Clinical Trials
Wednesday, April 23rd, 2014
STROKEAHA: March 27, 2014 Background and Purpose—Blood pressure (BP) reduction lowers vascular risk after stroke; however, little is known about the relationship between consistency of BP control and risk of subsequent vascular events. Methods—In this post hoc analysis of the Vitamin Intervention for Stroke Prevention trial (n=3680), individuals with recent (<120 days) stroke, followed up for […]
Therapies
Wednesday, April 23rd, 2014
STROKEAHA: April 1, 2014 Background and Purpose—The results of previous studies suggest that early goal-directed fluid therapy (EGDT) reduces delayed cerebral ischemia (DCI) after aneurysmal subarachnoid hemorrhage, but the effects of EGDT on clinical outcomes are still unclear. This study aimed to determine whether EGDT improves outcomes compared with standard less-invasive hemodynamic therapy. Methods—This study included […]
Therapies
Wednesday, April 23rd, 2014
STR: March 27, 2014 Background and Purpose—The purpose of this statement is to delineate basic expectations regarding primary palliative care competencies and skills to be considered, learned, and practiced by providers and healthcare services across hospitals and community settings when caring for patients and families with stroke. Methods—Members of the writing group were appointed by the […]
Therapies
Wednesday, April 23rd, 2014
STROKEAHA: March 25, 2014 Background and Purpose—Previous work that predated the availability of the safer stent-retriever devices has suggested that general anesthesia (GA) may have a negative impact on outcomes in patients with acute ischemic stroke undergoing endovascular therapy. Methods—We reviewed demographic, clinical, procedural (GA versus local anesthesia [LA], etc), and site-adjudicated angiographic and clinical outcomes […]
Therapies
Wednesday, April 23rd, 2014
STROKEAHA: March 25, 2014 Background and Purpose—Optimizing prehospital stroke care is important because effective treatments for acute stroke require a narrow therapeutic time window. We developed a smartphone-assisted prehospital medical information system (SPMIS) to facilitate research on prehospital stroke care. Methods—Prehospital medical information was input into the SPMIS application installed on smartphones by emergency medical staff, […]
Therapies
Wednesday, April 23rd, 2014
STROKEAHA: March 25, 2014 Background and Purpose—Unruptured intracranial aneurysm repair is the most commonly performed procedure for the prevention of hemorrhagic stroke. Despite efforts to regionalize care in high-volume centers, overall results have improved little. This study aims to determine the effectiveness in improving outcomes of previous efforts to regionalize unruptured intracranial aneurysm repair to […]
Policy
Wednesday, April 23rd, 2014
STROKEAHA: April 3, 2014 Report From a Nationally Representative Cohort Background and Purpose—The studies assessing the impact of insomnia on stroke are still lacking. We aim to investigate insomnia in relation to subsequent stroke during the 4-year follow-up. Methods—Data from the Taiwan National Health Insurance Research Database were used. Enrollees with International Classification of Diseases, Ninth Revision, Clinical […]
News
Wednesday, April 23rd, 2014
STROKEAHA.: March 27, 2014 Background and Purpose—Cognitive impairment is linked to vascular risk factors and brain vascular pathologies. Several studies have tested whether subjects with cognitive impairment have higher risk for stroke. The aim of this study was to systematically review available evidence on the association between cognitive impairment and risk of stroke to obtain precise […]
News
Wednesday, April 23rd, 2014
Biomedcentral: March 26, 2014 Background Stroke is the leading cause of disability among adults in the United States. The association of patients’ pre-event socioeconomic status (SES) with post-stroke disability is not well understood. We examined the association of three indicators of SES—educational attainment, working status, and perceived adequacy of household income—with disability 3-months following an acute […]
News
Wednesday, April 23rd, 2014
Neurology: February 28, 2014 Objective: It is unknown whether racial differences in exposure to acute precipitants of stroke, specifically infection, contribute to racial disparities in stroke mortality. Methods: Among participants in the nationally representative Health and Retirement Study with linked Medicare data (1991–2007), we conducted a case-crossover study employing within-person comparisons to study racial/ethnic differences in the risks […]
