Acupuncture Efficacy on Acute Stroke Patients: A Meta-analysis

2018 ◽  
Vol 28 (3) ◽  
pp. 62
Author(s):  
Jiaqing LIU ◽  
Tongyan LIU ◽  
Yun XIANG ◽  
Ning ZHAO ◽  
Hong ZHANG
Keyword(s):  
Acute Stroke ◽  
Meta Analysis ◽  
Stroke Patients

A prognostic role for Low tri-iodothyronine syndrome in acute stroke patients: A systematic review and meta-analysis

2018 ◽  
Vol 169 ◽  
pp. 55-63 ◽  
Author(s):  
Nayan Lamba ◽  
Chunming Liu ◽  
Hasan Zaidi ◽  
M.L.D. Broekman ◽  
Thomas Simjian ◽  
...  
Keyword(s):  
Systematic Review ◽  
Acute Stroke ◽  
Meta Analysis ◽  
Prognostic Role ◽  
Stroke Patients

Prognostic Significance of Hyponatremia in Acute Stroke: A Systematic Review and Meta-Analysis

2020 ◽  
Vol 49 (5) ◽  
pp. 531-539
Author(s):  
Shogo Shima ◽  
Yasunari Niimi ◽  
Yosuke Moteki ◽  
Osamu Takahashi ◽  
Shinsuke Sato ◽  
...  
Keyword(s):  
Systematic Review ◽  
Hospital Mortality ◽  
Hospital Stay ◽  
Acute Stroke ◽  
Meta Analysis ◽  
Length Of Hospital Stay ◽  
Mean Difference ◽  
Cochrane Library ◽  
Inclusion Criteria ◽  
Stroke Patients

<b><i>Objective:</i></b> Hyponatremia is a common electrolyte disorder in patients with stroke, which leads to various fatal complications. We performed a systematic review and meta-analysis to investigate the outcomes of acute stroke patients with hyponatremia. <b><i>Methods:</i></b> We searched MEDLINE, EMBASE, and the Cochrane Library databases for relevant literature in English published up to March 2020. Two review authors independently screened and selected the studies by assessing the eligibility and validity based on the inclusion criteria. Mortality at 90 days was set as the primary end point, and in-hospital mortality and length of hospital stay were set as the secondary end points. We conducted the data synthesis and analyzed the outcomes by calculating the odds ratio (OR) and mean difference. <b><i>Results:</i></b> Of 835 studies, 15 studies met the inclusion criteria (<i>n</i> = 10,745). The prevalence rate of stroke patients with hyponatremia was 7.0–59.2%. They had significantly higher 90-day mortality (OR, 1.73; 95% confidence interval (CI), 1.24–2.42) and longer length of hospital stay (mean difference, 10.68 days; 95% CI, 7.14–14.22) than patients without hyponatremia. Patients with hyponatremia had a higher tendency of in-hospital mortality than those without hyponatremia (OR, 1.61; 95% CI, 0.97–2.69). <b><i>Conclusions:</i></b> The development of hyponatremia in the clinical course of stroke is associated with higher short-term mortality and a longer hospital stay. Although the causal relationship is unclear, hyponatremia could be a significant predictor of poor outcomes after stroke.

scholarly journals Meta-analysis reveals protective effects of vitamin B on stroke patients

2015 ◽  
Vol 6 (1) ◽  
pp. 150-156 ◽  
Author(s):  
Liping Wang ◽  
Weiwei Cui ◽  
Guangxian Nan ◽  
Yang Yu
Keyword(s):  
Acute Stroke ◽  
Meta Analysis ◽  
Clinical Importance ◽  
Systemic Review ◽  
Cochrane Library ◽  
Stroke Recurrence ◽  
Vitamin B ◽  
Protective Effects ◽  
Stroke Patients ◽  
Vascular Events

AbstractStroke is the loss of brain function due to a disturbance in the blood supply to the brain resulting from either ischemia or hemorrhage. Previous studies have evaluated the clinical importance of nutritional interventions such as vitamin B supplementation in the management of acute strokes. However, it is still inconclusive whether or not vitamin B supplementation will benefit patients with acute strokes. Therefore, a meta-analysis was performed to assess the efficacy of vitamin B supplementation in the treatment of stroke patients. Medline, Embase, Scopus, and Cochrane Library databases were searched (from 1960 to June 2015) and forest plots were generated to illustrate the treatment effects. A systemic review of the electronic databases yielded 12 eligible studies consisting of 7474 patients. Forest plots from the meta-analyses of the included studies illustrated that vitamin B supplementation significantly lowered the plasma concentration of total homocysteine (SMD = -0.82; 95% CI: -0.77; Z = -29.06, p < 0.0001) and resulted in significant reduction in stroke recurrence (OR = 0.86%; 95% CI: 0.76, 0.97; Z = -2.41; p = 0.016) as well as a combined incidence of vascular events, including recurrent strokes, myocardial infarctions and vascular deaths (OR = 0.87%; 95% CI: 0.79, 0.96; Z= -2.73; p = 0.0063). Additionally, the nearly-symmetrical funnel plot (Egger’s test, t = −1.705, p = 0.1224) indicated the absence of publication bias regarding the meta-analysis that examined the effect of vitamin B supplementation on the plasma levels of homocysteine in acute stroke patients. These findings suggested that vitamin B supplementation presents a potential addition to the armamentarium for the management of acute stroke patients.

