Deans' stroke musings: Inconsistent classification of mild stroke and implications of health services delivery

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, February 1, 2020

Inconsistent classification of mild stroke and implications of health services delivery

I have seen absolutely nothing that even remotely suggests that there is ANY objective determination of stroke damage. Without that we will never be able to competently assign stroke protocols to fix such damage. All your stroke medical professionals are 'shooting in the dark' right now. But yet you are paying them for what?

Inconsistent classification of mild stroke and implications of health services delivery

Archives of Physical Medicine and Rehabilitation — Roberts PS, et al. | January 30, 2020

Researchers sought to perform a scoping review of mild stroke definitions based on stroke severity evaluations and/or clinical signs and symptoms reported in the literature. They searched PubMed, PsycINFO (Ovid), and CINAHL (EBSCO) databases added keyword combinations of a mild stroke, minor stroke, mini-stroke, mild cerebrovascular, minor cerebrovascular, transient ischemic attack, or TIA. For the final review, 62 studies were selected. Between January 2003 and February 2018, inclusion criteria were limited to articles published. It was noted that inequalities in the classification of mild stroke are evident with varying use of stroke severity assessments, measurement cut-off scores, imaging tools, and clinical or functional outcomes. Moreover, continued work is needed to establish a consensus definition of mild stroke(all stroke!), which directly influences treatment receipt, referral for services, and health service delivery.

Read the full article on Archives of Physical Medicine and Rehabilitation