The relationship of flow velocities to vessel diameters differs between extracranial carotid and vertebral arteries of stroke patients

2013 ◽  
Vol 42 (1) ◽  
pp. 16-23 ◽  
Author(s):  
Mayowa O. Owolabi ◽  
Atinuke M. Agunloye ◽  
Adesola Ogunniyi
Keyword(s):  
Stroke Patients ◽  
Vertebral Arteries ◽  
Relationship Of ◽  
The Relationship ◽  
Carotid And Vertebral Arteries ◽  
Flow Velocities

Abstract 12: Feasibility of Monitoring Covid-19 Related Stroke Patients Across a 14 Hospital Stroke System of Care

Stroke ◽  
2021 ◽  
Vol 52 (Suppl_1) ◽  
Author(s):  
Howard J Rho ◽  
Navdeep S Sangha
Keyword(s):  
Stroke Care ◽  
Stroke Patients ◽  
Specific Data ◽  
Related Data ◽  
Disease States ◽  
Hospital Systems ◽  
Pandemic Response ◽  
Relationship Of ◽  
The Relationship ◽  
Existing Data

Background: Identifying and tracking COVID-19 related data has been crucial to the pandemic response. Most hospital systems have created internal tracking databases specific to COVID-19 but separated from other disease specific data pools. Traditional methods for tracking and trending novel and specific data such as COVID-19 related strokes may require personnel with highly technical skills to abstract the data. We aimed to create a COVID-19 stroke dashboard which would easily auto-abstract and update data. Methods: A simple monitoring system was designed using PowerBI™ and Microsoft Suite™ products that model existing data sources without using other IT resources. Existing data queries from various sources were modeled into one report and the resulting data model was used to track and trend incidence of COVID-19 and its relationship to stroke care throughout a 14- hospital stroke system. Results: The report allowed region-wide identification and evaluation of several metrics, including: volume of code strokes, the volume of patients who had a stroke within two weeks before or after testing positive for COVID-19, the initial NIHSS, if alteplase was administered, reason for no alteplase administration, delay in alteplase administration and if related to COVID-19 and the relationship of COVID-19 cases to the volume of code strokes. It was found that the volume of code strokes significantly decreased during the time of the pandemic and was inversely related to the volume of COVID-19 positive cases being reported in a county. The tool also found that COVID-19 positive stroke patients increased as the overall COVID-19 hospital volume increased. Conclusion: Assessing the relationships between a novel disease and other disease states may lead to changes in hospital workflows and practices resulting into improved patient outcomes.

Abstract 90: Socioeconomic Status Is Associated With Disability Following Acute Ischemic Stroke: Findings From The Adherence eValuation After Ischemic stroke-Longitudinal (AVAIL) Registry

Stroke ◽  
2012 ◽  
Vol 43 (suppl_1) ◽  
Author(s):  
Janet Prvu Bettger ◽  
Xin Zhao ◽  
Cheryl Bushnell ◽  
Louise Zimmer ◽  
Ying Xian ◽  
...  
Keyword(s):  
Socioeconomic Status ◽  
Ischemic Stroke ◽  
Household Income ◽  
Work Status ◽  
Stroke Patients ◽  
Level Of Education ◽  
Post Stroke ◽  
Relationship Of ◽  
The Relationship ◽  
Education Work

Background: Socioeconomic status (SES) is widely recognized as an area of inequity that affects health outcomes. However, social determinants of health are less frequently measured in longitudinal studies of acute stroke patients. The relationship of SES on disability 3-months post-stroke is unknown. Methods: We analyzed ischemic stroke patients in the AVAIL registry who were enrolled at 98 hospitals participating in Get With The Guidelines-Stroke. Patients who died (n=64) or did not complete a modified Rankin Scale (mRS) at 3-months (n=154) were excluded. Multivariable logistic regression was used to examine the relationship of SES (defined by level of education, work status, and perceived adequacy of household income to meet needs) and disability (mRS scores 3-5). Results: Among the 2092 stroke patients who met eligibility criteria, the mean age was 65.5 ± 13.7, 44.2% were female, and 82.7% were White. Fifty seven percent had a high school or less education, 11.4% were not working post-stroke and were home not by choice, and 25.7% were without an adequate household income. A third of the sample had some level of disability at 3-months (34.6% mRS 3-5). Those with disability were more likely to be older, non-White, female, single, less educated, have inadequate income, and were home not by choice. In the multivariable analysis, lower education, inadequate income, and being home but not by choice (compared with those who returned to work) were independently associated with disability (p<0.01; Table ). Conclusion: In this national cohort of stroke survivors, socioeconomic status as measured by level of education, work status, and income were independently associated with post-stroke disability.

