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.

scholarly journals The Relationship of Psychiatric Symptoms with Performance-Based and Self-Reported Cognitive Function After Ischemic Stroke

2021 ◽  
pp. 1-13
Author(s):  
Elisabeth Kliem ◽  
Elise Gjestad ◽  
Truls Ryum ◽  
Alexander Olsen ◽  
Bente Thommessen ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
Executive Function ◽  
Depressive Symptoms ◽  
Cognitive Function ◽  
Psychiatric Symptoms ◽  
Post Stroke ◽  
Cognitive Difficulties ◽  
Memory And Attention ◽  
Relationship Of ◽  
The Relationship

Abstract Objective: Findings on the relationship of psychiatric symptoms with performance-based and self-reported cognitive function post-stroke are inconclusive. We aimed to (1) study the relation of depression and anxiety to performance-based cognitive function and (2) explore a broader spectrum of psychiatric symptoms and their association with performance-based versus self-reported cognitive function. Method: Individuals with supratentorial ischemic stroke performed neuropsychological examination 3 months after stroke. For primary analyses, composite scores for memory and attention/executive function were calculated based on selected neuropsychological tests, and the Hospital Anxiety and Depression Scale (HADS) was used. Psychiatric symptoms and self-reported cognitive function for secondary aims were assessed using the Symptom-Checklist-90 – Revised (SCL-90-R). Results: In a sample of 86 patients [mean (M) age: 64.6 ± 9.2; Mini-Mental State Examination (MMSE), 3–7 days post-stroke: M = 28.4 ± 1.7; National Institutes of Health Stroke Scale (NIHSS) after 3 months: M = 0.7 ± 1.6] depressive symptoms (HADS) were associated with poorer memory performance after controlling for age, sex, and education (p ≤ .01). In a subsample (n = 41; Age: M = 65.7 ± 8.1; MMSE: M = 28.4 ± 1.8; NIHSS: M = 1.0 ± 1.9), symptoms of phobic anxiety (SCL-90-R) were associated with poorer performance-based memory and attention/executive function, and symptoms of anxiety (SCL-90-R) with lower attention/executive function. Higher levels of self-reported cognitive difficulties were associated with higher scores in all psychiatric domains (p ≤ .05). Conclusion: Even in relatively well-functioning stroke patients, depressive symptoms are associated with poorer memory. The results also suggest that various psychiatric symptoms are more related to self-reported rather than to performance-based cognitive function. Screening for self-reported cognitive difficulties may not only help to identify patients with cognitive impairment, but also those who need psychological treatment.

scholarly journals THE RELATIONSHIP OF INSOMNIA WITH MOTOR CLINICAL OUTCOMES IN ISCHEMIC STROKE PATIENTS

2021 ◽  
pp. 1
Author(s):  
Nanung Prakoso ◽  
Herlina Suryawati ◽  
Amin Husni ◽  
Retnaningsih Retnaningsih ◽  
Jimmy Hartono ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
Clinical Outcomes ◽  
Stroke Patients ◽  
Relationship Of ◽  
The Relationship

Abstract WMP103: Epilepsy is Associated With Poorer Neurologic Outcome After Pediatric Arterial Ischemic Stroke

Stroke ◽  
2016 ◽  
Vol 47 (suppl_1) ◽  
Author(s):  
Christine K Fox ◽  
Lori C Jordan ◽  
Mark T Mackay ◽  
Gabrielle deVeber ◽  
Keyword(s):  
Ischemic Stroke ◽  
Neurologic Outcome ◽  
First Year ◽  
Stroke Outcome ◽  
Arterial Ischemic Stroke ◽  
Post Stroke ◽  
One Year ◽  
Active Epilepsy ◽  
Relationship Of ◽  
The Relationship

Introduction: Post-stroke epilepsy is common in children, but the relationship of childhood epilepsy with stroke outcome is poorly understood. Hypothesis: Children with epilepsy after arterial ischemic stroke have worse outcomes than those without epilepsy. Methods: We prospectively enrolled children (birth-18 years) with arterial ischemic stroke and identified remote seizures (occurring ≥ 7 days post-stroke). At one-year, patients with active epilepsy (≥ 1 remote seizure + maintenance anti-convulsant) were identified and Pediatric Stroke Outcome Measure (PSOM) was scored. Total PSOM scores range from 0-10; higher values reflect more severe neurologic deficits. Ordinal logistic regression was used to evaluate the relationship between clinical factors and PSOM scores. PSOM scores were categorized 0-1, 1.5-3, 3.5-6, 6.5-10 to depict stratified distribution. Results: Among 94 children (54% male; 20% Hispanic; 25% neonatal strokes; median age for childhood strokes 6.1 years, IQR 1.3-12), 12 had ≥ 1 remote seizure during the first year post-stroke. At one-year follow-up, 19 children were taking a maintenance anti-convulsant and 10 children had active epilepsy. Median PSOM score at one-year for the overall cohort was 0.5 (IQR 0-1.5). Median PSOM score among children with active epilepsy was 3.3 (IQR 0.5-6). Figure demonstrates distribution of categorized PSOM scores stratified by the presence of active epilepsy. On univariable regression analyses, older age (OR 1.1, 95% CI 1.0-1.1, P=0.02), maintenance anti-convulsant at one-year (OR 2.7, 95% CI 1.0-7.0, P=0.04) and active epilepsy (OR 6.3, 95% CI 1.7-25, P=0.007) were associated with higher total PSOM scores. After multivariable adjustment for age and maintenance anti-convulsant, active epilepsy remained associated with higher total PSOM score (OR 7.8, 95% CI 1.3-46, P=0.02). Conclusions: Active epilepsy one-year after pediatric arterial ischemic stroke is associated with poorer neurologic outcome.

