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.

Thursday, November 13, 2014

Functional Disability and Cognitive Impairment After Hospitalization for Myocardial Infarction and Stroke

I hate these research articles that say stroke is bad but give absolutely nothing in return as how to treat or prevent these problems. They shouldn't be allowed anywhere near research dollars in my opinion.
http://circoutcomes.ahajournals.org/content/early/2014/11/11/HCQ.0000000000000008.abstract
  1. Theodore J. Iwashyna, MD, PhD
+ Author Affiliations
  1. From the Department of Internal Medicine (D.A.L., K.M.L., M.A.M.R., T.J.I.) and the Department of Neurology and the Stroke Program (D.A.L.), University of Michigan, Ann Arbor; Veterans Affairs Center for Clinical Management Research, Ann Arbor, MI (D.A.L., K.M.L., T.J.I.); Department of Psychiatry and Behavioral Sciences (D.S.D.) and Department of Medicine, University of Washington, Seattle (C.L.H.); and Institute for Social Research, University of Michigan, Ann Arbor (K.M.L., T.J.I.).
  1. Correspondence to Deborah A. Levine, MD, MPH, Division of General Medicine, University of Michigan, North Campus Research Complex, 2800 Plymouth Rd, Bldg 16, Room 430W, Ann Arbor, MI 48109. E-mail deblevin@umich.edu

Abstract

Background—We assessed the acute and long-term effect of myocardial infarction (MI) and stroke on postevent functional disability and cognition while controlling for survivors’ changes in functioning over the years before the event.
Methods and Results—Among participants in the nationally representative Health and Retirement Study with linked Medicare data (1998–2010), we determined within-person changes in functional limitations (basic and instrumental activities of daily living) and cognitive impairment after hospitalization for stroke (n=432) and MI (n=450), controlling for premorbid functioning using fixed-effects regression. In persons without baseline impairments, an acute MI yielded a mean acute increase of 0.41 functional limitations (95% confidence interval [CI], 0.18–0.63) with a linear increase of 0.14 limitations/year in the following decade. These increases were 0.65 limitations (95% CI, 0.07–1.23) and 0.27 limitations/year afterward for those with mild-to-moderate impairment at baseline. Stroke resulted in an acute increase of 2.07 (95% CI, 1.51–2.63) limitations because of the acute event and an increase of 0.15 limitations/year afterward for those unimpaired at baseline. There were 2.65 new limitations (95% CI, 1.86–3.44) and 0.19/year afterward for those with baseline mild-to-moderate impairment. Stroke hospitalization was associated with greater odds of moderate-to-severe cognitive impairment (odds ratio, 3.86; 95% CI, 2.10–7.11) at the time of the event, after adjustment for premorbid cognition but MI hospitalization was not.
Conclusions—In this population-based cohort, most MI and stroke hospitalizations were associated with significant increases in functional disability at the time of the event and in the decade afterward. Survivors of MI and stroke warrant screening for functional disability over the long-term.

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