Deans' stroke musings

Changing stroke rehab and research worldwide now.Time is Brain!Just think of all the trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 493 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:

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's quite disgusting that this information is not available from every stroke association and doctors group.
My back ground story is here:http://oc1dean.blogspot.com/2010/11/my-background-story_8.html

Friday, May 12, 2017

Quality of life in patients with TIA and minor ischemic stroke

The outcome of this research should have been an analysis of why the recoveries were so bad and what needs to be done to get to 100% recovery. 
http://search.naric.com/research/rehab/redesign_record.cfm?search=2&type=all&criteria=J75776&phrase=no&rec=133318&article_source=Rehab&international=0&international_language=&international_location=
Neurology (formerly the Archives of Neurology) , Volume 85(22) , Pgs. 1957-1963.

NARIC Accession Number: J75776.  What's this?
ISSN: 3333-9942.
Author(s): Sangha, Rajbeer S.; Caprio, Fan Z.; Askew, Robert; Corado, Carlos; Bernstein, Richard; Curran, Yvonne; Ruff, Ilana; Cella, David; Naidech, Andrew M.; Prabhakaran, Shyam.
Project Number: 90AR5013 (formerly H133P120002).
Publication Year: 2015.
Number of Pages: 7.
Abstract: Study investigated health-related quality of life (HRQOL) in patients with transient ischemic attack (TIA) and minor ischemic stroke (MIS) using Neuro-QOL, a validated, patient-reported outcome measurement system. Data were collected from patients with TIA or MIS who had: (1) modified Rankin Scale (mRS) score of 0 or 1 at baseline, (2) initial National Institutes of Health Stroke Scale (NIHSS) score of ≤5, (3) no acute reperfusion treatment, and (4) complete 3-month follow-up data. Recurrent stroke, disability assessed by the mRS and Barthel Index, and Neuro-QOL scores in 5 pre-specified domains were prospectively recorded. Researchers assessed the proportion of patients with impaired HRQOL, defined as T scores more than 0.5 standard deviation worse than the general population average, and identified predictors of impaired HRQOL using logistic regression. Among the 332 patients who met study criteria (mean age 65.7 years, 52.4 percent male), 47 (14.2 percent) had recurrent stroke within 90 days and 41 (12.3 percent) were disabled (mRS >1 or Barthel Index <95) at 3 months. Any HRQOL impairment was noted in 119 patients (35.8 percent). In multivariate analysis, age, initial NIHSS score, recurrent stroke, and proxy reporting were independent predictors of impaired HRQOL at 3 months. Findings suggest that impairment in HRQOL is common at 3 months after MIS and TIA. Predictors of impaired HRQOL include age, index stroke severity, and recurrent stroke. Future studies should include HRQOL measures in outcome assessment, as these may be more sensitive to mild deficits than traditional disability scales.
Descriptor Terms: FUNCTIONAL LIMITATIONS, MEASUREMENTS, OUTCOMES, QUALITY OF LIFE, STROKE.


Can this document be ordered through NARIC's document delivery service*?: Y.
Get this Document: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4664119/.

Citation: Sangha, Rajbeer S., Caprio, Fan Z., Askew, Robert, Corado, Carlos, Bernstein, Richard, Curran, Yvonne, Ruff, Ilana, Cella, David, Naidech, Andrew M., Prabhakaran, Shyam. (2015). Quality of life in patients with TIA and minor ischemic stroke.  Neurology (formerly the Archives of Neurology) , 85(22), Pgs. 1957-1963. Retrieved 5/13/2017, from REHABDATA database.


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More information about this publication:
Neurology (formerly the Archives of Neurology).

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