Latest & greatest articles for stroke

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Top results for stroke

61. Interventions involving repetitive practice improve strength after stroke: a systematic review

Interventions involving repetitive practice improve strength after stroke: a systematic review 30245180 2018 09 30 1836-9561 64 4 2018 Oct Journal of physiotherapy J Physiother Interventions involving repetitive practice improve strength after stroke: a systematic review. 210-221 S1836-9553(18)30115-2 10.1016/j.jphys.2018.08.004 Do interventions involving repetitive practice improve strength after stroke? Are any improvements in strength accompanied by improvements in activity? Systematic (...) review of randomised trials with meta-analysis. Adults who have had a stroke. Any intervention involving repetitive practice compared with no intervention or a sham intervention. The primary outcome was voluntary strength in muscles trained as part of the intervention. The secondary outcomes were measures of lower limb and upper limb activity. Fifty-two studies were included. The overall SMD of repetitive practice on strength was examined by pooling post-intervention scores from 46 studies involving

EvidenceUpdates2018

63. Effect of Variation in Published Stroke Rates on the Net Clinical Benefit of Anticoagulation for Atrial Fibrillation.

Effect of Variation in Published Stroke Rates on the Net Clinical Benefit of Anticoagulation for Atrial Fibrillation. Background: Stroke rates in patients with nonvalvular atrial fibrillation (AF) who are not receiving anticoagulant therapy vary widely across published studies; the resulting effect on the net clinical benefit of anticoagulation in AF is unknown. Objective: To determine the effect of variation in published AF stroke rates on the net clinical benefit of anticoagulation. Design (...) : Markov model decision analysis. Warfarin was the base case, and non-vitamin K antagonist oral anticoagulants (NOACs) were modeled in a secondary analysis. Setting: Community-dwelling adults. Patients: 33 434 adults with incident AF. Measurements: Quality-adjusted life-years (QALYs). Results: Of the 33 434 patients, 27 179 had a CHA2DS2-VASc (congestive heart failure, hypertension, age, diabetes, stroke, and vascular disease) score of 2 or more. The population benefit of warfarin anticoagulation

Annals of Internal Medicine2018

64. Self-management support for stroke survivors may improve independence

Self-management support for stroke survivors may improve independence Signal - Self-management support for stroke survivors may improve independence Dissemination Centre Discover Portal NIHR DC Discover Self-management support for stroke survivors may improve independence Published on 19 October 2015 This NIHR-funded summary of systematic reviews looked at the evidence on self-management support for stroke survivors. It found that the term self-management was rarely used in the literature (...) . There was high quality evidence that therapy-based rehabilitation, some of it including components supporting self-management, had a beneficial effect on the basic activities of daily living, such as feeding, bathing and dressing and extended activities, such as shopping. Self-management support is a less well established aspect of care for people after stroke, in contrast to its established role for other long-term conditions like diabetes. These researchers looked in detail at the description

NIHR Dissemination Centre2018

65. Association of Clinical, Imaging, and Thrombus Characteristics With Recanalization of Visible Intracranial Occlusion in Patients With Acute Ischemic Stroke.

Association of Clinical, Imaging, and Thrombus Characteristics With Recanalization of Visible Intracranial Occlusion in Patients With Acute Ischemic Stroke. Importance: Recanalization of intracranial thrombus is associated with improved clinical outcome in patients with acute ischemic stroke. The association of intravenous alteplase treatment and thrombus characteristics with recanalization over time is important for stroke triage and future trial design. Objective: To examine recanalization (...) over time across a range of intracranial thrombus occlusion sites and clinical and imaging characteristics in patients with ischemic stroke treated with intravenous alteplase or not treated with alteplase. Design, Setting, and Participants: Multicenter prospective cohort study of 575 patients from 12 centers (in Canada, Spain, South Korea, the Czech Republic, and Turkey) with acute ischemic stroke and intracranial arterial occlusion demonstrated on computed tomographic angiography (CTA). Exposures

JAMA2018

66. Electromechanical and robot-assisted arm training for improving activities of daily living, arm function, and arm muscle strength after stroke.