scholarly journals Which Love Language do You Speak With Your Child? What Are the Effects of your Age, Level of Education, Work Status, and the Number of Children in the Family on the Used Love Languages?

2019 ◽  
Vol 9 (2) ◽  
pp. 187
Author(s):  
Reham Al-Mohtadi ◽  
Intisar Turki Al-darabah ◽  
Khaled Mohamad Hamaden
Keyword(s):  
Arab World ◽  
Common Type ◽  
Work Status ◽  
Level Of Education ◽  
Number Of Children ◽  
The Family ◽  
Mother’S Age ◽  
Love Language ◽  
The Relationship ◽  
Education Work

The purpose of the current study was to identify which languages of love that the mother used with her child. In addition, it examined the effect of mother’s age, level of education, work status, and the number of children in the family on the extent of the mother’s use of love languages. The study sample consisted of 729 mothers from the study population. The researchers used a questionnaire instrument that consisted of 105 items that were groups into five dimensions that represent the five love languages proposed by Gary Chapman, (1992). The researchers adopted and adjusted five love languages questionnaire to make it appropriate to be used in the Arab world. The questionnaire instrument was presented to panel of experts to check its validity. Appropriate statistical analysis methods were performed on participants’ responses to the questionnaire.   The findings showed that the most common type of love language that the mothers used to speak with their children was “acts of service”, while the least common type of love language that the mothers used to speak with their children was “words of affirmation”. In addition, the results showed that there were no significant differences in the extent of the mother’s use of love languages based on mother’s age, level of education, work status, and the number of children in the family. Based on the findings, the study provided some recommendations that were related to the important guidance roles of the institutions, centers and associations that concerned with the childhood sector and the parental relationship. These institutions, centers and associations should conduct training sessions and seminars that aim to discuss the nature of the relationship between mothers and their children. They should publish more training manuals and records that discuss the concept of love between the mother and her child and improve parents understanding of the love relationship between the mother and her child. Another important recommendation was related to the need to conduct more research studies to understand the relationship between the mother and her child. 

scholarly journals The Relationship of Serum S100B Levels with Infarction Size and Clinical Outcome in Acute Ischemic Stroke Patients

2014 ◽  
Vol 51 (4) ◽  
pp. 395-400 ◽  
Author(s):  
Ozlem Selcuk ◽  
Vildan Yayla ◽  
Murat Cabalar ◽  
Vildan Guzel ◽  
Samiye Uysal ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
Clinical Outcome ◽  
Acute Ischemic Stroke ◽  
Stroke Patients ◽  
Serum S100b ◽  
Infarction Size ◽  
Relationship Of ◽  
The Relationship

scholarly journals HUBUNGAN ACTIVITY DAILY LIVINGROOM DENGAN STABILITAS TEKANAN DARAH PADA PASIEN STROKE ISKEMIK (Studi Di Irna B Rsud Syarifah Ambami Rato Ebhu Bangkalan)

2019 ◽  
Vol 1 (2) ◽  
pp. 13-19
Author(s):  
Faisal Amir
Keyword(s):  
Physical Activity ◽  
Blood Pressure ◽  
Ischemic Stroke ◽  
Statistical Tests ◽  
Simple Random Sampling ◽  
Stroke Patients ◽  
Cross Tabulation ◽  
Almost All ◽  
Relationship Of ◽  
The Relationship

              Ischemic stroke is a syndrome that has thecharacteristic of a sudden, non-occlusive attackcaused by non traumatic brain circulatorydisorder. From the preliminary study resultsobtained data that from 10 respondents obtainedis still many patients with ischemic stroke withunstable blood pressure. The purpose of thisstudy was to analyze the relationship of physicalactivity with blood pressure in stroke patients inIrna B Syamrabu Bangkalan Hospital. In this study, the type of research used iscross sectional analytic research. The populationof 32 patients in Irna B Syarifah hospital ambamirato ebu bangkalan with sample of 30 patientsthrough Simple random sampling technique.Independent variable is physical activity anddependent variable Blood pressure. Datacollection for physical activity using questionnairesheet, for blood pressure using observationsheet. Statistical test using Somer's D. Based on the result of cross-tabulation ofphysical activity relationship with blood pressurein ischemic stroke patients in IRNA B SyarifahAmbami Rato Ebhu Bangkalan Hospital showedthat from 14 ischemic stroke patients with lessphysical activity, almost all of them had unstableblood pressure, 13 respondents Based on the results of statistical tests ofSomer's D, the results obtained ρ value <α (0.05)so that H0 rejected and H1 is accepted whichmeans there is a relationship between physicalactivity with blood pressure in patients ischemicstroke. The results of this study can be used as areference or comparison for further research andas a source of patient iformasi to be able toregulate their physical activity so that bloodpressure can be stable

