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Relationship between hospital volume and early outcomes in acute ischemic stroke patients treated with recombinant tissue plasminogen activator

Wiley: 18 JUL 2014 Background There is controversy whether the annual number of acute ischemic stroke patients receiving stroke thrombolysis per hospital (hospital volume) is associated with outcomes in these patients. Aims The study aims to assess the relationship between hospital volume and early outcomes in acute ischemic stroke patients treated with recombinant tissue plasminogen activator. […]

Evidence for Stroke Family Caregiver and Dyad Interventions

AHA- STR: July 17, 2014 Abstract Stroke is a leading cause of severe, long-term disability. Most stroke survivors are cared for in the home by a family caregiver. Caregiver stress is a leading cause of stroke survivor institutionalization, which results in significant costs to the healthcare system. Stroke family caregiver and dyad intervention studies have […]

Stroke Incidence and Mortality Trends in US Communities, 1987 to 2011

JAMA: July 16, 2014 Importance  Prior studies have shown decreases in stroke mortality over time, but data on validated stroke incidence and long-term trends by race are limited. Objective  To study trends in stroke incidence and subsequent mortality among black and white adults in the Atherosclerosis Risk in Communities (ARIC) cohort from 1987 to 2011. Design, Setting, and Participants  Prospective cohort […]

Trends in 10-Year Survival of Patients With Stroke Hospitalized Between 1980 and 2000

STROKEAHA: uly 15, 2014 Abstract Background and Purpose—We report on trends in poststroke survival, both in the early period after stroke and over the long term. We examine these trends by stroke subtype. Methods—The Minnesota Stroke Survey is a study of all hospitalized patients with acute stroke aged 30 to 74 years in the Minneapolis–St Paul […]

Status of Cardiovascular Disease and Stroke in Hispanics/Latinos in the United States

CIR: July 2014 Background and Purpose—This American Heart Association (AHA) scientific statement provides a comprehensive overview of current evidence on the burden cardiovascular disease (CVD) among Hispanics in the United States. Hispanics are the largest minority ethnic group in the United States, and their health is vital to the public health of the nation and […]

Chronic Stress, Depressive Symptoms, Anger, Hostility, and Risk of Stroke and Transient Ischemic Attack in the Multi-Ethnic Study of Atherosclerosis

STROKEAHA: July 10, 2014 Background and Purpose—This study investigated chronic stress, depressive symptoms, anger, and hostility in relation to incident stroke and transient ischemic attacks in middle-aged and older adults. Methods—Data were from the Multi-Ethnic Study of Atherosclerosis (MESA), a population-based cohort study of 6749 adults, aged 45 to 84 years and free of clinical […]

Racial differences in disability after stroke

 Neurology: June 27, 2014 Objective: We sought to characterize racial differences in disability among older stroke survivors. Methods: A cross-sectional study of 806 self-reported stroke survivors from the 2011 National Health and Aging Trends Study was performed. Race was based on self-report. Primary outcome was activity limitations (requiring assistance with mobility, self-care, and household activities). Secondary outcome was […]

Inability to consent does not diminish the desirability of stroke thrombolysis

Wiley: 9 JUL 2014 Objective Some have argued that physicians should not presume to make thrombolysis decisions for incapacitated patients with acute ischemic stroke because the risks and benefits of thrombolysis involve deeply personal values. We evaluated the influence of the inability to consent and of personal health-related values on older adults’ emergency treatment preferences for […]

Family History as a Risk Factor for Carotid Artery Stenosis

STROKEAHA: July 8, 2014 Background and Purpose—We investigated whether family history of stroke or coronary heart disease (CHD) is associated with presence of carotid artery stenosis (CAS). Methods—The study cohort included 864 patients (72±8 years; 68% men) with CAS and 1698 controls (61±11 years; 55% men) referred for noninvasive vascular testing. CAS was defined as ≥70% […]