Transitional Care After Hospitalization for Acute Stroke

or Myocardial Infarction: A Systematic Review The American College of Physicians: 9/18/12 Transitional care is a time-limited service to prevent discontinuous care and adverse outcomes, including rehospitalization. Purpose: To describe transitional care interventions and evidence of benefit or harm in patients hospitalized for acute stroke or myocardial infarction (MI). Data Sources: Cumulative Index to Nursing and Allied Health Literature, […]

A systematic review of perceived barriers and motivators to physical activity after stroke

Onlinelibrary.wiley.com: 9/13/12 Searches identified 73 807 citations of which 57 full articles were retrieved. Six articles were included, providing data on 174 stroke survivors (range 10 to 83 per article). Two reported barriers and motivators, two reported only motivators, and two reported only barriers. Five were qualitative articles and one was quantitative. The most commonly reported barriers […]

Reduced risk of poststroke pneumonia in thrombolyzed stroke patients with continued statin treatment

Onlinelibrary.wiley.com: 9/13/12 Overall, 481 ischemic stroke patients were analyzed. Continued statin use was documented in 17% of the patients. Frequency of pneumonia was 11%. Patients with statin use were less likely to develop poststroke pneumonia (5% vs. 13%, P = 0·04). After multivariable adjustment for known risk factors for poststroke pneumonia (age, stroke severity, dysphagia, male sex and diabetes), […]

Stroke rehab glove combines mental practice and muscle stimulation to improve hand function

Medcitynews.: September 12, 2012 Recovering stroke patients may soon have a new device to help them work on regaining control of their hands without help from a physical therapist. It’s a medical device in the form of a glove, and the company making it wants to actively engage the brains of these patients to help reestablish […]

National Trends in Utilization and Outcomes of Endovascular Treatment of Acute Ischemic Stroke Patients in the Mechanical Thrombectomy Era

Stroke.ahajournals.org: 9/11/12 Because several new devices for mechanical thrombectomy have become available, the outcomes of patients undergoing endovascular treatment for acute ischemic stroke are expected to improve in the United States. We performed this analysis to evaluate trends in utilization of endovascular treatment and associated rates of death and disability among acute ischemic stroke patients over […]

Endovascular therapy yields significantly superior outcomes for large vessel occlusions compared with intravenous thrombolysis: is it time to randomize?

Jnis.bmj.com:  July 28, 2012 We compared outcomes between endovascular (EV) therapy and intravenous (IV) thrombolysis in large vessel strokes. Methods 223 patients who had received either IV (n=100) or EV (n=123) therapy were analyzed. Only patients with strokes involving the internal carotid artery terminus (ICA-T, n=45), the middle cerebral artery (M1, n=107) or the bifurcation branches (M2, […]

Multimodal endovascular management of acute ischemic stroke in patients over 75 years old is safe and effective

http://jnis.bmj.com 7/11/12 Greater attention has been directed to endovascular recanalization of acute ischemic stroke in septuagenarians and above. Technique A retrospective chart review was conducted to include patients treated for acute ischemic stroke from 2006 to 2012. All patients underwent initial neurological assessment and non-contrast head CT. Patients treated from 2009 to 2012 additionally received emergent CT […]

MRI profile and response to endovascular reperfusion after stroke (DEFUSE 2): a prospective cohort study

Thelancet.com: September 4, 2012 Whether endovascular stroke treatment improves clinical outcomes is unclear because of the paucity of data from randomised placebo-controlled trials. We aimed to establish whether MRI can be used to identify patients who are most likely to benefit from endovascular reperfusion. Methods In this prospective cohort study we consecutively enrolled patients scheduled to […]

Dramatic Recovery in Acute Ischemic Stroke Is Associated With Arterial Recanalization Grade and Speed

Stroke.ahajournals.org: August 30, 2012 Background and Purpose—Dramatic recovery (DR) is a predictor of stroke outcome among others. However, after successful recanalization, systematic favorable outcome is not the rule. We sought to analyze the impact of recanalization on DR in patients with acute ischemic stroke eligible for any revascularization strategies (either intravenous or endovascular). Methods—We analyzed data […]

Leg compressions may enhance stroke recovery

Health Canal: 8/27/12 AUGUSTA, Ga. – Successive, vigorous bouts of leg compressions following a stroke appear to trigger natural protective mechanisms that reduce damage, researchers report. Compressing then releasing the leg for several five-minute intervals used in conjunction with the clot-buster tPA, essentially doubles efficacy, said Dr. David Hess, a stroke specialist who chairs theMedical College […]

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