Increasing Use of Computed Tomographic Perfusion and Computed Tomographic Angiograms in Acute Ischemic Stroke From 2006 to 2010

STROKEAHA: February 25, 2014 Background and Purpose—Our objective was to study nationwide utilization trends of computed tomographic (CT) angiogram (CTA) and CT perfusion (CTP) in acute ischemic stroke and particularly in the context of use of reperfusion therapies. Methods—We reviewed the Premier Perspective Database for ischemic stroke–related hospitalizations of adult patients during a 5-year period, 2006 […]

Treadmill Training for Improving Walking Function After Stroke: A Major Update of a Cochrane Review

AHA: February 20, 2014 Improving walking after stroke is one of the main goals of rehabilitation. Treadmill training, with or without body weight support, uses specialist equipment to assist walking practice. Objectives The objective of this review is to examine the effects of tread- mill training and body weight support, individually or in com- bination […]

Thrombolysis in Patients With Mild Stroke

STROKEAHA: January 30, 2014 Background and Purpose—Apart from missing the approved time window of 4.5 hours, one frequent cause for withholding recombinant tissue plasminogen activator (rt-PA) treatment in patients with ischemic stroke is presentation with mild deficit on admission. We analyzed in a large cohort of patients whether rt-PA treatment is beneficial for this group of […]

Continuous Antihypertensive Therapy Throughout the Initial 24 Hours of Intracerebral Hemorrhage

STROKEAHA: January 14, 2014 Background and Purpose—A short duration (<24 hours) of antihypertensive therapy (AHT) after acute intracerebral hemorrhage (ICH) may be sufficient because active bleeding generally ceases within several hours. We aimed to determine the association between sequential systolic blood pressure (SBP) levels during AHT and outcomes in ICH patients. Methods—In 211 hyperacute ICH patients […]

Stroke Outcomes Measures Must Be Appropriately Risk Adjusted To Ensure Quality Care of Patients

American Heart Association- Stroke: February 12, 2014 Because stroke is among the leading causes of death, disability, hospitalizations, and healthcare expenditures in the United States, there is interest in reporting outcomes for patients hospitalized with acute ischemic stroke. The American Heart Association/American Stroke Association, as part of its commitment to promote high-quality, evidence-based care for cardiovascular […]

Clot busters limit stroke damage despite age; stroke severity

American Stroke Association Meeting Late-Breaking Science Report Abstract: LB 2 (Hall E) February 12, 2014 Study Highlights: Amidst lingering debate, a review by an international collaboration of stroke experts shows timely use of clot busters improves stroke outcomes despite patient age or stroke severity. The clot-busting drug tPA can significantly reduce the risk of stroke […]

Investigating preferences for support with life after stroke: a discrete choice experiment

BMC: February 8, 2014 There is little evidence of service user preferences to guide the commissioning and improvement of services that support life after stroke. We report the first investigation of patients’ and family carers’ preferences for community services after stroke using a discrete choice experiment (DCE). Methods Two workshops with patients and family carers […]

Role of Preexisting Disability in Patients Treated With Intravenous Thrombolysis for Ischemic Stroke

STROKEAHA: February 4, 2014 Background and Purpose—Little is known about the effect of thrombolysis in patients with preexisting disability. Our aim was to evaluate the impact of different levels of prestroke disability on patients’ profile and outcome after intravenous thrombolysis. Methods—We analyzed the data of all stroke patients admitted between October 2003 and December 2011 that […]

Recommendations for the Management of Cerebral and Cerebellar Infarction With Swelling

Ahajournals: January 30, 2014 Background and Purpose—There are uncertainties surrounding the optimal management of patients with brain swelling after an ischemic stroke. Guidelines are needed on how to manage this major complication, how to provide the best comprehensive neurological and medical care, and how to best inform families facing complex decisions on surgical intervention in deteriorating […]

Physical Fitness Training for Patients With Stroke

​STROKEAHA:  January 23, 2014 Physical fitness is low after stroke and this may cause or exacerbate some common poststroke problems, including disability. It is not known whether physical fitness training after stroke reduces death, disability, or dependency. Objectives: The primary aims of this review1 were to determine whether physical fitness training (cardiorespiratory training and resistance […]

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