Therapies
Sunday, January 13th, 2013
Wiley: DEC 24, 2012 Despite the recent advances in stroke rehabilitation research, the translation of research evidence into practice remains a challenge. The purpose of this article is to communicate practical experience and describe research methodologies used to promote change and implementation of stroke rehabilitation research in three international settings. In England, the development of an […]
Therapies
Sunday, January 13th, 2013
STROKEAHA: October 23, 2012 Survival after stroke initially can depend on the acute phase of specialist hospital care; however, the greatest impact on patient health and well-being is from the long-term consequences faced when stroke survivors leave the hospital. Optimal recovery requires the provision of coordinated specialist rehabilitation, not only in the early stages of returning […]
Guidelines
Sunday, January 13th, 2013
JAMA: 1/9/13 The proliferation of practice guidelines and recent controversies about cancer screening guidelines highlight the need to decide which guidelines are trustworthy. Cancer screening guidelines exemplify the challenge of public trust in guidelines. A firestorm of controversy (created in part by news media, professional organizations, disease advocacy groups, and politicians) surrounds discussions of screening for […]
Guidelines
Sunday, January 13th, 2013
Ahajournals: 12/19/12 It is important that the medical profession play a significant role in critically evaluating the use of diagnostic procedures and therapies as they are introduced and tested in the detection, management, or prevention of disease states. Rigorous and expert analysis of the available data documenting absolute and relative benefits and risks of those procedures and therapies can produce helpful […]
News
Sunday, January 13th, 2013
Neurology: January 9, 2013 Objective: To investigate the risk of stroke in patients clinically diagnosed with Alzheimer disease (AD) compared with non-AD patients with similar vascular risk factors. Methods: Using data obtained from Taiwan’s National Health Insurance Research Database, we evaluated the risk of ischemic stroke (IS) and intracerebral hemorrhage (ICH) in patients with AD (n = 980) […]
News
Sunday, January 13th, 2013
Teaching Versus Nonteaching Hospitals STROKEAHA: January 8, 2013 Background and Purpose—A systematic review found an association between the July start of internships and residencies and higher mortality rates for hospitalized patients, but data related to stroke are limited. We assessed seasonal variations in 30-day risk-adjusted mortality rates (RAMRs) after ischemic stroke by hospital teaching status. Methods—The […]
News
Sunday, January 13th, 2013
Neurology: January 2, 2013 Objective: Stroke increases the risk of dementias, including Alzheimer disease (AD), but it is unknown whether persons with AD have a higher risk of strokes. We investigated whether noninstitutionalized persons with AD were more likely to experience incident stroke than persons without AD and whether there are differences in the incidence of ischemic […]
News
Sunday, January 13th, 2013
Neurology: January 1, 2013 Objectives: Age and stroke severity are major determinants of stroke outcomes, but systematically incorporating these prognosticators in the routine practice of acute ischemic stroke can be challenging. We evaluated the effect of an index combining age and stroke severity on response to IV tissue plasminogen activator (tPA) among patients in the National […]
News
Sunday, January 13th, 2013
Ahajournals: 12/31/12 Background—Randomized trials of antithrombotics in coronary artery disease (CAD) have identified prior stroke/TIA as a marker of increased intracranial bleeding risk. We aimed to further characterize the risk of ischemic and bleeding events associated with a history of stroke/TIA in patients with CAD. Methods and Results—From the international REACH registry of atherothrombosis, baseline characteristics […]
