Deans' stroke musings: Predicting functional outcomes after stroke: an observational study of acute single-channel EEG

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, May 15, 2020

Predicting functional outcomes after stroke: an observational study of acute single-channel EEG

NO, NO, NO, this is just a backdoor way to use nocebo to make sure the patient sees that their recovery won't occur. And the doctor and therapists see that poor recovery prediction and subconsciously communicate that to the patient. Do the right thing and give NO PREDICTIONS to patients.

Predicting functional outcomes after stroke: an observational study of acute single-channel EEG

Topics in Stroke Rehabilitation , Volume 27(3) , Pgs. 161-172.

NARIC Accession Number: J83475. What's this?
ISSN: 1074-9357.
Author(s): Rogers, Jeffrey ; Middleton, Sandy ; Wilson, Peter H. ; Johnstone, Stuart J..
Publication Year: 2020.
Number of Pages: 12.

Abstract:

Study examined the relationship between acute single-channel electroencephalography (EEG) and functional outcomes after stroke. Resting-state EEG recorded at a single left pre-frontal EEG channel was obtained from 16 adults within 72 hours of first stroke. At 30 and 90 days, measures of disability (modified Rankin Scale [mRS]) and involvement in daily activities (modified Barthel Index [mBI]) were obtained. Acute EEG measures were correlated with functional outcomes and compared to an early neurological examination of stroke severity using the National Institute of Health Stroke Scale (NIHSS). Classification of good outcomes (mRS ≤1 or mBI ≥95) was also examined using receiver operator curve analyses. Results showed that one-third to one-half of participants experienced incomplete post-stroke recovery, depending on the time point and measure. Functional outcomes correlated with acute theta values, with the strength of associations equivalent to previously reported values obtained from conventional multi-channel systems. Acute theta values ≥0.25 were associated with good outcomes, with positive (67 to 83 percent) and negative predictive values (70 to 90 percent) comparable to those obtained using the NIHSS. Findings suggest that acute, single-channel EEG can provide unique, non-overlapping clinical information, which may facilitate objective prediction of functional outcome after stroke.
Descriptor Terms: DAILY LIVING, ELECTROPHYSIOLOGY, FUNCTIONAL LIMITATIONS, MEASUREMENTS, OUTCOMES, STROKE.

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

Citation: Rogers, Jeffrey , Middleton, Sandy , Wilson, Peter H. , Johnstone, Stuart J.. (2020). Predicting functional outcomes after stroke: an observational study of acute single-channel EEG. Topics in Stroke Rehabilitation , 27(3), Pgs. 161-172. Retrieved 5/15/2020, from REHABDATA database.