A review of decision support, risk communication and patient information tools for thrombolytic treatment in acute stroke: lessons for tool developers

BMC Health Services Research:  June 18, 2013 Background Tools to support clinical or patient decision-making in the treatment/management of a health condition are used in a range of clinical settings for numerous preference-sensitive healthcare decisions. Their impact in clinical practice is largely dependent on their quality across a range of domains. We critically analysed currently available […]

Cognitive Rehabilitation for Executive Dysfunction in Adults With Stroke or Other Adult Nonprogressive Acquired Brain Damage

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Stroke: June 20, 2013 Executive functions are cognitive processes essential for controlling goal-oriented behavior and responding to new and novel situations. Executive function includes the processes of planning, initiation, organization, inhibition, problem solving, self-monitoring, and error correction. It has been estimated that ≈75% of stroke survivors experience impaired executive function (executive dysfunction), result- ing in […]

Prevalence of PTSD in Survivors of Stroke and Transient Ischemic Attack: A Meta-Analytic Review

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PLOS One: June 19, 2013 Background and Purpose Posttraumatic stress disorder (PTSD) is common in survivors of acute life-threatening illness, but little is known about the burden of PTSD in survivors of stroke and transient ischemic attack (TIA). This study estimated the prevalence of stroke or TIA-induced posttraumatic stress disorder (PTSD) using systematic review and […]

Report of stroke-like symptoms predicts incident cognitive impairment in a stroke-free cohort

Neurology: June 19, 2013 Objective: The present study characterizes the relationship between report of stroke symptoms (SS) or TIA and incident cognitive impairment in the large biracial cohort of the Reasons for Geographic and Racial Differences in Stroke (REGARDS) Study. Methods: The REGARDS Study is a population-based, biracial, longitudinal cohort study that has enrolled 30,239 participants from the […]

Abdominal Aortic Atherosclerosis at MR Imaging Is Associated with Cardiovascular Events: The Dallas Heart Study

Radiology: June 18, 2013 Purpose: To determine the value of two abdominal aortic atherosclerosis measurements at magnetic resonance (MR) imaging for predicting future cardiovascular events. Materials and Methods: This study was approved by the institutional review board and complied with HIPAA regulations. The study consisted of 2122 participants from the multiethnic, population-based Dallas Heart Study who underwent abdominal […]

The SOAR Stroke Score Predicts Inpatient and 7-Day Mortality in Acute Stroke

STROKEAHA; une 18, 2013 Background and Purpose—An accurate prognosis is useful for patients, family, and service providers after acute stroke. Methods—We validated the Stroke subtype, Oxfordshire Community Stroke Project Classification, Age, and prestroke Rankin stroke score in predicting inpatient and 7-day mortality using data from 8 National Health Service hospital trusts in the Anglia Stroke and […]

Alcohol intake and prognosis of atrial fibrillation patients

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Heart BMJ: June 13, 2013 Abstract Objective To assess alcohol intake as a risk factor for adverse events among patients with incident atrial fibrillation (AF). Design Prospective cohort study. Setting Population based cohort study and nationwide Danish registries. Patients The Danish Diet, Cancer and Health study included 57 053 participants (27 178 men and 29 875 women) aged between 50 and 64 years. […]

Risks and Benefits of Anticoagulation in Atrial Fibrillation

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CIRCOUTCOMES: June 11, 2013 Background—Patients with atrial fibrillation (AF) at the highest stroke risk derive the largest benefit from oral anticoagulation (OAC). Those with the highest stroke risk have been paradoxically less likely to receive OAC. This study assessed the association between stroke and bleeding risk on rates of OAC. Methods and Results—We analyzed OAC use […]

Reduced Incidence of Cardiac Arrhythmias in Walkers and Runners

PLOS One: June 7, 2013 Purpose Walking is purported to reduce the risk of atrial fibrillation by 48%, whereas jogging is purported to increase its risk by 53%, suggesting a strong anti-arrhythmic benefit of walking over running. The purpose of these analyses is to compare incident self-reported physician-diagnosed cardiac arrhythmia to baseline energy expenditure (metabolic […]

Early life predictors of atrial fibrillation-related mortality: Evidence from the health and retirement study

Science Direct: February 1, 2013 Abstract Prior research found that Americans born in 6 southeastern states (the AF-risk zone) had elevated risk of AF-related mortality, but no mechanisms were identified. We hypothesized the association between AF-related mortality and AF-risk zone birth is explained by indicators of childhood social disadvantage or adult risk factors. In 24,323 participants […]

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