Electromechanical and robot-assisted arm training for improving activities of daily living, arm function, and arm muscle strength after stroke. BACKGROUND: Electromechanical and robot-assisted arm training devices are used in rehabilitation, and may help to improve arm function after stroke. OBJECTIVES: To assess the effectiveness of electromechanical and robot-assisted arm training for improving activities of daily living, arm function, and arm muscle strength in people after stroke. We also (...) assessed the acceptability and safety of the therapy. SEARCH METHODS: We searched the Cochrane Stroke Group's Trials Register (last searched January 2018), the Cochrane Central Register of Controlled Trials (CENTRAL) (the Cochrane Library 2018, Issue 1), MEDLINE (1950 to January 2018), Embase (1980 to January 2018), CINAHL (1982 to January 2018), AMED (1985 to January 2018), SPORTDiscus (1949 to January 2018), PEDro (searched February 2018), Compendex (1972 to January 2018), and Inspec (1969 to January

Cochrane2018

67. Quantification of aortic shagginess as a predictive factor of perioperative stroke and long-term prognosis after endovascular treatment of aortic arch disease

Quantification of aortic shagginess as a predictive factor of perioperative stroke and long-term prognosis after endovascular treatment of aortic arch disease 29914832 2018 06 19 1097-6809 2018 Jun 15 Journal of vascular surgery J. Vasc. Surg. Quantification of aortic shagginess as a predictive factor of perioperative stroke and long-term prognosis after endovascular treatment of aortic arch disease. S0741-5214(18)30918-2 10.1016/j.jvs.2018.03.425 Thoracic endovascular aortic repair (TEVAR (...) ) with supra-aortic debranching has recently been introduced as a treatment option for aortic arch disease. Although less invasive than open repair, TEVAR is associated with a risk of perioperative embolic stroke due to dislodgment of atherosclerotic plaque debris, especially in individuals with atheromatous degeneration of the aortic lumen. It is difficult to determine atheroma vulnerability, and there is no current method for predicting the risk of atheroembolism. This study aimed to evaluate

EvidenceUpdates2018

68. Attention control comparisons with SLT for people with aphasia following stroke: methodological concerns raised following a systematic review

Attention control comparisons with SLT for people with aphasia following stroke: methodological concerns raised following a systematic review 29911416 2018 06 18 1477-0873 2018 Jun 01 Clinical rehabilitation Clin Rehabil Attention control comparisons with SLT for people with aphasia following stroke: methodological concerns raised following a systematic review. 269215518780487 10.1177/0269215518780487 Attention control comparisons in trials of stroke rehabilitation require care to minimize (...) the risk of comparison choice bias. We compared the similarities and differences in SLT and social support control interventions for people with aphasia. Trial data from the 2016 Cochrane systematic review of SLT for aphasia after stroke Methods: Direct and indirect comparisons between SLT, social support and no therapy controls. We double-data extracted intervention details using the template for intervention description and replication. Standardized mean differences and risk ratios (95% confidence

EvidenceUpdates2018

69. Virtual Reality Rehabilitation With Functional Electrical Stimulation Improves Upper Extremity Function in Patients With Chronic Stroke: A Pilot Randomized Controlled Study

Virtual Reality Rehabilitation With Functional Electrical Stimulation Improves Upper Extremity Function in Patients With Chronic Stroke: A Pilot Randomized Controlled Study 29505744 2018 07 28 1532-821X 99 8 2018 Aug Archives of physical medicine and rehabilitation Arch Phys Med Rehabil Virtual Reality Rehabilitation With Functional Electrical Stimulation Improves Upper Extremity Function in Patients With Chronic Stroke: A Pilot Randomized Controlled Study. 1447-1453.e1 S0003-9993(18)30140-0 (...) 10.1016/j.apmr.2018.01.030 To compare virtual reality (VR) combined with functional electrical stimulation (FES) with cyclic FES for improving upper extremity function and health-related quality of life in patients with chronic stroke. A pilot, randomized, single-blind, controlled trial. Stroke rehabilitation inpatient unit. Participants (N=48) with hemiplegia secondary to a unilateral stroke for >3 months and with a hemiplegic wrist extensor Medical Research Council scale score ranging from 1 to 3

