Review
Peripheral Vascular Disease
Yuda Turana, Jeslyn Tengkawan, Yook Chin Chia, Michael Nathaniel, Ji-Guang Wang, Apichard Sukonthasarn, Chen-Huan Chen, Huynh Van Minh, Peera Buranakitjaroen, Jinho Shin, Saulat Siddique, Jennifer M. Nailes, Sungha Park, Boon Wee Teo, Jorge Sison, Arieska Ann Soenarta, Satoshi Hoshide, Jam Chin Tay, Guru Prasad Sogunuru, Yuqing Zhang, Narsingh Verma, Tzung-Dau Wang, Kazuomi Kario
Summary: Stroke is a major cause of disability and vascular death in Asia and globally. Studies in Asia have found that hypertension is the most prevalent risk factor for stroke, with blood pressure levels and variability also playing a role. Post-stroke cognitive impairment is a significant public health concern that is often overlooked despite its increasing prevalence. Preventing recurrence and increasing awareness and adherence to hypertension treatment are key goals in Asia.
JOURNAL OF CLINICAL HYPERTENSION
(2021)
Review
Clinical Neurology
Kori S. Zachrison, Victoria M. Nielsen, Natalia Perez de la Ossa, Tracy E. Madsen, Rebecca E. Cash, Remle P. Crowe, Erika C. Odom, Edward C. Jauch, Opeolu M. Adeoye, Christopher T. Richards
Summary: Prehospital factors play a critical role in acute stroke care and patient outcomes. This review discusses the current state of prehospital components of stroke systems of care, including layperson recognition of stroke, transport strategies, networked care, data integration, and inequities within systems.
Review
Medicine, General & Internal
Sangeetha Mahadevan, Moon Fai Chan, Marzieh Moghadas, Maithili Shetty, David T. Burke, Khalid Al-Rasadi, Samir Al-Adawi
Summary: Recent research has shown that there are higher rates of post-stroke psychiatric and cognitive symptoms among stroke survivors in developing countries compared to developed countries. This study aimed to quantify the prevalence of these symptoms among stroke survivors from West and South Asia and Africa through a systematic review and meta-analysis. The findings underscore the need for robust studies using culturally sensitive measures to address the unmet needs of this vulnerable population.
JOURNAL OF CLINICAL MEDICINE
(2021)
Article
Multidisciplinary Sciences
Chih-Wei Sung, Jen-Tang Sun, Edward Pei-Chuan Huang, Sang Do Shin, Kyoung Jun Song, Ki Jeong Hong, Sabariah Faizah Jamaluddin, Do Ngoc Son, Ming-Ju Hsieh, Matthew Huei-Ming Ma, Li-Min Hsu, Wen-Chu Chiang
Summary: This study investigated the association between prehospital fluid resuscitation and outcomes of trauma patients in Asia. The results showed that prehospital fluid resuscitation was associated with higher in-hospital mortality and poor functional outcomes.
SCIENTIFIC REPORTS
(2022)
Review
Clinical Neurology
Valeria Caso, Sheila Martins, Robert Mikulik, Sandy Middleton, Stanislav Groppa, Jeyaraj Durai Pandian, Nguyen Huy Thang, Thierry Danays, Jan van der Merwe, Thomas Fischer, Werner Hacke
Summary: The rate of stroke-related death and disability is significantly higher in low- and middle-income countries compared to high-income countries. The Angels Initiative, established in 2016, aims to increase the number of stroke-ready hospitals globally and improve the quality of existing stroke units. Through their work, dedicated consultants standardize care procedures and establish quality monitoring frameworks to enhance stroke care.
INTERNATIONAL JOURNAL OF STROKE
(2023)
Article
Multidisciplinary Sciences
Rikke Guldager, Mia Ingerslev Loft, Sara Nordentoft, Lena Aadal, Ingrid Poulsen
Summary: Involving relatives in the care and treatment of patients with brain injuries or brain tumors can lead to better outcomes and higher satisfaction. However, nurses face complex challenges in facilitating this involvement. This scoping review aims to identify the facilitators and barriers to nurses involving relatives in the treatment of these patients.
