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.

Tuesday, August 19, 2025

Sleep mediates the association between stroke and all cause mortality in the NHANES cohort

 You address those issues by CREATING EXACT SLEEP PROTOCOLS! You failed; you're fired!

You knew of the need over 6 years ago and still incompetently DID NOTHING to solve the problem!
  • 30% poor sleep (14 posts to May 2019)

    • Sleep mediates the association between stroke and all cause mortality in the NHANES cohort


    Scientific Reports volume 15, Article number: 28280 (2025) Cite this article

    Abstract

    This study examines the associations among stroke, sleep, and all-cause mortality and explores the mediating role of sleep using data from the National Health and Nutrition Examination Survey (NHANES). This cohort study used NHANES data from 2005 to 2018. The primary endpoint was all-cause mortality. Multivariate Logistic regression was used to analyze the association between stroke and sleep, while Cox regression and subgroup analyses were employed to examine associations between stroke/sleep and all-cause mortality. Mediation analysis assessed the role of sleep in the stroke-mortality relationship. Statistical analyses were performed using R software. Among the 27,302 participants included with a mean follow-up of 111.05 months, 1046 experienced a stroke, 4666 had poor sleep patterns, and 3807 deaths occurred. In the multivariable-adjusted model, stroke was significantly associated with all-cause mortality (HR = 6.08, 95% CI = 5.37–6.87, P < 0.001); compared with poor sleep patterns, both moderate and healthy sleep patterns were significantly associated with a lower risk of stroke (Moderate: HR = 0.97, 95% CI = 0.97–0.98, P < 0.001; Healthy: HR = 0.97, 95% CI = 0.96–0.97, P < 0.001) and all-cause mortality (Moderate vs. Poor: HR = 0.64, 95% CI = 0.57–0.72, P < 0.001; Healthy vs. Poor: HR = 0.60, 95% CI = 0.54–0.67, P < 0.001). Mediation analysis showed that sleep mediated 1.4% of the stroke-mortality association. This study demonstrates that sleep significantly mediate the association between stroke and all-cause mortality, highlighting the importance of addressing sleep issues in stroke populations.

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