EvidenceUpdates2018

70. Clinical Prediction Rules to Classify Types of Stroke at Prehospital Stage: Japan Urgent Stroke Triage (JUST) Score

Clinical Prediction Rules to Classify Types of Stroke at Prehospital Stage: Japan Urgent Stroke Triage (JUST) Score 30002147 2018 08 26 1524-4628 2018 Jul 12 Stroke Stroke Clinical Prediction Rules to Classify Types of Stroke at Prehospital Stage: Japan Urgent Stroke Triage (JUST) Score. STROKEAHA.118.021794 10.1161/STROKEAHA.118.021794 Endovascular therapy is effective against acute cerebral large vessel occlusion (LVO). However, many patients do not receive such interventions because (...) of the lack of timely identification of the type of stroke. If the types of stroke (any stroke, LVO, intracranial hemorrhage [ICH], and subarachnoid hemorrhage [SAH]) were to be predicted at the prehospital stage, better access to appropriate interventions would be possible. Japan Urgent Stroke Triage (JUST) score was clinical prediction rule to classify suspected patients of acute stroke into different types at the prehospital stage. We obtained information for signs and symptoms and medical history

EvidenceUpdates2018 Full Text: Link to full Text with Trip Pro

71. Meta-Analysis Comparing the Frequency of Stroke After Transcatheter Versus Surgical Aortic Valve Replacement

Meta-Analysis Comparing the Frequency of Stroke After Transcatheter Versus Surgical Aortic Valve Replacement 30089530 2018 08 09 1879-1913 2018 Jul 05 The American journal of cardiology Am. J. Cardiol. Meta-Analysis Comparing the Frequency of Stroke After Transcatheter Versus Surgical Aortic Valve Replacement. S0002-9149(18)31324-9 10.1016/j.amjcard.2018.06.032 Stroke is one of the most feared complications of aortic valve replacement. Although the outcomes of transcatheter aortic valve (...) implantation (TAVI) improved substantially over time, concerns remained about a potentially higher incidence of stroke with TAVI compared with surgical replacement (SAVR). However, comparative data are sparse. We performed a meta-analysis comparing the incidence of stroke among patients undergoing TAVI versus SAVR. Of the 5067 studies screened, 28 eligible studies (22 propensity-score matched studies and 6 randomized trials) were analyzed. Primary endpoints were 30-day stroke and disabling stroke

EvidenceUpdates2018

72. Statins and the risk of intracerebral haemorrhage inpatients with stroke: systematic review and meta-analysis

Statins and the risk of intracerebral haemorrhage inpatients with stroke: systematic review and meta-analysis 30150320 2018 08 28 1468-330X 2018 Aug 27 Journal of neurology, neurosurgery, and psychiatry J. Neurol. Neurosurg. Psychiatry Statins and the risk of intracerebral haemorrhage inpatients withstroke:systematic review and meta-analysis. jnnp-2018-318483 10.1136/jnnp-2018-318483 Whether statins increase the risk of intracerebral haemorrhage (ICH) in patients with a previous stroke remains (...) uncertain. This study addresses the evidence of statin therapy on ICH and other clinical outcomes in patients with previous ischaemic stroke (IS) or ICH. A systematic literature review and meta-analysis was performed in conformity with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines to assess observational and randomised studies comparing statin therapy with control (placebo or no treatment) in patients with a previous ICH or IS. The risk ratios (RR) for the primary

