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Specialty: International Medicine & Public Health
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Total 280 results found since Jan 2013.
Predictive and individualized management of stroke —success story in Czech Republic
AbstractThe model of centralized stroke care in the Czech Republic was created in 2010 –2012 by Ministry of Health (MH) in cooperation with professional organization—Cerebrovascular Section of the Czech Neurological Society (CSCNS). It defines priorities of stroke care, stroke centers, triage of suspected stroke patients, stroke care quality indicators, their monitoring, and repor ting. Thirteen complex cerebrovascular centers (CCC) provide sophisticated stroke care, including intravenous thrombolysis (IVT), mechanical thrombectomy (MTE), as well as other endovascular (stenting, coiling) and neurosurgical procedures. T...
Source: EPMA Journal - October 25, 2018 Category: International Medicine & Public Health Source Type: research
China stroke surveillance report 2021
AbstractSince 2015, stroke has become the leading cause of death and disability in China, posing a significant threat to the health of its citizens as a major chronic non-communicable disease. According to the China Stroke High-risk Population Screening and Intervention Program, an estimated 17.8 million [95% confidence interval (CI) 17.6 –18.0 million] adults in China had experienced a stroke in 2020, with 3.4 million (95% CI 3.3–3.5 million) experiencing their first-ever stroke and another 2.3 million (95% CI 2.2–2.4 million) dying as a result. Additionally, approximately 12.5% (95% CI 12.4–12.5%) of stroke survi...
Source: Military Medical Research - July 19, 2023 Category: International Medicine & Public Health Source Type: research
Stroke: the critically neglected first year post-stroke
Journal of Integrated Care, Ahead of Print. Purpose Stroke is a leading cause of death and disability in the USA and worldwide. While stroke care has evolved dramatically, many new acute approaches to therapy focus only on the first 3-12 hours. Significant treatment opportunities beyond the first 12 hours can play a major role in improving outcomes for stroke patients. The purpose of this paper is to highlight the issues that affect stroke care delivery for patients and caregivers and describe an integrated care model that can improve care across the continuum. Design/methodology/approach This paper details evidence-based ...
Source: Journal of Integrated Care - January 9, 2018 Category: International Medicine & Public Health Source Type: research
When Time Is Critical: How Involving Frontline Health Workers Can Improve Stroke Survival Rates
By Carmen Graffagnino,
Neurologist, Duke Hospital ; Nilima Mehta ,
Philanthropy program manager, Medtronic Foundation ; Anne Katharine Wales,
Senior philanthropy portfolio lead, Medtronic FoundationApril 09, 2019Here are three ways to change a system of acute care.April 10 started as an ordinary day for Sarah. But while eating breakfast, her husband noticed that her face had started to droop and she was unable to find her words. Immediately he called 911.Within 10 minutes, the ambulance arrived with emergency medical services (EMS), a segment of the local health system that recently became partners in a new regional ...
Source: IntraHealth International - April 9, 2019 Category: International Medicine & Public Health Authors: mnathe Tags: Noncommunicable Diseases Education & Performance Private-Sector Approaches SwitchPoint Health Workforce Systems USA Source Type: news
The Expansion Of Stroke Centers And The Reduction Of In-Hospital Mortality Of Ischechemic Stroke Patients In Alberta
This study examined the effect of admission to stroke centers on mortality for patients with ischemic stroke, compared with admission to non-stroke centers.
Source: Value in Health - May 1, 2015 Category: Global & Universal Authors: A. Ohinmaa, Y. Zheng, T. Jeerakathil, N.X. Thanh, S. Klarenbach, U. Hakkinen, D. Friesen, P. Kaul, J. Ruseski, R. Ariste, P. Jacobs Source Type: research
The Impact Of Stroke Centers On The Length Of Stay Among Ischechemic Stroke Patients In Alberta
Although previous studies have shown that stroke centers reduce mortality in patients with ischemic stroke, the association between stroke centers and reduction in length of stay (LOS) in hospital has not been demonstrated. We sought to evaluate the impact of stroke centres as designated by the Alberta Provincial Stroke Strategy (APSS) in Alberta on the LOS of acute ischemic stroke patients.
Source: Value in Health - May 1, 2015 Category: Global & Universal Authors: A. Ohinmaa, Y. Zheng, T. Jeerakathil, T. Nguyen, S. Klarenbach, U. Hakkinen, P. Kaul, D. Friesen, J. Ruseski, R. Ariste, P. Jacobs Source Type: research
The influence of the day of the week of hospital admission on the prognosis of stroke patients.
This study aimed to evaluate the weekday and weekend distribution of stroke case hospital admissions and their respective prognosis based on a sample from the Estudo de Mortalidade e Morbidade do Acidente Vascular Cerebral (EMMA), a cohort of stroke patients admitted to a community hospital in the city of São Paulo, Brazil. We ascertained all consecutive cases of first-time strokes between April 2006 and December 2008 and performed a subsequent one-year follow-up. No association was found between frequency of hospital admissions due to ischemic and hemorrhagic strokes and the specific day of the week on which the admissio...
Source: Cadernos de Saude Publica - April 1, 2013 Category: Global & Universal Authors: Barros JB, Goulart AC, Alencar AP, Lotufo PA, Bensenor IM Tags: Cad Saude Publica Source Type: research
Analysis of barriers to the use of thrombolytics in ischemic stroke in a private hospital in Rio de Janeiro, Brazil.
