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 23, 2025

Brain Care Score Predicts Stroke Risk in Middle-Aged Women

 If your doctors were competent at all, they would have EXACT PROTOCOLS TO PREVENT THAT RISK FROM OCCURRING! But I'm willing to bet they aren't competent! Ask them and not politely.

Brain Care Score Predicts Stroke Risk in Middle-Aged Women

Women with a higher baseline Brain Care Score (BCS) -- an evidence-based tool designed to motivate lifestyle changes, with higher scores associated with reduced risk dementia and depression -- had a decreased risk of incident cerebrovascular events, according to a study published in Neurology.

“Our findings underscore that the McCance Brain Care Score is a valuable tool for predicting cerebrovascular event risk in women, for whom stroke remains a leading cause of death,” said senior author Nirupama Yechoor, MD, Massachusetts General Hospital, Boston, Massachusetts. “Our study further highlights the need for broader, long-term research across diverse populations and to investigate how changes in scores over the lifespan impact the risk of stroke and related events.”

The findings come from an analysis of 21,271 women (median age, 57.9 years) from Women’s Health Study, which comprises women healthcare professionals aged 45 years and older in the United States. Participants without history of cerebrovascular events and complete data available to calculate a BCS and covariates 5 years after enrolment were included.

Participants had a median BCS of 15. Higher BCS reflects better risk factor control, with the minimum score being 0 and the maximum score being 20.

During a median follow-up of 22.4 years, there were 1,294 (6.1%) incident cerebrovascular events cases.

A 5-point higher baseline BCS was associated with a 37% decrease in the risk of incident cerebrovascular events after adjusting for age, menopausal status, use of hormonal replacement therapy, and other known cardiovascular disease risk factors (hazard ratio [HR] = 0.63; 95% confidence interval [CI], 0.56-0.71). This association remained significant after adjusting for race, educational attainment, and income (HR = 0.64; 95% CI, 0.57-0.72).

There was a 28% decreased risk of incident cerebrovascular events among those with a BCS equal to or above the median compared with those with a BCS below the median, in a fully adjusted model (HR = 0.72; 95% CI, 0.64-0.80).

The researchers said that future studies are needed to study the BCS in more diverse populations and to investigate how changes in BCS across the lifespan affect risk of cerebrovascular events.

Reference: https://www.neurology.org/doi/10.1212/WNL.0000000000213674

SOURCE: Mass General Brigham


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