QuickStats: Rate* of Hospitalization for Stroke, by Sex and Age Group — National Hospital Discharge Survey, United States, 2010

Cdc.gov: 7/27/12. * Per 10,000 population. Hospitalization for stroke (cerebrovascular disease) is defined as a first-listed diagnosis on the medical record of 430–438, as coded according to the International Classification of Diseases, 9th Revision, Clinical Modification. This includes hospitalizations for acute strokes, transient ischemic attack, and for late effects of stroke. Rates were calculated using U.S. Census […]

Shift work and vascular events: systematic review and meta-analysis

Bmj.com: 7/26/12 Objective To synthesise the association of shift work with major vascular events as reported in the literature. Data sources Systematic searches of major bibliographic databases, contact with experts in the field, and review of reference lists of primary articles, review papers, and guidelines. Study selection Observational studies that reported risk ratios for vascular morbidity, vascular mortality, or […]

Witness Response at Acute Onset of Stroke: A Qualitative Theory-Guided Study

Plosone.org: 7/20/12. Delay in calling emergency medical services following stroke limits access to early treatment that can reduce disability. Emergency medical services contact is mostly initiated by stroke witnesses (often relatives), rather than stroke patients. This study explored appraisal and behavioural factors that are potentially important in influencing witness behaviour in response to stroke. Read More

Determining Stroke’s Rank as a Cause of Death Using Multicause Mortality Data

Stroke.ahajournals.org: 7/19/12. Stroke has fallen from the second to the fourth leading cause of death in the United States without large declines in stroke incidence or case fatality. We explored whether this decline may be attributable to changes in mortality attribution methodology. Read More

Ischemic Brain Injury After Intracerebral Hemorrhage

Stroke.ahajournals.org: 7/19/12. Intracerebral hemorrhage (ICH) is the second most common cause of stroke and accounts for 8% to 15% of strokes in Western societies with an estimated incidence of 10 to 25 per 100 000 persons.1–3 Despite advances in the field of stroke and neurocritical care,4 the 30-day mortality has not changed significantly over the past 20 […]

Gender differences in quality of life after stroke and TIA: a cross-sectional survey of out-patients

Onlinelibrary.wiley.com: 7/13/12. To explore how a stroke or a transient ischemic attack affects quality of life and to identify gender differences. Background.  The negative effect of a stroke on the patients’ quality of life has previously been studied, while the effect on patients with transient ischemic attack (TIA) is more unknown, especially in relation to gender. […]

Depressive Symptoms and Diurnal Salivary Cortisol Patterns Among Female Caregivers of Stroke Survivors

Brn.sagepub.com: 4/23/12. Informal caregivers of stroke survivors experience elevated chronic stress and are at risk of developing depressive symptoms. The cumulative effects of chronic stress can increase allostatic load and dysregulate biological processes, thus increasing risk of stress-related disease. Stress-induced alterations in the pattern of cortisol secretion vary with respect to stressor onset, intensity, and […]

Comprehensive stroke units: a review of comparative evidence and experience

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Onlinelibrary.wiley.com: JULY 19, 2012. Stroke unit care offers significant benefits in survival and dependency when compared to general medical ward. Most stroke units are either acute or rehabilitation, but comprehensive (combined acute and rehabilitation) model (comprehensive stroke unit) is less common. Aim To examine different levels of evidence of comprehensive stroke unit compared to other organized […]

Comparison of 30-Day Mortality Models for Profiling Hospital Performance in Acute Ischemic Stroke With vs Without Adjustment for Stroke Severity

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Jjama.jamanetwork.com: July 18, 2012 There is increasing interest in reporting risk-standardized outcomes for Medicare beneficiaries hospitalized with acute ischemic stroke, but whether it is necessary to include adjustment for initial stroke severity has not been well studied. Objective  To evaluate the degree to which hospital outcome ratings and potential eligibility for financial incentives are altered after […]

Primary Stroke Centers Should Be Located Using Maximal Coverage Models for Optimal Access

American Heart Association: July 17, 2012. The current self-initiated approach by which hospitals acquire Primary Stroke Center (PSC) certification provides insufficient coverage for large areas of the United States. An alternative, directed, algorithmic approach to determine near optimal locations of PSCs would be justified if it significantly improves coverage. Methods—Using geographic location–allocation modeling techniques, we developed […]

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