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Total 267 results found since Jan 2013.

Palliative and End-of-Life Care in Stroke: A Statement for Healthcare Professionals From the American Heart Association/American Stroke Association AHA/ASA Scientific Statement
Conclusions— Addressing the palliative care needs of patients and families throughout the course of illness can complement existing practices and improve the quality of life of stroke patients, their families, and their care providers. There is an urgent need for further research in this area.
Source: Stroke - May 27, 2014 Category: Neurology Authors: Holloway, R. G., Arnold, R. M., Creutzfeldt, C. J., Lewis, E. F., Lutz, B. J., McCann, R. M., Rabinstein, A. A., Saposnik, G., Sheth, K. N., Zahuranec, D. B., Zipfel, G. J., Zorowitz, R. D., on behalf of the American Heart Association Stroke Council, Coun Tags: AHA Statements and Guidelines AHA/ASA Scientific Statement Source Type: research

Satisfaction With Palliative Care After Stroke: A Prospective Cohort Study Brief Reports
Conclusions— Families of patients receiving palliative care at our institution showed generally high satisfaction with palliation after stroke; specific domains were identified for improvement. Further study in larger populations is required.
Source: Stroke - August 26, 2013 Category: Neurology Authors: Blacquiere, D., Bhimji, K., Meggison, H., Sinclair, J., Sharma, M. Tags: Health policy and outcome research, Other Treatment, Acute Cerebral Infarction, Other Stroke Treatment - Medical Brief Reports Source Type: research

Palliative Care for Hospitalized Patients With Stroke Clinical Sciences
This study explores patterns of palliative care utilization and death in hospitalized patients with stroke across the United States.Methods—Using the 2010 to 2012 nationwide inpatient sample databases, we included all patients discharged with stroke identified by International Classification of Diseases-Ninth Revision codes. Strokes were subclassified as ischemic, intracerebral, and subarachnoid hemorrhage. We compared demographics, comorbidities, procedures, and outcomes between patients with and without a palliative care encounter (PCE) as defined by the International Classification of Diseases-Ninth Revision code V66....
Source: Stroke - August 28, 2017 Category: Neurology Authors: Tarvinder Singh, Steven R. Peters, David L. Tirschwell, Claire J. Creutzfeldt Tags: Race and Ethnicity, Quality and Outcomes, Cerebrovascular Disease/Stroke, Intracranial Hemorrhage, Ischemic Stroke Original Contributions Source Type: research

Arterial ischemic stroke in children with cardiac disease
Conclusions: Infants with cyanotic CHD were most frequently affected by AIS during the periprocedural period. Prospective cohort studies are required to determine effective primary and secondary prevention strategies.
Source: Neurology - December 7, 2015 Category: Neurology Authors: Asakai, H., Cardamone, M., Hutchinson, D., Stojanovski, B., Galati, J. C., Cheung, M. M. H., Mackay, M. T. Tags: Childhood stroke, All Cerebrovascular disease/Stroke, All Pediatric, Cardiac, Pediatric stroke; see Cerebrovascular Disease/ Childhood stroke ARTICLE Source Type: research

Palliative Care Consultation Did Not Reduce Length of Stay in a Comprehensive Stroke Center (P1.212)
Conclusion: Palliative care consultation for patients with ischemic or hemorrhagic strokes was not associated with decreased hospital costs or LoS. This is in contrast to previously reported studies. We will further analyze the effect of early palliative care on a larger sample size to validate the findings. We also propose that a standardized palliative care trigger tool be implemented for early PC consultation in patients with debilitating stroke, advanced age, and multiple comorbid conditions.Disclosure: Dr. Tversky has nothing to disclose. Dr. Cheng has nothing to disclose. Dr. Mahmud has nothing to disclose. Dr. Schlo...
Source: Neurology - April 3, 2016 Category: Neurology Authors: Tversky, S., Cheng, D., Mahmud, S., Schloss, E., Wright, P. Tags: Re-admission and Stroke Outcomes Source Type: research

Early transition to comfort measures only in acute stroke patients: Analysis from the Get With The Guidelines-Stroke registry
Conclusions: Early CMO was utilized in about 5% of stroke patients, being more common in ICH and SAH than IS. Early CMO use varies widely between hospitals and is influenced by patient and hospital characteristics.
Source: Neurology Clinical Practice - June 12, 2017 Category: Neurology Authors: Prabhakaran, S., Cox, M., Lytle, B., Schulte, P. J., Xian, Y., Zahuranec, D., Smith, E. E., Reeves, M., Fonarow, G. C., Schwamm, L. H. Tags: All Cerebrovascular disease/Stroke, Palliative care Research Source Type: research

The COAST stroke advance directive: A novel approach to preserving patient autonomy
This article discusses some of the challenges of preserving patient autonomy in patients presenting with acute stroke and the advent of a stroke advance directive (Coordinating Options for Acute Stroke Therapy [COAST]) aimed to overcome these obstacles.
Source: Neurology Clinical Practice - December 10, 2018 Category: Neurology Authors: McGehrin, K., Spokoyny, I., Meyer, B. C., Agrawal, K. Tags: All Cerebrovascular disease/Stroke, All Ethics in Neurology/Legal issues, Palliative care Commentary Source Type: research

