scholarly journals Prevalence and Predictors of Depression after Stroke - Results from a Prospective Study

2018 ◽  
Vol 6 (5) ◽  
pp. 824-828 ◽  
Author(s):  
Danijela Vojtikiv-Samoilovska ◽  
Anita Arsovska
Keyword(s):  
Risk Factors ◽  
Ischemic Stroke ◽  
Activities Of Daily Living ◽  
Prospective Study ◽  
Middle Cerebral Artery ◽  
Cerebral Artery ◽  
Daily Living ◽  
Increased Risk ◽  
The Right ◽  
A Prospective Study

BACKGROUND: A depression following a stroke (Post Stoke Depression-PSD) is the most common complication of a stroke that has a negative effect on the result after the stroke. A better definition of the risk factors of the disease will provide for better prediction and treatment.AIM: To research identification of the risk factors for PSD, typical for the Macedonian population, which will help in early prediction, timely diagnosis and treatment of the disease?MATERIAL AND METHODS: We carried out a prospective study in order to determine the prevalence and the risk factors of PSD in 100 patients treated at the hospital in Tetovo. The severity, localisation and the functional outcome of the stroke have been examined as potential risk factors for discharge and after 5 months. The symptoms of depression were quantified using the Hamilton Depression Rating Scale (HAM-d).RESULTS: On discharge, 81% of the patients were diagnosed with PSD, and 67% had PSD after 5 months. A statistically significant codependence of p < 0.05 was registered between PSD and the level of functional dependence for activities of daily living (ADL); PSD and the severity of the stroke; and PSD and the level of disability on both examinations. In most patients with PSD, an ischemic stroke in the right middle cerebral artery has been diagnosed; the percentage difference between the other localisations is statistically significant (p = 0.0436; p = 0.0002).CONCLUSION: There is an increased risk of PSD for immobile patients, those incapable of activities of daily living (ADL), with ischemic stroke in the right middle cerebral artery. A PSD screening and additional studies for better prediction are required.

scholarly journals Association of self-perceived income sufficiency with cognitive impairment among older adults: a population-based study in India

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
T. Muhammad ◽  
Shobhit Srivastava ◽  
T. V. Sekher
Keyword(s):  
Risk Factors ◽  
Older Adults ◽  
Cognitive Impairment ◽  
Activities Of Daily Living ◽  
Psychological Health ◽  
Daily Living ◽  
Basic Needs ◽  
Well Being ◽  
Asset Ownership ◽  
Increased Risk

Abstract Background Greater cognitive performance has been shown to be associated with better mental and physical health and lower mortality. The present study contributes to the existing literature on the linkages of self-perceived income sufficiency and cognitive impairment. Study also provides additional insights on other socioeconomic and health-related variables that are associated with cognitive impairment in older ages. Methods Data for this study is derived from the 'Building Knowledge Base on Population Ageing in India'. The final sample size for the analysis after removing missing cases was 9176 older adults. Descriptive along with bivariate analyses were presented to show the plausible associations of cognitive impairment with potential risk factors using the chi-square test. Also, binary logistic regression analysis was performed to provide the relationship between cognitive impairment and risk factors. The software used was STATA 14. Results About 43% of older adults reported that they had no source of income and 7.2% had income but not sufficient to fulfil their basic needs. Older adults with income but partially sufficient to fulfil their basic needs had 39% significantly higher likelihood to suffer from cognitive impairment than older adults who had sufficient income [OR: 1.39; OR: 1.21–1.59]. Likelihood of cognitive impairment was low among older adults with asset ownership than older adults with no asset ownership [OR: 0.83; CI: 0.72–0.95]. Again, older adults who work by compulsion (73.3%) or felt mental or physical stress due to work (57.6%) had highest percentage of cognitive impairment. Moreover, older adults with poor self-rated health, low instrumental activities of daily living, low activities of daily living, low subjective well-being and low psychological health were at increased risk for cognitive impairment. Conclusion The study highlights the pressing need for care and support and especially financial incentives in the old age to preserve cognitive health. Further, while planning geriatric health care for older adults in India, priority must be given to financially backward, with no asset ownership, with poor health status, older-older, widowed, and illiterate older individuals, as they are more vulnerable to cognitive impairment.

