One-Year Follow-Up in Stroke Patients Discharged from Rehabilitation Hospital

2000 ◽  
Vol 10 (1) ◽  
pp. 25-32 ◽  
Author(s):  
Stefano Paolucci ◽  
Maria Grazia Grasso ◽  
Gabriella Antonucci ◽  
Elio Troisi ◽  
Daniela Morelli ◽  
...  
Keyword(s):  
Stroke Patients ◽  
Rehabilitation Hospital ◽  
One Year

Abstract 51: Access to Primary Stroke Centers for Older Adults and Implications for Travel Times, and Mortality

Stroke ◽  
2015 ◽  
Vol 46 (suppl_1) ◽  
Author(s):  
Kimon Bekelis ◽  
Kendrew Wong ◽  
Nancy Marth ◽  
Weiping Zhou ◽  
Jonathan Skinner
Keyword(s):  
Regional Variation ◽  
Fee For Service ◽  
Travel Times ◽  
Stroke Patients ◽  
Multivariable Regression ◽  
Potential Impact ◽  
One Year ◽  
Multivariable Regression Models ◽  
Regionalization Of Care

Background: Regionalization of care to primary stroke centers (PSC) may improve outcomes for stroke patients. We evaluated the current access of Medicare stroke patients to PSC, and its potential impact on mortality. Methods: We performed a retrospective cohort study of a 100% sample of Medicare fee-for-service claims data for patients admitted with stroke in 2008-2009, with one-year follow-up through 2010. Population weighted centroids were created, helicopter pad locations were identified, and driving distances were calculated based on real road network data. Driving and flying speeds, dispatch, scene, and pre-hospital times were estimated using validated models, adjusted for population density. The association of 30-day mortality with travel times, and treatment at a PSC was investigated using multivariable regression models. Results: During the study period, 510,822 patients (mean age 79.6 years, 59.7% females) had a stroke. There was significant regional variation in our cohort, (Figure) with 8.6% of stroke patients having ground access to a PSC within 30 minutes, 14.9% from 30 to 45 minutes, 11.1% from 45 to 60 minutes, 43.9% from 1 to 4.5 hours, and 21.5% over 4.5 hours. The latter group could be limited to 0.1% of stroke patients, if existing helicopter services were used optimally. 164,485 (32.2%) patients received treatment in a PSC, and had modestly decreased mortality (OR, 0.97; 95% CI, 0.95-0.99). For this group, actual travel time to the PSC was not associated with mortality for patients within one hour of the PSC. On the contrary, travel times from 1 to 4.5 hours (OR, 1.15; 95% CI, 1.08-1.22), and over 4.5 hours (OR, 1.41; 95% CI, 1.29-1.54) were associated with increased mortality. Conclusions: There is significant regional variation in access to PSC for elderly stroke patients, with a potential impact on outcomes. Optimal use of helicopter services may address these disparities. Funding: NIH (P01-AG19783, and U01-AG046830-01).

scholarly journals Vascular dementia: Clinical and neuroradiological correlation

2011 ◽  
Vol 64 (3-4) ◽  
pp. 152-156 ◽  
Author(s):  
Dusko Racic ◽  
Petar Slankamenac ◽  
Zoran Vujkovic ◽  
Sinisa Miljkovic ◽  
Vlado Djajic ◽  
...  
Keyword(s):  
Vascular Dementia ◽  
Neurological Disorders ◽  
Brain Lesions ◽  
Critical Threshold ◽  
Standard Protocol ◽  
Stroke Patients ◽  
Neuropsychological Examination ◽  
Clinical Centre ◽  
One Year

All stroke patients admitted to Banjaluka Clinical Centre during one year were evaluated by the standard protocol during the hospitalization and three months after the stroke. It included clinical, functional and neuropsychological examination and neuroimaging. Dementia was diagnosed according to the criteria of National Institute of Neurological Disorders and Stroke-Association Internationale pour la Recherche et l?Enseignement en Neurosciences. Demographic and clinical variables were examined. After the exclusion of the patients who died (n=139) and those who refused to be interviewed during the 3-month follow up (n=52) and those with pre-stroke dementia (n=22), a total of 273 (58.8%) patients underwent neuropsychological examination 3 months after the stroke. Fortynine (19.52%) of them met the criteria for vascular dementia. The predictors of vascular dementia were age, atrial fibrillation, cognitive and functional impairment on admission and functional outcome, subcortical lacunar infarctions, leukoaraiosis, multiple and bilateral brain lesions. Dementia is frequent after stroke and it cannot be determined by a single factor. A combination of several factors increases the critical threshold for cognitive decline.

