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Processes and outcomes of ischemic stroke care: the influence of hospital level of care
Conclusions Outcomes among patients with ischemic stroke can be improved by thrombolytic therapy, antithrombotic therapy, statin treatment and rehabilitation assessment. Among patients with ischemic stroke, admission to designated stroke center hospitals may be associated with lower mortality through better processes of care.
Source: International Journal for Quality in Health Care - July 31, 2015 Category: Global & Universal Authors: Tung, Y.-C., Jeng, J.-S., Chang, G.-M., Chung, K.-P. Tags: Papers Source Type: research

Racial and Ethnic Differences in Mental Distress among Stroke Survivors.
CONCLUSION: Serious mental distress is highly prevalent among US stroke survivors and is more common in Hispanics than NHWs, African Americans and Asians. Further study of the role of mental distress in ethnic differences in post-stroke disability is warranted. PMID: 26118139 [PubMed - in process]
Source: Ethnicity and Disease - June 30, 2015 Category: Global & Universal Tags: Ethn Dis Source Type: research

A Comparative Case Series of Haitian and non-Haitian Stroke Patients at a Single Center in Miami, Florida.
DISCUSSION: Haitian immigrants need improved access to care and prevention of known stroke risk factors, including hypertension and hyperglycemia. PMID: 31680114 [PubMed - in process]
Source: Journal of Health Care for the Poor and Underserved - November 5, 2019 Category: International Medicine & Public Health Authors: Sirutis B, Brown C, Lopez JG, Weppelmann T, Ashourian K, Lozano J, Starosciak A, Barratt D Tags: J Health Care Poor Underserved Source Type: research

Incidence, Risk Factors, and Prediction of Myocardial Infarction and Stroke in Farmers: A Korean Nationwide Population-based Study.
CONCLUSIONS: Farmers had a higher age-adjusted incidence of MI and stroke. They also showed distinct patterns in cardiovascular risk factors compared to the general population. PMID: 33070503 [PubMed - in process]
Source: Journal of Preventive Medicine and Public Health - October 21, 2020 Category: International Medicine & Public Health Tags: J Prev Med Public Health 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

Lifestyle Assessment in Young Adults with Ischemic Stroke: One Cross-Sectional Study in Iran
Conclusion: According to the association between inappropriate lifestyle and ischemic stroke in young adults, it is recommended to set preventive medicine and health promotion units with insurance coverage in all clinics for risk assessment of stroke in healthy general population specialty young adults.
Source: International Journal of Preventive Medicine - January 2, 2022 Category: International Medicine & Public Health Source Type: research

Social Determinants of Emergency Department Visits among Persons Diagnosed with Coronary Heart Disease and Stroke.
Conclusion: Being Black, unmarried, unemployed, and having lower income levels were associated with a higher likelihood of having ≥1 ED visits in the prior 12 months among individuals with a CHD or stroke diagnosis. SDOH should be considered when developing systematic interventions to prevent costly ED visits. PMID: 33519154 [PubMed - in process]
Source: Ethnicity and Disease - February 3, 2021 Category: International Medicine & Public Health Tags: Ethn Dis Source Type: research

Healthcare quality assessments: no guarantees of same outcomes for different socio-economic stroke patients
ConclusionsThere is a difference in mortality and healthcare performance according to socio-economic status in stroke patients in Korea. Efforts to improve equity are needed, including the development and monitoring of equality indicators and developing policies for healthcare equity.
Source: International Journal for Quality in Health Care - May 7, 2021 Category: International Medicine & Public Health Source Type: research

Impact of financial incentives for inter-provider care coordination on health-care resource utilization among elderly acute stroke patients
ConclusionsOur findings suggest that a payment system for care coordination is inappropriate since it was not associated with a reduction in overall health-care resource utilization. Further, health-care system reform is necessary to improve care continuity across multiple health-care institutions in Japan.
Source: International Journal for Quality in Health Care - May 9, 2017 Category: International Medicine & Public Health Source Type: research

Two-month individually supervised exercise therapy improves walking speed, step length, and temporal gait symmetry in chronic stroke patients: a before-after trial - Yoshioka K, Watanabe T, Maruyama N, Yoshioka M, Iino K, Honda K, Hayashida K.
Gait asymmetry is common after stroke and is a major risk factor for falls. In particular, temporal gait asymmetry often remains in the chronic stage of stroke. However, health insurance does not cover rehabilitation for patients with chronic stroke in man...
Source: SafetyLit - March 28, 2022 Category: International Medicine & Public Health Tags: Age: Elder Adults Source Type: news

Integrated stroke care.
Abstract The structures and processes of stroke care provision in the acute and chronic phases, during rehabilitation and societal integration, the needs of patients, and the means of meeting those needs are described and analyzed. Deficits mainly involve local multidisciplinary professional aid, focusing on participation under the supervision of a neurologist experienced in rehabilitation. Deficits are mainly caused by a lack of funding from statutory and private health insurance. PMID: 25676449 [PubMed - as supplied by publisher]
Source: Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz - February 13, 2015 Category: Global & Universal Authors: Wallesch CW Tags: Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz Source Type: research

Living standard is related to microregional differences in stroke characteristics in Central Europe: the Budapest Districts 8–12 Project
Conclusion In national stroke programs of former Eastern Block countries, primary prevention should focus especially on male populations of less wealthy regions.
Source: International Journal of Public Health - April 7, 2015 Category: Global & Universal Source Type: research

Association of stroke subtypes with risk of hip fracture: a population-based study in Taiwan - Zheng JQ, Lai HJ, Zheng CM, Yen YC, Lu KC, Hu CJ, Lee HH, Wang YH.
This study aimed to investigate the association of stroke subtypes and hip fracture by using the Taiwan National Health Insurance Research Database. Significantly higher risks of hip fracture were found fo...
Source: SafetyLit - November 27, 2017 Category: International Medicine & Public Health Tags: Economics of Injury and Safety, PTSD, Injury Outcomes Source Type: news

Medical resource Utilization of Ischemic Stroke Patients with readmission: a retrospective analysis of Hospitalization data from Beijing Medical Insurance database
To describe and compare the first hospitalization cost and the readmission cost of Ischemic Stroke (IS) patients at Beijing urban area.
Source: Value in Health - May 1, 2015 Category: Global & Universal Authors: L. Wen, J. Wu, L. Yang Source Type: research

The Impact of Different Types of Health Insurance on The Hospitalization Services Utilization of Patients With Hemorrhagic Stroke In China
The study aimed to compare the direct medical cost difference of hemorrhagic stroke inpatients with different types of health insurance from 2010 to 2012 in China.
Source: Value in Health - May 1, 2015 Category: Global & Universal Authors: Y. Ma, X. Xiong, J. Li, J. Zhang Source Type: research

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