Updates in Stroke Treatment, Diagnostic Methods and Predictors of Outcome

Katsanos, Aristeidis H.

doi:10.3390/jcm9092789

Cited by 4 publications

(5 citation statements)

References 31 publications

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“…These factors include the improvement of a healthcare system for hyper-acute management and the introduction of the delivery system for early and continuous rehabilitation [ 20 ]. The innovations in stroke treatment and the introduction of intensive stroke units may have affected the decrease in the incidence of disabilities in community-dwelling stroke survivors [ 21 22 23 24 ]. The increase in the number of stroke units in Korea may lead to the reduction of complications through active monitoring and management in the early stages of acute stroke.…”

Section: Discussionmentioning

confidence: 99%

Causes and Trends of Disabilities in Community-Dwelling Stroke Survivors: A Population-Based Study

Lee

Choi

et al. 2022

Brain Neurorehabil

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Many stroke survivors live with disabilities in the community. This study aimed to investigate the causes and trends of disabilities among community-dwelling stroke survivors. A total of 1547 community-dwelling stroke survivors ≥ 19 years were identified using the Korea National Health and Nutrition Examination Survey (KNHANES) database from 2007 to 2018. We analyzed the causes and trends of disabilities in strokes survivors using complex-samples procedures. During 2007–2018, 38.0% of stroke survivors were found to have disabilities. Stroke itself was the most common cause of disabilities (21.3%). Musculoskeletal (back or neck problems, 7.0%; arthritis, 5.7%; and leg pain excluding arthritis, 2.3%), sensory (visual problems, 3.6%; and auditory problems, 1.4%), and medical problems (diabetes 2.6%; hypertension, 2.3%; heart disease, 1.5%) accounted for the rest of the other causes of disabilities. Upon analyzing the trends, we found that both the proportion of stroke survivors with disabilities and that of stroke survivors with stroke-related disabilities decreased from KNHANES IV (2007–2009) to V (2010–2012). After 2010–2012, the proportion of both groups stayed constant. The burden of disabilities in non-hospitalized stroke survivors has decreased but still remains high. Attention is warranted because many other problems than a stroke can cause disabilities in community-dwelling stroke survivors.

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Section: Discussionmentioning

confidence: 99%

Causes and Trends of Disabilities in Community-Dwelling Stroke Survivors: A Population-Based Study

Lee

Choi

et al. 2022

Brain Neurorehabil

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“…Además, se recomienda solicitar HbA1c, creatinina y perfil de lípidos en ayunas o sin ayunar, para obtener información sobre los factores de riesgo para la enfermedad cerebrovascular y para guiar las metas de tratamiento. (19) El ECG y la monitorización cardíaca son importantes para la detección de arritmias crónicas o intermitentes que predisponen a eventos embólicos (ej., fibrilación auricular) y para detectar evidencia indirecta de agrandamiento auricular/ventricular que puede predisponer a la formación de trombos. Las pautas actuales recomiendan la monitorización cardíaca durante al menos las primeras 24 horas después del inicio de la enfermedad cerebrovascular isquémica para buscar fibrilación auricular (FA) o aleteo auricular.…”

Section: Diagnóstico Estudios De Imagenunclassified

“…La punción lumbar rara vez está indicada, salvo en casos con sospecha de una causa infecciosa o para corroborar una hemorragia subaracnoidea. (19) Finalmente, el beneficio a largo plazo de la terapia antihipertensiva no significa que una reducción de la presión arterial sea beneficiosa durante el tratamiento inicial de una enfermedad cerebrovascular isquémica aguda. En pacientes con ECV isquémico, la presión de perfusión distal al vaso obstruido es baja y los vasos distales están dilatados.…”

Section: Diagnóstico Estudios De Imagenunclassified

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Enfermedad cerebro vascular isquémica diagnóstico y tratamiento.

Arias¹,

Pavón

Chamorro

et al. 2023

TEJOM

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Resumen Introducción: El evento cerebro vascular isquémico representa una causa de morbimortalidad y discapacidad muy importante a nivel global, siendo mayor su incidencia en países en desarrollo donde los factores de riesgo son más comunes. El pronóstico depende directamente del tiempo que transcurre entre el inicio de los síntomas y la instauración del tratamiento adecuado. Objetivo: Dar a conocer el diagnóstico y manejo de la enfermedad cerebrovascular con el fin de que el personal de salud esté en la capacidad de diagnosticar e instaurar el tratamiento de esta patología de manera oportuna. Métodos: Para la realización de la presente revisión bibliográfica se utilizaron diferentes fuentes bibliográficas obtenidas de motores de búsqueda como PubMed, posteriormente a ello se seleccionaron los artículos que aportaban al objetivo del presente documento para su elaboración. Discusión: Es importante realizar un diagnóstico oportuno y un tratamiento adecuado para poder alcanzar los objetivos principales que en la fase inicial del tratamiento de la enfermedad cerebrovascular aguda son garantizar la estabilidad médica, revertir rápidamente las condiciones que contribuyen al problema del paciente, determinar si los pacientes con accidente cerebrovascular isquémico agudo son candidatos para la terapia de reperfusión y comenzar a descubrir la fisiopatología. base de los síntomas neurológicos.

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“…Optimizing intrahospital management is extremely important. One-stop management, i.e., to use flat panel CT and CTA modality for the brain imaging (bypassing both the emergency department and multidetector computed tomography) has been suggested as an efficient method to reduce in-hospital delays [40,41].…”

Section: Hospital Diagnosismentioning

confidence: 99%

How to Improve the Management of Acute Ischemic Stroke by Modern Technologies, Artificial Intelligence, and New Treatment Methods

Zeleňák

Krajina

Meyer

et al. 2021

Life

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Stroke remains one of the leading causes of death and disability in Europe. The European Stroke Action Plan (ESAP) defines four main targets for the years 2018 to 2030. The COVID-19 pandemic forced the use of innovative technologies and created pressure to improve internet networks. Moreover, 5G internet network will be helpful for the transfer and collecting of extremely big databases. Nowadays, the speed of internet connection is a limiting factor for robotic systems, which can be controlled and commanded potentially from various places in the world. Innovative technologies can be implemented for acute stroke patient management soon. Artificial intelligence (AI) and robotics are used increasingly often without the exception of medicine. Their implementation can be achieved in every level of stroke care. In this article, all steps of stroke health care processes are discussed in terms of how to improve them (including prehospital diagnosis, consultation, transfer of the patient, diagnosis, techniques of the treatment as well as rehabilitation and usage of AI). New ethical problems have also been discovered. Everything must be aligned to the concept of “time is brain”.

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Updates in Stroke Treatment, Diagnostic Methods and Predictors of Outcome

Abstract: In recent years, there have been outstanding achievements in stroke diagnosis and care [...]

Cited by 4 publications

References 31 publications

Causes and Trends of Disabilities in Community-Dwelling Stroke Survivors: A Population-Based Study

Causes and Trends of Disabilities in Community-Dwelling Stroke Survivors: A Population-Based Study

Enfermedad cerebro vascular isquémica diagnóstico y tratamiento.

How to Improve the Management of Acute Ischemic Stroke by Modern Technologies, Artificial Intelligence, and New Treatment Methods

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