Deans' stroke musings: Physical activity after ischemic stroke and its association with adverse outcomes: A nationwide population-based cohort study

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, June 22, 2021

Physical activity after ischemic stroke and its association with adverse outcomes: A nationwide population-based cohort study

Are you sure you have the correct understanding of cause and effect? The stroke causes the lack of physical activity and thus adverse outcomes.

Physical activity after ischemic stroke and its association with adverse outcomes: A nationwide population-based cohort study

Topics in Stroke Rehabilitation , Volume 28(3) , Pgs. 170-180.

NARIC Accession Number: J86310. What's this?
ISSN: 1074-9357.
Author(s): Kang, Seong-Min ; Kim, Sun-Hyung ; Han, Kyung-Do ; Paik, Nam-Jong ; Kim, Won-Seok.
Publication Year: 2021.
Number of Pages: 11.

Abstract:

Study identified the changes in physical activity (PA) level between before and after stroke and determined the relationship between PA and adverse outcomes. This observational, retrospective cohort study was performed using the Nationwide Health Insurance Service (NHIS) database in South Korea. Subjects between the ages of 20 to 80 years, who had a first-ever ischemic stroke from 2010 to 2013, were included. Subjects were divided into either the “sufficient” or “insufficient” subgroups, depending on the result of the self-reported PA questionnaire. Adverse outcomes, including all-cause mortality, stroke recurrence, and myocardial infarction (MI), were collected from a post-stroke health checkup to 2017. Of the 34,243 subjects with ischemic stroke, only 21.24 percent had sufficient PA level after stroke. Among those with insufficient PA level, only 17.34 percent improved their PA level after stroke. Subjects with sufficient PA level after stroke, regardless of their PA level prior to stroke, showed a lower risk of composite adverse outcomes. Subjects who went from insufficient to sufficient PA level showed a significantly lower risk of composite adverse outcomes. Achieving a sufficient PA level after ischemic stroke appears to significantly reduce major adverse events. Further effort is needed to promote the PA level after ischemic stroke.
Descriptor Terms: EXERCISE, INTERNATIONAL REHABILITATION, OUTCOMES, SECONDARY CONDITIONS, STROKE.

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

Citation: Kang, Seong-Min , Kim, Sun-Hyung , Han, Kyung-Do , Paik, Nam-Jong , Kim, Won-Seok. (2021). Physical activity after ischemic stroke and its association with adverse outcomes: A nationwide population-based cohort study. Topics in Stroke Rehabilitation , 28(3), Pgs. 170-180. Retrieved 6/22/2021, from REHABDATA database.