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.

Wednesday, January 21, 2015

Men who live alone run a greater risk of dying prematurely after stroke

Well, it is going to take one hell of a woman to get me out of being single and this risk I'll accept with great pleasure. 14 years now for me.

Men who live alone run a greater risk of dying prematurely after stroke

Men who live alone have a considerably greater long-term risk of dying prematurely than other patients. This is shown in a doctoral thesis that followed 1,090 stroke cases in western Sweden.
As part of the Sahlgrenska Academy Study on Ischemic Stroke (SAHLSIS), Petra Redfors examined the long-term prognosis for 1,090 victims of ischemic stroke before the age of 70 and compared the results with 600 controls.
Excess mortality
According to her findings, 36% of patients who were living alone, as opposed to 17% of those with partners, died within 12 years after stroke. Among men, the gap widened to 44% vs. 14%.
Excess mortality associated with living alone was still found after adjusting for physical inactivity, high alcohol consumption, low educational level and other known risk factors.
“Among the conceivable causes are that people who live alone lead less healthy lives, are less prone to take their medication and tend to wait longer before going to the emergency room,” Dr. Redfors says. “For the healthy controls, excess mortality was also greater among men, particularly those living alone.”
Multiple risk
Etiology played a key role as well— having had a stroke due to large vessel disease, a blood clot from the heart or diabetes was an additional risk factor.
The thesis demonstrates that stroke victims faced 10 times as great a risk of recurrence within 12 years as healthy controls. The risk of myocardial infarction was twice as much.
“The pattern of excess mortality among people who live alone showed up here as well,” Dr. Redfors says. “Among the other risk factors for recurrence were the severity of the original event, along with diabetes or coronary artery disease. Physical inactivity increased the risk of cardiac infarction after stroke.”
Long-term cognitive loss
The thesis also found that a large percentage of stroke victims were still experiencing memory, concentration, cognitive and other loss at 7-year follow-up. Because many of them are of working age, the personal and social impact is enormous.
“Our results underscore the importance of intensive, long-term prevention among stroke patients, including medication for hypertension, diabetes and other underlying conditions, along with lifestyle changes,” Dr. Redfors says. “Above all, serious consideration needs to be given to providing greater support and more thorough information for patients who are living alone.”
The thesis Long-term Post-stroke Outcome – the Sahlgrenska Academy Study on Ischemic Stroke was defended on November 28.
http://sahlgrenska.gu.se/english/news_and_events/news/News_Detail/men-who-live-alone-run-a-greater-risk-of-dying-prematurely-after-stroke-.cid1251064

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