Incompetent Circle of Willis and Vertebrobasilar Insufficiency

2003 ◽  
Vol 112 (8) ◽  
pp. 657-664 ◽  
Author(s):  
Louis W. Welsh ◽  
Bernard Lewin ◽  
John J. Welsh ◽  
Joseph E. Dragonette
Keyword(s):  
Internal Carotid ◽  
Circle Of Willis ◽  
Structural Defects ◽  
Vertebrobasilar Insufficiency ◽  
Resonance Imaging ◽  
Vertebral Arteries ◽  
Significant Difference ◽  
Asymptomatic Individuals ◽  
The Relationship ◽  
Carotid And Vertebral Arteries

An analysis of the vascular basis of vertebrobasilar insufficiency was derived from the examination of 135 subjects by magnetic resonance imaging and angiography. The data from this cohort were compared to those from normal, ie, asymptomatic, individuals. We concluded that there is a significant difference in the potential for intracerebral collateralization and regional perfusion due to structural defects such as stenosis or developmental absence of the posterior communicating arteries in this symptomatic group. In addition, an occlusion of one or more of the source vessels, the internal carotid and vertebral arteries, in conjunction with an incomplete circle of Willis increased the potential for hindbrain perfusion deficits. Clinical cases illustrate the relationship between failure of internal shunting and the myriad symptoms of hindbrain dysfunction.

HUBUNGAN PELAKSANAAN SCREENING TEST MENELAN DENGAN KEJADIAN DISFAGIA PADA PASIEN BARU YANG MENDERITA STROKE AKUT

2017 ◽  
Vol 4 (2) ◽  
pp. 47-53
Author(s):  
Muhammad Arif
Keyword(s):  
Acute Stroke ◽  
Screening Test ◽  
P Value ◽  
Stroke Patients ◽  
Test Procedures ◽  
Chi Square ◽  
Chi Square Test ◽  
Relationship Of ◽  
The Relationship ◽  
Test Result

According to the NINDS 2015, States that a stroke occurs when the blood supply to brain fails suddenly interrupted due to a blockage or rupture of blood vessels were. Basic Health Research results that show an increase in the prevalence of stroke symptoms in Indonesia increased from 8.3 at 1000 in 2007 to 12.1 and at 1000 in 2013. One of the problems that arise due to stroke is a disorder of swallowing or dysphagia. According to the World Stroke Academy Learning Moduls in 2012 the prevalence of dysphagia in stroke sufferers range from 36 to 67%. In the year 2016 in RSSN dysphagia in stroke patients 22,94%. For early detection of dysphagia screening test required to swallow as a first step in identifying the risks due to dysphagia and aspiration in stroke patients. The purpose of this research is to know the relationship of the implementation of the screening test to swallow with dysphagia in acute stroke patients in the room just entered inpatient Neurology RSSN Bukittinggi in 2017. This research method using analytic, descriptive, then the data was processed using the Chi Square test. The sample in this study as many as 54 people respondents. Test result statistics retrieved value p value = 0.002 (p < α) then it can be inferred the existence of a relationship between the implementation of the screening test to swallow with dysphagia in acute stroke patients the new entry. Analysis of the results obtained OR = 9.281 meaning respondents who perform screening test procedures in accordance with the swallow has a chance of  9.281 times in detecting the occurrence of dysphagia. Suggestions in this study is the implementation of a screening test this swallow can be included in SPO for nurses in Bukittinggi in the room especially RSSN Neurology in detecting the onset of dysphagia in acute stroke patients.

scholarly journals HUBUNGAN DUKUNGAN KELUARGA DENGAN KEPATUHAN PASIEN STROKE DALAM MELAKUKAN FISIOTERAPI DI RSUD H. SAHUDIN KUTACANE TAHUN 2021

2021 ◽  
Vol 6 (2) ◽  
pp. 44-50
Author(s):  
Dina Andriani
Keyword(s):  
Family Support ◽  
Compliance Rate ◽  
Sampling Technique ◽  
Educational Institutions ◽  
Stroke Patients ◽  
Exact Test ◽  
The Family ◽  
Relationship Of ◽  
The Relationship ◽  
Good Support

