Deans' stroke musings: The soar stroke score predicts inpatient and 7-day mortality in acute stroke

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Tuesday, July 15, 2014

The soar stroke score predicts inpatient and 7-day mortality in acute stroke

I think this is still a piece of shit. If you want to predict something you use objective measurements like CT, MRI and PET scans that show the dead and damaged areas in 3d. With that you could accurately correlate damage to death rates and recovery rates. And map therapies that helped in rehab.
And that would make therapies repeatable and lead to stroke protocols.
Does no one know how to think in the stroke world?
http://www.mdlinx.com/internal-medicine/newsl-article.cfm/4693448/ZZF307965849E94474BB34FC062CEC0F93/soarstroke-mortality/?news_id=466&newsdt=071014&utm_source=DailyNL&utm_medium=newsletter&utm_content=Full-Text-Article&
Kwok CS et al. – An accurate prognosis is useful for patients, family, and service providers after acute stroke. A simple score based on 4 easily obtainable variables at the point of care may potentially help predict early stroke mortality.
Methods

They validated the Stroke subtype, Oxfordshire Community Stroke Project Classification, Age, and prestroke Rankin stroke score in predicting inpatient and 7–day mortality using data from 8 National Health Service hospital trusts in the Anglia Stroke and Heart Clinical Network between September 2008 and April 2011.

Results

A total of 3547 stroke patients (ischemic, 92%) were included.
An incremental increase of inpatient and 7–day mortality was observed with increase in Stroke subtype, Oxfordshire Community Stroke Project Classification, Age, and prestroke Rankin stroke score. Using a cut–off of >3, the area under the receiver operator curves values for inpatient and 7–day mortality were 0.80 and 0.82, respectively.