Blood pressure and clinical outcome among patients with acute stroke in Inner Mongolia, China

Zhang, Yonghong; Reilly, Kathleen H.; Tong, Weijun; Xu, Tan; Chen, Jing; Bazzano, Lydia A.; Qiao, Dongfang; Ju, Zhong; Chen, Chung-Shiuan; He, Jiang

doi:10.1097/hjh.0b013e328300a24a

Cited by 118 publications

(84 citation statements)

References 38 publications

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“…Mechanical ventilation may also facilitate short-term goals to reduce brain swelling that may involve the use of sedative, osmotic, or vasoactive medication therapy to reduce intracranial pressure 14 and increase blood pressure. [15][16][17] Additionally, patients may require a host of supportive therapies such as nutritional support and antibiotic therapy. Prevention of complications associated with an ICU stay (eg, deep vein thrombus prophylaxis) is also a key factor in acute phase recovery.…”

Section: Is Music Beneficial To the Recovery Of Acute Stroke Patients?mentioning

confidence: 99%

“…Mechanical ventilation may also facilitate short-term goals to reduce brain swelling with the use of sedative, osmotic, or vasoactive medication therapy to reduce intracranial pressure 14 and augment blood pressure. [15][16][17] Patients with acute stroke who are receiving mechanical ventilation are often given sedative and hypnotic medications to prevent self-harm, facilitate nursing, and minimize their memory of the unpleasant experience of being intubated. 18 However, oversedation of acute stroke patients may affect neurological performance on assessment examinations and result in inaccurate measures of progress or deterioration.…”

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confidence: 99%

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Music as Medicine: The Therapeutic Potential of Music for Acute Stroke Patients

Supnet

Crow²,

Stutzman

et al. 2016

Critical Care Nurse

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Nurses caring for patients with acute stroke are likely to administer both music and medication with therapeutic intent. The administration of medication is based on accumulated scientific evidence and tailored to the needs of each patient. However, the therapeutic use of music is generally based on good intentions and anecdotal evidence. This review summarizes and examines the current literature regarding the effectiveness of music in the treatment of critically ill patients and the use of music in neurologically injured patients. The rationale for hypothesis-driven research to explore therapeutic music intervention in acute stroke is compelling. (Critical Care Nurse. 2016;36[2]:e1-e7) "Music hath charms to soothe the savage breast." W. Congreve, The Mourning Bride M usic has long been used in health care for its healing powers and has given rise to the practice of music therapy. The American Music Therapy Association defines music therapy as the "clinical and evidence-based use of music interventions to accomplish individualized goals within a therapeutic relationship by a credentialed professional who has completed an approved music therapy program."1 Board-certified music therapists employ customized music therapy interventions based on the best evidence from published literature, their training and expertise, and the needs of the patient.1 Music therapy is powerful, physically noninvasive, and can mediate positive outcomes when

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Section: Is Music Beneficial To the Recovery Of Acute Stroke Patients?mentioning

confidence: 99%

mentioning

confidence: 99%

Music as Medicine: The Therapeutic Potential of Music for Acute Stroke Patients

Supnet

Crow²,

Stutzman

et al. 2016

Critical Care Nurse

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“…In a study of Chinese stroke Table 3 Multivariate analysis of predictors of functional outcome at 3 months after intracerebral hemorrhage (ICH) ( patients, systolic BP .140 mm Hg and elevated diastolic BP on admission were associated with greater in-hospital mortality and discharge disability in 1,760 participants with acute hemorrhagic stroke. 6 A J-shaped response for admission systolic BP and 30-day mortality was found among 1,097 Japanese patients with brain hemorrhage after adjusting for ICH volume. 7 In a Finnish population with ICH (n 5 425), mean arterial BP during the first 24 hours after stroke onset was one of the 2 most significant predictors of 28-day mortality after adjustment for multiple baseline variables.…”

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confidence: 99%

Racial-ethnic disparities in acute blood pressure after intracerebral hemorrhage

Koch¹,

Elkind²,

Testai³

et al. 2016

Neurology

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Objective: To assess race-ethnic differences in acute blood pressure (BP) following intracerebral hemorrhage (ICH) and the contribution to disparities in ICH outcome.Methods: BPs in the field (emergency medical services [EMS]), emergency department (ED), and at 24 hours were compared and adjusted for group differences between non-Hispanic black (black), non-Hispanic white (white), and Hispanic participants in the Ethnic Racial Variations of Intracerebral Hemorrhage case-control study. Outcome was obtained by modified Rankin Scale (mRS) score at 3 months. We analyzed race-ethnic differences in good outcome (mRS # 2) and mortality after adjusting for baseline differences and included BP recordings in this model. Results:Of 2,069 ICH cases enrolled, 30% were white, 37% black, and 33% Hispanic. Black and Hispanic patients had higher EMS and ED systolic and diastolic BPs compared with white patients (p 5 0.0001). Although attenuated, at 24 hours after admission, black patients had higher systolic and diastolic BPs. After adjusting for baseline differences, significant race/ethnic differences persisted for EMS systolic, ED systolic and diastolic, and 24-hours diastolic BP. Only ED systolic and diastolic BP was associated with poor functional outcome, and no BP predicted mortality. We found no race-ethnic differences in 3-month functional outcome or mortality after adjusting for group differences, including acute BPs.Conclusions: Although black and Hispanic patients had higher BPs than white patients at presentation, we did not find race-ethnic disparities in 3-month functional outcome or mortality. ED systolic and diastolic BP was associated with poor functional outcome, but not mortality, in this race-ethnically diverse population. Neurology ® 2016;87:786-791 GLOSSARY BP 5 blood pressure; CI 5 confidence interval; ED 5 emergency department; EMS 5 emergency medical services; ERICH 5 Ethnic/Racial Variations of Intracerebral Hemorrhage; GCS 5 Glasgow Coma Scale score; ICH 5 intracerebral hemorrhage; INTERACT2 5 Intensive Blood Pressure Reduction in Acute Cerebral Haemorrhage Trial; mRS 5 modified Rankin Scale; OR 5 odds ratio.

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“…In the acute period of ICH, elevated blood pressure has been correlated with a poor outcome in several studies. A meta-analysis performed by Willmot et al [62] [63]. One interpretation of this data would be that rapid reduction in blood pressure might decrease the chances of poor outcome; however, this evidence does not demonstrate causality or reveal whether or not the aggressive management of elevated blood pressure in the acute setting will improve clinical outcome.…”

Section: Blood Pressurementioning

confidence: 99%

Treatment Targets in Intracerebral Hemorrhage

Sangha

Gonzales

2011

Neurotherapeutics

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Intracerebral hemorrhage (ICH) imparts a higher mortality and morbidity than ischemic stroke. The therapeutic interventions that are currently available focus mainly on supportive care and secondary prevention. There is a paucity of evidence to support any one acute intervention that improves functional outcome. This chapter highlights current treatment targets for ICH based on the pathophysiology of the disease.

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Blood pressure and clinical outcome among patients with acute stroke in Inner Mongolia, China

Abstract: Increased systolic and diastolic blood pressure were significantly and positively associated with death and disability among patients with acute hemorrhagic stroke, but not acute ischemic stroke, in Inner Mongolia, China.

Cited by 118 publications

References 38 publications

Music as Medicine: The Therapeutic Potential of Music for Acute Stroke Patients

Music as Medicine: The Therapeutic Potential of Music for Acute Stroke Patients

Racial-ethnic disparities in acute blood pressure after intracerebral hemorrhage

Treatment Targets in Intracerebral Hemorrhage

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