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.

Friday, July 19, 2019

Because they don't tell you how many fully recovered they are hiding this complete failure by suggesting that ambulation is a good enough outcome.  All this further talking to try to make this sound successful when it is a complete failure.  The only goal is always 100% recovery, that is what stroke research should be measured against.

Association between time to treatment with endovascular reperfusion therapy and outcomes in patients with acute ischemic stroke treated in clinical practice

JAMAJahan R, et al. | July 18, 2019

Via a retrospective cohort study of 6,756 subjects with acute ischemic stroke (AIS) from January 2015 to December 2016 in a US nationwide clinical registry, researchers described the correlation of speed of treatment with results among patients with AIS who underwent endovascular-reperfusion therapy. Adverse events were symptomatic intracranial hemorrhage (sICH) and in-hospital mortality/hospice discharge in 6.7% and in 19.6% of patients, respectively. At discharge, 36.9% and 23.0% were ambulated independently and had functional independence, respectively. Between 30 to 270 minutes vs 271 to 480 minutes, time-outcome relations were nonlinear with steeper slopes in the onset-to-puncture adjusted analysis. Faster onset to puncture in 15-minute increments in the 30- to 270-minute time frame correlated with a greater likelihood of obtaining independent ambulation at discharge, lower in-hospital mortality/hospice discharge, and lower risk of sICH. Including in the 30- to the 120-minute window, a higher likelihood of discharge to home and lower in-hospital mortality/hospice discharge was seen with faster door-to-puncture times for each 15-minute increment. Shorter time to endovascular-reperfusion therapy was significantly correlated with better outcomes in cases with AIS due to large vessel occlusion treated in routine clinical practice.
Read the full article on JAMA

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