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, December 18, 2022

Self-reported urinary incontinence in noninstitutionalized long-term stroke survivors: A population-based study

If you are in that 17% what is your doctor's EXACT SOLUTION? Not a guideline or the crapola saying; 'All strokes are different, all stroke recoveries are different'. If you don't have an EXACT SOLUTION  from your doctor, fire them. You don't have a functioning stroke doctor. I take no prisoners in trying to make stroke recovery better. A hell of a lot of dead wood needs to be removed in the stroke world.

Self-reported urinary incontinence in noninstitutionalized long-term stroke survivors: A population-based study 


https://doi.org/10.1016/j.apmr.2004.05.011Get rights and content

Abstract

Jørgensen L, Engstad T, Jacobsen BK. Self-reported urinary incontinence in noninstitutionalized long-term stroke survivors: a population-based study.

Objectives

To compare the prevalence of self-reported incontinence among noninstitutionalized long-term stroke survivors with population controls without stroke and to identify risk factors associated with urinary incontinence in the stroke survivors.

Design

Community-based, cross-sectional study.

Setting

Municipality of Tronsø.

Participants

A total of 213 noninstitutionalized stroke survivors (mean time poststroke, 9y) and 242 control subjects.

Interventions

Not applicable.

Main outcome measure

Self-reported presence of urinary incontinence.

Results

Urinary incontinence was present in 17% of the stroke survivors and in 7% of the control subjects (odds ratio [OR]=2.8; 95% confidence interval [CI], 1.5–5.2) and more prevalent among the stroke survivors than among the control subjects until 10 years poststroke. In the stroke survivors, urinary incontinence was associated with signs of depression (OR=3.0; 95% CI, 1.3–7.1) and tended to be associated with motor function of the leg (OR=3.1; 95% CI, 0.9–10.4) and cognitive function (OR=2.8; 95% CI, 0.9–8.6). Urinary incontinence was strongly related to the number of these risk factors present (P trend, <.001; OR=7.2; 95% CI, 2.1–24.6) in subjects having 2 or more of the risk factors, compared with subjects with none of these risk factors).

Conclusions

The prevalence of urinary incontinence is high among long-term stroke survivors, especially in subjects in whom paresis, depressive symptoms, and impaired cognition cluster.

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