The objective was to discuss barriers to thrombolytic therapy in a private hospital. This was a retrospective cohort study of patients with symptoms of acute ischemic stroke entering the emergency department of a private hospital in Rio de Janeiro, Brazil, from 2009 to 2011. 257 patients were admitted with suspected ischemic stroke. Among the 156 patients with confirmed diagnosis of ischemic stroke, 18 (11.5%) received thrombolytic therapy. Of the 30 patients with ischemic stroke within the therapeutic window and meeting NIHSS criteria for thrombolysis, 20 were not thrombolysed. Nine of these were due to administrative bar...
Source: Cadernos de Saude Publica - December 1, 2013 Category: Global & Universal Authors: Fonseca LH, Rosa ML, Silva AC, Maciel RM, Volschan A, Mesquita ET Tags: Cad Saude Publica Source Type: research
Risk factors of hemorrhagic and ischemic stroke among hospitalized patients in Bangladesh - A case control study
The risk factor profiles, management and outcome have significant difference between stroke subsets. Aim of this study was to investigate the risk for the two most common subtypes of stroke in Bangladeshi population. Seventy cases of hemorrhagic stroke (HS) and 105 cases of confirmed ischemic stroke (IS) were recruited from the Shaheed Suhrawardy Medical College Hospital (ShSMCH) and Dhaka Medical College Hospital between January-June 2011. Total 171 age, sex matched controls were selected from the hospitalized patients with history of no stroke ever. Average hemorrhagic stroke patients (60.4 ±12.3 years) were younger tha...
Source: Bangladesh Medical Research Council Bulletin - November 3, 2016 Category: Global & Universal Source Type: research
Care Coordination for Community Transitions for Individuals Post-stroke Returning to Low-Resource Rural Communities
AbstractHigh rates of hospital readmissions have been shown within 12 months post-discharge from inpatient rehabilitation following stroke. Multiple studies coupled with our previous work indicate a need for care support for stroke survivors ’ transitions to the community. The Kentucky Care Coordination for Community Transitions (KC3T) program was developed to provide access to medical, social, and environmental services to support community transitions for individuals with neurological conditions and their caregivers living in Kentucky. This program assessment was conducted to determine the effectiveness of using a spec...
Source: Journal of Community Health - April 27, 2017 Category: Global & Universal Source Type: research
EE47 Short-Term Cost-Effectiveness of Using Mobile Stroke Unit VS. Standard Ambulance for Patients with Suspected Stroke
Mobile stroke units (MSUs) have the potential to improve time-sensitive stroke care delivery by appropriate triage of patients with large-vessel-occlusion (LVO) to comprehensive stroke centers (CSCs) for endovascular treatment (EVT) and non-LVO patients to primary stroke centers (PSCs). The purpose of this study was to determine the cost-effectiveness of MSU when compared to the standard ambulance (SA) transport of suspected stroke patients to the appropriate hospital.
Source: Value in Health - June 26, 2022 Category: International Medicine & Public Health Authors: K Sangha, T White, A Malhotra, A Boltyenkov, JM Katz, PC Sanelli Source Type: research
Implementing Thrombolytic Guidelines in Stroke Care: Perceived Facilitators and Barriers
We performed a qualitative study to identify facilitators of and barriers to the implementation of national guidelines on thrombolytic therapy for acute ischemic stroke. We interviewed physicians and nurses at nine Swedish hospitals using 16 explorative, semistructured interviews, and selected hospitals based on their implementation rate of new stroke care methods according to data from the Swedish Stroke Register, Riks-Stroke. Through content analysis, we identified facilitators and barriers to implementation, which we classified into three categories: (a) individuals, (b) social interactions and context, and (c) organiza...
Source: Qualitative Health Research - March 7, 2014 Category: Global & Universal Authors: Stecksen, A., Lundman, B., Eriksson, M., Glader, E.-L., Asplund, K. Tags: Articles Source Type: research
The Miriam Hospital earns 9th consecutive award for quality stroke care
(Lifespan) The Miriam Hospital has again received the American Heart Association/American Stroke Association's Get With The Guidelines®-Stroke Gold-Plus Quality Achievement Award and has for the first time achieved The Target: Stroke Honor Roll distinction for 2015. The Miriam, which treats over 300 stroke patients a year, received the awards for attaining targeted quality measures and ensuring stroke patients receive the most appropriate medical treatment based on nationally recognized, research-based guidelines.
Source: EurekAlert! - Medicine and Health - July 29, 2015 Category: Global & Universal Source Type: news
A systematic review protocol of timing, efficacy and cost effectiveness of upper limb therapy for motor recovery post-stroke
DiscussionWe anticipate the findings of this review will increase our understanding of UL therapy and inform the generation of novel, data-driven hypotheses for future UL therapy research post-stroke.Systematic review registrationPROSPERO, http://www.crd.york.ac.uk/PROSPERO/display_record.php?ID=CRD42018019367,http://www.crd.york.ac.uk/PROSPERO/display_record.php?ID=CRD42018111629,http://www.crd.york.ac.uk/PROSPERO/display_record.php?ID=CRD42018111628.
Source: Systematic Reviews - July 24, 2019 Category: International Medicine & Public Health Source Type: research