Risk factors for ischemic stroke: A prospective study in Rochester, Minnesota

1987 ◽  
Vol 22 (3) ◽  
pp. 319-327 ◽  
Author(s):  
Patricia H. Davis ◽  
James M. Dambrosia ◽  
Bruce S. Schoenberg ◽  
Devera G. Schoenberg ◽  
David A. Pritchard ◽  
...  
Keyword(s):  
Risk Factors ◽  
Ischemic Stroke ◽  
Prospective Study ◽  
A Prospective Study

scholarly journals Russian-German Ischemic Stroke Database (First Year Results)

1998 ◽  
Vol XXX (1-2) ◽  
pp. 67-67
Author(s):  
Е. I. Gusev ◽  
К. Shimrigk ◽  
А. Haas ◽  
G. S. Burd ◽  
А. В. Gekht ◽  
...  
Keyword(s):  
Risk Factors ◽  
Ischemic Stroke ◽  
Prospective Study ◽  
First Year ◽  
Etiological Factors ◽  
Laboratory Examinations ◽  
A Prospective Study

In 1995, as part of a prospective study of patients with ischemic stroke, an original computerized database was developed, including information on etiological factors, risk factors for the disease, the results of clinical neurological and laboratory examinations, and the nature of the therapy.

scholarly journals Limb Volume Changes and Activities of Daily Living: A Prospective Study

2020 ◽  
Author(s):  
Jae Hyung Park ◽  
John Merriman ◽  
Abraham Brody ◽  
Jason Fletcher ◽  
Gary Yu ◽  
...  
Keyword(s):  
Activities Of Daily Living ◽  
Prospective Study ◽  
Daily Living ◽  
Limb Volume ◽  
Volume Changes ◽  
A Prospective Study

scholarly journals Treatment of Middle Cerebral Artery Occlusion with Concomitant Partially Thrombosed Aneurysm: a Case Report

2020 ◽  
Vol 2 (12) ◽  
pp. 2907-2910
Author(s):  
Michel Klapp Oliger ◽  
Till-Karsten Hauser ◽  
Franz-Josef Strauss ◽  
Ulrike Ernemann
Keyword(s):  
Ischemic Stroke ◽  
Case Report ◽  
Middle Cerebral Artery ◽  
Cerebral Artery ◽  
Clinical Symptoms ◽  
Recombinant Tissue Plasminogen Activator ◽  
Artery Occlusion ◽  
Clinical Approach ◽  
Thrombosed Aneurysm ◽  
The Right

AbstractA 68-year-old female with an acute ischemic stroke demanding emergency thrombectomy which was complicated by the presence of an intracranial aneurysm. Computer tomography revealed the occlusion of the right middle cerebral artery with a distal non-ruptured partially thrombosed aneurysm. The treatment consisted in the administration of intravenous recombinant tissue plasminogen activator and the removal of the proximal thrombus via direct aspiration in order to prevent perforation of the distal aneurysm. After the procedure, the clinical symptoms improved significantly indicated by the National Institutes of Health Stroke Scale (NIHSS). The aim of the present case report is, therefore, to suggest a clinical approach to help physicians in the decision-making process for early and safe revascularization in patients with ischemic stroke and intracranial aneurysms.

scholarly journals Risk of Complications in Spine Surgery: A Prospective Study

2015 ◽  
Vol 9 (1) ◽  
pp. 20-25 ◽  
Author(s):  
Rodolfo Casimiro Reis ◽  
Matheus Fernandes de Oliveira ◽  
José Marcus Rotta ◽  
Ricardo Vieira Botelho
Keyword(s):  
Risk Factors ◽  
Prospective Study ◽  
Spine Surgery ◽  
Absolute Risk ◽  
Surgical Site Infections ◽  
Spine Instrumentation ◽  
Increased Risk ◽  
The Mean ◽  
A Prospective Study ◽  
Epidemiological Characteristics

Purpose : Complications are the chief concern of patients and physicians when considering spine surgery. The authors seek to assess the incidence of complications in patients undergoing spine surgery and identify risk factors for their occurrence. Methods : Prospective study of patients undergoing spine surgery from 1 February 2013 to 1 February 2014. Epidemiological characteristics and complications during the surgical hospitalization were recorded and analyzed. Results : The sample comprised 95 patients (mean age, 59 years). Overall, 23% of patients were obese (BMI =30). The mean BMI was 25.9. Approximately 53% of patients had comorbidities. Complications occurred in 23% of cases; surgical site infections were the most common (9%). There were no significant differences between patients who did and did not develop complications in terms of age (60.6 vs 59.9 years, p = 0.71), sex (56% female vs 54% female, p = 0.59), BMI (26.6 vs 27.2, p = 0.40), or presence of comorbidities (52% vs 52.8%, p = 0.87). The risk of complications was higher among patients submitted to spine instrumentation than those submitted to non-instrumented surgery (33% vs 22%), p=0.8. Conclusion : Just over one-quarter of patients in the sample developed complications. In this study, age, BMI, comorbidities were not associated with increased risk of complications after spine surgery. The use of instrumentation increased the absolute risk of complications.

Sign in / Sign up

Export Citation Format

Share Document