Deans' stroke musings: Inconsistent classification of mild stroke and implications on health services delivery

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.

Wednesday, October 14, 2020

Inconsistent classification of mild stroke and implications on health services delivery

You still don't know that the NIHSS subjective stroke scale is worthless? Until you get an objective damage diagnosis you can never map rehab protocols to them to see what protocols wok.

Inconsistent classification of mild stroke and implications on health services delivery

Archives of Physical Medicine and Rehabilitation , Volume 101(7) , Pgs. 1243-1259.

NARIC Accession Number: J84556. What's this?
ISSN: 0003-9993.
Author(s): Roberts, Pamela S. ; Krishnan, Shilpa ; Burns, Suzanne P. ; Ouellette, Debra Pappadis, Monique R..
Project Number: 90SFGE0002, 90DP0028 (formerly H133A120020).
Publication Year: 2020.
Number of Pages: 17.

Abstract:

The objective of this study was to conduct a scoping review on classifications of mild stroke based on stroke severity assessments and/or clinical signs and symptoms. Electronic searches of PubMed, PsycINFO (Ovid), and Cumulative Index to Nursing and Allied Health (CINAHL–EBSCO) databases included keyword combinations of mild stroke, minor stroke, mini stroke, mild cerebrovascular, minor cerebrovascular, and transient ischemic attack. Five reviewers independently screened titles and abstracts for inclusion and exclusion criteria. Two reviewers independently screened each full-text article for eligibility. The 5 reviewers checked the quality of the included full-text articles for accuracy. Data were extracted by 2 reviewers and verified by a third reviewer. Sixty-two studies were included in the final review. Ten unique definitions of mild stroke using stroke severity assessments were discovered, and 10 different cutoff points were used. The National Institutes of Health Stroke Scale was the most widely used measure to classify stroke severity. Synthesis also revealed variations in classification of mild stroke across publication years, time since stroke, settings, and medical factors including imaging, medical indicators, and clinical signs and symptoms. Inconsistencies in the classification of mild stroke are evident with varying use of stroke severity assessments, measurement cutoff scores, imaging tools, and clinical or functional outcomes. Continued work is necessary to develop a consensus definition of mild stroke, which directly affects treatment receipt, referral for services, and health service delivery.
Descriptor Terms: CLASSIFICATION SYSTEMS, HEALTH CARE, LITERATURE REVIEWS, SERVICE DELIVERY, STROKE.

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

Citation: Roberts, Pamela S. , Krishnan, Shilpa , Burns, Suzanne P. , Ouellette, Debra Pappadis, Monique R.. (2020). Inconsistent classification of mild stroke and implications on health services delivery. Archives of Physical Medicine and Rehabilitation , 101(7), Pgs. 1243-1259. Retrieved 10/14/2020, from REHABDATA database.