2 edition of Mortality determinants in acute stroke. found in the catalog.
Mortality determinants in acute stroke.
Theresa VГ©ronique Darcel
Published
1983
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Written in
The Physical Object | |
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Pagination | 93 leaves |
Number of Pages | 93 |
ID Numbers | |
Open Library | OL16344587M |
In patients with dementia who have had a stroke, the increase in mortality is significant. The 5-year survival rate is 39% for patients with vascular dementia compared with 75% for age-matched. Plasma levels of brain natriuretic peptide (BNP) are frequently elevated after an acute stroke and have been shown to be an independent predictor of mortality. However, the relationships between stroke and BNP concentrations have not yet been systematically investigated. Plasma BNP assay and echocar .
Stroke is a leading cause of mortality and disability worldwide and the economic costs of treatment and post-stroke care are substantial. The Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) provides a systematic, comparable method of quantifying health loss by disease, age, sex, year, and location to provide information to health systems and policy makers on more than • Stroke is the fifth leading cause of death among American Indians and Alaska Natives. • American Indians and Alaskan Natives die from heart disease at younger ages – with 36% dying under the age of 65 versus 17% in the overall US population.
We investigated morbidity, mortality and recovery for different types of aphasia in consecutive unselected aphasic patients with acute stroke. Setting and subjects. In aphasic patients, the type and degree of aphasia were assessed acutely and at 3, 6 and 18 months after stroke onset, using Reinvang’s ‘Grunntest for afasi’ and. Stroke represents one of the leading causes of mortality and disability worldwide, with important social and economic consequences [].Despite a decrease in mortality and disability-adjusted life-years over the last 20 years, mediated by improvement in general ICU care, development of stroke units [] and effective reperfusion strategies in acute ischemic stroke [3, 4], the burden of stroke is.
Determinants of the decline in mortality from acute stroke in England: linked national database study of adults. Seminog OO(1), Scarborough Cited by: Objectives To study trends in stroke mortality rates, event rates, and case fatality, and to explain the extent to which the reduction in stroke mortality rates was influenced by changes in stroke event rates or case fatality.
Design Population based study. Setting Person linked routine hospital and mortality data, England. Participants adults aged 20 and older who were admitted to Cited by: Determinants of the decline in mortality from acute stroke in England: linked national database study of adults Olena O Seminog, 1 Peter Scarborough, 2 F Lucy Wright,1 Mike Rayner,2 Michael J Goldacre1 ABSTRACT OBJECTIVES To study trends in stroke mortality rates, event rates, and case fatality, and to explain the extent to whichCited by: Even less data is available regarding urban-rural differences in in-hospital stroke mortality.
Existing studies have been limited to single centers, 9 single states, 10 or were completed decades ago before major advancements in acute stroke care were made. There are reasons to be concerned that the rural-urban divide may be : Gmerice Hammond, Alina A.
Luke, Lauren Elson, Amytis Towfighi, Karen E. Joynt Maddox. Determinants of extended door-to-needle time in acute ischemic stroke and its influence on in-hospital mortality: results of a nationwide Dutch clinical audit Laurien S.
Kuhrij, 1, 2 Perla J. Marang-van de Mheen, 3 Renske M. van den Berg-Vos, 4 Frank-Erik de Leeuw, 5, 6 Paul J. Nederkoorn, 1 and on behalf of the Dutch Acute Stroke Audit Cited by: 1. Objectives: The present study analyzed in-hospital first-time stroke mortality in southwestern Saudi Arabia over one-year to assess the in-hospital stroke case fatality rate, mortality rate and explore the factors associated with in-hospital stroke mortality.
Study Design: Hospital based follow-up study. Methods: First-time stroke patients admitted to all hospitals in Asser region over one. Specialities: Stroke Summary Based on person-linked hospital and mortality data for patients >20yrs admitted to hospital with acute stroke or died from stroke suggests overall reduction in stroke mortality have more likely been driven by improvement in stroke care rather than reduction in event rate.
This study was supported by the National Institute of Neurological Disorders and Stroke (NINDS), and the American Heart Association Get With The Guidelines-Stroke (GWTG-Stroke).
