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, February 10, 2021

Stroke incidence declines among older adults, remains steady among younger adults

 This should mean that 100% recovery protocols should be immediately researched and created. Younger persons won't want to be disabled for the majority of their life. I'll only be disabled for half my life, stroke at 50, will live to 100.  But NOTHING WILL OCCUR, the stroke medical world thinks nothing needs to be done. See this meme from World Stroke Day a few years ago. Treatable to them obviously doesn't mean anything close to 100% recovery. To me that is complete incompetence.

What a lying piece of shit

Stroke incidence declines among older adults, remains steady among younger adults

Rates of ischemic stroke and intracerebral hemorrhage remained steady in adults aged 18 to 49 years while decreasing in older adults, particularly in those aged 70 years and older, according to results from a 13-year study.

Stroke mortality also decreased during this period, study findings showed. Researchers published the results in Neurology.

Brain illustration
Rates of ischemic stroke and intracerebral hemorrhage remained steady in adults aged 18 to 49 years while decreasing in older adults, according to results from a 13-year study. Source: Adobe Stock

“Stroke remains a leading cause of death and disability worldwide, although estimates from the Global Burden of Disease study showed a decline in incidence rates in high-income countries between 1990 and 2010,” Nils Skajaa, MSc, and colleagues wrote. “Some studies, however, suggest that the decline in incidence is heterogeneous by age, with flat or increasing trends in younger adults.”

Skajaa, a PhD student in the department of clinical epidemiology at Aarhus University in Denmark, and colleagues examined nationwide trends in rates of stroke and related mortality among younger and older adults in Denmark between 2005 and 2018, looking at subtype, age, sex, severity and trends related to etiology. They used the Danish Stroke Registry and the Danish National Patient Registry to find patients aged 18 to 49 years (classified as younger adults) and patients aged 50 years and older (classified as older adults) who had experienced a first-time ischemic stroke, intracerebral hemorrhage or subarachnoid hemorrhage.

The researchers assessed age-standardized incidence rates as well as 30-day and 1-year mortality risk separately for younger and older adults. They also evaluated these measures according to smaller age groups, stroke subtype, sex and severity, using the Scandinavian Stroke Scale to assess severity. Skajaa and colleagues used average annual percentage changes (AAPC) to examine temporal trends.

The final analysis included 8,680 younger adults and 105,240 older adults who experienced an ischemic stroke or intracerebral hemorrhage.

Skajaa and colleagues found that the incidence rate per 100,000 person-years for ischemic stroke (20.8 in 2005 vs. 21.9 in 2018; AAPC, –0.6; 95% CI, –1.5 to 0.3) and intracerebral hemorrhage (2.2 in 2005 vs. 2.5 in 2018; AAPC, 0.6; 95% CI, –1 to 2.3) remained stable in younger adults. Among older adults, ischemic stroke and intracerebral hemorrhage incidence decreased, especially among patients aged 70 years or older. The incidence of subarachnoid hemorrhage also decreased, though more in younger adults.

Stroke mortality went down over time in both age groups, primarily because of declines in mortality following severe strokes. Specifically, 30-day and 1-year mortality due to subarachnoid hemorrhage “indicated declining trends for both younger and older adults,” Skajaa and colleagues wrote.

Study findings demonstrated that most trends were similar for men and women.

“Our study extends existing knowledge by examining trends in younger and older adults according to stroke severity,” the researchers wrote. “Mild ischemic strokes have increased in incidence, while the most severe cases have declined. In younger adults, the lack of an upward trend reported in some prior studies is encouraging, and further risk factor reduction could lead to a decline.”

 

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