Latest & greatest articles for stroke

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Top results for stroke

81. 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

82. 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

83. 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

84. 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

85. ACR/ASNR/SIR/SNIS Practice Parameter for the Performance of Endovascular Embolectomy and Revascularization in Acute Stroke

ACR/ASNR/SIR/SNIS Practice Parameter for the Performance of Endovascular Embolectomy and Revascularization in Acute Stroke PRACTICE PARAMETER 1 Acute Stroke The American College of Radiology, with more than 30,000 members, is the principal organization of radiologists, radiation oncologists, and clinical medical physicists in the United States. The College is a nonprofit professional society whose primary purposes are to advance the science of radiology, improve radiologic services (...) , and techniques, as described in each document. Reproduction or modification of the published practice parameter and technical standard by those entities not providing these services is not authorized. Adopted 2018 (Resolution 18)* ACR –ASNR –SIR –SNIS PRACTICE PARAMETER FOR THE PERFORMANCE OF ENDOVASCULAR EMBOLECTOMY AND REVASCULARIZATION IN ACUTE STROKE PREAMBLE This document is an educational tool designed to assist practitioners in providing appropriate radiologic care for patients. Practice Parameters

Society of Interventional Radiology2018

86. 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

87. 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

88. Adoption of Stroke Rehabilitation Technologies by the User Community: Qualitative Study

Adoption of Stroke Rehabilitation Technologies by the User Community: Qualitative Study 30120086 2018 11 14 2369-2529 5 2 2018 Aug 17 JMIR rehabilitation and assistive technologies JMIR Rehabil Assist Technol Adoption of Stroke Rehabilitation Technologies by the User Community: Qualitative Study. e15 10.2196/rehab.9219 Using technology in stroke rehabilitation is attractive. Devices such as robots or smartphones can help deliver evidence-based levels of practice intensity and automated feedback (...) without additional labor costs. Currently, however, few technologies have been adopted into everyday rehabilitation. This project aimed to identify stakeholder (therapists, patients, and caregivers) priorities for stroke rehabilitation technologies and to generate user-centered solutions for enhancing everyday adoption. We invited stakeholders (n=60), comprising stroke survivors (20/60, 33%), therapists (20/60, 33%), caregivers, and technology developers (including researchers; 20/60, 33%), to attend

JMIR rehabilitation and assistive technologies2018 Full Text: Link to full Text with Trip Pro

89. Self-directed therapy programmes for arm rehabilitation after stroke: a systematic review

Self-directed therapy programmes for arm rehabilitation after stroke: a systematic review 29756513 2018 07 26 1477-0873 32 8 2018 Aug Clinical rehabilitation Clin Rehabil Self-directed therapy programmes for arm rehabilitation after stroke: a systematic review. 1022-1036 10.1177/0269215518775170 To investigate the effectiveness of self-directed arm interventions in adult stroke survivors. A systematic review of Medline, EMBASE, CINAHL, SCOPUS and IEEE Xplore up to February 2018 was carried out (...) . Studies of stroke arm interventions were included where more than 50% of the time spent in therapy was initiated and carried out by the participant. Quality of the evidence was assessed using the Cochrane risk of bias tool. A total of 40 studies ( n = 1172 participants) were included (19 randomized controlled trials (RCTs) and 21 before-after studies). Studies were grouped according to no technology or the main additional technology used (no technology n = 5; interactive gaming n = 6; electrical

EvidenceUpdates2018

90. Restenosis and risk of stroke after stenting or endarterectomy for symptomatic carotid stenosis in the International Carotid Stenting Study (ICSS): secondary analysis of a randomised trial

Restenosis and risk of stroke after stenting or endarterectomy for symptomatic carotid stenosis in the International Carotid Stenting Study (ICSS): secondary analysis of a randomised trial 29861139 2018 07 01 1474-4465 17 7 2018 Jul The Lancet. Neurology Lancet Neurol Restenosis and risk of stroke after stenting or endarterectomy for symptomatic carotid stenosis in the International Carotid Stenting Study (ICSS): secondary analysis of a randomised trial. 587-596 S1474-4422(18)30195-9 10.1016 (...) /S1474-4422(18)30195-9 The risk of stroke associated with carotid artery restenosis after stenting or endarterectomy is unclear. We aimed to compare the long-term risk of restenosis after these treatments and to investigate if restenosis causes stroke in a secondary analysis of the International Carotid Stenting Study (ICSS). ICSS is a parallel-group randomised trial at 50 tertiary care centres in Europe, Australia, New Zealand, and Canada. Patients aged 40 years or older with symptomatic carotid