Family support is the help provided by the family to family members in need when facing problems whereas compliance is the extent to which the patient's behavior is in accordance with the provisions provided by the health professional. The design of this study is correlational. The goal is to find out the relationship of family support with the compliance of stroke patients in doing physiotherapy. Sampling using purposive sampling technique amounted to 22 respondents who were a family of stroke patients who did physiotherapy at RSUD Kutacane, Southeast Aceh Regency. The compliance rate of stroke patients in doing physiotherapy in the hospital is about 72.7% where families who provide support as much as 77.3%. Based on the results of the analysis with fisher's exact test obtained the value P (fisher) = 0.000. Then there is a relationship between family support and the compliance of stroke patients in doing physiotherapy. These results show that if the family provides good support, then the patient's compliance with physiotherapy will be better as well. Based on the results of this study, the family should be able to provide support to patients. It is expected that the H. Sahudin of Southeast Aceh Regency Hospital, Educational Institutions and other related institutions will develop a permanent procedure on providing health education to patients and their families, especially about the importance of family support in the recovery of the patient's health.

Abstract 2828: Caregivers And Their Impact On Inpatient Rehabilitation Efficiency And Effectiveness Amongst Recent Stroke Survivors In An Urbanised Asian Society

Stroke ◽  
2012 ◽  
Vol 43 (suppl_1) ◽  
Author(s):  
Gerald Choon Huat Koh ◽  
Liang En Wee ◽  
Cynthia Chen ◽  
Cheong Angela ◽  
Ngan Phoon Fong ◽  
...  
Keyword(s):  
Linear Regression ◽  
Mixed Model ◽  
Primary Caregivers ◽  
Primary Caregiver ◽  
Older Age ◽  
Stroke Survivors ◽  
Stroke Patients ◽  
Asian Society ◽  
Relationship Of ◽  
The Relationship

Introduction: Cross-cultural differences could influence the relationship between caregiving and rehabilitation outcomes in stroke survivors between different societies. We aimed to determine independent factors of rehabilitation effectiveness (REs) and rehabilitation efficiency (REy) amongst recent stroke survivors in Singapore, and examine if having a caregiver affected these outcomes. Methods: We retrospectively studied all stroke patients fulfilling inclusion criteria (n=3796) from all Singaporean rehabilitation hospitals from 1996-2005. We used backward mixed model linear regression (multivariate) to test the relationship between independent variables and REs and REy. Admission and discharge Shah-modified Barthel Indices were used to calculate REs and REy. We further explored the effect of caregiver availability, number of caregivers, and relationship of caregiver to patient on REs and REy. Mixed logistic regression identified independent predictors of caregiver availability and caregiver relationship to patient, mixed Poisson modelling identified independent predictors of caregiver number; mixed linear regression identified the relationship of REy and REs with caregiver factors. Results: Having a caregiver independently predicted poorer REs and log REy; other predictors included older age, Malay ethnicity, ischemic stroke, longer time to admission, dementia. Within our population, 95.8% (3640/3796) had caregivers and 94.2% (3429/3640) of them provided physical care (defined as primary caregivers). Of patients with primary caregivers, 41.2% relied on live-in hired help (foreign domestic workers, FDWs), 27.6% on spouses and 21.6% on first-degree relatives. Independent factors associated with caregiver availability and number were older age, female, being married, higher socioeconomic status, and having a religion (all p<0.05). Compared to those who had spouse as primary caregiver, having a child or parent (β=-4.1, 95%CI=-8.0 to -0.1, p=0.042) or FDW (β=-6.9, 95%CI=-9.9 to -3.9, p<0.001) as primary caregiver were predictive of poorer REs, while having a child or parent (β=-0.140, 95%CI=-0.280 to 0.001, p=0.052) or FDW (β=-0.110, 95%CI=-0.210 to -0.001, p=0.048) as primary caregiver were predictive of poorer log REy. Conclusions: In this Asian population, having a caregiver was surprisingly associated with poorer REs and REy in stroke patients, perhaps due to differing socio-cultural contexts; only 49.2% of patients depended on spouse/near relatives as primary caregivers, compared with higher estimates in Western populations. REs further declined with decreasing closeness of relationship between primary caregiver and patient, and REy was poorer in patients with hired help as primary caregivers. Perhaps the role of hired help in stroke caregiving should be re-thought, as dependence on FDWs is high in many Asian cities due to population ageing.

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