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.

Showing posts with label ICD-11. Show all posts
Showing posts with label ICD-11. Show all posts

Tuesday, November 12, 2019

Long Time Coming: ICD-11 Recognizes Stroke as Brain Disorder

So with NOBODY IN CHARGE IN STROKE, it took 13 years after the WHO reclassified stroke in 2006, now a neurological disease not cardiovascular disease.

This is why everybody in stroke needs to be fired. 

So only incompetent for 13 years now. 

Long Time Coming: ICD-11 Recognizes Stroke as Brain Disorder

DUBAI, United Arab Emirates — Major changes are coming for neurology in ICD-11, the International Statistical Classification of Diseases and Related Health Problems.
Among the 5000 entities covering neurology and neurosurgery in the latest version, a major change is the reclassification of stroke as a disorder of the brain. Since 1955, stroke has been classified as a circulatory disease in the more general category of cardiovascular disease.
Presenting the ICD changes during a presidential symposium here at the XXIV World Congress of Neurology, Raad Shakir, FRCP, of Imperial College London University, United Kingdom, and immediate past-president of the World Federation of Neurology said the reclassification of stroke is predicted to have significant ramifications.
ICD in general is a framework for health information and reporting, used by 194 countries to monitor and track morbidity and mortality, injuries, diseases, epidemics, threats to public health, and disease burden and to assess progress in meeting defined public health goals and obligations. ICD is also a basis for guidelines for care and standards of practice, as well as a means to facilitate research into better treatments and preventive strategies, Shakir said.
Among other advantages, reclassifying stroke as a disease of the brain will allow better tracking of its prevalence and trends in different countries, planning resources, and monitoring progress in achieving public health goals. With an aging population in many countries and increasing risk factors for stroke (eg, lifestyle, pollution), stroke incidence is predicted to double or triple in many regions by 2050.
According to the WHO, besides clinical entities, ICD is used by "health insurers, national health program managers, data collection specialists, and others who track progress in global health and determine the allocation of health resources."

Consistency and Interoperability of ICD-11

ICD-10 has been available in 42 languages, including the six official ones of the WHO. Advantages of ICD-11 are that it is completely electronic and is designed to work in multiple languages and function seamlessly in an electronic health records environment and at the same time be user friendly. All items in ICD-11 have accompanying definitions, which are generally not present in ICD-10.

Friday, April 7, 2017

Experts welcome stroke classification as neurological disease

What a pile of lazy fucking shit. As a direct quote on this, 'Bureaucratic stuff, paper shuffling'  means this does nothing for helping stroke survivors recover.
https://m.medicalxpress.com/news/2017-04-experts-classification-neurological-disease.html#jCp
The medical rationale for stroke being a neurological condition has always been compelling. We therefore welcome the latest decision by the Department of Statistics at the WHO to move the thematic block of cerebrovascular diseases from the circulatory diseases chapter to diseases of the nervous system," noted Prof Raad Shakir, head of the WHO Neurology Topic Advisory Group and President of the World Federation of Neurology (WFN).
Public support for the latest WHO move on the issue of stroke follows a period of expert discussions and major concern in the neurological community. Last October, leading international and stroke specialists publicly expressed their concern in an editorial in The Lancet about the classification of stroke in the draft revision of the "International Statistical Classification of Diseases and Related Health Problems" (ICD). This step was in response to an unexpected change in the classification system by which the newly created group of was moved from neurological to circulatory diseases.
The ICD-10 currently in place is based on outdated medical knowledge and concepts from the 1950s. The new ICD-11, which has been under discussion since 2009, is aimed at reflecting the changes in science and practice and is slated for release in 2018. Although it has taken 62 years to make the change, it is now a reality and a benefit to patients, treating doctors and researchers, and the public at large.
Prof Shakir: "There are very good reasons why the WHO Neurology Topic Advisory Group advocated all throughout this process that all types of stroke should form a single block in the new classification and be part of the nervous system chapter. All manifestations of cerebrovascular disease are related to brain dysfunction. We are relieved and fully support the prudent and farsighted changes implemented by the WHO team."
According to the WFN President the latest classification decision with respect to serves the interests of patients' needs. Prof Shakir: "It also ensures that health care provision and funding will be based on correct figures, which has not been the case thus far."
More information: The current beta draft of the new ICD-11 can be viewed here: apps.who.int/classifications/icd11/browse/l-m/en#/http%3A%2F%2Fid.who.int%2Ficd%2Fentity%2F843843448
Provided by: World Federation of Neurology

Tuesday, October 18, 2016

“Stroke clearly is a brain disease”

Why it is not even a disease at all, you just stabilize them and push them out to home care, similar to colds. Reading between the lines of ASA, NSA and WSO pronouncements; stroke is perfectly taken care of with F.A.S.T. Nothing to fix there at all. Sarcasm notifications needed in my posts.
http://www.alphagalileo.org/ViewItem.aspx?ItemId=169040&CultureCode=en
International experts concerned about WHO moves in classification process
“The medical rationale for stroke being a disease of the brain is overwhelming.” This is the key message of an urgent appeal launched by leading neurology experts in The Lancet.1 The authors are making public their concern about the classification of stroke in the draft revision of the “International Statistical Classification of Diseases and Related Health Problems” (ICD) after an unexpected and uncoordinated change in the classification scheme made by WHO staff.
The ICD-10 currently in place is based on outdated medical knowledge and concepts from the 1980s. The new ICD-11, which has been under discussion since 2009, is aimed at reflecting the changes in science and practice.
“There are very good reasons that we agreed five years ago, in a transparent process and after extensive debate in the WHO Neuroscience Topic Advisory Group and with WHO representatives, that all types of stroke should form a single block in the new classification that should be part of the nervous system disease chapter”, explained Prof Raad Shakir, head of the advisory body and President of the World Federation of Neurology. “All manifestations of cerebrovascular disease are related to brain dysfunction. The relationship with dementia and particularly Alzheimer’s disease is becoming clearer.”
According to Prof Shakir, the unilateral decision by WHO staff to move the newly created cerebrovascular thematic block from neurology to circulatory disease is not only incomprehensible, but also “did not follow the expected transparency of WHO decision-making.”
“The main purpose of any enduring classification should be to serve the interests of patients, which is not the case unless stroke is acknowledged as being a brain disease”, the authors of the comment cautioned. “The latest classification decision with respect to stroke needs to be reversed in order to safeguard patient care and provide correct figures and funding for health care provision.”
1 Revising the ICD: stroke is a brain disease. Raad Shakir, Steve Davis, Bo Norrving, Wolfgang Grisold, William M Carroll, Valery Feigin, Vladimir Hachinski; The Lancet, published online 13 October 2016: http://www.thelancet.com/ journals/lancet/article/ PIIS0140-6736(16)31850-5/ fulltext?rss=yes
http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(16)31850-5/fulltext?rss=yes