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.

Tuesday, January 31, 2017

Routine blood test that measures kidney function can predict short-term outcomes for stroke patients

Well, what can your doctor do about this problem?. Don't just describe a problem and run away, suggest a solution. Does no one in stroke have any brains at all?  Well no wonder, it was led by a neurologist.
http://www.news-medical.net/news/20170131/Routine-blood-test-that-measures-kidney-function-can-predict-short-term-outcomes-for-stroke-patients.aspx
A routine blood test that measures kidney function can be a valuable predictor of short-term outcomes for stroke patients, according to a study led by a neurologist at Wake Forest Baptist Medical Center.
The study team analyzed data on more than 232,000 ischemic stroke patients age 65 and older who were admitted to 1,581 U.S. hospitals over a three-year period. The researchers found that those patients with renal dysfunction upon admission, as indicated by the estimated glomerular filtration rate (eGFR) calculated from a blood creatinine test and basic demographic information such as age, race and sex, were significantly more likely to die while hospitalized and far less likely to be discharged home.
The study is published in the February issue of the journal Stroke.
"Kidney disease is frequently a comorbidity in patients with acute ischemic stroke," said the study's principal investigator, Nada El Husseini, M.D., assistant professor of neurology at Wake Forest School of Medicine, a part of Wake Forest Baptist. "This one test done on admission to measure kidney function can be used to better inform patients with ischemic stroke and their families about what to expect."
The eGFR is measured on a scale from 0 to 120, with scores 15 and under indicative of kidney failure and scores 60 and above considered normal. In their study the researchers found that in-hospital mortality was most common (29.2 percent) among the stroke patients with eGFR scores 15 and under without dialysis and least common (9.1 percent) among those with scores 60 and above.
The data also revealed that discharge home was most common (42.8 percent) among the stroke patients with eGFR scores 60 and above and least common (23.5 percent) among those with scores 15 and under without dialysis. The findings regarding those with eGFR scores between 16 and 59 followed similar trends in short-term outcomes, with higher scores correlating to lesser risk of in-hospital mortality and greater odds of being discharged home.
"Any renal dysfunction was associated with increased risk of inpatient mortality and any eGFR less than 30 with lower likelihood of being discharged home," El Husseini said. "Kidney function is clearly an important factor in stroke patients."
Because the study was limited to Medicare patients 65 and over who were admitted to facilities participating in a voluntary nationwide quality-improvement program, the research results may not be directly applicable to other populations, El Husseini said.
But future research in this area, she said, might "determine if specific interventions could further influence short-term outcomes following stroke in those with kidney disease."

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