Life after stroke – is palliative care relevant?
Only about 50% of people who have a stroke survive to five‐years. Clinicians should identify those most at risk of dying, and gradually integrate palliative care. Such holistic and anticipatory care will be of benefit to patients and their family carers; should reduce futile treatments, medications, or unsuccessful resuscitation attempts; and help more people die how and where they choose. Research is exploring how best to provide palliative and end‐of‐life care in acute stroke units, but how best to improve holistic, ongoing care in the community is poorly understood. The concept of fluctuating illness trajectories ...
Source: International Journal of Stroke - July 23, 2013 Category: Neurology Authors: Gillian E. Mead, Eileen Cowey, Scott A. Murray Tags: Leading opinion Source Type: research

Physical Activity Early after Stroke and Its Association to Functional Outcome 3 Months Later
Conclusions: This study confirms that time in bed in the early phase is associated with poor functional outcome 3 months later, indicating that too much bed rest should be avoided in the early phase after stroke.
Source: Journal of Stroke and Cerebrovascular Diseases - February 14, 2014 Category: Neurology Authors: Torunn Askim, Julie Bernhardt, Øyvind Salvesen, Bent Indredavik Tags: Original Articles Source Type: research

Palliative care for stroke affected by age, gender, stroke type
Whether patients with stroke are referred to palliative care services depends on their age, their gender, and what type of stroke they have had, Australian study results indicate.
Source: MedWire News - Stroke - January 31, 2013 Category: Neurology Source Type: news

Attitudes of Canadian stroke physicians regarding palliative care for patients with acute severe stroke: A national survey
Palliative care (PC) aims to enhance the quality of life for patients and their families when confronted with serious illness.   As stroke continues to inflict high morbidity and mortality, the integration of palliative care within acute stroke care remains an important aspect of quality inpatient care.
Source: Journal of Stroke and Cerebrovascular Diseases - January 23, 2023 Category: Neurology Authors: Houman Khosravani, Meera Mahendiran, Sandra Gardner, Camilla Zimmermann, Giulia- Anna Perri Source Type: research

Palliative Care: A Core Competency for Stroke Neurologists Topical Reviews
Source: Stroke - August 24, 2015 Category: Neurology Authors: Creutzfeldt, C. J., Holloway, R. G., Curtis, J. R. Tags: Other Ethics and Policy, Emergency treatment of Stroke, Other Stroke Treatment - Medical Topical Reviews Source Type: research

Older Patients with Acute Ischemic Stroke Receive Fewer Neurosurgery and Cardiology Consultations (P2.321)
Conclusions: Nearly half of our patient population was age蠅65-years but very few had geriatrics consultation. These patients are not receiving as many cardiology and neurosurgery consultations as the younger population. They are, however, receiving palliative care consults. Our results raise concern that resources are being disproportionately allocated to younger patients. Further study into resource allocation is warranted.Disclosure: Dr. Khawaja has nothing to disclose. Dr. Albright has nothing to disclose. Dr. Boehme has nothing to disclose. Dr. Sands has received research support from Biogen. Dr. Bavarsad Shahri...
Source: Neurology - April 3, 2016 Category: Neurology Authors: Khawaja, A., Albright, K., Boehme, A., Sands, K., Bavarsad Shahripour, R., Shiue, H., Gropen, T. Tags: Stroke Systems of Care Source Type: research

HIAT2 Predicts Poor Functional Outcome, Palliative Care Involvement, and In-hospital Mortality in tPA Treated and Untreated Ischemic Stroke Patients (P1.188)
Conclusions: Our results suggest that the variables used to create the HIAT2 score (age, NIHSS, glucose, ASPECTS score) are useful in predicting poor outcomes in patients receiving endovascular therapy, IV tPA, and neither. Despite its ability to predict poor outcome in these samples, treatment should not be withheld from patients that otherwise qualify.Disclosure: Dr. Kaur has nothing to disclose. Dr. Boehme has nothing to disclose. Dr. Albright has nothing to disclose. Dr. Sisson has nothing to disclose. Dr. Lyerly has nothing to disclose. Dr. Gropen has nothing to disclose.
Source: Neurology - April 3, 2016 Category: Neurology Authors: Kaur, M., Boehme, A., Albright, K., Sisson, A., Lyerly, M., Gropen, T. Tags: Ischemic Stroke Outcomes Source Type: research

Nursing’s Role in Addressing Palliative Care Needs of Stroke Patients State-of-the-Science Nursing Reviews
Source: Stroke - November 27, 2016 Category: Neurology Authors: Barbara J. Lutz, Theresa Green Tags: Cerebrovascular Disease/Stroke State-of-the-Science Nursing Reviews Source Type: research