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.

Saturday, December 15, 2018

Sex and race differences in the association of incident ischemic stroke with risk factors

You mean your mentors and senior researchers don't know that race as you are using it doesn't exist? Send everyone back to the drawing board to find out the real reason for the differences. Incompetence in stroke reigns supreme. 

Genetically Speaking, Race Doesn't Exist In Humans.

Sex and race differences in the association of incident ischemic stroke with risk factors


JAMA NeurologyHoward VJ, et al. | December 12, 2018
In this prospective cohort study, researchers investigated the incidence and risk factors for ischemic stroke by sex for black and white individuals. They found that, for both races, women were at lower risk of stroke at 45-64 years of age vs men, and there was no sexual difference at age ≥ 75 years. However, the pattern of sexual difference may vary by race from age 65-74 years. The risk factors associated with stroke risk varied by race-sex groups. The association of hypertension, diabetes, and heart disease with stroke risk varied by sex for white individuals but not black individuals. Some demographic subgroups might require earlier and more aggressive strategies while the need for primordial prevention, optimal management, and control of risk factors is universal across all age, racial/ethnic, and sex groups.

  • Study participants included individuals aged ≥ 45 years who were stroke-free from the Reasons for Geographic and Racial Differences in Stroke (REGARDS) cohort, enrolled from the continental US 2003-2007 with follow-up through October 2016.
  • From March 2018 to September 2018, data were analyzed.
  • Exposures included sex and race.
  • Physician-adjudicated incident ischemic stroke, self-reported race/ethnicity, and measured and self-reported risk factors were included main outcomes and measures.

Results

  • There were a total of 25,789 participants (14,170 women [54.9%]; 10,301 black individuals [39.9%]).
  • Over 222,120 person-years of follow-up, there were 939 ischemic strokes: 159 (16.9%) in black men, 326 in white men (34.7%), 217 in black women (23.1%), and 237 in white women (25.2%).
  • White women aged 45-64 years had a 32% lower risk of stroke vs white men, and black women had a 28% lower risk than black men.
  • They observed that lower risk of stroke in women than men persisted in white individuals at ages 65-74 but not in black individuals.
  • However, the race-sex interaction was not significant.
  • There was no sex difference in stroke risk for either race at age ≥ 75 years.
  • Associations of systolic blood pressure, diabetes, and heart disease with stroke risk were greater for women than men for white individuals.
  • On the other hand, the association of antihypertensive medication use was greater among men vs women.
  • There was no evidence of a sex difference for any risk factors in black people.
Read the full article on JAMA Neurology

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