Deans' stroke musings: Factors associated with 1-year mortality after discharge for acute stroke: What matters?

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.

Wednesday, April 24, 2019

Factors associated with 1-year mortality after discharge for acute stroke: What matters?

Well, if you don't even measure the size and location of the dead and damaged areas in the brain you have not even done any correct analysis of why these people died. All your measurement points are useless for that determination. Your mentors and senior researchers need to be fired and banned from stroke research.

Factors associated with 1-year mortality after discharge for acute stroke: What matters?

Topics in Stroke Rehabilitation , Volume 25(8) , Pgs. 576-583.

NARIC Accession Number: J80603. What's this?
ISSN: 1074-9357.
Author(s): Magdon-Ismail, Zainab; Ledneva, Tatiana; Sun, Mingzeng; Schwamm, Lee H.; Sherman, Barry'Qian, Feng; Bettger, Janet P.; Xian, Ying; Stein, Joel.
Publication Year: 2018.
Number of Pages: 8.

Abstract:

Study evaluated factors associated with 1-year mortality after discharge for acute stroke. Data were analyzed for 305 patients with ischemic stroke or intracerebral hemorrhage discharged from stroke rehabilitation in 2010/2011. Patient demographics, stroke severity, prestroke functional status, functional status on admission and at discharge, stroke type, comorbidities, socioeconomic status, social support, in-hospital length of stay, and discharge destination were examined. Multivariate regression models were used to examine variables related to 1-year all-cause poststroke mortality. The mean age was 68.6 years and 51.1 percent were women. A total of 146 (47.9 percent) were discharged directly home, 96 (31.5 percent) to inpatient rehabilitation facilities, and 63 (20.7 percent) to skilled nursing facilities. Overall, 24 (7.9 percent) patients died within 1-year post-discharge. Older age, higher National Institutes of Health Stroke Scale (NIHSS) score on admission, and discharge destination were factors associated with 1-year all-cause mortality. When ambulation status at discharge was added to the model, ambulation with assistance and non-ambulation were significantly associated with mortality. While age and NIHSS on admission are important predictors of long-term outcomes, factors at discharge – ambulation status at discharge and discharge destination – are associated with 1-year mortality post-discharge for acute stroke and therefore could represent therapeutic targets to improve long-term survival in future studies.
Descriptor Terms: CLIENT CHARACTERISTICS, DEATH, DEMOGRAPHICS, MEDICAL ASPECTS, OUTCOMES, REHABILITATION, STROKE.

Can this document be ordered through NARIC's document delivery service*?: Y.

Citation: Magdon-Ismail, Zainab, Ledneva, Tatiana, Sun, Mingzeng, Schwamm, Lee H., Sherman, Barry'Qian, Feng, Bettger, Janet P., Xian, Ying, Stein, Joel. (2018). Factors associated with 1-year mortality after discharge for acute stroke: What matters?. Topics in Stroke Rehabilitation , 25(8), Pgs. 576-583. Retrieved 4/24/2019, from REHABDATA database.