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Specialty: Epidemiology
Management: Hospitals

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Total 68 results found since Jan 2013.

Short-term exposure to ambient ozone and stroke hospital admission: A case-crossover analysis
th & Robin C Puett
Source: Journal of Exposure Science and Environmental Epidemiology - September 2, 2015 Category: Epidemiology Authors: Jessica A Montresor-LópezJeff D YanoskyMurray A MittlemanAmir SapkotaXin HeJames D HibbertMichael D WirthRobin C Puett Tags: air pollution ozone stroke Source Type: research

National Stroke Registry Programme in India for Surveillance and Research: Design and Methodology
The objectives of the National Stroke Registry Programme (NSRP), India, are to generate reliable data on the incidence of first-ever stroke events in defined populations through a population-based stroke registry (PBSR) and to describe the patterns of care and outcomes of patients with stroke in different treatment settings through a hospital-based stroke registry (HBSR). Continuous systematic collection on a standardized format of diagnostic, treatment, and outcome information on stroke events in persons of defined population (PBSR) and those who attend hospitals (HBSR) is conducted through active data abstraction from re...
Source: Neuroepidemiology - October 19, 2020 Category: Epidemiology Source Type: research

Phenotyping Stroke in Sub-Saharan Africa: Stroke Investigative Research and Education Network (SIREN) Phenomics Protocol
Background: As the second leading cause of death and the leading cause of adult-onset disability, stroke is a major public health concern particularly pertinent in Sub-Saharan Africa (SSA), where nearly 80% of all global stroke mortalities occur, and stroke burden is projected to increase in the coming decades. However, traditional and emerging risk factors for stroke in SSA have not been well characterized, thus limiting efforts at curbing its devastating toll. The Stroke Investigative Research and Education Network (SIREN) project is aimed at comprehensively evaluating the key environmental and genomic risk factors for s...
Source: Neuroepidemiology - August 21, 2015 Category: Epidemiology Source Type: research

Evaluating an extended rehabilitation service for stroke patients (EXTRAS): study protocol for a randomised controlled trial
This study is a multicentre randomised controlled trial with health economic and process evaluations. It is set within NHS stroke services which provide ESD. Participants are adults who have experienced a new stroke (and carer if appropriate), discharged from hospital under the care of an ESD team.The intervention group receives an extended stroke rehabilitation service provided for 18 months following completion of ESD. The extended rehabilitation service involves regular contact with a senior ESD team member who leads and coordinates further rehabilitation. Contact is usually by telephone. The control group receives usu...
Source: Epidemiologic Perspectives and Innovations - May 4, 2015 Category: Epidemiology Authors: Helen RodgersLisa ShawRobin CantAvril DrummondGary A FordAnne ForsterKatie HillsDenise HowelAnne-Marie LavertyChristopher McKevittPeter McMeekinChristopher Price Source Type: research

Incidence of stroke and stroke subtypes in chronic obstructive pulmonary disease
Abstract It is uncertain whether the incidence of stroke is increased in patients with chronic obstructive pulmonary disease (COPD), and whether COPD is associated with all subtypes of stroke (i.e. ischemic stroke, intracerebral haemorrhage and subarachnoid haemorrhage). We evaluated the association between COPD and incidence of stroke in a nation-wide cohort study. All individuals between 40 and 84 years of age, hospitalised for COPD between 1987 and 2003 in Sweden were identified in the Swedish hospital discharge register. For each COPD patient (n = 103,419), one reference individual was randomly selected fro...
Source: European Journal of Epidemiology - December 28, 2015 Category: Epidemiology Source Type: research

Use of Outpatient Rehabilitation Among Adult Stroke Survivors - 20 States and the District of Columbia, 2013, and Four States, 2015.
Abstract Stroke is a leading cause of mortality and disability in the United States (1,2). Approximately 800,000 American adults experience a stroke each year (2,3). Currently, approximately 6 million stroke survivors live in the United States (2). Participation in stroke rehabilitation (rehab), which occurs in diverse settings (i.e., in-hospital, postacute care, and outpatient settings), has been determined to reduce stroke recurrence and improve functional outcomes and quality of life (3,4). Despite longstanding national guidelines recommending stroke rehab, it remains underutilized, especially in the outpatient...
Source: MMWR Morb Mortal Wkl... - May 25, 2018 Category: Epidemiology Authors: Ayala C, Fang J, Luncheon C, King SC, Chang T, Ritchey M, Loustalot F Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Dabigatran etexilate for secondary stroke prevention: the first year experience from a multicenter short-term registry.
DISCUSSION: Our pilot data indicate that dabigatran appears to be safe for secondary stroke prevention during the first year of implementation of this therapy. However, high cost may limit the long-term treatment of AF patients with dabigatran, leading to early discontinuation. PMID: 24790645 [PubMed - as supplied by publisher]
Source: Adv Data - May 1, 2014 Category: Epidemiology Authors: Tsivgoulis G, Krogias C, Sands KA, Sharma VK, Katsanos AH, Vadikolias K, Papageorgiou SG, Heliopoulos I, Shiue H, Mitsoglou A, Liantinioti C, Athanasiadis D, Giannopoulos S, Piperidou C, Voumvourakis K, Alexandrov AV Tags: Ther Adv Neurol Disord Source Type: research

