Secondary prevention and lifestyle indices after stroke in a long-term perspective

Jönsson, Ann-Cathrin; Delavaran, Hossein; Lövkvist, Håkan; Baturova, Maria; Iwarsson, Susanne; Ståhl, Agneta; Norrving, Bo; Lindgren, Arne

doi:10.1111/ane.12944

Cited by 11 publications

(6 citation statements)

References 30 publications

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“…Of the studies that reported the sex of the participants ( n = 32, 62.7%) [5, 21, 22, 31–36, 38–42, 44, 46–49, 52–54, 57–60, 65, 67, 68, 70, 71], 23 (71.8%) [5, 31–33, 35, 38, 40–42, 44, 46–49, 55, 57, 58, 60, 65, 67, 68, 70, 71] used a male-dominated sample. In the 23 studies (45%) that provided information on age [5, 21, 22, 32–34, 36, 38, 39, 41, 42, 44, 46, 48, 52, 55, 57–60, 65, 67, 68], the mean age of the participants ranged from 43 ± 14 [45] to 77 ± 7 years [54]. Stroke was predominantly ischemic and in a chronic phase in all studies that provided this information ( n = 12, 23.5%; Table 1) [31–33, 39, 40, 42, 47, 48, 55, 57, 67, 68].…”

Section: Resultsmentioning

confidence: 99%

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Self-rated health after stroke: a systematic review of the literature

et al. 2019

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Background Self-rated health (SRH) allows for comparison and identification of the health status of various populations. The aim of this study was to conduct a systematic review of the literature to expand the understanding of SRH after stroke. Methods This systematic review was registered with PROSPERO (CRD42017056194) and conducted according to PRISMA guidelines. Studies published until December 2018 that evaluated the SRH of adults with stroke were included. Results Of the 2132 identified studies, 51 were included. Only four studies had experimental designs (7.8%). In 60.7% of the studies, SRH was assessed by variations on direct questions (i.e., general and comparative SRH). Analog visual scales and quality of life instruments were also used to evaluate SRH, but there is no consensus regarding whether they are appropriate for this purpose. The results of cross-sectional and longitudinal studies revealed significant associations between poor SRH and stroke as well as between SRH, function, and disability. The power of SRH to predict stroke mortality is still uncertain. Two interventions (a home-based psychoeducational program concerning stroke health care and family involvement in functional rehabilitation) effectively improved SRH. Conclusions Direct questions are the most common method of evaluating SRH after stroke. Studies reported significant associations between the SRH of individuals with stroke and several relevant health outcomes. However, few experimental studies have evaluated SRH after stroke. Interventions involving health education and family involvement had a significant impact on SRH.

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Section: Resultsmentioning

confidence: 99%

“…Additionally, if the aim is to measure health status, specific questions should be used. Some QoL/HRQoL instruments have some SRH-specific questions, such as the first and second items of SF-36 [41]. However, the total scores of QoL/HRQoL instruments cannot be used as SRH measures.…”

Section: Discussionmentioning

confidence: 99%

Self-rated health after stroke: a systematic review of the literature

et al. 2019

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“…This study was made possible by a grant from The Swedish Stroke Association (STROKE-Riksförbundet) [1].…”

Section: Fundingmentioning

confidence: 99%

“…Stroke is a growing health concern due to the aging population, and at the same time, more patients are surviving stroke as a result of improved treatment and stroke care, indicating that stroke should be viewed as a chronic disease rather than as a single, neurological incident. 1 Those surviving a stroke often suffer from residual functional disabilities, emotional problems, and cognitive deficits, and more insight is needed on how patients experience life after stroke and how to improve long-term care. 2 A Scottish study (n = 28) indicated that cognition was one of the most prioritized research areas on life after stroke.…”

Section: Introductionmentioning

confidence: 99%

Stroke survivors’ priorities for research related to life after stroke

Rudberg

Berge

Laska

et al. 2020

Topics in Stroke Rehabilitation

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Background: Stroke has transitioned from an untreatable, unpreventable disease to a highly treatable and preventable disease over recent decades, and the number of stroke survivors is expected to increase. The number is also foreseen to grow larger as a result of an aging population. With an escalating number of stroke survivors, research on how to improve life after stroke is needed. Aims: The primary aim was to determine which area of research related to life after stroke that stroke patients and their informal carers prioritized as being relevant and valuable. Methods: A cross-sectional study of all patients who had completed the 12 months of follow-up in the EFFECTS trial. In the questionnaire the stroke patients and their informal carers were asked to prioritize areas of research they considered important and valuable with respect to their life after stroke. Results: Of the 731 patients who were still alive after the 12 months-follow-up, 589 responded. The most prioritized areas of research were Balance and walking difficulties (290 (49%) responders) and Post-stroke fatigue (173 (29%) responders). Women answered the undefined alternative "other" more often than men (43 women (11%) versus 11 men (6%), p = .04). Younger patients prioritized Post-stroke fatigue to a higher extent (88 (45%) versus (22%), p < .001), and elderly prioritized Balance and walking difficulties (214 (54%) versus 76 (40%), p = .002) and Speech difficulties (38 (10%) versus 9 (5%), p = .045). Conclusions: Life after stroke is perceived differentely with aging. Future research should address strategies to face challenges such as imbalance and walking difficulties and post-stroke-fatigue.

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“…Ischemic cerebral infarction is a major cause of disability and mortality in adults worldwide (Shigematsu et al, 2015;Jönsson et al, 2018). Although patients are carefully screened to minimize bleeding risk before administration of intravenous thrombolysis (IVT) according to the contraindications set forth in clinical guidelines, post-thrombolytic intracerebral hemorrhage is almost inevitable and potentially fatal in 7-8% of patients (Szekely et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

Suitability of Thrombolysis for Patients With Acute Ischemic Stroke Complicated With Trousseau Syndrome

et al. 2020

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Intravenous thrombolysis (IVT) improves functional outcome after acute ischemic stroke (AIS) and is the standard first-line treatment; however, it is associated with many complications, including cerebral hemorrhage. Cancer patients are susceptible to thrombotic events-collectively referred to as Trousseau syndrome (TS)-owing to their hypercoagulable state. Here, we describe the case of a 55-year-old male with a history of hypertension for over 10 years who underwent surgery for removal of a cancer of lower esophagus, with no subsequent treatment. Three months later, he was admitted to the emergency department of our hospital with sudden dizziness and incoherent speech. Brain computed tomography revealed multiple cerebral infarctions. The patient was treated by IVT with tissue plasminogen activator (rtPA) after the onset of symptoms, which improved by the end of the treatment. However, a few months later, he experienced a recurrence of cerebral infarction and hemorrhage, which has rarely been reported. The clinical course of this case suggests that the suitability of thrombolysis with rtPA in the acute phase of cerebral infarction complicated with TS should be carefully considered.

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Secondary prevention and lifestyle indices after stroke in a long-term perspective

Abstract: The proportion of individuals within treatment goals improved over time, but secondary prevention still needed additional consideration 10 years after stroke.

Cited by 11 publications

References 30 publications

Self-rated health after stroke: a systematic review of the literature

Self-rated health after stroke: a systematic review of the literature

Stroke survivors’ priorities for research related to life after stroke

Suitability of Thrombolysis for Patients With Acute Ischemic Stroke Complicated With Trousseau Syndrome

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