EvidenceUpdates2018

73. Pharyngeal electrical stimulation for early decannulation in tracheotomised patients with neurogenic dysphagia after stroke (PHAST-TRAC): a prospective, single-blinded, randomised trial

Pharyngeal electrical stimulation for early decannulation in tracheotomised patients with neurogenic dysphagia after stroke (PHAST-TRAC): a prospective, single-blinded, randomised trial 30170898 2018 09 01 1474-4465 2018 Aug 28 The Lancet. Neurology Lancet Neurol Pharyngeal electrical stimulation for early decannulation in tracheotomised patients with neurogenic dysphagia after stroke (PHAST-TRAC): a prospective, single-blinded, randomised trial. S1474-4422(18)30255-2 10.1016/S1474-4422(18 (...) )30255-2 Dysphagia after stroke is common, especially in severely affected patients who have had a tracheotomy. In a pilot trial, pharyngeal electrical stimulation (PES) improved swallowing function in this group of patients. We aimed to replicate and extend this single-centre experience. We did a prospective, single-blind, randomised controlled trial across nine sites (seven acute care hospitals, two rehabilitation facilities) in Germany, Austria, and Italy. Patients with recent stroke who required

EvidenceUpdates2018

75. Triple versus guideline antiplatelet therapy to prevent recurrence after acute ischaemic stroke or transient ischaemic attack: the TARDIS RCT

Triple versus guideline antiplatelet therapy to prevent recurrence after acute ischaemic stroke or transient ischaemic attack: the TARDIS RCT Triple versus guideline antiplatelet therapy to prevent recurrence after acute ischaemic stroke or transient ischaemic attack: the TARDIS RCT Journals Library An error occurred retrieving content to display, please try again. >> >> >> Page Not Found Page not found (404) Sorry - the page you requested could not be found. Please choose a page from (...) the navigation or try a website search above to find the information you need. >> >> >> >> Issue {{metadata .Issue }} Toolkit 1)"> 0)"> {{metadata.Title}} {{metadata.Headline}} The incidence and severity of recurrent stroke or transient ischaemic attack did not differ between triple and guideline therapy. {{author}} {{($index , , , , , , , , , , , , , , , , , , , , , & . Philip M Bath 1, 2, * , Lisa J Woodhouse 1 , Jason P Appleton 1, 2 , Maia Beridze 3 , Hanne Christensen 4 , Robert A Dineen 5 , Katie

NIHR HTA programme2018

76. Efficacy of Endovascular Therapy in Acute Ischemic Stroke Depends on Age and Clinical Severity

Efficacy of Endovascular Therapy in Acute Ischemic Stroke Depends on Age and Clinical Severity 29915120 2018 06 26 1524-4628 49 7 2018 Jul Stroke Stroke Efficacy of Endovascular Therapy in Acute Ischemic Stroke Depends on Age and Clinical Severity. 1686-1694 10.1161/STROKEAHA.117.020511 Efficacy of endovascular treatment (EVT) for ischemic stroke because of large vessel occlusion may depend on patients' age and stroke severity; we, therefore, developed a prognosis score based on these variables (...) and examined whether EVT efficacy differs between patients with good, intermediate, or poor prognostic score. A total of 4079 patients with an acute ischemic stroke were identified from the Paris Stroke Consortium registry. We developed the stroke checkerboard (SC) score (SC score=1 point per decade ≥50 years of age and 2 points per 5 points on the National Institutes of Health Stroke Scale) to predict spontaneous outcome. The primary outcome was the adjusted common odds ratio for an improvement

EvidenceUpdates2018

77. Effectiveness of a strength-oriented psychoeducation on caregiving competence, problem-solving abilities, psychosocial outcomes and physical health among family caregiver of stroke survivors: A randomised controlled trial

