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.

Thursday, March 28, 2019

Home-Time Is a Feasible and Valid Stroke Outcome Measure in National Datasets

I have zero understanding how anything here is useful in getting survivors recovered. I would say this a complete fucking waste of time. Shit the easiest possible way to measure recovery is this;

One question to the survivor.

1.  Are you recovered enough to do the tasks you usually did pre-stroke?

Home-Time Is a Feasible and Valid Stroke Outcome Measure in National Datasets

Originally published21 Mar 2019https://doi.org/10.1161/STROKEAHA.118.023916Stroke. 2019;0

Abstract

Background and Purpose—

Home-time (HT) is a stroke outcome measure based on time spent at home after stroke. We hypothesized that HT assessment would be feasible and valid using national data.

Methods—

We linked the Scottish Stroke Care Audit to routine healthcare data and calculated 90-day HT for all strokes, 2005 to 2017. We described prognostic validity (Spearman rank correlation) of HT to baseline factors.

Results—

We were able to calculate HT for 101 969 strokes (99.3% of total Scottish strokes). Mean HT was 46 days (95% CI, 45.8–46.2; range, 0–90). HT showed consistent correlation with our prespecified prognostic factors: age: ρ, −0.35 (95% CI, −0.35 to −0.36); National Institutes of Health Stroke Scale, −0.54 (95% CI, −0.52 to −0.55); and 6 simple variables (ordinal), −0.61 (95% CI, −0.61 to −0.62).

Conclusions—

HT can be derived at scale using routine clinical data and appears to be a valid proxy measure of functional recovery(Bullshit). Other national databases could use HT as a time and cost efficient measure of medium and longer-term outcomes.

Footnotes

The online-only Data Supplement is available with this article at https://www.ahajournals.org/doi/suppl/10.1161/STROKEAHA.118.023916.
Correspondence to Terry Quinn, Room 2.44, Institute of Cardiovascular and Medical Sciences, University of Glasgow, New Lister Bldg Campus, Glasgow Royal Infirmary, Glasgow, G4 0SF. Email

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