Stroke treated at a neurosurgical ward: a cohort study

Vikholmen, K.; Persson, Hanna; Sunnerhagen, Katharina S.

doi:10.1111/ane.12404

Cited by 12 publications

(13 citation statements)

References 32 publications

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“…When invasive monitoring is contraindicated or unavailable, an accurate non‐invasive method would be desirable. Moreover, there are many ‘borderline’ situations in which the insertion of an invasive monitoring is questioned, but a non‐invasive ICP measurement could be useful , in particular in children .…”

Section: Discussionmentioning

confidence: 99%

Non-invasive assessment of intracranial pressure

et al. 2015

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Monitoring of intracranial pressure (ICP) is invaluable in the management of neurosurgical and neurological critically ill patients. Invasive measurement of ventricular or parenchymal pressure is considered the gold standard for accurate measurement of ICP but is not always possible due to certain risks. Therefore, the availability of accurate methods to non-invasively estimate ICP has the potential to improve the management of these vulnerable patients. This review provides a comparative description of different methods for non-invasive ICP measurement. Current methods are based on changes associated with increased ICP, both morphological (assessed with magnetic resonance, computed tomography, ultrasound, and fundoscopy) and physiological (assessed with transcranial and ophthalmic Doppler, tympanometry, near-infrared spectroscopy, electroencephalography, visual-evoked potentials, and otoacoustic emissions assessment). At present, none of the non-invasive techniques alone seem suitable as a substitute for invasive monitoring. However, following the present analysis and considerations upon each technique, we propose a possible flowchart based on the combination of non-invasive techniques including those characterizing morphologic changes (e.g., repetitive US measurements of ONSD) and those characterizing physiological changes (e.g., continuous TCD). Such an integrated approach, which still needs to be validated in clinical practice, could aid in deciding whether to place an invasive monitor, or how to titrate therapy when invasive ICP measurement is contraindicated or unavailable.

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Section: Discussionmentioning

confidence: 99%

Non-invasive assessment of intracranial pressure

et al. 2015

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“…Sahlgrenska is the largest of three main hospitals in Gothenburg. The included patients are from the extended Stroke Arm Longitudinal Study at the University of Gothenburg (SALGOT) [17, 18]. …”

Section: Methodsmentioning

confidence: 99%

Return to Work after a Stroke in Working Age Persons; A Six-Year Follow Up

2017

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ObjectivesStroke is one of the most common and resource intensive diseases for society. Stroke in the working age population is increasing in different parts of the world. An incomplete return to work (RTW) after sick leave post stroke entails negative consequences for the affected person and an economical burden for society. The aim of this study was to explore the RTW rate and factors associated with RTW in a six-year follow up post stroke.MethodsData from 174 persons 63 years or younger, with first ever stroke in 2009–2010 in Gothenburg were analyzed. Baseline characteristics were collected through medical records and the Swedish Health Insurance Office provided information on sick leave up to 6 years post stroke. Time-to-event was presented and cox regression as well as logistic regression were used to analyze risk factors for no-RTW.ResultsThe RTW rate was 74.7%, at the end of follow up. Participants continued to RTW until just over 3 years post stroke. Dependency at discharge (in the modified Rankin Scale) and sick leave prior to the stroke were significant risk factors for no-RTW after 1 year with odds ratio 4.595 and 3.585, respectively. The same factors were significant in time-to-event within six years post stroke with hazard ratio 2.651 and 1.929, respectively.ConclusionsRTW after a stroke is incomplete, however RTW is possible over a longer period of time than previously thought. More severe disability at discharge from hospital and sick leave prior to the stroke were shown to be risk factors for no-RTW. This knowledge can contribute to more individualized vocational rehabilitation.

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“…Participants were recruited for the SALGOT extended study at Sahlgrenska University Hospital/Sahlgrenska between February 4, 2009 and December 2, 2010. The SALGOT extended study comprises of three different populations treated for first time stroke at a stroke unit, a neurosurgical unit, and an intensive care unit (Persson, Parziali, Danielsson, & Sunnerhagen, ; Vikholmen, Persson, & Sunnerhagen, ; Wesali, Persson, Cederin, & Sunnerhagen, ).…”

Section: Methodsmentioning

confidence: 99%

Occupational gaps 5 years after stroke

et al. 2019

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Objectives To investigate the incidence and number of occupational gaps 5 years after stroke and find possible predictors and explanatory factors for increased number of experienced gaps. Material and Methods The participants were diagnosed with first‐time stroke in Gothenburg during 2009–2010. Medical records from their hospital stay were used to obtain baseline data. The Occupational Gaps Questionnaire and the Swedish stroke registers follow‐up questionnaire were sent out. Data from the Occupational Gaps Questionnaire were used as a dependent variable and baseline data and questions from the stroke registry were used as independent variables in logistic regression. Results Five years poststroke, 49.5% experienced a higher number of occupational gaps compared to a healthy reference population. Predictors for an increased number of gaps were higher age at stroke onset and a higher degree of functional dependency. Explanatory factors for an increased number of gaps in the study population were higher age at follow‐up and feelings of depression. Conclusions Older age at the time of stroke and functional dependency can predict an increased number of occupational gaps. Older age and feelings of depression are connected to an increased number of occupational gaps. Individuals at risk should be provided with additional interventions to reduce participation restrictions.

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Stroke treated at a neurosurgical ward: a cohort study

Cited by 12 publications

References 32 publications

Non-invasive assessment of intracranial pressure

Non-invasive assessment of intracranial pressure

Return to Work after a Stroke in Working Age Persons; A Six-Year Follow Up

Occupational gaps 5 years after stroke

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