Stroke Risk Factors, Course and Long-Term Functional Outcome of First-Ever Stroke in Women

2014 ◽  
Vol 7 (1) ◽  
Keyword(s):  
Risk Factors ◽  
Functional Outcome ◽  
Stroke Risk ◽  
Stroke Risk Factors

Abstract 3391: FAST Stroke Educational Program for Middle School Students

Stroke ◽  
2012 ◽  
Vol 43 (suppl_1) ◽  
Author(s):  
Elaine T Miller ◽  
Keith King ◽  
Rosemary Miller ◽  
Roberta Lee
Keyword(s):  
Risk Factors ◽  
Middle School ◽  
Self Efficacy ◽  
Stroke Risk ◽  
Warning Signs ◽  
Control School ◽  
School Students ◽  
Stroke Risk Factors ◽  
And Control

Significance and Purpose: Given the continuing escalation of obesity and other major modifable stroke risk factors in American children, now more than ever the testing of the efficacy of stroke educational programs remains a priority. The specific aim of this study was to determine if the 9 month FAST Stroke Prevention Educational Program for Middle School Students leads to a significantly greater increase in stroke knowledge (signs/symptoms, risk factors), self-efficacy, treatment seeking behaviors (calling 911), and stroke risk reduction behavior when compared to a control school. A secondary purpose was to obtain comparison data (intervention and control school) regarding blood pressure, waist circumference, and body mass index. Methodology: The study design is quasi-experimental with an intervention and control middle school that each receives the initial program pretest and long-term posttest. Both schools are in the same city and serve primarily African American students ages 10-14. Instruments to measure the key study variables have established reliability, Chronbach alpha of .85 or higher, and content validity. The FAST Program framed within Social Cognitive Theory, spanned 9 months consisting of 6 modules that included active learning experiences, involvement of multiple stakeholders (school, parents, and community), and senior nursing students in the program implementation. Findings: Seventy-seven students (54% male, 46% female) received the FAST Program and 101 students were in the control school (45% male, 55% female). Students who received the FAST Program knew significantly more of the warning signs of stroke than students not receiving the program. No significant difference between the control and intervention school occurred pertaining to knowledge of stroke risk factors at pretest or long-term posttest at 9 months. Compared to pretest scores, students receiving FAST scored significantly higher at posttest and long-term posttest on self-efficacy. Of those in the intervention group who had identified a modifiable stroke risk reduction objective (e.g., increase exercise, eat a more healthy diet, stop smoking), 42% reported achieving their objective; while another 19% reported making progress. Although BMIs and blood pressures improved in students receiving FAST, there were not any significant improvements between the two schools. Conclusions and Practice Implications: The FAST Program improved the convenient sample of African American students’ knowledge of stroke warning signs and self-efficacy. Plus, many students were able to achieve their predetermined modifiable stroke risk factors in the FAST Program. Further program improvements are recommended, but it is clear that active involvement of parents, school and community stakeholders are essential.

Abstract WMP88: Modified Rehabilitation has Long-Term Impact on Walking for Individuals with a TIA

Stroke ◽  
2013 ◽  
Vol 44 (suppl_1) ◽  
Author(s):  
Marieke VanPuymbroeck ◽  
Arlene Schmid ◽  
Susie Carter ◽  
Wanda Koester ◽  
Carrie Docherty
Keyword(s):  
Risk Factors ◽  
Cardiac Rehabilitation ◽  
Gait Speed ◽  
Perceived Exertion ◽  
Stroke Risk ◽  
Post Intervention ◽  
Stroke Risk Factors ◽  
Post Test ◽  
Long Term Impact

