: news

Stroke Rate Continues to Fall Among Older Americans
TUESDAY, Oct. 1, 2019 -- Starting in the late 1980s, stroke rates among older Americans began to fall -- and the decline shows no signs of stopping, a new study finds. The researchers found that between 1987 and 2017, the rate of stroke incidence...
Source: Drugs.com - Daily MedNews - October 1, 2019 Category: General Medicine Source Type: news

Incidence of stroke and traumatic brain injury in New Zealand: contrasting the BIONIC and ARCOS-IV studies.
CONCLUSIONS: Differences in TBI and stroke incidence suggest targeting prevention very differently for the two groups. Incidence profiles suggest TBI is much more common; and a need to target males and those of Māori ethnicity for TBI prevention. PMID: 31563926 [PubMed - in process]
Source: New Zealand Medical Journal - October 1, 2019 Category: General Medicine Tags: N Z Med J Source Type: research

The risk of stroke and associated risk factors in a health examination population: A cross-sectional study
This study estimates the risk of stroke and identify risk factors for people who underwent health examinations at the Health Examination Center at West China Hospital, Sichuan University from July 2014 to February 2018. A total of 31,464 people were recruited in this study and divided into 3 groups (low risk, moderate risk, and high risk) according to risk of stroke. We explored possible factors associated with the risk of stroke by using multivariable stepwise logistic regression analysis. Among the participants, 17,959 were at low risk, 11,825 were at moderate risk, and 1680 were at high risk. Age, smoking, alcohol con...
Source: Medicine - October 1, 2019 Category: Internal Medicine Tags: Research Article: Observational Study Source Type: research

Unsedated Outpatient Percutaneous Endoscopic Gastrostomy in Stroke Patients: Is It Feasible and Safe?
This study sought to determine the feasibility and safety of outpatient, unsedated PEG implementation in stroke patients. This retrospective cohort study involved stroke victims who underwent unsedated outpatient PEG insertion from 2014 to 2017 at our Surgical Endoscopy Unit. Patients were given pharyngeal anesthesia with lidocaine 10% spray, while the PEG tube was placed under local anesthesia. The incidence of intraprocedural and postprocedural complications and 30-day mortality rate were recorded. Data from 127 cases were analyzed. The procedures were performed with minor, transient complications, which resolved after r...
Source: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques - October 1, 2019 Category: Surgery Tags: Original Articles Source Type: research

Effects of the Interaction among Motor Functions on Self-care in Individuals with Stroke
No study to date has focused on what combinations of motor functions are strongly associated with self-care independence in individuals with stroke. The purpose of this study is to clarify the impact of motor function interactions on self-care independence in individuals with stroke.
Source: Journal of Stroke and Cerebrovascular Diseases - September 18, 2019 Category: Neurology Authors: Takaaki Fujita, Kazuaki Iokawa, Toshimasa Sone, Kazuhiro Yamane, Yuichi Yamamoto, Yoko Ohira, Koji Otsuki Source Type: research

Potential Clinical and Radiographic Horizontal Gaze Deviation an Early Sign of Stroke
The recent article from Jiang et al “Degree of Conjugate Gaze Deviation on CT Predicts Proximal Vessel Occlusion and May Expedite Endovascular Therapy,” Journal of Stroke and Cerebrovascular Disease 2019; 28:1093-10981 provides valuable information that may lead to early stroke intervention. They found that radiographic horizontal gaze deviation (h-CGD) detected by CTA is frequently associated with a proximal arterial occlusion (either ICA or proximal segments of the MCA); the h-CGD was always ipsilesional.
Source: Journal of Stroke and Cerebrovascular Diseases - September 17, 2019 Category: Neurology Authors: Jorge C. Kattah Tags: Letter to the Editor Source Type: research

Mechanical Recanalization after Transfer from a Distant Primary Stroke Center: Effectiveness and Future Directions
Introduction: Little is known about the effectiveness of endovascular treatment (EVT) in patients with acute ischemic stroke (AIS) due to large vessel occlusion (LVO) admitted to a primary stroke center (PSC). The aim of this study was to assess EVT effectiveness after transfer from a PSC to a distant (156 km apart; 1.5 hour by car) comprehensive stroke center (CSC), and to discuss perspectives to improve access to EVT, if indicated. Patients and Method: Analysis of the data collected in a 6-year prospective registry of patients admitted to a PSC for AIS due to LVO and selected for transfer to a distant CSC for EVT.
Source: Journal of Stroke and Cerebrovascular Diseases - September 16, 2019 Category: Neurology Authors: Geoffroy Farouil, Denis Sablot, Franck Leibinger, Laur ène Van Damme, Francis Coll, Nicolas Gaillard, Majo Ibanez, Philippe Smadja, Laurent Benayoun, Anais Dutray, Maxime Tardieu, Ludovic Nguyen Them, Jean-Marie Bonnec, Snejana Jurici, Zoubir Mourad Bens Source Type: research

Association between Common Genetic Variants in ESR1 and Stroke Risk: A Systematic Review and Meta-Analysis
Objectives: The associations between estrogen receptor alpha (ESR1) polymorphisms and stroke risk have been investigated in various studies, but remain controversial. The aim of this meta-analysis was to determine the relationships between ESR1 rs2234693 and rs9340799 polymorphisms and the risk of stroke. Methods: Electronic databases of PubMed, Embase, Cochrane Library, CNKI, VIP database, and WanFang database were searched for eligible studies up to March 2019. The pooled odds ratios (ORs) with 95% confidence intervals (CIs) were calculated to assess the strength of associations under different genetic models.
Source: Journal of Stroke and Cerebrovascular Diseases - September 16, 2019 Category: Neurology Authors: Rong Fu, Yin Shen, Jin Zheng Source Type: research