Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Friday, November 9, 2012

Towards a predictive model for post-stroke delirium

Hey, maybe you should look at the specific damage area in the brain. Objective observations are much more repeatable. 
http://www.naric.com/research/rehab/record.cfm?search=2&type=all&criteria=J64332&phrase=no&rec=119475
Abstract: Study assessed predisposing and precipitating risk factors for post-stroke delirium in order to create a predictive model. One hundred patients were assessed daily for delirium during the first week post stroke and risk factors were recorded. The following predisposing or precipitating risk factors for delirium were evaluated prospectively: patient characteristics, pre-stroke medical history, stroke characteristics, pharmacological factors, medical complications, and laboratory parameters. An episode of delirium was detected in 43 patients (43 percent). Higher age, metabolic disturbances, intracerebral haemorrhage and larger ischemic hemispheric strokes increase the risk of post-stroke delirium. Using multivariate logistic regression, 2 alternative predictive statistical models were developed using age, stroke type, extent of lesion, and either certain metabolic abnormalities or a more general scoring system of multiple organ dysfunction or failure. In ischemic strokes, total anterior circulation infarctions were more frequently associated with delirium (73.3 percent developed delirium) compared with the remainder of the groups combined.

No comments:

Post a Comment