Background and Purpose: Transient Ischemic Attacks (TIAs) often signal looming health threats. If not addressed, TIAs lead to stroke in over half of individuals. Usual care following a TIA typically is only pharmacological, in spite of the known potential for exercise to reduce stroke risk factors. Therefore, the purpose of this study was to determine the long-term (1-year) impact of a modified rehabilitation program on individuals who had a TIA. Method: In this single armed pilot study, we modified cardiac rehabilitation (typically offered to individuals post-myocardial infarction), for individuals with a TIA. The standard cardiac rehabilitation structure (1.5 hrs per session, 3x per week, for 6 weeks) was implemented in the month following TIA. Exercises increased progressively in terms of speed or elevation until the workload was identified by participants as “somewhat hard” (approximately 12-14 on the Borg Scale of Perceived Exertion). We measured patients pre- and post- the 6 week intervention, and then again at 6 months and 1 year post-intervention to determine long-term impact. Results: Fourteen participants completed measures at 1-year. While systolic and diastolic blood pressure (SBP, DBP) reduced substantially from pre- to post- intervention (SBP= 130.5 pre-test, 124.14 post-test; DBP= 72.14 pre-test, 67.57 post-test), these changes did not persist at 1-year. However, repeated measures analysis of variance (RM ANOVA) with Greenhouse-Geisser correction determined that mean gait speed improved significantly over 1-year (F(1.697, 22.057) = 18.412, p=.000). RM ANOVA with Bonferroni correction also indicated that endurance statistically improved over 1 year (F(3, 39) = 7.491, p =.000). Discussion: Results revealed that both gait speed and endurance increased post-intervention, and remained higher than pre-intervention at 1-year post-TIA. Improvements in gait speed and endurance have potential to increase participation in community life, as individuals may be more likely to engage in activities if their mobility is enhanced. This increased engagement may lead to increased physical activity, which may reduce stroke risk factors.

scholarly journals Stroke Risk Factors, Course and Long-Term Functional Outcome of First-Ever Stroke in Women

2014 ◽  
Vol 2 (1) ◽  
pp. 119-123
Author(s):  
Anetta Lasek-Bal ◽  
Jan Szymszal ◽  
Zofia Kazibutowska
Keyword(s):  
Risk Factors ◽  
Atrial Fibrillation ◽  
Coronary Disease ◽  
Stroke Risk ◽  
Institutional Care ◽  
Stroke Risk Factors ◽  
Lipid Disorders ◽  
Frequent Use ◽  
Stroke Disability

BACKGROUND: Recently, many studies regarding stroke in men and women showing differences in its incidence and course have been conducted, but the cause of sex differences remains unclear.AIM: The objective of study was to assess the incidence of selected stroke risk factors, the course and long-term consequences of first-ever stroke in women.MATERIAL AND METHODS: 304 women and 207 men with first-ever stroke were studied. We assessed: age at which stroke occurred; presence of hypertension, lipid disorders, coronary disease, atrial fibrillation, diabetes, carotid/cerebral artery stenoses; stroke aetiology, state on days 1 (NIHSS) and 90 (Rankin).RESULTS: The age at which first-ever stroke occurred was higher in women (p = 0.030). Atrial fibrillation occurred more frequently in them (p = 0.0007). Hypertension and coronary disease occurred less commonly in women under 55 (p = 0.038 and 0.035 respectively). In women < 55, lipid disorders (p = 0.004) and diabetes (p = 0.018) were observed more rarely, they were more common in > 55 group (p = 0.042 and 0.023). In women, carotid artery stenoses were less common (p = 0.07), cardiogenic stroke more common (p = 0.001). They were in worse neurological state both on day 1 (p = 0.001) and 90 (p = 0.033) of disease.CONCLUSIONS: Cardiogenic stroke is significantly more common in women. Women exhibit more severe post-stroke disability, resulting in more frequent use of institutional care.

Migraine and Migraine-Associated Stroke: Risk Factors and Long Term Prognosis

Cephalalgia ◽  
1991 ◽  
Vol 11 (11_suppl) ◽  
pp. 185-185
Author(s):  
John Rothrock ◽  
Julie Murray ◽  
KEN Madden ◽  
Wigbert Wiederholt
Keyword(s):  
Risk Factors ◽  
Stroke Risk ◽  
Stroke Risk Factors ◽  
Long Term Prognosis

scholarly journals 947. Stroke demographics and risk factor profile in HIV infected individuals in Florida

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S506-S506
Author(s):  
Folusakin Ayoade ◽  
Dushyantha Jayaweera
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
Clinical Research ◽  
Stroke Risk ◽  
Research Network ◽  
Categorical Variables ◽  
People Living With Hiv ◽  
Risk Factor Profile ◽  
Stroke Risk Factors ◽  
Living With Hiv