Effectiveness of a strength-oriented psychoeducation on caregiving competence, problem-solving abilities, psychosocial outcomes and physical health among family caregiver of stroke survivors: A randomised controlled trial 30059815 2018 08 21 1873-491X 87 2018 Jul 27 International journal of nursing studies Int J Nurs Stud Effectiveness of a strength-oriented psychoeducation on caregiving competence, problem-solving abilities, psychosocial outcomes and physical health among family caregiver of (...) stroke survivors: A randomised controlled trial. 84-93 S0020-7489(18)30169-X 10.1016/j.ijnurstu.2018.07.005 Family caregivers provide the foundation for long-term home care of stroke survivors. The overwhelming stress associated with caregiving hinders the ability of family caregivers to utilise their internal and external resources to cope with this situation, thereby placing their own health at risk. We conducted a randomised controlled trial of a strength-oriented psychoeducational programme

EvidenceUpdates2018

78. Stroke Rates Following Surgical Versus Percutaneous Coronary Revascularization

Stroke Rates Following Surgical Versus Percutaneous Coronary Revascularization 30025574 2018 07 20 1558-3597 72 4 2018 Jul 24 Journal of the American College of Cardiology J. Am. Coll. Cardiol. Stroke Rates Following Surgical Versus Percutaneous Coronary Revascularization. 386-398 S0735-1097(18)34907-6 10.1016/j.jacc.2018.04.071 Coronary artery bypass grafting (CABG) and percutaneous coronary intervention (PCI) are used for coronary revascularization in patients with multivessel and left main (...) coronary artery disease. Stroke is among the most feared complications of revascularization. Due to its infrequency, studies with large numbers of patients are required to detect differences in stroke rates between CABG and PCI. This study sought to compare rates of stroke after CABG and PCI and the impact of procedural stroke on long-term mortality. We performed a collaborative individual patient-data pooled analysis of 11 randomized clinical trials comparing CABG with PCI using stents; ERACI II

EvidenceUpdates2018

79. Recanalisation therapies for wake-up stroke.

Recanalisation therapies for wake-up stroke. BACKGROUND: About one in five strokes occur during sleep (wake-up stroke). People with wake-up strokes have traditionally been considered ineligible for thrombolytic treatment because the time of stroke onset is unknown. However, some studies suggest that these people may benefit from recanalisation therapies. OBJECTIVES: To assess the effects of intravenous thrombolysis and other recanalisation therapies versus control in people with acute ischaemic (...) stroke presenting on awakening. SEARCH METHODS: We searched the Cochrane Stroke Group Trials Register (last search: 9 January 2018). In addition, we searched the following electronic databases in December 2017: Cochrane Central Register of Controlled Trials (CENTRAL; 2017, Issue 11) in the Cochrane Library, MEDLINE, Embase, US National Institutes of Health Ongoing Trials Register ClinicalTrials.gov, World Health Organization International Clinical Trials Registry Platform (WHO ICTRP), the ISRCTN

Cochrane2018

80. Should Patients Undergo Atrial Fibrillation Screening for Primary Stroke Prevention?

Should Patients Undergo Atrial Fibrillation Screening for Primary Stroke Prevention? Should Patients Undergo Atrial Fibrillation Screening for Primary Stroke Prevention? | Clinical Correlations Should Patients Undergo Atrial Fibrillation Screening for Primary Stroke Prevention? July 26, 2018 By Dixon Yang, MD Peer Reviewed Abstract Atrial fibrillation (AF) is a common arrhythmia, especially in the elderly, and is often asymptomatic. However, absence of symptoms does not confer better prognosis (...) . Many patients with AF present with stroke as their first manifestation. In the United States, no guidelines exist to screen for AF. Given the associated morbidity of AF and significant stroke risk reduction with oral anticoagulation, this article seeks to address whether patients should be screened for AF in primary stroke prevention. Older patients may benefit from single timepoint opportunistic pulse taking and confirmation ECG; however, the evidence is limited and must be interpreted

Clinical Correlations2018