Deans' stroke musings: PTSD tied to rehospitalization risk after first-time stroke among Black veterans

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.

Thursday, March 14, 2024

PTSD tied to rehospitalization risk after first-time stroke among Black veterans

What is your doctors EXACT PTSD intervention? No intervention; total incompetence!

Maybe these?

Microbiome and Diet Could Mitigate PTSD Symptoms October 2023

Psychoactive Ibogaine and Magnesium Show Promise for PTSD January 2024

Harnessing Psilocybin to Treat PTSD

Treating PTSD With Ecstasy? You Might Have Some Questions. May 2018

Ecstasy Was Just Labelled a 'Breakthrough Therapy' For PTSD by The FDA August 2017

The latest here:

PTSD tied to rehospitalization risk after first-time stroke among Black veterans

Key takeaways:

PTSD at the time of first stroke was associated with increased risk for rehospitalization among Black veterans.
The elevated risk for rehospitalization was not observed among white veterans.

After first-time stroke, comorbid PTSD was associated with increased risk for hospital readmission among Black veterans that was not observed among white veterans, researchers reported.

In addition, the impact of significant risk factors for readmission such as hypertension and hyperlipidemia varied by race, according to study findings published in Stroke.

African American soldier suffering with PTSD — PTSD at the time of first stroke was associated with increased risk for rehospitalization among Black veterans. *Image: Adobe Stock*

“Our findings highlight the important things we can do to improve post-stroke care, such as focusing on high-risk populations, reducing modifiable risk factors, achieving stricter type 2 diabetes control and access for veterans who may need prescription medication treatment,” Chen Lin, MD, MBA, staff neurologist at the Birmingham Veterans Affairs Medical Center and an associate professor of neurology at the University of Alabama at Birmingham, said in a press release.

To assess whether PTSD is associated with readmission after stroke and whether racial disparities were present, Lin and colleagues evaluated data from the VA Corporate Data Warehouse of all patients who received care for a first-time stroke in the Veterans Health Administration.

The cohort included 93,651 veterans with a first inpatient diagnosis of stroke from 1999 to Aug. 6, 2022 (97% men; 63% white).

Overall, 13.8% of the cohort had comorbid PTSD at the time of stroke, and 18% were readmitted for any cause to a VA hospital.

The comorbid presence of PTSD at the time of first stroke was associated with increased risk for hospital readmission among Black veterans (HR = 1.1; 95% CI, 1.02-1.19; P = .01), but the association was not significant among white veterans (HR = 1.05; 95% CI, 0.99-1.11; P = .09).

“We were expecting to see PTSD playing a role in all veterans, so we were surprised at the difference between African American and white veterans in both the impact of PTSD and other risk factors,” Lin said in the release.

Hypertension was associated with reduced risk for hospital readmissions in both Black (HR = 0.81; 95% CI, 0.74-0.89; P .01) and white veterans (HR = 0.89; 95% CI, 0.84-0.95; P .01), whereas only for white veterans was hyperlipidemia associated with a lower risk (HR = 0.92; 95% CI, 0.86-0.97; P .01), and only for black veterans was diabetes (HR = 1.13; 95% CI, 1.04-1.23; P .01) and drug abuse (HR = 1.22; 95% CI, 1.1-1.35; P .01) associated with increased risk.

“In both the African American and white populations, there are important health conditions that can play a role in the risk of readmission after a stroke. Post-discharge care after stroke is always a challenge — people find it hard to get to the clinic, especially if they have disabilities limiting their walking and driving ability. However, there is certainly a role for more targeted care focused on the modifiable risk factors, such as type 2 diabetes and illicit drug use,” Lin said.