News
Wednesday, October 5th, 2016
Stroke, 1 July 2016 Background and Purpose—The stroke belt is described as an 8-state region with high stroke mortality across the southeastern United States. Using spatial statistics, we identified clusters of high stroke mortality (hot spots) and adjacent areas of low stroke mortality (cool spots) for US counties and evaluated for regional differences in county-level risk factors. ₀ […]
News
Wednesday, October 5th, 2016
J Am Heart Assoc, 11 May 2016 Background Population-based studies have revealed declining acute ischemic stroke (AIS) hospitalization rates in the United States, but no study has assessed recent temporal trends in race/ethnic-, age-, and sex-specific AIS hospitalization rates. … Conclusions Although overall stroke hospitalizations declined in the United States, the reduction was more pronounced among older individuals, […]
News
Wednesday, October 5th, 2016
J Am Heart Assoc, 16 August 2016 Background Intracerebral hemorrhage (ICH) carries high risk for short-term mortality. We sought to identify race-specific predictors of mortality in ICH patients. … Conclusions IVH and age differentially predict mortality among blacks and whites. Blacks have higher rates of obstructive hydrocephalus and more frequently require EVD placement compared to their white counterparts. […]
News
Wednesday, October 5th, 2016
Stroke, 1 July 2016 Background and Purpose—At age 45 years, blacks have a stroke mortality ≈3× greater than their white counterparts, with a declining disparity at older ages. We assess whether this black–white disparity in stroke mortality is attributable to a black–white disparity in stroke incidence versus a disparity in case fatality. … Conclusions—These findings show that the […]
News
Wednesday, October 5th, 2016
J Racial Ethn Health Disparities, 20 October 2015 Background The burden of stroke is severe among African-Americans. Despite overall declines in the rate of stroke since 2000, outcomes are largely unimproved or have worsened for African-American men. Adverse psychosocial challenges may hinder adherence to a regimen of risk factor reduction. … Conclusions In order to be effective, policies […]
Guidelines
Wednesday, October 5th, 2016
JAMA, 9 August 2016 This JAMA Clinical Guidelines Synopsis summarizes the American Heart Association/American Stroke Association (AHA/ASA) 2014 guidelines on primary prevention of stroke. … Major recommendations Assess the risk of first stroke in adults using a risk assessment tool such as the American College of Cardiology (ACC)/AHA Cardiovascular Risk Calculator (class IIa; level of evidence B). Encourage […]
Guidelines
Wednesday, October 5th, 2016
Circulation, 8 August 2016 The mission of the American Heart Association/American Stroke Association includes increasing access to high-quality, evidence-based care that improves patient outcomes such as health-related quality of life and is consistent with the patients’ values, preferences, and goals. Awareness of and access to palliative care interventions align with the American Heart Association/American Stroke Association mission. […]
Guidelines
Wednesday, October 5th, 2016
Stroke, 1 June 2016 Purpose—The aim of this guideline is to provide a synopsis of best clinical practices in the rehabilitative care of adults recovering from stroke. … Conclusions—As systems of care evolve in response to healthcare reform efforts, postacute care and rehabilitation are often considered a costly area of care to be trimmed but without recognition of […]
Guidelines
Wednesday, October 5th, 2016
Stroke, 1 October 2015 Purpose—The aim of this guideline is to provide a focused update of the current recommendations for the endovascular treatment of acute ischemic stroke. When there is overlap, the recommendations made here supersede those of previous guidelines. … Conclusions—Certain endovascular procedures have been demonstrated to provide clinical benefit in selected patients with acute ischemic stroke. […]
Guidelines
Wednesday, October 5th, 2016
JAMA, 21 July 2015 This JAMA Clinical Guidelines Synopsis article summarizes the evidence for management of anticoagulation therapy in patients with atrial fibrillation. … Major recommendations For nonvalvular AF that is paroxysmal, persistent, or permanent, oral anticoagulation is recommended for patients with prior stroke, transient ischemic attack, or a CHA₂DS₂-VASc score of 2 or greater (class I recommendation) […]