EvidenceUpdates2018

91. The effect of Tai Chi training on the dual-tasking performance of stroke survivors: a randomized controlled trial

The effect of Tai Chi training on the dual-tasking performance of stroke survivors: a randomized controlled trial 29783899 2018 07 26 1477-0873 32 8 2018 Aug Clinical rehabilitation Clin Rehabil The effect of Tai Chi training on the dual-tasking performance of stroke survivors: a randomized controlled trial. 1076-1085 10.1177/0269215518777872 To compare the effect of Tai Chi training with conventional exercise on dual-tasking performance among stroke survivors. An assessor-blinded, randomized (...) controlled trial. Community-dwelling stroke survivors. Community centers and university. Subjects in the Tai Chi group and the conventional exercise group were trained with the corresponding exercises for 12 weeks (1 hour/session, 2/week). No training was given to the controls. An auditory Stroop test, a turning-while-walking test, and a dual-tasking condition that combined the two tests were conducted at baseline, after the intervention, and one month later. Forty-seven subjects were randomized into Tai

EvidenceUpdates2018

92. Clinical Utility of Electronic Alberta Stroke Program Early Computed Tomography Score Software in the ENCHANTED Trial Database

Clinical Utility of Electronic Alberta Stroke Program Early Computed Tomography Score Software in the ENCHANTED Trial Database 29777016 2018 05 26 1524-4628 49 6 2018 Jun Stroke Stroke Clinical Utility of Electronic Alberta Stroke Program Early Computed Tomography Score Software in the ENCHANTED Trial Database. 1407-1411 10.1161/STROKEAHA.117.019863 Clinical utility of electronic Alberta Stroke Program Early CT Score (e-ASPECTS), an automated system for quantifying signs of infarction (...) , was evaluated in a large database of thrombolyzed patients with acute ischemic stroke. All baseline noncontrast computed tomographic scans of patients with anterior circulation acute ischemic stroke who participated in the alteplase dose arm of the randomized controlled trial ENCHANTED (Enhanced Control of Hypertension and Thrombolysis Stroke Study) were reviewed; poor quality and large (>6 mm) slice thickness were excluded. Included scans had e-ASPECTS scores correlated with baseline neurological severity

EvidenceUpdates2018

93. Mechanical thrombectomy devices for acute ischaemic stroke

Mechanical thrombectomy devices for acute ischaemic stroke Mechanical thrombectom Mechanical thrombectomy de y devices for acute vices for acute ischaemic strok ischaemic stroke e Medtech innovation briefing Published: 30 July 2018 nice.org.uk/guidance/mib153 pathways Summary Summary The technologies technologies described in this briefing are 21 mechanical thrombectomy devices of 2 types: stent retrievers and aspiration catheters. They are used to remove blood clots from a main cerebral artery (...) to restore blood flow after acute ischaemic stroke. The inno innovativ vative aspects e aspects are that the devices restore blood flow in people who are not able to have pharmacological treatment. They can also be used in people for whom pharmacological treatment has not worked effectively. The intended place in ther place in therap apy y would be in patients with confirmed acute ischaemic stroke caused by a blockage in 1 or more large artery in the brain. The main points from the e main points from

National Institute for Health and Clinical Excellence - Advice2018

94. 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

95. Activity monitors for increasing physical activity in adult stroke survivors.

Activity monitors for increasing physical activity in adult stroke survivors. BACKGROUND: Stroke is the third leading cause of disability worldwide. Physical activity is important for secondary stroke prevention and for promoting functional recovery. However, people with stroke are more inactive than healthy age-matched controls. Therefore, interventions to increase activity after stroke are vital to reduce stroke-related disability. OBJECTIVES: To summarise the available evidence regarding (...) the effectiveness of commercially available, wearable activity monitors and smartphone applications for increasing physical activity levels in people with stroke. SEARCH METHODS: We searched the Cochrane Stroke Group Trials Register, CENTRAL, MEDLINE, Embase, CINAHL, SPORTDiscus, and the following clinical trial registers: WHO International Clinical Trials Registry Platform, Clinical Trials, EU Clinical Trial Register, ISRCTN Registry, Australian and New Zealand Clinical Trial Registry, and Stroke Trials

Cochrane2018

96. Blood pressure-lowering treatment for preventing recurrent stroke, major vascular events, and dementia in patients with a history of stroke or transient ischaemic attack.

