Deans' stroke musings: Cognitive recovery after stroke: A meta-analysis and metaregression of intervention and cohort studies

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.

Sunday, September 26, 2021

Cognitive recovery after stroke: A meta-analysis and metaregression of intervention and cohort studies

So nothing concrete on how to recover 5 lost years of brain cognition due to your stroke.

Cognitive recovery after stroke: A meta-analysis and metaregression of intervention and cohort studies

Neurorehabilitation and Neural Repair (NNR) , Volume 35(7) , Pgs. 585-600.

NARIC Accession Number: J86909. What's this?
ISSN: 1545-9683.
Author(s): Saa, Juan P. ; Tse, Tamara ; Baum, Carolyn M. ; Cumming, Toby ; Josman, Naomi ; Rose, Miranda ; O’Keefe, Sophie ; Sewell, Katherine ; Nguyen, Vinh ; Carey, Leeanne M..
Publication Year: 2021.
Number of Pages: 16.

Abstract:

Study examined the short- and long-term changes in poststroke cognition and the factors that moderate these changes over time, across intervention and observational studies. Six databases were searched up to January 2020 for studies describing quantitative changes in cognition in adults with stroke. A total of 43 intervention trials and 79 observation cohorts involving 28,222 stroke participants were included. Interventions were classified into pharmacological, therapist-led, nonroutine/alternative, and usual care. Summary estimates were compared via hierarchical mixed-effects models. Age, recovery stage, stroke etiology, cognitive domain targeted in studies, and intervention types were investigated as moderators of cognition. Recovery stage and intervention were further analyzed in a multiplicative meta-regression model. Heterogeneity was significant with no evidence of publication bias. Cognitive recovery was greater in intervention trials than observational cohorts across all moderators analyzed. Nonroutine/alternative and pharmacological trials achieved the best overall results, followed by therapist-led, and usual-care interventions. Medium recovery effects were observed in examining first-ever stroke, executive function, visuo-perceptual, consciousness, and psychomotor skills, 61 to 180 days poststroke, in participants aged 65 to 70 years. Findings suggest that cognitive recovery is possible using different controlled interventions in all recovery stages, with smaller benefits 2 or more years post stroke. Longer-term studies are needed to determine the role of nonroutine/alternative therapies and the association between cognitive recovery and performance in everyday activities.
Descriptor Terms: ALTERNATIVE MEDICINE, COGNITION, INTERVENTION, LITERATURE REVIEWS, LONGITUDINAL STUDIES, OUTCOMES, PHARMACOLOGY, STROKE, THERAPY.

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

Citation: Saa, Juan P. , Tse, Tamara , Baum, Carolyn M. , Cumming, Toby , Josman, Naomi , Rose, Miranda , O’Keefe, Sophie , Sewell, Katherine , Nguyen, Vinh , Carey, Leeanne M.. (2021). Cognitive recovery after stroke: A meta-analysis and metaregression of intervention and cohort studies. Neurorehabilitation and Neural Repair (NNR) , 35(7), Pgs. 585-600. Retrieved 9/26/2021, from REHABDATA database.