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Total 916 results found since Jan 2013.

Coding of significant comorbidities and complications for stroke in rehabilitation.
Conclusion Not all stroke comorbidities are represented accurately in hospital morbidity datasets. Education of stroke clinicians about the current ACS may clarify expectations about medical record documentation for coding purposes which in turn may result in more accurate morbidity data and therefore costings for the rehabilitation sector. PMID: 28537208 [PubMed - as supplied by publisher]
Source: Health Information Management Journal - May 26, 2017 Category: Health Management Tags: HIM J Source Type: research

Comparison of All-Cause, Stroke, and Bleed-Specific Healthcare Resource Utilization among Patients with Non-Valvular Atrial Fibrillation (NVAF) and Newly Treated with Dabigatran or Warfarin.
CONCLUSION: Among newly diagnosed newly treated NVAF patients, dabigatran users had significantly lower all-cause, stroke- and bleed-specific HCRU, lower risk of hospitalization for stroke or bleed events, lower 30-day readmissions, and higher persistence than warfarin users. PMID: 28649894 [PubMed - as supplied by publisher]
Source: Expert Review of Pharmacoeconomics and Outcomes Research - June 28, 2017 Category: Health Management Tags: Expert Rev Pharmacoecon Outcomes Res Source Type: research

An examination of current stroke rehabilitation practice in Peru: Implications for interprofessional education.
This study aimed to better understand current clinical practice of rehabilitation professionals in Lima, Peru, and to explore the existence of and potential for interprofessional collaboration. A secondary purpose was to assess rehabilitation professionals' agreement with evidence-based stroke rehabilitation statements and confidence performing stroke rehabilitation tasks prior to and following an interprofessional stroke rehabilitation training. Current clinical practice for rehabilitation professionals in Peru differs from high-income counties like the United States, as physical therapists work with dysphagia and feeding...
Source: Journal of Interprofessional Care - January 25, 2018 Category: Health Management Tags: J Interprof Care Source Type: research

Cost-effectiveness of percutaneous patent foramen ovale closure as secondary stroke prevention.
CONCLUSIONS: Considering the UK healthcare system perspective, percutaneous PFO closure in cryptogenic ischemic stroke patients is a cost-effective stroke prevention strategy compared to medical therapy alone. Its cost-effectiveness was driven by substantial reduction in recurrent strokes and patients' improved health-related quality-of-life. PMID: 29564942 [PubMed - as supplied by publisher]
Source: Journal of Medical Economics - March 23, 2018 Category: Health Management Tags: J Med Econ Source Type: research

Cost-effectiveness of percutaneous closure of a patent foramen ovale compared with medical management in patients with a cryptogenic stroke: from the US payer perspective.
CONCLUSION: Percutaneous PFO closure plus medical management represents a cost-effective approach for lowering the risk of recurrent stroke compared with medical management alone. PMID: 31025589 [PubMed - as supplied by publisher]
Source: Journal of Medical Economics - April 28, 2019 Category: Health Management Tags: J Med Econ Source Type: research

Psychometric characteristics of the WHOQOL-SRPB Scale in a population of stroke survivors and caregivers
ConclusionsThe WHOQOL-SRPB scale is a valid, reliable instrument for measuring spirituality in stroke survivors and caregivers. Given the importance of spirituality for stroke survivors and caregivers, the WHOQOL-SRPB scale is recommended as an important tool for clinical practice and research.
Source: Quality of Life Research - February 16, 2020 Category: Health Management Source Type: research

Comparison of hospital length of stay of acute ischemic stroke patients with non-valvular atrial fibrillation started on rivaroxaban or warfarin treatment during hospitalization.
Conclusions: The rivaroxaban users had a 3-day shorter LOS-OAC after IPTW-adjustment. Using rivaroxaban was associated with a 4 to 5 days shorter LOS-OAC than using warfarin in patients with mild or moderate stroke, though treatment selection did not have a large impact in patients with severe stroke. PMID: 32936057 [PubMed - as supplied by publisher]
Source: Journal of Medical Economics - September 18, 2020 Category: Health Management Tags: J Med Econ Source Type: research

Post-stroke fatigue level is significantly associated with mental health component of health-related quality of life: a cross-sectional study
ConclusionJordanian individuals with stroke have a high prevalence of fatigue. Mental related quality of life was significantly associated with PSF levels. Other factors significantly associated with PSF included cognition status, sport participation, and spasticity. Healthcare practitioners working in neurorehabilitation should take PSF and its significant correlates into consideration when treating individuals with stroke.
Source: Quality of Life Research - January 2, 2021 Category: Health Management Source Type: research

Economic burden associated with stroke in India: Insights from National Sample Survey 2017-18
Conclusion Economic burden associated with stroke-related hospitalisation is substantial in India. The publicly funded health insurance scheme should cover expenses on stroke-related medicines to reduce OOP expenditure of patients seeking treatment in public sector facilities.PMID:34110261 | DOI:10.1080/14737167.2021.1941883
Source: Expert Review of Pharmacoeconomics and Outcomes Research - June 10, 2021 Category: Health Management Authors: Subramania Raju Rajasulochana Sitanshu Sekhar Kar Source Type: research

Implementing clinical guidelines in stroke: A qualitative study of perceived facilitators and barriers
Conclusions: This study highlights health professionals’ perspectives regarding many key concepts which may affect the implementation of stroke care guidelines. The introduction of stroke clinical guidelines at a national level is not sufficient to improve health care quality as they should be incorporated in a quality assurance cycle with education programmes and feedback from surveys of clinical practice.
Source: Health Policy - May 6, 2013 Category: Health Management Authors: Claire Donnellan, S. Sweetman, E. Shelley Tags: Health Care Quality Source Type: research

Development of a behaviour change intervention to increase upper limb exercise in stroke rehabilitation
Conclusions: This paper provides an example of how the Behaviour Change Wheel may be applied in the collaborative development of a behaviour change intervention for health professionals. The process involved was resource-intensive, and the iterative process was difficult to capture. The use of a published behaviour change framework and taxonomy will assist replication in future research and clinical use. The feasibility and acceptability of PRACTISE is currently being explored in two other stroke rehabilitation units.
Source: Implementation Science - March 12, 2015 Category: Health Management Authors: Louise ConnellNaoimh McMahonJudith RedfernCaroline WatkinsJanice Eng Source Type: research

Cost-Effectiveness of Proton Pump Inhibitor Co-Therapy in Patients Taking Aspirin for Secondary Prevention of Ischemic Stroke
Conclusions Co-therapy with ASA plus PPI appears to be cost-effective compared with ASA monotherapy. The addition of PPI also appeared to prolong the duration of ASA therapy, thereby reducing the risk of ischemic stroke.
Source: PharmacoEconomics - May 20, 2015 Category: Health Management Source Type: research