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Total 1481 results found since Jan 2013.

Fracture risk and bone health following a stroke are inadequately considered by physicians: A UK survey of practice
Conclusions We found marked heterogeneity in the approach of UK stroke physicians to the assessment of fracture risk and management of bone health in stroke patients with overall under-appreciation of fracture risk and low levels of assessment. Our findings support the need for clear guidelines regarding fracture risk assessment and bone health in patients who have experienced a stroke.
Source: European Geriatric Medicine - October 4, 2016 Category: Geriatrics Source Type: research

Systematic Review and Meta-Analysis of Prevalence in Post-Stroke Neurocognitive Disorders in Hospital-Based Studies
Conclusion: More than half of stroke survivors experience post-stroke NCD, corresponding to mild post-stroke NCD in two-thirds of cases and major post-stroke NCD in one-third of cases. Harmonization of stroke assessment and cognitive score thresholds is urgently needed to allow more accurate estimation of post-stroke NCD prevalence, especially mild post-stroke NCD.Dement Geriatr Cogn Disord 2018;46:322 –334
Source: Dementia and Geriatric Cognitive Disorders - November 30, 2018 Category: Geriatrics Source Type: research

55 A Review of Stroke Demographics and Outcomes at a Regional Hospital without a Stroke Unit
ConclusionThe average length of stay was 16.1 days, considerably higher than the national stroke unit average of 9. The overall mortality rate was 5% higher than the national of 13%. Limited rehabilitation services and time awaiting national rehabilitation beds contributed to the long LOS. There is a definite need for a dedicated stroke service at our hospital, local analysis suggests that 6 beds would meet the needs of our catchment area; and this would lead to better outcomes for stroke patients.  A further locally dedicated stroke audit is needed.
Source: Age and Ageing - September 16, 2019 Category: Geriatrics Source Type: research

The Role of Social Connection/Engagement in Episodic Memory Change in Stroke
DISCUSSION AND IMPLICATIONS: Higher pre-stroke levels of social connection/engagement predicted better episodic memory at stroke, smaller decline in episodic memory with stroke, and less decline in episodic memory over time. Increases in social connection/engagement from pre- to post-stroke also predicted better post-stroke episodic memory. Beyond the widely documented benefits of social connection/engagement to well-being, they may also increase cognitive stimulation and cognitive reserve and thus contribute to stroke recovery in the cognitive domain. Social connection/engagement is an important and modifiable risk factor...
Source: The Gerontologist - July 16, 2021 Category: Geriatrics Authors: Joanne Elayoubi Monica E Nelson William E Haley Gizem Hueluer Source Type: research

Serum levels of renin–angiotensin system components in acute stroke patients
ConclusionsThese findings suggest that changes of serum RAS components could reflect stroke subtypes and predict stroke severity. Geriatr Gerontol Int 2013; ●●: ●●–●●.
Source: Geriatrics and Gerontology International - November 26, 2013 Category: Geriatrics Authors: Masaki Mogi, Masakazu Kawajiri, Kana Tsukuda, Shoji Matsumoto, Takeshi Yamada, Masatsugu Horiuchi Tags: Original Article: Epidemiology, Clinical Practice and Health Source Type: research

Risk factors of outcomes in elderly patients with acute ischemic stroke in China.
CONCLUSION: Stroke subtype and severity were associated with stroke outcomes among elderly patients in northern China. These findings suggest that it is crucial to highlight the affected factors of stroke outcome among elderly patients for reduce the burden of stroke in China. PMID: 26497669 [PubMed - as supplied by publisher]
Source: Aging Clinical and Experimental Research - October 24, 2015 Category: Geriatrics Authors: Wu Q, Zou C, Wu C, Zhang S, Huang Z Tags: Aging Clin Exp Res Source Type: research

