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.

Sunday, July 24, 2022

Accurate prediction of persistent upper extremity impairment in patients with ischemic stroke

I'd fire anyone who came to me with useless recovery prediction research like this.

 Accurate prediction of persistent upper extremity impairment in patients with ischemic stroke

Archives of Physical Medicine and Rehabilitation , Volume 103(5) , Pgs. 964-969.

NARIC Accession Number: J89032.  What's this?
ISSN: 0003-9993.
Author(s): de Havenon, Adam; Heitsch, Laura; Sunmonu, Abimbola; Braun, Robynne; Lohse, Keith R.; Cole, John W.; Mistry, Eva; Lindgren, Arne; Worrall, Bradford B.; Cramer, Steven C..
Publication Year: 2022.
Number of Pages: 6.
Abstract: Study developed a simple and effective risk score for predicting which patients will have persistent impairment of upper-extremity motor function at 90 days post stroke. Data were analyzed for clinical trial patients hospitalized with acute ischemic stroke who were followed for 90 days to determine functional outcome; the cohort was divided into balanced derivation and validation samples. The primary outcome was persistent arm impairment, defined as a National Institutes of Health Stroke Scale (NIHSS) arm domain score of 2 to 4 at 90 days in patients who had a 24-hour NIHSS arm score of 1 or more. Least absolute shrinkage and selection operator regression were used to determine the elements of the persistent upper-extremity impairment (PUPPI) index. Analyses included 1,653 patients (827 derivation, 826 validation), of whom 803 (48.6 percent) had persistent arm impairment. The PUPPI index gives 1 point each for age 55 years or older and NIHSS values of worse arm, worse leg, facial palsy, and total NIHSS (≥10). The optimal cut point for the PUPPI index was 3 or greater, at which the area under the curve was greater than 0.75 for the derivation and validation cohorts and when using NIHSS values from either 24 hours or in a subacute or discharge time window. Results were similar across different levels of stroke severity. The PUPPI index can be administered in minutes and could be used as inclusion criterion in recovery-related clinical trials or, with additional development, as a prognostic tool for patients, caregivers, and clinicians.
Descriptor Terms: EVALUATION TECHNIQUES, FUNCTIONAL LIMITATIONS, LIMBS, MOBILITY IMPAIRMENTS, MOTOR SKILLS, OUTCOMES, PREDICTION, STROKE.


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

Citation: de Havenon, Adam, Heitsch, Laura, Sunmonu, Abimbola, Braun, Robynne, Lohse, Keith R., Cole, John W., Mistry, Eva, Lindgren, Arne, Worrall, Bradford B., Cramer, Steven C.. (2022). Accurate prediction of persistent upper extremity impairment in patients with ischemic stroke.  Archives of Physical Medicine and Rehabilitation , 103(5), Pgs. 964-969. Retrieved 7/24/2022, from REHABDATA database.

No comments:

Post a Comment