scholarly journals The Preventive Effect of Dysphagia Screening on Pneumonia in Acute Stroke Patients: A Systematic Review and Meta-Analysis

Healthcare ◽  
2021 ◽  
Vol 9 (12) ◽  
pp. 1764
Author(s):  
Seoyon Yang ◽  
Yoo Jin Choo ◽  
Min Cheol Chang
Keyword(s):  
Acute Stroke ◽  
Meta Analysis ◽  
Cochrane Library ◽  
Inclusion Criteria ◽  
Preventive Effect ◽  
Stroke Patients ◽  
Early Screening ◽  
Funnel Plot ◽  
Significant Difference

(1) Background: Dysphagia is common in acute stroke patients and is a major risk factor for aspiration pneumonia. We investigated whether the early detection of dysphagia in stroke patients through screening could prevent the development of pneumonia and reduce mortality; (2) Methods: We searched the PubMed, Embase, Cochrane Library, and Scopus databases for relevant studies published up to November 2021. We included studies that performed dysphagia screening in acute stroke patients and evaluated whether it could prevent pneumonia and reduce mortality rates. The methodological quality of individual studies was evaluated using the Risk Of Bias In Non-randomized Studies of Interventions tool, and publication bias was evaluated by the funnel plot and Egger’s test; (3) Results: Of the 6593 identified studies, six studies met the inclusion criteria for analysis. The screening group had a significantly lower incidence of pneumonia than the nonscreening group did (odds ratio (OR), 0.60; 95% confidence interval (CI), 0.42 to 0.84; p = 0.003; I2, 66%). There was no significant difference in mortality rate between the two groups (OR, 0.61; 95% CI, 0.33 to 1.13; p = 0.11; I2, 93%); (4) Conclusions: Early screening for dysphagia in acute stroke patients can prevent the development of pneumonia.

Acid-suppressive medications and risk of pneumonia in acute stroke patients: A systematic review and meta-analysis

2019 ◽  
Vol 400 ◽  
pp. 122-128 ◽  
Author(s):  
Sarah Marchina ◽  
Gheorghe Doros ◽  
Janhavi Modak ◽  
Johanna Helenius ◽  
Dawn M. Aycock ◽  
...  
Keyword(s):  
Systematic Review ◽  
Acute Stroke ◽  
Meta Analysis ◽  
Stroke Patients

scholarly journals European Stroke Organisation (ESO) guidelines on glycaemia management in acute stroke

2017 ◽  
Vol 3 (1) ◽  
pp. 5-21 ◽  
Author(s):  
Blanca Fuentes ◽  
George Ntaios ◽  
Jukka Putaala ◽  
Brenda Thomas ◽  
Guillaume Turc ◽  
...  
Keyword(s):  
Glycaemic Control ◽  
Acute Stroke ◽  
Meta Analysis ◽  
Standard Operating Procedure ◽  
Haemorrhagic Stroke ◽  
Tight Glycaemic Control ◽  
Stroke Patients ◽  
Intravenous Insulin ◽  
Increased Risk ◽  
Guideline Document

Background Hyperglycaemia is a frequent complication in acute stroke that has been shown to be independently associated with larger infarct size, haematoma growth, poor clinical outcome and mortality. This Guideline Document presents the European Stroke Organisation (ESO) Guidelines for the management of blood glucose levels in patients with acute ischemic or haemorrhagic stroke. Methods The working group identified related questions and developed its recommendations based on evidence from randomised controlled trials following the standard operating procedure of the ESO. This Guideline Document was reviewed and approved by the European Stroke Organisation Guidelines Committee and the European Stroke Organisation Executive Committee. Results We found low-quality evidence from clinical trials in ischemic or haemorrhagic stroke exploring the use of intravenous insulin aimed to achieve a tight glycaemic control with different glucose level targets and several other sources of heterogeneity. None of these trials neither the meta-analysis of them have demonstrated any significant benefit of tight glycaemic control with intravenous insulin in acute ischemic or haemorrhagic stroke patients on functional outcome or in survival and they have shown an increased risk for hypoglycaemia. Conclusions We suggest against the routine use of tight glycaemic control with intravenous insulin as a means to improve outcomes. The currently available data about the management of glycaemia in patients with acute stroke are limited and the strengths of the recommendations are therefore weak. Nevertheless, this does not prevent that hyperglycaemia in acute stroke patients could be treated as any other hospitalised patient.

scholarly journals Dysphagia and Pneumonia in Acute Stroke Patients: A Systematic Review and Meta-analysis

2021 ◽  
Author(s):  
Seoyon Yang ◽  
◽  
Kyung Cheon Seo ◽  
Yoo Jin Choo ◽  
Min Cheol Chang
Keyword(s):  
Systematic Review ◽  
Acute Stroke ◽  
Meta Analysis ◽  
Stroke Patients
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