Use the labels in the right column to find what you want. Or you can go thru them one by one, there are only 15849 posts. Searching is done in the search box in upper left corner. I blog on anything to do with stroke.DO NOT DO ANYTHING SUGGESTED HERE AS I AM NOT MEDICALLY TRAINED, YOUR DOCTOR IS, LISTEN TO THEM. BUT I BET THEY DON'T KNOW HOW TO GET YOU 100% RECOVERED. I DON'T EITHER, BUT HAVE PLENTY OF QUESTIONS FOR YOUR DOCTOR TO ANSWER.
Deans' stroke musings
Changing stroke rehab and research worldwide now.Time is Brain!Just think of all thetrillions and trillions of neuronsthateach daybecause there areeffective 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
Thursday, February 8, 2018
Development and validation of the Dutch Stroke Score for predicting disability and functional outcome after ischemic stroke: A tool to support efficient discharge planning
aimed to develop and validate a prognostic score for disability at
discharge and functional outcome at three months in patients with acute
ischemic stroke based on clinical information available on admission.
Patients and methods
Dutch Stroke Score (DSS) was developed in 1227 patients with ischemic
stroke included in the Paracetamol (Acetaminophen) In Stroke study.
Predictors for Barthel Index (BI) at discharge (‘DSS-discharge’) and
modified Rankin Scale (mRS) at three months (‘DSS-3 months’) were
identified in multivariable ordinal regression. The models were
internally validated with bootstrapping techniques. The DSS-3 months was
externally validated in the PRomoting ACute Thrombolysis in Ischemic
StrokE study (1589 patients) and the Preventive Antibiotics in Stroke
Study (2107 patients). Model performance was assessed in terms of
discrimination, expressed by the area under the receiver operating
characteristic curve (AUC), and calibration.
model development, the strongest predictors of Barthel Index at
discharge were age per decade over 60 (odds ratio = 1.55, 95% confidence
interval (CI) 1.41–1.68), National Institutes of Health Stroke Scale
(odds ratio = 1.24 per point, 95% CI 1.22–1.26) and diabetes (odds
ratio = 1.62, 95% CI 1.32–1.91). The internally validated AUC was 0.76
(95% CI 0.75–0.79). The DSS-3 months, additionally consisting of
previous stroke and atrial fibrillation, performed similarly at internal
(AUC 0.75, 95% CI 0.74–0.77) and external validation (AUC 0.74 in
PRomoting ACute Thrombolysis in Ischemic StrokE (95% CI 0.72–0.76) and
0.69 in Preventive Antibiotics in Stroke Study (95% CI 0.69–0.72)).
Observed outcome was slightly better than predicted. Discussion: The DSS had satisfactory performance in predicting BI at discharge and mRS at three months in ischemic stroke patients.