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.

Monday, March 21, 2022

Cannabis use tied to recurrent stroke risk in young adults

You're beating a dead horse. This comes to the opposite conclusion.

Finally one that got it correct, marijuana use does not lead to increased risk of stroke. They analyzed the confounders correctly.

Marijuana Use and the Risk of Early Ischemic Stroke: The Stroke Prevention in Young Adults Study

 The latest here:

Cannabis use tied to recurrent stroke risk in young adults

Habitual cannabis use was associated with greater risk for recurrent stroke among younger adults with a history of stroke or transient ischemic attack vs. nonuse, according to data presented at the International Stroke Conference.

“Since marijuana use is more common among younger people and is now legal in several U.S. states, we felt it was crucial to study the various risks it may impose,” Akhil Jain, MD, resident physician at Mercy Fitzgerald Hospital in Darby, Pennsylvania, said in a press release. “First-time stroke risk among cannabis users is already established, so it intrigued us to investigate whether continued marijuana dependence also predisposes younger people to develop further strokes.”

Marijuana plant
Source: Adobe Stock

Utilizing data from the National Inpatient Sample collected from October 2015 to December 2017, researchers identified hospitalized young adults with a history of stroke or TIA stratified by cannabis use disorder. Researchers evaluated the demographics, hospital characteristics and comorbidities amid younger adults with prior stroke/TIA and cannabis use disorder as well as the frequency of recurrent strokes compared with nonusers.

Researchers identified hospitalizations of individuals aged 18 to 44 years with prior stroke/TIA, of whom 4,690 had cannabis use disorder and 156,700 did not (median age, 37 years in both).

Among the cohort, those with cannabis use disorder were more often men (55.2% vs. 40.2%; P < .001), were more often Black adults (44.6% vs. 37.2%; P < .001) and were more likely to have concomitant substance abuse, chronic obstructive pulmonary disease, depression and psychoses, and fewer CV comorbidities compared with nonusers of cannabis (P for all < .001).

Individuals with cannabis use disorder experienced a higher rate (6.9% vs 5.4%) and likelihood of recurrent stroke/TIA compared with nonusers (adjusted OR = 1.48; 95% CI, 1.28-1.71; P < .001).

Moreover, researchers observed higher rates of recurrent stroke in the cannabis use disorder group compared with nonuse group among:

  • men (7.7% vs. 5.9%);
  • white individuals (6.6% vs. 5.1%);
  • Black individuals (8% vs. 5.2%);
  • participants from low-income households (7.7% vs. 5.5%);
  • those at Northeast region hospitals (6.1% vs. 4.4%); and
  • those at South region hospitals (7.6% vs. 5.7%; P for all < .05).

“Young marijuana users who have a history of stroke or TIA remain at significantly higher risk of future stroke. Therefore, it is essential to increase awareness among younger adults of the adverse impact of chronic, habitual use of marijuana, especially if they have established cardiovascular disease risk factors or previous stroke episodes,” Jain said in the release. “Our study is hypothesis-generating research for future prospective and randomized controlled studies. More research work is required to look deeply into this concerning clinical question. Most importantly, the impact of various doses, duration, forms of cannabis abuse, and the use of medicinal cannabis on the occurrence of recurrent strokes are critical questions that need to be answered.”

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