Use the labels in the right column to find what you want. Or you can go thru them one by one, there are only 28,743 posts. Searching is done in the search box in upper left corner. I blog on anything to do with stroke.DO NOT DO ANYTHING SUGGESTED HERE AS I AM NOT MEDICALLY TRAINED, YOUR DOCTOR IS, LISTEN TO THEM. BUT I BET THEY DON'T KNOW HOW TO GET YOU 100% RECOVERED. I DON'T EITHER, BUT HAVE PLENTY OF QUESTIONS FOR YOUR DOCTOR TO ANSWER.
Changing stroke rehab and research worldwide now.Time is Brain!trillions and trillions of neuronsthatDIEeach day because there areNOeffective 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.
Friday, February 9, 2024
ED evaluation of stroke-like symptoms may be more traumatic than actual stroke diagnosis
Does your competent? doctor have a protocol for treating such PTSD?
ED evaluation of stroke-like symptoms may be more traumatic than actual stroke diagnosis
Key takeaways:
Hospitalization for stroke-like symptoms was tied to higher odds of PTSD at 1 month than true stroke diagnosis.
Preexisting PTSD was linked to higher odds of 1-month PTSD, regardless of the final diagnosis.
Patients who are hospitalized with stroke-like symptoms, but do not
experience a stroke, may yet develop PTSD at a higher rate than patients
who actually had a stroke, a speaker reported.
Stroke-like symptoms — or stroke mimics — included migraine, numbness and dizziness.
Hospitalization for stroke-like symptoms was tied to higher odds of PTSD at 1 month than true stroke diagnosis. Image: Adobe Stock
Findings from the ReACH Stroke study were presented at the International Stroke Conference.
“Stroke mimics matter. As clinicians, we may be quick to dismiss a
patient’s less life-threatening diagnosis, such as migraine or vertigo.
However, these patients may experience significant psychological
distress, which can increase their risk for poorer cardiovascular
health,” Melinda Chang, MS, ANP-BC,
research nurse at the Center for Behavioral Cardiovascular Health at
Columbia University Irving Medical Center, said in a press release.
“Knowing that being evaluated for stroke
in an emergency department can itself be a traumatic experience for
many people may help health care professionals recognize PTSD symptoms
and connect patients quickly to the appropriate resources.
“Stroke specialists typically view stroke mimics as less serious than
a confirmed stroke, so we did not expect patients with stroke mimics to
be at higher risk for having PTSD
at 1-month follow-up,” Chang said. “However, the neurologists on our
team have noted that patients with stroke mimics can suffer significant
distress from their stroke-like conditions, so our findings support
these clinical experiences.”
To assess the association between stroke mimic, stroke or transient
ischemic attack diagnosis and likelihood of PTSD 1 month after the index
event, Chang and colleagues enrolled 1,000 patients with suspected
stroke or TIA (mean age, 62 years; 51% women) who presented at the
Columbia University Irving Medical Center from June 2016 to March 2022.
PTSD was evaluated using the PTSD Checklist-5 at index hospitalization and at 1 month after discharge.
The patients’ charts were reviewed by a neurologist, who was masked
to PTSD status and provided a final diagnosis of stroke, TIA, stroke
mimic or equivocal.
Overall, 59.6% of the cohort was diagnosed with stroke, 7.9% with TIA
and 27.4% with stroke mimic, whereas 5.1% was equivocal or missing.
The researchers reported that the most common stroke mimics were
migraine and other headaches, peripheral or cranial neuropathy and
peripheral vertigo.
At 1 month, the prevalence of PTSD was 15.1% for patients with stroke
mimic, 6.3% for those with stroke and 5.5% for those with TIA.
After adjusting for age, gender, ethnicity, NIH Stroke Scale,
modified Rankin Scale score and prior PTSD, the odds for PTSD at 1 month
were higher for patients diagnosed with a stroke mimic compared with
those who actually experienced a stroke (OR = 2.99, 95% CI, 1.45-6.18; P < .01) but not TIA (P = .45).
Preexisting PTSD was the only covariate linked to PTSD at 1 month and
was associated with a 10-fold increased likelihood across all diagnoses
(OR = 10.32; 95% CI, 5.3-20.1; P < .01), according to the study.
“It is important for people who are evaluated for stroke to know they
are not alone if they experience flashbacks, disrupted sleep or feel on
edge after their medical event. They should feel comfortable and
empowered to report any concerning symptoms to their health care team so
they can get the help they need,” Chang said in the release.
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