scholarly journals Hubungan Status Sosial Ekonomi dengan Perilaku Hidup Bersih Sehat (PHBS) Masyarakat di Desa Pajukukang Kabupaten Maros

2020 ◽  
Vol 3 (1) ◽  
Author(s):  
Rismalasari Usman K ◽  
Firdaus Daud ◽  
Muhammad Wiharto
Keyword(s):  
Socioeconomic Status ◽  
Economic Status ◽  
Income Level ◽  
Correlation Study ◽  
Employment Level ◽  
Healthy Life ◽  
Level Of Education ◽  
Relationship Of ◽  
The Relationship ◽  
Work Type

Abstract. Healthy Clean-Living Behavior (PHBS) is carried out in order to realize a healthy life so as to prevent disease. The factors that cause the lack of people to behave in a healthy clean lifestyle are caused by their socioeconomic status. The socioeconomic status intended here is the level of education, type of work and income level. The purpose of this study was to determine how the condition of the socioeconomic status of the community and the behavior of healthy clean living in the community and to find out whether there is a relationship between socioeconomic status and healthy cleanliving behavior (PHBS) of the community in Pajukukang village, Maros district. This research is a correlation study. The sample taken was selected by cluster random sampling by taking a sample of 40 respondents per village. So that the overall sample of 120 respondents. Data were analyzed using descriptive and inferential data analysis. The relationship between education level and income level with PHBS was tested using Spearman rank, resulting in Asymp sig value. 0,000. Whereas the relationship of work type with PHBS was tested using contingency coefficients to produce Asymp sig. 0.010. Keywords: socio-economic status, healthy clean-living behavior, level of education, type of employment, level of income.

scholarly journals Vitamin D Status and Cognitive Performance of Post Stroke Patients

2021 ◽  
Vol 5 (1) ◽  
pp. 22
Author(s):  
Rizaldy Pinzon ◽  
Vincent Ongko Wijaya ◽  
Dessy Paramitha
Keyword(s):  
Vitamin D ◽  
Ischemic Stroke ◽  
Cognitive Impairment ◽  
Cognitive Performance ◽  
Vitamin D Status ◽  
Stroke Patients ◽  
Post Stroke ◽  
Vitamin D Levels ◽  
The Relationship ◽  
Normal Cognition

Background: The prevalence of post-stroke cognitive impairment (PSCI) ranges from 20-80%. Some studies found that vitamin D deficiency was common in stroke patients, yet the relationship with cognitive performance remains unclear. The study aimed to investigate the relationship between levels of vitamin D and cognitive performance in post-stroke patients.Materials and Methods: This was a cross-sectional study with 20 post-ischemic stroke patients. Vitamin D levels were measured using enzyme-linked fluorescent assay (ELFA). The cognitive performance was assessed by computerized mini-mental state examination (MMSE) and clock drawing test (CDT). The relationship between vitamin D levels and cognitive tests were performed using paired T-test.Results: Vitamin D insufficiency (<30 ng/mL) was experienced by all of the study subjects (100%), with the mean±SD of vitamin D level was 13.75±4.06 ng/mL. More than 70% subjects had cognitive impairment. Based on MMSE, patients with cognitive impairment had lower vitamin D levels, compared with those patients with normal cognition (13±4.38 vs. 16±2.44 ng/mL, p<0.001). In CDT examination, patients with cognitive impairment had slightly higher vitamin D levels, compared with those patients with normal cognition (13.93±4.25 vs. 13.33±3.93 ng/mL, p<0.001).Conclusion: The insufficiency of vitamin D on post-ischemic stroke patients appears to generate a bigger chance of PSCI occurrence. Physicians should be aware of vitamin D status of post-stroke patients, especially in the older population.Keywords: vitamin D levels, post-stroke cognitive impairment, risk factors

scholarly journals The relationship of intrathecal immunoglobulin levels with clinic symptoms and prognosis for acute phase ischemic stroke patients

2014 ◽  
Vol 36 (4) ◽  
pp. 512
Author(s):  
Aslı Bolayır ◽  
Hesna Bektaş ◽  
Zeynep Issı ◽  
Fatma Ayşen Eren ◽  
Selvi Okundu
Keyword(s):  
Ischemic Stroke ◽  
Acute Phase ◽  
Stroke Patients ◽  
Relationship Of ◽  
The Relationship ◽  
Immunoglobulin Levels
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