PubMed Health⌕ Search
Home/Archive/PubMed

PubMed · 3290057

Post-stroke management concerns and outcomes.

J C Grotta
View original source ↗Export metadata ↓

Abstract

In the United States alone, there are 1.7 million stroke survivors at any given time, 75% between the age of 55 and 84 years, thereby posing a formidable rehabilitation task. In order to reduce short-term mortality from strokes, management should focus on improved pre-stroke status of high-risk patients and on improved recognition and therapy of medical complications of stroke during the first 3 weeks. Long-term recovery from stroke can be facilitated by skilled rehabilitation and augmented by treatment of depression and other emotional problems. Newer experimental therapies instituted during the first hours after stroke may also prove to accelerate recovery over the first 3 months after stroke.

Explore related subjects

Cause of DeathCerebrovascular DisordersHumansPrognosisJournal ArticleReview

Keep this discovery

Explore connections, maps & timelines

BibTeXRIS

J C Grotta. 1988. Post-stroke management concerns and outcomes.. https://pubmed.ncbi.nlm.nih.gov/3290057/

Cite the original work for its findings. Save a collection to share your selection of sources.

KEEP EXPLORING

Related citations

PubMed2007

Overall and cause-specific mortality in ulcerative colitis: meta-analysis of population-based inception cohort studies.

OBJECTIVES: It remains debated whether patients with ulcerative colitis (UC) are at greater risk of dying and whether a possible alteration in mortality can be attributed to specific causes of death. We aimed to clarify this issue by conducting a meta-analysis of population-based inception cohort studies on overall and cause-specific mortality in patients with UC. METHODS: The MEDLINE search engine and abstracts from international conferences were searched for relevant literature by use of explicit search criteria. STATA meta-analysis software was used to calculate pooled risk estimates (SMR, standardized mortality ratio, observed/expected deaths) of overall mortality and specific causes of death and to conduct metaregression analyses of the influence of specific variables on SMR. RESULTS: Ten papers fulfilled the inclusion criteria, reporting SMRs varying from 0.7 to 1.4. The overall pooled estimate was 1.1 (95% confidence interval [CI] 0.9-1.2, P= 0.42). However, greater risk of dying was observed during the first years of follow-up, in patients with extensive colitis, and in patients from Scandinavia. Metaregression analysis showed an increase in SMR by increasing cohort size. UC-related mortality accounted for 17% of all deaths. Mortality from gastrointestinal diseases, nonalcoholic liver diseases, pulmonary embolisms, and respiratory diseases was increased whereas mortality from pulmonary cancer was reduced. CONCLUSIONS: The overall risk of dying in patients with UC did not differ from that of the background population, although subgroups of patients were at greater risk of dying. The cause-of-death distribution seemed to differ from that of the background population.

Cause of Death↗