Association between Clinical and Laboratory Markers and 5-year Mortality among Patients with Stroke

Chen, Chien‐Min; Lee, Meng; Huang, Shih-Shin; Lin, Che-Kai

doi:10.1038/s41598-019-47975-y

Cited by 21 publications

(20 citation statements)

References 41 publications

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“…A higher score indicates greater stroke severity. The 10-point interval, frequently utilized in studies of stroke inpatients [34,35] for SSI scores of ≥20, 10-19, or < 10 was used to examine stroke severity in these patients.…”

Section: Record Selection Potential Factors Affecting Tcm Usementioning

confidence: 99%

“…In this study, the researchers used the diagnosis codes of ICD-9-CM from these diagnostic categories (excluding cerebrovascular disease and hemiplegia) to calculate the CCI score. The CCI scores were stratified as ≥3, 1-2, or 0, which have been previously used for translating the severity of comorbidity of stroke inpatients [34,35].…”

Section: Record Selection Potential Factors Affecting Tcm Usementioning

confidence: 99%

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Predictors for the use of traditional Chinese medicine among inpatients with first-time stroke: a population-based study

Chen

Hsu

Chuang

et al. 2020

BMC Complement Med Ther

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Background: Stroke is one of the major causes of death and disability. The treatments that are provided to patients during hospitalization after an acute stroke are very important in stabilizing their medical condition and enabling the recovery of their motor functions. However, limited information is available regarding the use of traditional Chinese medicine (TCM) during hospitalization for first-time stroke patients. The researchers aimed to investigate the factors affecting TCM use and to provide clinicians with comprehensive information on TCM use among first-time stroke inpatients in Taiwan. Methods: The researchers collected and analyzed data, including patient characteristics, TCM use, and TCM prescription patterns, from the National Health Insurance Research Database in Taiwan for first-time stroke inpatients between 2006 and 2012. Results: Among the 89,162 first-time stroke patients, 7455 were TCM users, and 81,707 were TCM nonusers. The predictors for TCM use were as follows: age, 45-64 or < 45 years; men; living in a level 2, 4, or 7 urbanized area; insured amount ≥ 576 USD per month; ischemic stroke; hospitalized for first-time stroke for 8-14 days, 15-28 days, or ≥ 29 days; stroke severity index score 0-9 or 10-19; Charlson-Deyo comorbidity index score 0 or 1-2; hospitalization in a regional or community hospital; receiving rehabilitation; and previous experience with outpatient TCM use. An increase in the number of TCM users was observed from 2006 to 2012. Furthermore, 68.8-79.7% of TCM users used acupuncture only, while 17.8-26.1% used both acupuncture and Chinese herbal medicine. Conclusions: An increasing number of first-time stroke patients have been choosing TCM as a complementary treatment during hospitalization. Moreover, TCM use is associated with demographic, clinical, and socioeconomic characteristics. These findings may help clinicians comprehensively understand the trend and the important factors affecting TCM utilization among patients who are hospitalized due to first-time stroke.

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Section: Record Selection Potential Factors Affecting Tcm Usementioning

confidence: 99%

Section: Record Selection Potential Factors Affecting Tcm Usementioning

confidence: 99%

Predictors for the use of traditional Chinese medicine among inpatients with first-time stroke: a population-based study

Chen

Hsu

Chuang

et al. 2020

BMC Complement Med Ther

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“…Stroke dapat terjadi berulang dalam kurun waktu 1-5 tahun setelah serangan pertama dan dapat berdampak permanen pada penderitanya sehingga akan memperburuk kualitas hidup penderita stroke (Susanti & Bistara, 2019). Kualitas hidup akan menjadi rendah pada bulan bulan pertama seseorang setelah terkena serangan stroke sehingga menyebabkan kamampuan motoriknya menurun, 33 % mengalami depresi dan 29 % mengalami kecemasan akibat stroke (MinChen et al, 2019). Rata-rata penderita stroke > 5 tahun sudah mampu menjalani rehabilitasi dan memiliki kualitas hidup yang jauh lebih baik dibandingkan dengan penderita stroke <5 tahun (Hafida et al, 2018).…”

Section: Pembahasan Karakteristik Respondenunclassified

Pengaruh Familiar Auditory Sensory Training Pada Tingkat Kesadaran Pasien Stroke Di RSD dr. Soebandi Jember

