Assistive technologies after stroke: self-management or fending for yourself?

BMC Health Services Research: Aug. 22, 2013 Background Assistive Technologies, defined as “electrical or mechanical devices designed to help people recover movement” have demonstrated clinical benefits in upper-limb stroke rehabilitation. Stroke services are becoming community-based and more reliant on self-management approaches. Assistive technologies could become important tools within self-management, however, in practice, few people currently […]

Test Accuracy of Short Screening Tests for Diagnosis of Delirium or Cognitive Impairment in an Acute Stroke Unit Setting

STROKEAHA: 8/29/13 Background and Purpose—Guidelines recommend cognitive screening in acute stroke. Various instruments are available, with no consensus on a preferred tool. We aimed to describe test accuracy of brief screening tools for diagnosis of cognitive impairment and delirium in acute stroke. Methods—We collected data on sequential stroke unit admission in a single center. Four assessors […]

Quantitative Analysis of Hypoperfusion in Acute Stroke

STROKEAHA: 8/29/13 Background and Purpose—This study compares the concordance between arterial spin labeling (ASL) and dynamic susceptibility contrast (DSC) for the identification of regional hypoperfusion and diffusion-perfusion mismatch tissue classification using a quantitative method. Methods—The inclusion criteria for this retrospective study were as follows: patients with acute ischemic syndrome with symptom onset <24 hours and acquisition […]

Sex Differences in the Use of Early Do-Not-Resuscitate Orders After Intracerebral Hemorrhage

STROKEAHA: 8/27/13 Background and Purpose—Studies show that women are more likely to receive do-not-resuscitate (DNR) orders after acute medical illnesses than men. However, the sex differences in the use of DNR orders after acute intracerebral hemorrhage (ICH) have not been described. Methods—We conducted a retrospective study of consecutive patients hospitalized for acute ICH at a tertiary […]

Assistive technologies after stroke: self-management or fending for yourself? A focus group study

BMC: 8/22/13 Assistive Technologies, defined as “electrical or mechanical devices designed to help people recover movement” have demonstrated clinical benefits in upper-limb stroke rehabilitation. Stroke services are becoming community-based and more reliant on self-management approaches. Assistive technologies could become important tools within self-management, however, in practice, few people currently use assistive technologies. This study investigated […]

In-Hospital Risk Prediction for Post-stroke Depression

STROKEAHA: 7/18/13 Background and Purpose—The timely detection of post-stroke depression is complicated by a decreasing length of hospital stay. Therefore, the Post-stroke Depression Prediction Scale was developed and validated. The Post-stroke Depression Prediction Scale is a clinical prediction model for the early identification of stroke patients at increased risk for post-stroke depression. Methods—The study included 410 […]

Smoking as a Risk Factor for Stroke in Women Compared With Men

smoker

STROKEAHA: August 22, 2013 A Systematic Review and Meta-Analysis of 81 Cohorts, Including 3 980 359 Individuals and 42 401 Strokes Background and Purpose—It is currently unknown whether the excess risk of stroke by smoking is the same for women and men. We performed a systematic review and meta-analysis to estimate the effect of smoking on […]

Elevated Aerobic Fitness Sustained Throughout the Adult Lifespan Is Associated With Improved Cerebral Hemodynamics

Exerciselady

STROKEAHA: August 20, 2013 Background and Purpose—Age-related impairments in cerebral blood flow and cerebrovascular reactivity to carbon dioxide (CVRCO2) are established risk factors for stroke that respond favorably to aerobic training. The present study examined to what extent cerebral hemodynamics are improved when training is sustained throughout the adult lifespan. Methods—Eighty-one healthy males were prospectively assigned […]

Training emergency services’ dispatchers to recognise stroke: an interrupted time-series analysis

Biomedcentral: August 15, 2013 Background Stroke is a time-dependent medical emergency in which early presentation to specialist care reduces death and dependency. Up to 70% of all stroke patients obtain first medical contact from the Emergency Medical Services (EMS). Identifying ‘true stroke’ from an EMS call is challenging, with over 50% of strokes being misclassified. The […]

Both low and high temperature may increase the risk of stroke mortality

Neurology: 8/14/13 Objective: To examine temperature in relation to stroke mortality in a multicity time series study in China. Methods: We obtained data on daily temperature and mortality from 8 large cities in China. We used quasi-Poisson generalized additive models and distributed lag nonlinear models to estimate the accumulative effects of temperature on stroke mortality across multiple days, […]

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