The Sensitivity and Specificity of the Center for Epidemiologic Studies Depression Scale in Screening for Post-Stroke Depression

1989 ◽  
Vol 18 (2) ◽  
pp. 169-181 ◽  
Author(s):  
Rajesh M. Parikh ◽  
Dianne T. Eden ◽  
Thomas R. Price ◽  
Robert G. Robinson
Keyword(s):  
Sensitivity And Specificity ◽  
Depression Scale ◽  
Screening Instrument ◽  
Epidemiologic Studies ◽  
Stroke Patients ◽  
Post Stroke ◽  
Standardized Interview ◽  
Post Stroke Depression ◽  
One Year

The present study examines the sensitivity and specificity of the Center for Epidemiologic Studies Depression Scale (CES-D) as a screening instrument for post-stroke depression. Eighty stroke patients were evaluated by a research nurse over a two-year period using the CES-D and also by a trained psychiatrist using a standardized interview for affective, cognitive, physical and social functioning. CES-D scores correlated significantly with DSM-III diagnoses of depression in-hospital and at three months, six months, and one year follow-up but not at two years follow-up, reflecting the natural course of these depressions, as well as the predictive validity of the CES-D. Furthermore, at a cut-off point of 16, the CES-D was found to have a specificity of 90 percent, a sensitivity of 86 percent and a positive predictive value of 80 percent and thus may be a potentially useful screening instrument for post-stroke depression.

scholarly journals Impact of White Matter Lesions on Cognition in Stroke Patients Free from Pre-Stroke Cognitive Impairment: A One-Year Follow-Up Study

2012 ◽  
Vol 2 (1) ◽  
pp. 38-47 ◽  
Author(s):  
Hege Ihle-Hansen ◽  
Bente Thommessen ◽  
Morten Wang Fagerland ◽  
Torgeir Bruun Wyller ◽  
Knut Engedal ◽  
...  
Keyword(s):  
Cognitive Impairment ◽  
White Matter ◽  
White Matter Lesions ◽  
Stroke Patients ◽  
Follow Up Study ◽  
One Year

The Essen Stroke Risk Score in One-Year Follow-Up Acute Ischemic Stroke Patients

2011 ◽  
Vol 31 (4) ◽  
pp. 400-407 ◽  
Author(s):  
Sabine Fitzek ◽  
Lutz Leistritz ◽  
Otto W. Witte ◽  
Peter U. Heuschmann ◽  
Clemens Fitzek
Keyword(s):  
Ischemic Stroke ◽  
Acute Ischemic Stroke ◽  
Risk Score ◽  
Stroke Risk ◽  
Stroke Patients ◽  
One Year

A one year follow-up study on the effects of acupuncture in the treatment of stroke patients in the subacute stage: a randomized, controlled study

1997 ◽  
Vol 11 (3) ◽  
pp. 192-200 ◽  
Author(s):  
Astrid Kjendahl ◽  
Susanne Säliström ◽  
Per Egil Østen ◽  
Johan Kvalvik Stanghelle ◽  
Christian F Borchgrevink
Keyword(s):  
Randomized Controlled Study ◽  
Controlled Study ◽  
Stroke Patients ◽  
Follow Up Study ◽  
Randomized Controlled ◽  
Subacute Stage ◽  
One Year

Motor recovery of stroke patients after rehabilitation: one-year follow-up study

2016 ◽  
Vol 127 (1) ◽  
pp. 37-43 ◽  
Author(s):  
Vilai Kuptniratsaikul ◽  
Apichana Kovindha ◽  
Sumalee Suethanapornkul ◽  
Pornpimon Massakulpan ◽  
Wutichai Permsirivanich ◽  
...  
Keyword(s):  
Motor Recovery ◽  
Stroke Patients ◽  
Follow Up Study ◽  
One Year

scholarly journals One-Year Follow-Up in Acute Stroke Patients Treated With rtPA in Clinical Routine

Stroke ◽  
2000 ◽  
Vol 31 (7) ◽  
pp. 1552-1554 ◽  
Author(s):  
Susanne Schmülling ◽  
Martin Grond ◽  
Jobst Rudolf ◽  
Wolf-Dieter Heiss
Keyword(s):  
Acute Stroke ◽  
Stroke Patients ◽  
Clinical Routine ◽  
One Year
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