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, November 16, 2018

Warm, wet weather linked to improved outlook for stroke survivors

A useless piece of information. Patients can't control the weather and have no say in when they have a stroke. But if you can blame the patient for having a stroke the stroke medical world will never have to solve all the problems in stroke.

Warm, wet weather linked to improved outlook for stroke survivors

 

By American Heart Association News
Person walking in blowing snow.
(Normand Blouin/EyeEm, Getty Images)
Rainy days may bring a lot more than spring flowers and relief from summer heat – they also are connected to better survival chances and overall outlook for stroke survivors, according to a new study.
Researchers examining the connection between strokes and seasonal weather in the United States found that hospital admissions for ischemic strokes, those caused by blood clots, went up during winter. The season also was associated with a higher chance of patients dying during their hospital stay.
But after adjusting for various factors, including regional climate and patient demographics and medical history, the wintertime increase didn't prove to be as significant, researchers reported in the Yale University-led study published Friday in the Journal of the American Heart Association.
"What that told us was that there's something about winter, rather than simply the season itself, that was mediating this relationship. And the strong variables there turned out to be temperature and precipitation," said Dr. Stacy Chu, the study's lead author and a clinical fellow in the neurocritical care and emergency neurology division of the Yale School of Medicine in Connecticut.
The study examined data on 457,638 people who had a stroke. Researchers also gathered daily climate records for the nation's nine regions to get the temperature and precipitation level, not including snowfall, on the day of hospital admission, as well as averages over the seven days before hospitalization.
The warmer and wetter weather found in spring and summer was associated with a better chance of survival and overall better outcome after a stroke, the study showed.
The research, which was funded by the American Heart Association, did not address why more strokes happen in the winter or reasons behind the association between weather and how well people recover. But the investigators noted that previous research has shown that blood pressure and other cardiovascular risks go up during the winter.
One main reason that happens is because blood vessels constrict in cold weather to help the body conserve heat, said Dr. Carolyn Brockington, director of the Stroke Center at Mount Sinai West and Mount Sinai St. Luke's hospitals in New York City.
"Think of blood vessels going to the brain almost like plumbing, and the pipes are getting smaller, with less blood getting to the brain. So, it might in some way precipitate an event like a stroke or heart attack," said Brockington, who was not part of the new study.
People may also easily become dehydrated during the winter because they don't think about drinking water and other fluids as often as they do in warmer months, she said. Dehydration can lead to thicker blood, which can be more prone to clotting.
Strokes are generally viewed as preventable, Brockington said. While some risk factors for stroke can't be changed, such as age and family history, most others can be treated or controlled any time of the year.
"If you have high blood pressure, many times that means diet changes, exercise and sometimes medication. If you have diabetes, the same thing. If you smoke, you can learn ways to stop," Brockington said.
The study may offer another modifiable risk factor for stroke, she added.(Sure, blame the patient.)
"The message is, partner with your doctor and go through your own individual risk factors and modify them appropriately," she said. "That's extremely important whether it's winter, spring, summer or fall."
If you have questions or comments about this story, please email editor@heart.org.

 

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