Socioeconomic Status and Care After Stroke

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Results From the Registry of the Canadian Stroke Network STROKEAHA: January 15, 2013 Background and Purpose—Socioeconomic status is inversely associated with mortality after stroke; however, the reasons behind this finding are not well-understood. We undertook a study to determine whether posthospitalization care and medication adherence vary with neighborhood income. Methods—We conducted a cohort study of 11 […]

Stroke Severity as Well as Time Should Determine Stroke Patient Triage

STROKEAHA: January 3, 2013 The National Institute of Neurological Disorders and Stroke studies,1 published in 1995, demonstrated for the first time that in patients selected by clinical and noncontrast computed tomography criteria, intravenous TPA (IV tissue plasminogen activator) resulted in improved outcomes compared with standard treatment. Since that time, safe and quick delivery of IV TPA has […]

Cannabis-related Stroke

STROKEAHA: December 27, 2012 Myth or Reality? Cannabis, which is the most widely used recreational substance in the world, is considered by many consumers as safe with few negative side effects.1 This opinion is somehow strengthened by the fact that cannabis was also shown to have therapeutic applications.2 Cannabis is obtained from the plant Cannabis sativa and its varieties Cannabis indica and Cannabis […]

Stroke Risk Calculators in the Era of Electronic Health Records Linked to Administrative Databases

STROKEAHA: November 29, 2012 Medicine is a science of uncertainty and an art of probability. —Sir William Osler, 1904 Electronic health records (EHRs) linked to administrative databases can unlock the potential of clinical data by overcoming limitations of current cohort-derived risk calculators. EHRs can facilitate implementation of risk-based approaches, whereas current manual or web-based risk calculators […]

Advances in Stroke

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Stroke.ahajournals.org: January 15, 2013 The field of stroke genetics continues to make substantive advances. Large-scale partnerships have led to meta-analyses in ischemic and hemorrhagic stroke, which are yielding reproducible genetic risk factors. Most ischemic stroke risk factors seem to be specific to type, for example, large-vessel stroke. Progress is being made in understanding the pathophysiology of […]

A quantitative systematic review of domain-specific cognitive impairment in lacunar stroke

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Neurology.org: January 15, 2013 Objective: To quantitatively characterize domain-specific cognition in individuals with symptomatic lacunar stroke in a systematic review. Methods: Systematic searches of MEDLINE and EMBASE were conducted. Inclusion criteria were all articles published prior to December 2011 evaluating domain-specific cognitive status in individuals with a symptomatic lacunar infarct. Data extraction identified cognitive domains with reported impairment […]

Depressed Stroke Survivors May Face Triple the Risk of Death

Aan.com: JANUARY 11, 2013 AN DIEGO – People who are depressed after a stroke may have a tripled risk of dying early and four times the risk of death from stroke than people who have not experienced a stroke or depression, according to a study released today that will be presented at the American Academy of Neurology’s 65th Annual […]

Comparison of Ischemic Stroke Outcomes and Patient and Hospital Characteristics by Race/Ethnicity and Socioeconomic Status

STROKEAHA: January 10, 2013 Background and Purpose—Current literature provides mixed evidence on disparities by race/ethnicity and socioeconomic status in discharge outcomes after hospitalization for acute ischemic stroke. Using comprehensive data from 8 states, we sought to compare inpatient mortality and length of stay by race/ethnicity and socioeconomic status. Methods—We examined all 2007 hospitalizations for acute ischemic […]

Stroke disability and rehabilitation of stroke: World Health Organization perspective

Journal of Stroke:  DEC 24, 2012 Stroke is a leading cause of acquired disability in adults. If secular trends continue it is estimated that there will be 23 million first ever strokes and 7·8 million stroke deaths in 2030 [1]. In 2008, out of 57 million global deaths, 17 million were due to cardiovascular diseases [2]. Stroke […]

Alzheimer disease and risk of stroke A population-based cohort study

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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) […]

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