Abstract Background The risk of ischemic stroke (IS) is known to be higher in people living with HIV (PLWH) than uninfected controls. However, information about the demographics and risk factors for hemorrhagic stroke (HS) in PLWH is scant. Specifically, very little is known about the differences in the stroke risk factors between HS and IS in PLWH. The goal of this study was to determine the demographics and risk factor differences between HS and IS in PLWH. Methods We retrospectively analyzed the demographic and clinical data of PLWH in OneFlorida (1FL) Clinical Research Consortium from October 2015 to December 2018. 1FL is a large statewide clinical research network and database which contains health information of over 15 million patients, 1240 clinical practices, and 22 hospitals. We compared HS and IS based on documented ICD 9 and 10 diagnostic codes and extracted information about sociodemographic data, traditional stroke risk factors, Charlson comorbidity scores, habits, HIV factors, diagnostic modalities and medications. Statistical significance was determined using 2-sample T-test for continuous variables and adjusted Pearson chi square for categorical variables. Odds ratio (OR) and 95% confidence intervals (CI) between groups were compared. Results Overall, from 1FL sample of 13986 people living with HIV, 574 subjects had strokes during the study period. The rate of any stroke was 18.2/1000 person-years (PYRS). The rate of IS was 10.8/1000 PYRS while the rate of HS was 3.7/1000 PYRS, corresponding to 25.4% HS of all strokes in the study. Table 1 summarizes the pertinent demographic and risk factors for HS and IS in PLWH in the study. Table 1: Summary of pertinent demographic and risk factors for hemorrhagic and ischemic strokes in people living with HIV from One Florida database Conclusion In this large Floridian health database, demographics and risk factor profile differs between HS and IS in PLWH. Younger age group is associated with HS than IS. However, hypertension, hyperlipidemia and coronary artery disease are more likely to contribute to IS than HS in PLWH. Further research is needed to better understand the interplay between known and yet unidentified risk factors that may be contributing to HS and IS in PLWH. Disclosures All Authors: No reported disclosures

The Burden of Stroke in Pakistan

2008 ◽  
Vol 3 (4) ◽  
pp. 293-296 ◽  
Author(s):  
Bhojo A. Khealani ◽  
Mohammad Wasay
Keyword(s):  
Risk Factors ◽  
Stroke Risk ◽  
Case Series ◽  
Stroke Care ◽  
Poor Control ◽  
Stroke Incidence ◽  
Treatment Practices ◽  
Stroke Risk Factors ◽  
The Subject ◽  
Artery Disease

Epidemiologic literature on stroke burden, patterns of stroke is almost non existent from Pakistan. However, several hospital-based case series on the subject are available, mainly published in local medical journals. Despite the fact that true stroke incidence and prevalence of stroke in Pakistan is not known, the burden is assumed to be high because of highly prevalent stroke risk factors (hypertension, diabetes mellitus, coronary artery disease, dyslipidemia and smoking) in the community. High burden of these conventional stroke risk factors is further compounded by lack of awareness, poor compliance hence poor control, and inappropriate management/treatment practices. In addition certain risk factors like rheumatic valvular heart disease may be more prevalent in Pakistan. We reviewed the existing literature on stroke risk factors in community, the risk factor prevalence among stroke patients, patterns of stroke, out come of stroke, availability of diagnostic services/facilities related to stroke and resources for stroke care in Pakistan.

scholarly journals Knowledge of Stroke Risk Factors among Stroke Survivors in Nigeria

2016 ◽  
Vol 2016 ◽  
pp. 1-5
Author(s):  
Grace Vincent-Onabajo ◽  
Taritei Moses
Keyword(s):  
Risk Factors ◽  
Stroke Risk ◽  
Tertiary Education ◽  
Effective Means ◽  
Descriptive Statistics ◽  
Stroke Survivors ◽  
Questionnaire Data ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Stroke Risk Factors

Background. Knowledge of stroke risk factors is expected to reduce the incidence of stroke—whether first-ever or recurrent. This study examined knowledge of stroke risk factors and its determinants among stroke survivors.Methods. A cross-sectional survey of consenting stroke survivors at two physiotherapy facilities in Nigeria was carried out. Sociodemographic and clinical data were obtained and knowledge of stroke risk factors (defined as the ability to mention at least one correct risk factor) was assessed using open-ended questionnaire. Data were treated with descriptive statistics and logistic regression analysis.Results. Sixty-nine stroke survivors (male = 72.5%; mean ± SD age =49.7±10.6years) participated in the study. Thirty-four (49.4%) participants had knowledge of stroke risk factors. Only educational level was significantly associated with knowledge and participants with tertiary educational qualification were about 48 times (odds ratio = 48.5; CI = 7.6–309.8;P<0.0001) more likely to be knowledgeable than those with no education.Conclusion. Less than half of the participants had knowledge of stroke risk factors. Participants with tertiary education were significantly more knowledgeable than those with lower educational qualifications. Effective means of educating stroke survivors on stroke risk factors should be identified and adopted.

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