Serum neurofilament light chain, brain infarcts, and the risk of stroke: a prospective population-based cohort study
AbstractNeurofilament light chain (NfL), a neuron-specific protein, has been related to several neurodegenerative diseases. In addition, elevated levels of NfL have also been observed in patients admitted to the hospital for stroke, suggesting that NfL as a biomarker may extend well beyond neurodegenerative diseases. Therefore, using data from the Chicago Health and Aging Project (CHAP), a population-based cohort study, we prospectively investigated the association of serum NfL levels with incident stroke and brain infarcts. During a follow-up of 3603 person-years, 133 (16.3%) individuals developed incident stroke, includi...
Source: European Journal of Epidemiology - March 3, 2023 Category: Epidemiology Source Type: research

Comparisons of Risk Factors for Intracerebral Hemorrhage versus Ischemic Stroke in Chinese Patients
Background: Chinese populations have a higher stroke incidence, a higher proportion of intracerebral hemorrhage (ICH), and a lower proportion of ischemic stroke (IS) as compared with white populations. The reasons are not fully understood.Methods: To evaluate the differences of major risk factors between ICH and IS in Chinese stroke patients, we analysed acute ICH and IS patients consecutively recruited in National Taiwan University Hospital Stroke Registry from 2006 to 2011. We used multiple logistic regression models to examine the associations of risk factors with ICH vs. IS. Also, we conducted subgroup analyses when a ...
Source: Neuroepidemiology - May 12, 2017 Category: Epidemiology Source Type: research

Real-world effectiveness of lipid-lowering medications on outcomes after stroke: potential implications of the new-user design
Introduction: Observational studies are increasingly being used to provide evidence on the real-world effectiveness of medications for preventing vascular diseases, such as stroke. We investigated whether the real-world effectiveness of treatment with lipid-lowering medications after ischemic stroke is affected by prevalent user bias. Methods: An observational cohort study of 90-day survivors of ischemic stroke, using person-level data from the Australian Stroke Clinical Registry (2012-2016; 45 hospitals) linked to administrative (pharmaceutical, hospital, death) records. Use of, and adherence to (proportion of days covered
Source: Neuroepidemiology - July 21, 2022 Category: Epidemiology Source Type: research

Short-Term Exposure to Ambient Ozone and Acute Stroke Risk: A Case-Crossover Analysis
Short-term exposure to ambient ozone air pollution may be associated with an increased risk of acute stroke onset; however, findings from previous studies have been inconsistent. We evaluated the association between short-term ozone exposure and stroke hospital admissions among residents of South Carolina.
Source: Annals of Epidemiology - August 14, 2014 Category: Epidemiology Authors: Jessica Anne Montresor-Lopez, Jeff D. Yanosky, Murray Mittleman, Amir Sapkota, Xin He, James Hibbert, Michael Wirth, Robin C. Puett Tags: Abstracts Source Type: research

Low HDL cholesterol is correlated to the acute ischemic stroke with diabetes mellitus
Background: To clarify the role of lipid composition in the occurrence of acute ischemic stroke (AIS) with diabetes mellitus (DM) and its influence factors. Methods: Data was collected from the patients hospitalization in Affiliated Drum Tower Hospital of Nanjing University Medical School from October 2008 to May 2012, which included AIS and non-AIS consist of transient ischemic attack (TIA) and Vertigo or dizzy. Lipid and other risk factors including blood glucose (BG), uric acid (UA), hypertension, DM and atrial fibrillation (AF) were investigated in relation to occurrence of AIS. Results: The level of high density lipop...
Source: Epidemiologic Perspectives and Innovations - November 14, 2014 Category: Epidemiology Authors: Yun LuoJingwei LiJunfeng ZhangYun Xu Source Type: research

Pregnancy-Induced Hypertension and Diabetes and the Risk of Cardiovascular Disease, Stroke, and Diabetes Hospitalization in the Year Following Delivery
We examined hospital discharge diagnoses linked to birth certificate data in the year following delivery for 849,639 births during 1995–2004 in New York City, New York. Adjusted odds ratios characterized the relationship between pregnancy complications and subsequent hospitalization for cardiovascular disease, stroke, and diabetes. Gestational hypertension was related to heart failure (adjusted odds ratio = 2.6, 95% confidence interval: 1.5, 4.5). Preeclampsia was related to all of the outcomes considered except type 1 diabetes, with adjusted odds ratios ranging from 2.0 to 4.1. Gestational diabetes was strongly rela...
Source: American Journal of Epidemiology - June 25, 2014 Category: Epidemiology Authors: Savitz, D. A., Danilack, V. A., Elston, B., Lipkind, H. S. Tags: RESEARCH-ARTICLE Source Type: research

Pattern of neurological disease seen among patients admitted in tertiary care hospital
Background: Neurologic disorders are not uncommon at in patient departments of different hospitals. We have conducted the study to see the pattern and burden of neurologic disorders at different inpatient departments of a tertiary care centre.Methodology: This retrospective observational study was carried out from the records and referral notes of neurology department of Dhaka Medical College Hospital (DMCH) from July 2011 to June 2012. A total 335 patients were evaluated by consultant neurologists during this period.Result: Majority of the patients (59.7%) presented after the age of forty years. The mean age at presentati...
Source: Epidemiologic Perspectives and Innovations - March 31, 2014 Category: Epidemiology Authors: Rajib Nayan ChowdhuryA T HasanYusuf Ur RahmanShafikul Islam KhanAhmed Riyad HussainShamim Ahsan Source Type: research