Temporal Trends and Predictors of Drug Utilization and Outcomes in First-Ever Stroke Patients: A Population-Based Study Using the Singapore Stroke Registry

Yeo, See‐Hwee; Yau, Wai‐Ping

doi:10.1007/s40263-019-00648-w

Cited by 3 publications

(2 citation statements)

References 51 publications

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“…The Stroke Prognosis Instrument‐II (SPI‐II) and the Essen Stroke Risk Score (ESRS) are two widely utilized models for long‐term risk prediction (Mohan et al., 2011), which mainly include traditional cardiocerebrovascular risk factors (age, smoking status, hypertension, diabetes, coronary heart disease, congestive heart failure, and prior stroke). Over the past 20 years since the ESRS and SPI‐II models were developed, the incidence and recurrence rates of stroke have declined as a result of new treatments and risk factor modification that emphasize secondary prevention (Carandang et al., 2006; Koton et al., 2020; Menon et al., 2015; Yeo & Yau, 2019). It is worth noting that some patients who have received the guideline recommended prevention measures still have a high residual risk of subsequent stroke (Ji et al., 2013; Ridker, 2016).…”

Section: Introductionmentioning

confidence: 99%

Thirteen‐year trends in risk scores predictive values for subsequent stroke in patients with acute ischemic event

Xiong

Wang

et al. 2023

Brain and Behavior

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Introduction: A high residual risk of subsequent stroke suggested that the predictive ability of Stroke Prognosis Instrument-II (SPI-II) and Essen Stroke Risk Score (ESRS) may have changed over the years. Aim: To explore the predictive values of the SPI-II and ESRS for 1-year subsequent stroke risk in a pooled analysis of three consecutive national cohorts in China over 13 years.Results: In the China National Stroke Registries (CNSRs), 10.7% (5297/50,374) of the patients had a subsequent stroke within 1 year; area under the curve (AUC) of SPI-II

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Section: Introductionmentioning

confidence: 99%

Thirteen‐year trends in risk scores predictive values for subsequent stroke in patients with acute ischemic event

Xiong

Wang

et al. 2023

Brain and Behavior

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“…These includes strokes involving the brainstem, arterio-venous malformations, meningiomas, bulking pituitary lesions, vascular loops encompassing the trigeminal nerve and Moya-Moya disease [4][5][6][7][8][9][10][11][12][13]. Strokes are known to be more common in the geriatric population, whom constitute 53.4% of all adult strokes [14]. This is a case report of a stroke mimics in an elderly male patient, of which the clinical progression, investigations and clinical response have led to the diagnosis of paroxysmal hemicrania; and is one of the first reports of a PH masquerading as a stroke.…”

Section: Introductionmentioning

confidence: 99%

Paroxysmal hemicrania masquerading as a stroke in an elderly gentleman: case report

2020

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Background Paroxysmal hemicrania has not been associated with ipsilateral weakness, loss of sensation and Horner’s syndrome. This report is the first of its kind documented in literature. Case presentation This was an elderly, sixty-five-year-old Chinese male who presented with a headache fulfilling criteria of paroxysmal hemicrania and was found to have signs of ipsilateral conjunctival injection, Horner’s syndrome, weakness and loss of sensation; with resolution of the patient’s physical signs after relief of the headache. Brain magnetic resonance imaging did not show any strokes or other headache mimics. The patient had a marked response to indomethacin and a decrease of headache intensity and frequency with indomethacin prophylaxis. Conclusions Paroxysmal hemicrania has joined the list of stroke chameleons and that it would be one of the differentials in a patient with hemiplegia, hemisensory loss, autonomic signs and severe headache. It suggests that paroxysmal hemicrania in the elderly present atypically.

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Prehospital stroke care in Singapore

Lam,

Liu,

Tan

et al. 2024

Singapore Medical Journal

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Due to the narrow window of opportunity for stroke therapeutics to be employed, effectiveness of stroke care systems is predicated on the efficiency of prehospital stroke systems. A robust prehospital stroke system of care that provides a rapid and well-coordinated response maximises favourable poststroke outcomes, but achieving this presents a unique set of challenges dependent on demographic and geographical circumstances. Set in the context of a highly urbanised first-world nation with a rising burden of stroke, Singapore’s prehospital stroke system has evolved to reflect the environment in which it operates. This review aims to characterise the current state of prehospital stroke care in Singapore, covering prehospital aspects of the stroke survival chain from symptom onset till arrival at the emergency department. We identify areas for improvement and innovation, as well as provide insights into the possible future of prehospital stroke care in Singapore.

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Temporal Trends and Predictors of Drug Utilization and Outcomes in First-Ever Stroke Patients: A Population-Based Study Using the Singapore Stroke Registry

Cited by 3 publications

References 51 publications

Thirteen‐year trends in risk scores predictive values for subsequent stroke in patients with acute ischemic event

Thirteen‐year trends in risk scores predictive values for subsequent stroke in patients with acute ischemic event

Paroxysmal hemicrania masquerading as a stroke in an elderly gentleman: case report

Prehospital stroke care in Singapore

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