Blood pressure-lowering treatment for preventing recurrent stroke, major vascular events, and dementia in patients with a history of stroke or transient ischaemic attack. BACKGROUND: Stroke is an important cause of death and disability worldwide. Since high blood pressure is an important risk factor for stroke and stroke recurrence, drugs that lower blood pressure might play an important role in secondary stroke prevention. OBJECTIVES: To investigate whether blood pressure-lowering drugs (BPLDs (...) ) started at least 48 hours after the index event are effective for the prevention of recurrent stroke, major vascular events, and dementia in people with stroke or transient ischaemic attack (TIA). Secondary objectives were to identify subgroups of people in which BPLDs are effective, and to investigate the optimum systolic blood pressure target after stroke or TIA for preventing recurrent stroke, major vascular events, and dementia. SEARCH METHODS: In August 2017, we searched the Trials Registers

Cochrane2018

97. Centralising stroke services improves chances of patients getting the right care

Centralising stroke services improves chances of patients getting the right care Signal - Centralising stroke services improves chances of patients getting the right care Dissemination Centre Discover Portal NIHR DC Discover Centralising stroke services improves chances of patients getting the right care Published on 2 September 2015 This study of two models of organising stroke care showed that fully centralised services were more likely to deliver clinically effective treatments. This NIHR (...) -funded study looked at stroke care audit data before and after introducing two different models of centralised stroke services in London and Manchester. The audit recorded the proportion of stroke patients in each location who received each of seven effective care interventions, such as brain scans or clot-busting drugs within the recommended time. This study is one output from a large NIHR programme of research on the effects of stroke reconfiguration in London and Manchester. Other outputs include

NIHR Dissemination Centre2018

98. Occupational therapy several years after stroke does not improve function in severely ill care home residents

Occupational therapy several years after stroke does not improve function in severely ill care home residents Signal - Occupational therapy several years after stroke does not improve function in severely ill care home residents Dissemination Centre Discover Portal NIHR DC Discover Occupational therapy several years after stroke does not improve function in severely ill care home residents Published on 21 August 2015 This trial found that a three-month individualised occupational therapy (...) programme did not significantly improve the daily functioning (dressing, using the toilet and overall mobility) of severely physically and cognitively impaired people living in residential care who had a stroke on average three years before. About a quarter of stroke survivors in the UK cannot return home and need residential care. Occupational therapy is recommended immediately after a stroke for those likely to benefit. As occupational therapy did not help this severely disabled group, alternative

NIHR Dissemination Centre2018

99. Preferred rehabilitation setting among stroke survivors in Nigeria and associated personal factors

Preferred rehabilitation setting among stroke survivors in Nigeria and associated personal factors 30167388 2018 11 14 2223-9170 7 2018 African journal of disability Afr J Disabil Preferred rehabilitation setting among stroke survivors in Nigeria and associated personal factors. 352 10.4102/ajod.v7i0.352 Incorporating patients' preferences in the care they receive is an important component of evidence-based practice and patient-centred care. This study assessed stroke patients' preferences (...) regarding rehabilitation settings. A cross-sectional design was used to examine preferences of stroke patients receiving physiotherapy at three hospitals in Northern Nigeria. Personal factors and preferred rehabilitation setting data were obtained using the Modified Rankin Scale (to assess global disability) and a researcher-developed questionnaire. Associations between preferences and personal factors were explored using bivariate statistics. Sixty stroke patients whose mean age was 53.6 ± 14.8 years

African journal of disability2018 Full Text: Link to full Text with Trip Pro

100. Mirror therapy for improving motor function after stroke.

Mirror therapy for improving motor function after stroke. BACKGROUND: Mirror therapy is used to improve motor function after stroke. During mirror therapy, a mirror is placed in the person's midsagittal plane, thus reflecting movements of the non-paretic side as if it were the affected side. OBJECTIVES: To summarise the effectiveness of mirror therapy compared with no treatment, placebo or sham therapy, or other treatments for improving motor function and motor impairment after stroke. We also (...) aimed to assess the effects of mirror therapy on activities of daily living, pain, and visuospatial neglect. SEARCH METHODS: We searched the Cochrane Stroke Group's Trials Register, the Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, Embase, CINAHL, AMED, PsycINFO and PEDro (last searched 16 August 2017). We also handsearched relevant conference proceedings, trials and research registers, checked reference lists, and contacted trialists, researchers and experts in our field

Cochrane2018