Article
Geriatrics & Gerontology
Max Geraedts, Dijana Ebbeler, Nina Timmesfeld, Manfred Kaps, Klaus Berger, Bjorn Misselwitz, Christian Guenster, Patrik Droege, Michael Schneider
Summary: This study compared the long-term outcomes of older patients with and without treatment in stroke units (SUs). The results showed that even very old stroke patients benefit from SU treatment in the short and long term.
Review
Clinical Neurology
Eileen Cowey, Markus Schichtel, Joshua D. Cheyne, Lorna Tweedie, Richard Lehman, Rita Melifonwu, Gillian E. Mead
Summary: This study aimed to review research on palliative care and stroke published since 2015. The literature fell into three categories, but lacked evidence on interventions for specific palliative symptoms and shared decision-making. Racial disparities exist in access to palliative care after stroke, and there is a lack of literature from low and middle-income countries.
INTERNATIONAL JOURNAL OF STROKE
(2021)
Article
Multidisciplinary Sciences
Lukas Mayer-Suess, Annemieke ter Telgte, Silvia Praxmarer, Johann Willeit, Ewald Woll, Theresa Geley, Heinrich Rinner, Michael Knoflach, Stefan Kiechl
Summary: The aim of the study was to assess whether a well-established Stroke Care Pathway can cope with the COVID-19 pandemic. The study found that during the pandemic, the quality and outcomes of stroke care did not significantly change, but there were limitations in in-patient rehabilitation resources.
SCIENTIFIC REPORTS
(2023)
Article
Clinical Neurology
Marco Antonio Lobo Chaves, Matthew Gittins, Benjamin Bray, Andy Vail, Craig J. Smith
Summary: The study revealed that 8.5% of stroke patients developed stroke associated pneumonia. A longer time to arrival at a stroke unit, assessment by a stroke specialist, and assessment by a physiotherapist were all independently associated with a higher risk of stroke associated pneumonia. Shorter door to needle times were associated with lower odds of stroke associated pneumonia.
FRONTIERS IN NEUROLOGY
(2022)
Article
Medicine, General & Internal
Seungji Kang, Seuhyun Eum, Yoonkyung Chang, Ai Koyanagi, Louis Jacob, Lee Smith, Jae Il Shin, Tae-Jin Song
Summary: According to the Global Burden of Disease study, the DALYs of neurological diseases in South-East Asia and Western Pacific regions were 64.4 million and 85.0 million in 2019, respectively. Stroke, migraine, Alzheimer's disease and other dementias had the highest DALYs in these regions in 2019.
Article
Clinical Neurology
Suxi Zheng, Tong Zhang, Hong-Qiu Gu, Zi-Qin Zhang, Xin Yang, Chunjuan Wang, Hao Li, Yong Jiang, Haipeng Shen, Zixiao Li, Yongjun Wang
Summary: This study aims to explore the regional discrepancies in adherence to stroke interventions in the stroke belt and economic development divisions in China, as well as their interaction. The findings show that the overall quality of care in non-stroke belt regions is higher than in stroke belt regions, and there are interaction effects between the two divisions on several individual measures.
Article
Cardiac & Cardiovascular Systems
Mellanie Springer, Lesli E. Skolarus, Chunyang Feng, James F. Burke
Summary: This study aims to discuss post-stroke outcomes related to post-stroke function and post-acute care discharge setting, and found that post-stroke function and discharge setting are associated with mortality within 90 days. The study also found that low-functioning stroke survivors discharged to skilled nursing facilities have higher mortality rates within one year.
JOURNAL OF THE AMERICAN HEART ASSOCIATION
(2022)
Article
Medicine, General & Internal
Vivek Nambiar, Manu Raj, Damodaran Vasudevan, Renjitha Bhaskaran, Remya Sudevan
Summary: The study reported low 1-year all-cause mortality among stroke patients, with predictors including age, baseline NIHSS score, and baseline mRS score.
Article
Clinical Neurology
Wen-Jun Tu, Feng Yan, Bao-Hua Chao, Xun-Ming Ji, Longde Wang
Summary: Among stroke patients, admission to a designated SU was associated with modestly lower mortality at discharge, reduced probability of death, or being disabled at the end of follow-up.
JOURNAL OF NEUROLOGY
(2021)