352 Grey and White Matters – Designing and Implementing an Acute Stroke Program in a level 3 Hospital
ConclusionThe redesigning of the acute stroke care program has led to significant improvements in the identified KPI ’s although door to needle times remain below the national target of 30 minutes.
Source: Age and Ageing - September 16, 2019 Category: Geriatrics Source Type: research

Changes in antiplatelet use prior to incident ischaemic stroke over 7 years in a UK centre and the association with stroke subtype
Conclusions: our findings highlight the requirement to improve currently available risk prediction scores as well as the potential clinical impact of antiplatelet resistance within the at risk population who are already on antiplatelets. These findings also indicate that targeting of multiple risk factors may be very important in stroke prevention.
Source: Age and Ageing - August 16, 2013 Category: Geriatrics Authors: White, J. R., Bettencourt-Silva, J. H., Potter, J. F., Loke, Y. K., Myint, P. K. Tags: Research Papers Source Type: research

Cognitive performance in community-dwelling older adults with stroke and the contribution of age and diffuse subcortical damage: a population-based study in rural Ecuador (The Atahualpa Project).
CONCLUSIONS: Interaction of age and diffuse subcortical damage are major determinants for poor cognitive performance among stroke patients. PMID: 25724660 [PubMed - as supplied by publisher]
Source: Aging Clinical and Experimental Research - February 28, 2015 Category: Geriatrics Authors: Del Brutto OH, Mera RM, Zambrano M, Lama J Tags: Aging Clin Exp Res Source Type: research

Important factors in predicting mortality outcome from stroke: findings from the Anglia Stroke Clinical Network Evaluation Study
Conclusions</div>there appears to be consistent and robust evidence of direct clinical benefit on mortality up to 1 year after acute stroke of higher numbers of trained nursing staff over and above that of other recognised mortality risk factors.</span>
Source: Age and Ageing - October 27, 2016 Category: Geriatrics Source Type: research

A Typology to Explain Changing Social Networks Post Stroke.
This study investigated whether social network types remain stable following a stroke, and if not, why some people shift network type. Research Design and Methods: We used a mixed methods design. Participants were recruited from two acute stroke units. They completed the Stroke Social Network Scale (SSNS) two weeks and six months post stroke and in-depth interviews 8-15 months following the stroke. Qualitative data was analysed using Framework Analysis; k-means cluster analysis was applied to the six-month data set. Results: Eighty-seven participants were recruited, 71 were followed up at six months, and 29 compl...
Source: The Gerontologist - March 14, 2017 Category: Geriatrics Authors: Northcott S, Hirani SP, Hilari K Tags: Gerontologist Source Type: research

Characterizing Beliefs about Stroke and Walking for Exercise among Seniors from Four Racial/Ethnic Minority Communities
We described and compared seniors ’ stroke-related health beliefs among four racial/ethnic communities to inform a culturally-tailored stroke prevention walking intervention. Specific attention was paid to how seniors combined pathophysiology-based biomedical beliefs with non-biomedical beliefs. We conducted twelve language-concor dant, structured focus groups with African American, Chinese American, Korean American, and Latino seniors aged 60 years and older with a history of hypertension (n = 132) to assess stroke-related health beliefs. Participants were asked their beliefs about stroke mechanism and prevention st...
Source: Journal of Cross-Cultural Gerontology - August 23, 2018 Category: Geriatrics Source Type: research

Lived experiences of chronic cognitive and mood symptoms among community-dwelling adults following stroke: a mixed-methods analysis.
CONCLUSION: Stroke survivors experienced cognitive and mood-related symptoms beyond one-year post stroke, which has implications for long-term assessment and management. Incorporation of continued symptom monitoring into existing community-based services is needed to address chronic cognitive and mood symptoms affecting the quality of life of persons with stroke. PMID: 30369243 [PubMed - as supplied by publisher]
Source: Aging and Mental Health - October 27, 2018 Category: Geriatrics Authors: Pappadis MR, Krishnan S, Hay CC, Jones B, Sander AM, Weller SC, Reistetter TA Tags: Aging Ment Health Source Type: research