Deans' stroke musings: Estimates of the Prevalence of Acute Stroke Impairments and Disability in a Multiethnic Population

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.

Sunday, August 10, 2014

Estimates of the Prevalence of Acute Stroke Impairments and Disability in a Multiethnic Population

Look at all the impairments post-stroke that I bet your doctors have no stroke protocols for. Ask them before your next stroke if they have anything at all to help you recover. And writing 3 prescriptions of E.T.( Evaluate and Treat to your physical therapist, occupational therapist and speech therapist are not really helping at all. You really are completely on your own. And they are missing fatigue, spasticity, and central post stroke pain.
http://stroke.ahajournals.org/content/32/6/1279/T3.expansion.html

Table 3.

Age-Adjusted Prevalence Rates of Impairment and Disability by Pathological and Bamford Subtype of Stroke

Impairment	TACI n=189	PACI n=250	POCI n=142	LACI n=283	PICH n=170	SAH n=77
Gaze paresis	42 (35–50)	7 (4–11)	25 (17–32)	4 (1–7)	29 (21–37)	46 (37–65)
Visual field defect	94 (90–98)	21 (16–26)	32 (24–39)	…	35 (26–44)	25 (0–54)
Visual neglect	67 (59–74)	25 (19–31)	17 (11–24)	…	31 (22–39)	48 (40–56)
Sensory inattention¹	91 (86–97)	35 (29–42)	18 (11–25)	…	33 (23–42)	38 (38–38)
Upper limb motor deficit	100	78 (73–83)	54 (46–62)	88 (85–92)	79 (73–86)	66 (53–79)
Lower limb motor deficit	99 (98–100)	63 (57–69)	50 (42–58)	84 (80–89)	76 (69–82)	66 (53–79)
Upper limb sensory deficit	72 (65–79)	38 (31–44)	22 (15–29)	33 (28–38)	39 (31–48)	32 (9–55)
Lower limb sensory deficit	68 (60–75)	34 (28–41)	21 (14–28)	27 (21–32)	36 (28–44)	32 (9–55)
Dysphagia	81 (75–86)	33 (28–39)	34 (26–41)	26 (20–31)	62 (54–70)	68 (56–81)
Dysarthria¹	85 (78–91)	49 (42–55)	44 (35–53)	54 (48–60)	54 (45–64)	5 (0–12)
Dysphasia	51 (43–58)	45 (38–51)	10 (5–15)	…	29 (21–37)	25 (0–53)
Urinary incontinence	87 (82–92)	37 (31–43)	38 (30–45)	25 (20–30)	70 (63–78)	71 (57–85)
Urinary catheterisation¹	66 (60–73)	22 (16–27)	25 (18–33)	12 (8–15)	52 (44–60)	61 (46–77)
MMSE <24¹	89 (84–95)	64 (58–71)	51 (41–60)	50 (44–56)	78 (70–86)	85 (72–99)
GCS <15	69 (63–75)	37 (31–43)	35 (27–42)	15 (11–19)	63 (55–70)	82 (70–93)
GCS <9	23 (17–28)	3 (1–5)	12 (7–18)	3 (1–6)	36 (29–43)	67 (55–80)
7-d BI <20²	100	80 (74–85)	77 (70–84)	73 (68–78)	96 (93–99)	94 (92–97)
7-d BI <15²	95 (93–98)	59 (53–66)	54 (46–62)	50 (44–56)	87 (81–92)	90 (83–97)
7-d BI <10²	90 (85–94)	35 (29–41)	36 (27–44)	32 (27–38)	70 (62–78)	76 (59–95)

Values are % (95% CI).
1 For gaze paresis, sensory inattention, dysarthria, urinary catheterisation and MMSE were not assessed for 70 patients.
2 For BI, 208 died by day 7.