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, November 7, 2017

Impact of rehabilitation intensity on mortality risk after stroke

If you can do high intensity rehabilitation after your stroke that really means you likely had a smaller stroke. This is so fucking easy to solve, objective 3d scans of size and location. You mean to tell me the senior researcher and mentor of this don't know how to design research? 
Impact of rehabilitation intensity on mortality risk after stroke 


Cheng-Yang Hsieh, MD, PhD
,
Hsiu-Chen Huang, MD, PhD
,
Darren Philbert Wu, BS
,
Chung-Yi Li, PhD
,
Meng-Jun Chiu, MSc
,
Sheng-Feng Sung, MD, MS'Correspondence information about the author MD, MS Sheng-Feng Sung
DOI: http://dx.doi.org/10.1016/j.apmr.2017.10.011

Abstract





Objective

To determine the relationship between rehabilitation intensity and post-stroke mortality.




Design

Retrospective cohort study.




Setting

: Nationwide claims data.




Participants

From Taiwan’s National Health Insurance claims databases, a total of 6737 patients (mean age 66.9 years; 40.3% women) hospitalized between 2001 and 2013 for a first-ever stroke who had mild to moderate stroke and survived the first 90 days of stroke were enrolled.




Intervention

The intensity of rehabilitation therapy within 90 days after stroke was categorized into low, medium, or high based on the tertile distribution of the amount of rehabilitation sessions.




Main Outcome Measures

Long-term all-cause mortality. The Cox proportional hazard models with Bonferroni correction were used to assess the association between rehabilitation intensity and mortality, adjusting for age, comorbidities, stroke severity, and other covariates.




Results

Patients in the high-intensity group were younger but had a higher burden of comorbidities and greater stroke severity. During follow-up, the high-intensity group was associated with a significantly lower adjusted risk (hazard ratio [HR] 0.73, 95% confidence interval [CI] 0.63–0.84) of mortality compared with the low-intensity group, whereas the medium-intensity group carried a similar risk of mortality (HR 0.94, 95% CI 0.84–1.06) to the low-intensity group. This association was not modified by stroke severity.




Conclusions

Among stroke patients with mild to moderate severity, high-intensity rehabilitation therapy within the first 90 days was associated with a lower mortality risk compared to low-intensity therapy. Efforts to promote high-intensity rehabilitation therapy for this group of stroke patients should be encouraged.
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