Dr Albert Yoo receives research support from Penumbra Inc and NIH/ Joshua Hirsch is a shareholder in Intratech. Dr Lee Schwamm is on the CoAxia Advisory Board, the Lundbeck DIAS 4 Intl Steering Committee, and.
Frailty is an important predictor of mortality, often unacknowledged. Limited research has been done on frailty in the context of stroke mortality. Frailty scores specific to acute stroke patients are currently not available and need to be developed.
Integrating frailty into decision-making can help inform treatment decisions in acute stroke. Intracerebral hemorrhage is associated with very high morbidity and mortality.
It is important to realize that, as with acute ischemic strokes, time is of the essence in ICH. The reason for this is that the blood accumulates rapidly, and the volume of the hematoma is the most important determinant of outcome.
Determinants of the decline in mortality from acute stroke in England: linked national database study of adults. BMJ, 30 Jul. A recent study showed that adjusting NIHSS scores substantially changed the performance ranking among hospitals and noted that stroke severity should be considered in the model for evaluating day mortality as an indicator for hospital performance.
11 NIHSS score is a strong determinant of outcome in stroke and should be considered in outcome. The first study, Ischemic Stroke Associated with Covid and Racial Outcome Disparity in North America, finds mortality rates in African American stroke.
OBJECTIVES: To study trends in stroke mortality rates, event rates, and case fatality, and to explain the extent to which the reduction in stroke mortality rates was influenced by changes in stroke event rates or case fatality.
DESIGN: Population based study. SETTING: Person linked routine hospital and mortality data, England. PARTICIPANTS: adults aged 20 and older who were admitted to. Stroke is the world’s second leading cause of mortality and long-term disability.
Damage to the nondominant right brain has distinct clinical characteristics. The resultant cardiovascular and autonomic dysfunction peculiar to right hemispheric stroke can adversely affect the short- and long-term outcome of stroke victims.
Blood flow characteristics to the right hemisphere may also put the. Hypertension is the most important modifiable risk factor for stroke. 1,2 It is estimated that 25% or more of strokes may be attributable to hypertension.
Because many patients with stroke have mild hypertension or prehypertension, we have shifted our focus and now think of stroke on a continuum of risk based on blood pressure (BP) level rather than on a threshold effect.
3 Because high BP may. Intravenous thrombolysis (IVT) plays a prominent role in the treatment of acute ischemic stroke (AIS). The sooner IVT is administered, the higher the odds of a good outcome. Therefore, registering the in-hospital time to treatment with IVT, i.e. the door-to-needle time (DNT), is a powerful way to measure quality improvement.
The aim of this study was to identify determinants that are. Determinants of the decline in mortality from acute stroke in England: linked national database study of adults Olena O Seminog, 1 Peter Scarborough, 2 F Lucy Wright, 1 Mike Ray ner, 2. In developing and developed countries, low socioeconomic status (SES) is associated with poor health.
1 This is true especially for cardiovascular diseases, with stroke as one of the world’s largest health problems. Studies have found an up to 3-fold higher stroke incidence, stroke mortality, and all-cause mortality for stroke patients with lower SES than for patients with higher SES.
2–8. We evaluated factors affecting mortality and quality of life in 1, patients with acute stroke followed for 2 to 8 years. In cerebral infarction, the major determinants for short-term mortality were impaired consciousness, leg weakness, and increasing age.
The major determinants for long-term mortality were low level of activity at hospital discharge, advanced age, male sex, heart disease.
Determinants of extended door-to-needle time in acute ischemic stroke and its influence on in-hospital mortality: results of a nationwide Dutch clinical audit Laurien S.
Kuhrij1,2*, Perla J. Marang-van de Mheen3, Renske M. van den Berg-Vos4, Frank-Erik de Leeuw5,6, Paul J. Nederkoorn1 and on behalf of the Dutch Acute Stroke Audit consortium.During the same period, the rate fell % for acute myocardial infarction, % for heart failure and % for stroke, with improvements observed across most age and sex groups.
The age- and sex-standardized rate of hospital admissions decreased % for stroke and % for heart failure. The rate for acute myocardial infarction fell only.Methods: Patients discharged with a diagnosis of acute ischemic stroke during a 1-year period, were included. Patients diagnosed with acute myocardial infarction (MI) within the last 7 days before admission or during hospitalization were excluded.
Results: In all, (%) of .