Aripratiwi

Sutawardana

Hakam

2020

JPKI

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ABSTRAKStroke dapat menyebabkan penurunan kesadaran. Pada kasus stroke dengan penurunan kesadaran dapat mengakibatkan pasien mengalami kematian, defisit neurologi, semakin lamanya waktu perawatan, dan akan meningkatkan biyaya perawatan. Kasus stroke dengan penurunan kesadaran banyak dijumpai di RSD dr. Soebandi Jember. Namun upaya perawat dalam meningkatkan kesadaran pasien berfokus pada terapi farmakologi sehingga memerlukan terapi non farmakologi seperti terapi Familiar Auditory Sensory Training (FAST) untuk membantu proses pemulihan kesadaran. Tujuan dari penelitian ini adalah untuk mengetahui pengaruh FAST pada tingkat kesadaran pasien stroke. Penelitian didesain dengan quasi experimental menggunakan rancangan Non equivalent control group melibatkan 29 pasien stroke yang mengalami penurunan kesadaran. 29 pasien dibagi menjadi 15 kelompok intervensi yang diberi terapi FAST selama tiga hari. FAST diberikan 3 kali sehari. 14 pasien berikutnya dalam kelompok kontrol hanya dilakukan pemeriksaan GCS. Tingkat kesadaran pasien diukur menggunakan instrumen Glasgow Coma Scale (GCS) yang terdiri dari 3 komponen yakni respon mata, verbal, dan motorik. Data dianalisis dalam SPSS menggunakan uji Mann-Whitney dan uji Wilcoxon. Hasil analisis uji baik pada kelompok intervensi maupun kontrol diperoleh nilai p 0,010 (nilai p α). Hasil uji yang signifikan membuktikan bahwa ada pengaruh FAST dalam meningkatkan kesadaran pasien stroke. FAST dapat dijadikan terapi nonfarmakologi untuk membantu proses pemulihan kesadaran pada pasien stroke.ABSTRACTStroke can cause a decrease in consciousness. In the case of stroke with decreased consciousness can result in the patient experiencing death, neurological deficits, the longer treatment time, and will increase the cost of treatment. Cases of stroke with decreased consciousness are often found in RSD dr. Soebandi Jember. However, nurses' efforts in increasing patient awareness focus on pharmacological therapy so that it requires non-pharmacological therapy such as Familiar Auditory Sensory Training (FAST) therapy to help the process of recovering consciousness. The purpose of this study was to determine the effect of FAST on the level of awareness of stroke patients. This study involved 29 stroke patients who experienced a decrease in consciousness. 29 patients were divided into 15 intervention groups who were given FAST therapy for three days. FAST is given 3 times a day. The next 14 patients in the control group only performed GCS examination. The level of patient awareness was measured using the Glasgow Coma Scale (GCS) instrument consisting of 3 components namely eye, verbal, and motor response. Data were analyzed in SPSS using the Mann-Whitney test and Wilcoxon test. The results of the test analysis in the intervention and control groups obtained p-value 0.010 (p-value α). Significant test results prove that there is an influence of FAST in increasing stroke patient awareness. This study shows that nurses should be able to increase the application of nonpharmacological therapies such as FAST to help the process of recovering consciousness in stroke patients.

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“…7 Early rehabilitation also may result in longterm benefits by decreasing the mortality rate. 8 In a population-based study firststroke survivors who received rehabilitation, whether or not they transferred to a rehabilitation ward, had a decreased 5-year mortality rate compared with the patients who did not receive rehabilitation. 9 Strengths and limitations of this study ► This is a non-inferiority study of rehabilitation nursing in patients with ischaemic stroke stratified by weighted corticospinal tract lesion load in an acute setting.…”

Section: Introductionmentioning

confidence: 99%

“… 7 Early rehabilitation also may result in long-term benefits by decreasing the mortality rate. 8 In a population-based study first-stroke survivors who received rehabilitation, whether or not they transferred to a rehabilitation ward, had a decreased 5-year mortality rate compared with the patients who did not receive rehabilitation. 9 …”

Section: Introductionmentioning

confidence: 99%

Rehabilitation nursing for motor functional recovery of acute ischaemic stroke: study protocol for a randomised controlled trial

et al. 2020

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IntroductionStroke is the second-leading cause of death and disability in the world, and patients with stroke often suffer from functional impairments and need rehabilitation. Notably, there is much evidence that rehabilitation can lead to better mortality and morbidity outcomes. The evidence for the effectiveness of rehabilitation nursing, however, is limited. Thus, this study seeks to explore whether rehabilitation nursing is not inferior to usual rehabilitation for motor functional recovery in patients with acute ischaemic stroke.Methods and analysisWe will conduct an assessor-blinded parallel randomised controlled trial of patients who meet the inclusion criteria after stratification by weighted corticospinal tract lesion load. The experimental group will receive rehabilitation nursing by trained and qualified nurses (seven consecutive days, two sessions per day, 30 min each session). The control group will receive usual rehabilitation provided by therapists (seven consecutive days, two sessions per day, 30 min each session). The primary outcome measures are the Motor Assessment Scale, the Fugl-Meyer Assessment and the Action Research Arm Test. The secondary outcome measures are the modified Rankin Scale, the modified Barthel Index and the National Institute of Health Stroke Scale. Primary and secondary outcome assessment will be performed before and after the intervention, and secondary outcome be assessed at 4 and 12 weeks follow-up. We will recruit 224 patients within a period of 12–18 months from a hospital in southeastern China.Ethics and disseminationThe study was approved by the Human Research Ethics Committee from the corresponding author’s hospital (approval Number is Ethical Review Study No. 2018 - 112). Peer-reviewed journals and presentations at national and international conferences will be used to disseminate the results.Trial registration numberNCT03702452.

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Association between Clinical and Laboratory Markers and 5-year Mortality among Patients with Stroke

Cited by 21 publications

References 41 publications

Predictors for the use of traditional Chinese medicine among inpatients with first-time stroke: a population-based study

Predictors for the use of traditional Chinese medicine among inpatients with first-time stroke: a population-based study

Pengaruh Familiar Auditory Sensory Training Pada Tingkat Kesadaran Pasien Stroke Di RSD dr. Soebandi Jember

Rehabilitation nursing for motor functional recovery of acute ischaemic stroke: study protocol for a randomised controlled trial

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