Deans' stroke musings: PREP2 algorithm predictions are correct at 2 years poststroke for most patients

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.

Tuesday, October 22, 2019

PREP2 algorithm predictions are correct at 2 years poststroke for most patients

So the OBVIOUS NEXT STEP is to develop protocols that get patients fully recovered. This prediction crapola is useless for survivors. clinicians may like it because then they can treat down to the tyranny of low expectations. 'This prediction says you will barely recover, so I'm done as soon as I minimally get you there.' Paraphrased, so don't shoot me.

PREP2 algorithm predictions are correct at 2 years poststroke for most patients

Neurorehabilitation and Neural Repair (NNR) , Volume 33(8) , Pgs. 635-642.

NARIC Accession Number: J81675. What's this?
ISSN: 1545-9683.
Author(s): Smith, Marie-Claire; Ackerley, Suzanne J.; Barber, P. Alan; Byblow, Winston D.; Stinear, Cathy M..
Publication Year: 2019.
Number of Pages: 8.
Abstract: Study evaluated whether the PREP2 algorithm predictions made at baseline are correct 2 years post stroke and assessed whether patients’ upper-limb (UL) performance remained stable, improved, or worsened between 3 months and 2 years after stroke. The PREP2 algorithm combines clinical and neurophysiological measures to predict UL motor outcomes 3 months post stroke, using 4 prediction categories based on Action Research Arm Test (ARAT) scores. The algorithm was accurate at 3 months for 75 percent of participants in a previous validation study. This is a follow-up study of participants recruited and assessed in the original PREP2 validation study. One hundred fifty-seven participants who completed assessments 3 months post stroke were invited to complete follow-up assessments at 2 years poststroke for the present study. UL outcomes were assessed with the ARAT, upper extremity Fugl-Meyer Scale, and Motor Activity Log. A total of 86 participants completed 2-year follow-up assessments in this study. PREP2 predictions made at baseline were correct for 69/86 (80 percent) participants 2 years poststroke, and PREP2 UL outcome category was stable between 3 months and 2 years post stroke for 71 participants (83 percent). There was no difference in age, stroke severity, or comorbidities among patients whose category remained stable, improved, or deteriorated. The PREP2 algorithm predictions made within days of stroke are correct at both 3 months and 2 years poststroke for most patients. Further investigation may be useful to identify which patients are likely to improve, remain stable, or deteriorate between 3 months and 2 years.
Descriptor Terms: MOTOR SKILLS, OUTCOMES, PREDICTION, STROKE.

Can this document be ordered through NARIC's document delivery service*?: Y.
Get this Document: https://journals.sagepub.com/doi/full/10.1177/1545968319860481.

Citation: Smith, Marie-Claire, Ackerley, Suzanne J., Barber, P. Alan, Byblow, Winston D., Stinear, Cathy M.. (2019). PREP2 algorithm predictions are correct at 2 years poststroke for most patients. Neurorehabilitation and Neural Repair (NNR) , 33(8), Pgs. 635-642. Retrieved 10/22/2019, from REHABDATA database.