Premorbid nutrition and short term outcome of stroke: a multicentre study from India

Pandian, Jeyaraj Durai; Jyotsna, Rashmi; Singh, Reecha; Sylaja, P N; Pamidimukkala, Vijaya; Padma, M. V.; Venkateswaralu, Kolichana; Sukumaran, Sajith; Radhakrishnan, Kurupath; Sarma, P. Sankara; Mathew, Robert; Singh, Yashpal

doi:10.1136/jnnp.2010.233429

Cited by 24 publications

(36 citation statements)

References 21 publications

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“…Similar findings were found by Davis et al 30 , in which undernourished patients had greater mortality at 1 month and poorer outcome (defined as mRS score < 3 at 30 days post-stroke). However, poorer outcome was also associated with NIHSS score, age, and premorbid mRS.…”

Section: 0 Prognostic Factors For Stroke Rehabilitationsupporting

confidence: 89%

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Predictors of Gains During Inpatient Rehabilitation in Patients with Stroke: A Review

Chang

Cragg

et al. 2013

Crit Rev Phys Rehabil Med

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Stroke remains a major cause of disability. The cost of stroke rehabilitation is substantial. Understanding the factors that predict response to inpatient stroke rehabilitation may be useful, for example, to best individualize the content of therapy, or to maximize the efficiency with which resources are directed. This review reviewed the literature and found that numerous variables were associated with outcome after inpatient stroke rehabilitation. The strongest evidence exists for factors such as age, stroke subtype, nutritional status, psychosocial factors such as living with family prior to stroke or presence of a caregiver. Functional status on admission, urinary incontinence, post-stroke infection, and aphasia each can also impact prognosis. Strengths and weaknesses of cited studies are considered in an attempt to inform design of future studies examining the factors that predict response to inpatient rehabilitation after stroke.

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Section: 0 Prognostic Factors For Stroke Rehabilitationsupporting

confidence: 89%

“…Like the FOOD trial 29 , this study is limited by the subjective nature by which undernutrition was defined. 30 …”

Section: 0 Prognostic Factors For Stroke Rehabilitationmentioning

confidence: 99%

Predictors of Gains During Inpatient Rehabilitation in Patients with Stroke: A Review

Chang

Cragg

et al. 2013

Crit Rev Phys Rehabil Med

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“…Although all of these recommendations are from studies conducted in non-South Asian countries, they can very well be applied to South Asian nations. 42 Apart from this the contribution of poor nutrition in outcome after stroke 43 is also exclusive and needs focus in this part of the globe. Thus if we take into account the relative risk reduction associated with various evidence-based interventions for secondary prevention from published meta-analyses 44 and apply it to an Indian population of one million taking the reported prevalence of various risk factors, the number of strokes avoided per year with use of various interventions in descending order are as follows: blood pressure lowering by 10 mmHg (61), aspirin (23), aspirin and dypiridamole (22), lowering of LDL cholesterol by 1 mmol/L (19), smoking cessation (19), anticoagulants (15), glycated haemoglobin lowering by 0.9% (3) and carotid revascularization (3).…”

Section: Preventionmentioning

confidence: 99%

Cerebrovascular disease in South Asia – Part II: Risk factors and prevention

Vibha

Prasad

2012

JRSM Cardiovascular Disease

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In South Asian countries, conventional vascular risk factors like hypertension, diabetes mellitus, cardiac disease, smoking, obesity, atrial fibrillation are the dominant ones, while other aetiologies like rheumatic heart disease, infective meningitis-related infarcts and postpartum cerebral venous thrombosis also constitute a big fraction. This review discusses the evidence of prevalence of various risk factors in South Asian countries and possible measures to combat the rising burden of cerebrovascular disease. The last part of the review discusses prevention and identification of risk factors that are unique to or especially found in patient population of South Asia.

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“…In many high-income countries, stroke management has developed substantially in the past two decades through structured clinical pathways for thrombolysis and secondary prevention [5]. Organized provision of care in a stroke unit has increased the number of survivors who return home, and regain functional independence in their everyday activities [6].…”

Section: Introductionmentioning

confidence: 99%

A step towards developing a virtual reality based rehabilitation system for individuals with post-stroke forearm movement disorders

Bhattacharya

Joshi

Lahiri

et al. 2013

2013 International Conference on Control, Automation, Robotics and Embedded Systems (CARE)

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Stroke is a leading cause of adult death and disability, often followed by muscle weakness, loss of control and coordination in limbs and movement disorders. Rehabilitation is critically important to restore function in damaged body parts and help the stroke-surviving individuals regain ability to independently perform everyday activities. Continuing poststroke rehabilitative therapy at the hospital is difficult due to economic pressure and limited resources of the health care system. Also, taking help of an always-present therapist is too expensive for many patients. A relatively new approach towards stroke rehabilitation is developing technology-assisted rehabilitative system. In this study we developed a Virtual Reality based system to enhance the endurance and coordination skill of stroke patients with forearm movement disorder. This system can be used by the patient at home as per his convenience, with minimal dependency on a physiotherapist or a caregiver. Our paper describes the system design of this proof-of-concept application. The preliminary results of testing and feasibility studies suggest that the endurance and coordination skill of the participants (two able-bodied and one stroke-surviving person) improved with repeated attempts. This indicates that our system is a definite step towards becoming a simple, technology-assisted solution for rehabilitation of upper-limb movement disorder.

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Premorbid nutrition and short term outcome of stroke: a multicentre study from India

Cited by 24 publications

References 21 publications

Predictors of Gains During Inpatient Rehabilitation in Patients with Stroke: A Review

Predictors of Gains During Inpatient Rehabilitation in Patients with Stroke: A Review

Cerebrovascular disease in South Asia – Part II: Risk factors and prevention

A step towards developing a virtual reality based rehabilitation system for individuals with post-stroke forearm movement disorders

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