scholarly journals What is the appropriate control arm when testing usefulness of mobile stroke units in improving stroke outcomes?

2021 ◽  
pp. 159101992110118
Author(s):  
Mayank Goyal ◽  
Rosalie McDonough ◽  
Johanna Maria Ospel
Keyword(s):  
2021 ◽  
pp. 118-121
Author(s):  
Anjum Farooq ◽  
Narayanaswamy Venketasubramanian ◽  
Mohammad Wasay

Increasing incidence of stroke and lack of infrastructure in both urban and rural areas needs immediate attention in Pakistan. There is a high proportion of young stroke with poor stroke outcomes. Acute stroke care is scarce in Pakistan due to the small number of neurologists (1 neurologist per 1 million population), few stroke units, and limited availability of alteplase (recombinant tissue plasminogen activator) in the country.


2011 ◽  
Vol 41 (4) ◽  
pp. 321-326 ◽  
Author(s):  
D. A. Cadilhac ◽  
M. F. Kilkenny ◽  
M. Longworth ◽  
M. R. P. Pollack ◽  
C. R. Levi ◽  
...  
Keyword(s):  

2020 ◽  
Vol 7 (3) ◽  
pp. 35-38
Author(s):  
Marcellinus Nkpozi ◽  
Rowland Nwanke ◽  
Ejiofor Ugwu

Stroke, the third leading cause of death worldwide, contributes significantly to the morbidity and mortality of medical admissions. There is a paucity of literature on stroke outcomes in the Southeast region of Nigeria. This study, therefore, is aimed at bridging this gap in knowledge.      .This was a 10-year retrospective descriptive study in which data about patients with a clinical diagnosis of stroke were extracted from the Admission/Discharge registers in the medical wards of ABSUTH, Aba. Relevant data obtained were analyzed using Statistical Package for Social Sciences (SPSS) version 20.0 software. A total of 6587 admissions were recorded within the study period; 830 (12.6%) were admitted because of stroke, made up of 382 (46%) males and 448 (54%) females. Stroke was the commonest cause of death among the medical in-patients within the period under review and of all the stroke admissions, mortality was high at 42.3% with majority of the deaths (91.5%) occurring within the first two weeks of hospitalization. Stroke contributed significantly to medical admissions in the city of Aba, Nigeria. Mortality from stroke was high and that occurred mainly within the acute phase of the illness. There is, therefore, a need for dedicated stroke units to be set up in centres where stroke admissions are this high where the stroke in-patients will be afforded specialized multidisciplinary care instead of the present situation of medical ward admissions.        


2008 ◽  
Vol 2 (01) ◽  
pp. 5-7
Author(s):  
Diener Hans-Christoph
Keyword(s):  

Author(s):  
Tal-hatu Kolapo Hamzat ◽  
Nelson Echezona Ekechukwu

Background: Most stroke survivors live with residual physical impairments that may promote a sedentary lifestyle and resultant secondary complications, especially poor cardio-respiratory fitness. This systematic review was conceived to examine the extent of research on the effect of aerobic exercise on health outcomes of stroke survivors as a prelude to a clinical trial.Method: Electronic databases were searched with the last search performed in May, 2014. The methodological quality of studies was assessed using the PEDro scale. High-quality randomized controlled trials (RCTs) were considered level 1 evidence while lower-quality RCTs were considered level 2 evidence. Result: A total of 642 articles were generated from the search strategy; 10 articles fulfilled all criteria and were selected for this review. 50% of these studies recruited stroke survivors with ischaemic type of stroke while 30% had individuals with either ischaemic or haemorrhagic types. 70% of the studies had good scores while 30% had fair scores in methodological quality. The majority of the studies used VO2max as the outcome for assessing aerobic fitness; a few studies (10% each) assessed anthropometric outcomes and biochemical profile. No study assessed a haematological profile nor compared the effects of continuous and interval aerobic exercise on stroke outcomes. Conclusion: A gap in clinical trials on the effects of aerobic exercise on biochemical, haematological and anthropometric profiles of stroke survivors exists as well as in the comparative effects of continuous and interval training on stroke outcomes.


Author(s):  
Jeyaraj D. Pandian ◽  
Akanksha G. William ◽  
Peter Langhorne ◽  
Richard Lindley

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