Neurology: December 12, 2012 Objective: Incidence of ischemic stroke (IS) increases with age. Knowledge of factors associated with IS acute outcomes in the oldest-old (≥80 years) is needed to improve quality of care and resource allocation in this age group. Methods: Data are for 769 consecutive IS patients aged ≥60 years (436 aged ≥80 years) admitted to an […]
Wiley: 12/11/12 Background Evidence is limited on the impact of childhood socioeconomic status, adulthood socioeconomic status and chronic conditions on risk of incident stroke in later life. We aimed to examine these associations using data from a nationally representative sample of the Health and Retirement Study. Methods Stroke-free participants (n = 22 847) aged > 50 years in the Health and […]
Wiley: 12/11/12 Background Research resources should address the issues that are most important to people affected by a particular healthcare problem. Systematic identification of stroke survivor, caregiver, and health professional priorities would ensure that scarce research resources are directed to areas that matter most to people affected by stroke. Aims We aimed to identify the top […]
Arch Intern Med. 12/10/2012 Background Between the ages 45 and 65 years, incident stroke is 2 to 3 times more common in blacks than in whites, a difference not explained by traditional stroke risk factors. Methods Stroke risk was assessed in 27 748 black and white participants recruited between 2003 and 2007, who were followed up through […]
AHA: December 4, 2012 Background—A hub-and-spoke telestroke network is an effective way to extend quality acute stroke care to remote hospitals and to improve patient outcomes. This study assessed the cost-effectiveness of a telestroke network in the management of acute ischemic stroke from the perspectives of a network, a hub hospital, and a spoke hospital. Methods […]
AHA: 12/4/12 Background and Purpose—In Western Europe, mortality from ischemic stroke (IS) has declined over several decades. Age–sex-specific IS mortality, IS incidence, 30-day case fatality, and 1-year mortality after hospital admission are essential for explaining recent trends in IS mortality in the new millennium. Methods—Data for all IS deaths (1980–2010) in the Netherlands were grouped […]
PLOS: 11/30/12 Although a relationship between depression and cardiovascular events has been suggested, past study results regarding the risk of stroke in relation to depression by subgroups are ambiguous. The aim of this study was to investigate the influence of depressive symptoms on risk of incident ischemic stroke in elderly according to age and sex. […]
AHA: 11/27/12 Background and Purpose—The association between adiposity and adipocytes and risk of stroke in older adults is uncertain. We have examined the association between adiposity measures and adipocytes (adiponectin and leptin) with incident stroke events in older men. Methods—Prospective study of 3411 men aged 60 to 79 years with no previous diagnosis of myocardial […]
Plosone: 10/4/12 Objectives To identify the reasons why individuals contact, or delay contacting, emergency medical services in response to stroke symptoms. Design Qualitative interview study with a purposive sample of stroke patients and witnesses, selected according to method of accessing medical care and the time taken to do so. Data were analysed using the Framework approach. […]
AHA: 12/1/12 Over the past 20 years or more, use of meta-analysis and establishment of clinical guidelines for stroke have provided a strong evidence base for performance measurement. Performance measurement, defined as the evaluation of organizational or clinical practice activities and outcomes against agreed standards,1,2 has been used to identify care gaps. With the associated development […]
