Development and initial validation of a clinical measure to assess early symptoms of post‐stroke depression in the acute stroke patient

2017 ◽  
Vol 27 (3-4) ◽  
pp. 784-794 ◽  
Author(s):  
Jufang Li ◽  
Linda Denise Oakley ◽  
Yun Li ◽  
Yong Luo
Keyword(s):  
Acute Stroke ◽  
Stroke Patient ◽  
Acute Stroke Patient ◽  
Clinical Measure ◽  
Early Symptoms ◽  
Post Stroke ◽  
Initial Validation ◽  
Post Stroke Depression

Approach to and management of the acute stroke patient with atrial fibrillation: A literature review

2008 ◽  
Vol 3 (4) ◽  
pp. 326-332 ◽  
Author(s):  
Konstantinos Marmagkiolis ◽  
Ioannis G. Nikolaidis ◽  
Themos Politis ◽  
Lawrence Goldstein
Keyword(s):  
Atrial Fibrillation ◽  
Literature Review ◽  
Acute Stroke ◽  
Stroke Patient ◽  
Acute Stroke Patient

Abstract TP362: A Team Approach for Improving Door to needle Time for IV t-PA in Acute Stroke

Stroke ◽  
2013 ◽  
Vol 44 (suppl_1) ◽  
Author(s):  
Nili E Steiner ◽  
Nicole Wolber ◽  
Betty Robertson ◽  
Paula Rosenfield ◽  
Laurie Paletz
Keyword(s):  
Quality Improvement ◽  
Acute Stroke ◽  
Stroke Patient ◽  
Ct Perfusion ◽  
Team Approach ◽  
Acute Stroke Patient ◽  
Stroke Treatment ◽  
Perfusion Studies ◽  
Intravenous Tissue Plasminogen Activator ◽  
Ct Angiogram

Background: Brain ischemia kills 2 million nerve cells per minute. As time elapses, the odds of favorable outcome become less likely. By providing treatment rapidly, patient outcome is markedly improved. We recognized an opportunity for improvement by shortening our door-to-needle time. The door-to-needle time is defined by the time the patient arrives in the emergency department to the time the patient receives intravenous tissue plasminogen activator (IV t-PA). Methods: We evaluated the system in place to look at opportunities for improvement. We met monthly to assess every acute stroke patient case, particularly to evaluate delays in acute stroke treatment. We analyzed the results of all the acute stroke patient cases from January 2008 to January 2012. We implemented the following interventions: staff education, reducing unnecessary CT angiogram and CT perfusion studies on patients, RN telephone triage for acute stroke patients. pre-hospital activation of the stroke team for patients exhibiting acute stroke symptoms, ED pharmacist at bedside upon patient arrival with t-PA, and placing patients on portable monitors immediately upon ED arrival. Conclusion: The average door-to-needle time from January 2008 to October 2011 was 1 hour and 32 minutes. After implementing the changes above, from November 2011 to January 2012, our average door-to-needle time was 38 minutes to 54 minutes, which is within the target of less than 60 minutes. By implementing these changes, we have successfully and safely reduced and improved our door-to-needle time. Monthly quality improvement meetings are on-going to assess continuing quality improvement.

scholarly journals Association of Depression and Anxiety With Cognitive Impairment 6 Months After Stroke

Neurology ◽  
2021 ◽  
pp. 10.1212/WNL.0000000000011748
Author(s):  
Owen A Williams ◽  
Nele Demeyere
Keyword(s):  
Cognitive Impairment ◽  
Acute Stroke ◽  
Spatial Attention ◽  
Anxiety Symptoms ◽  
Cognitive Domain ◽  
Stroke Severity ◽  
Depression And Anxiety ◽  
Post Stroke ◽  
Domain Specific ◽  
Post Stroke Depression

Objective:Investigate the associations between general cognitive impairment and domain specific cognitive impairment with post-stroke depression and anxiety at six-months post-stroke.Methods:Participants were confirmed acute stroke patients from the OCS-CARE study who were recruited on stroke wards in a multi-site study and followed up at a 6 months post-stroke assessment. Depression and anxiety symptoms were assessed by the Hospital Anxiety and Depression Scale sub-scales, with scores greater than seven indicating possible mood disorders. General cognitive impairment at follow-up was assessed using the Montreal Cognitive Assessment, stroke-specific cognitive domain impairments was assessed using the Oxford Cognitive Screen. Linear regression was used to examine the associations between cognition and depression/anxiety symptoms at 6-months, controlling for acute-stroke severity and ADL-impairment, age, sex, education, and co-occurring post-stroke depression/anxiety.Results:437 participants mean age=69.28 years (S.D.=12.17), 226 male (51.72%), were included in analyses. Six-month post-stroke depression (n=115, 26%) was associated with six-month impairment on the MoCA (beta [b] =0.96, standard error [SE] =0.31, p=0.006), and all individual domains assessed by the OCS: spatial attention (b=0.67, SE=0.33, p =0.041), executive function (b=1.37, SE=0.47, p=0.004), language processing (b=0.87, SE=0.38, p=0.028), memory (b=0.76, SE=0.37, p=0.040), number processing (b=1.13, SE=0.40, p=0.005), praxis (b=1.16, SE =0.49, p=0.028). Post-stroke anxiety (n=133, 30%) was associated with impairment on the MoCA (b=1.47, SE=0.42, p=0.001), and spatial attention (b=1.25, SE=0.45, p=0.006), these associations did not remain significant after controlling for co-occurring post-stroke depression.Conclusion:Domain-general and domain-specific post-stroke cognitive impairment was found to be highly related to depressive symptomatology but not anxiety symptomatology.

Neuroimaging of the Acute Stroke Patient

2007 ◽  
pp. 3-37
Author(s):  
William A. Copen ◽  
Michael H. Lev
Keyword(s):  
Acute Stroke ◽  
Stroke Patient ◽  
Acute Stroke Patient

Successful Thrombectomy Using Sofia (6F) PLUS Catheter in Acute Stroke Patient with Coincident Proximal Unruptured Aneurysm

2019 ◽  
Vol 132 ◽  
pp. 245-250
Author(s):  
Hui Li ◽  
Jian-Feng Liu ◽  
Cong-Hui Li ◽  
Ji-Wei Wang ◽  
Yang-Yang Tian
Keyword(s):  
Acute Stroke ◽  
Stroke Patient ◽  
Unruptured Aneurysm ◽  
Acute Stroke Patient

Emergency Imaging of the Acute Stroke Patient

1997 ◽  
Vol 7 (2) ◽  
pp. 111-117 ◽  
Author(s):  
Karen C. Johnston ◽  
E. Clarke Haley
Keyword(s):  
Acute Stroke ◽  
Stroke Patient ◽  
Acute Stroke Patient ◽  
Emergency Imaging

Relation between HRV and oxygen capacity of cerebral blood of artery in acute stroke patient during postural changes

2007 ◽  
Vol 135 (1-2) ◽  
pp. 102-103
Author(s):  
Yasuko Nishioka ◽  
Daisuke Watanabe ◽  
Fumi Dei ◽  
Kazuo Koyama ◽  
Hironobu Sashika ◽  
...  
Keyword(s):  
Acute Stroke ◽  
Stroke Patient ◽  
Acute Stroke Patient ◽  
Oxygen Capacity ◽  
Postural Changes
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