Journal of neurology, neurosurgery, and psychiatry
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J. Neurol. Neurosurg. Psychiatr. · Mar 2013
Impact of stroke-associated infection on long-term survival: a cohort study.
The effects of stroke-associated infection (SAI) on long-term survival are unclear. We performed a prospective evaluation to explore risk factors of SAI, and compared survival status over the 3 years following stroke onset between those who experienced SAI and those who did not. ⋯ SAIs have long-lasting effects on patient survival. This serves to emphasise the importance of immediate access to organised stroke unit care for people with acute stroke, with active physiological monitoring and protocols for early detection and treatment of SAIs.
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J. Neurol. Neurosurg. Psychiatr. · Mar 2013
Early neurological deterioration after subarachnoid haemorrhage: risk factors and impact on outcome.
Early neurological deterioration occurs frequently after subarachnoid haemorrhage (SAH). The impact on hospital course and outcome remains poorly defined. ⋯ Early worsening after SAH occurs in 35% of patients, is predicted by clot burden and is associated with mortality and poor functional outcome at 1 year.
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J. Neurol. Neurosurg. Psychiatr. · Mar 2013
Feasibility, safety and cost of outpatient management of acute minor ischaemic stroke: a population-based study.
Outpatient management safely and effectively prevents early recurrent stroke after transient ischaemic attack (TIA), but this approach may not be safe in patients with acute minor stroke. ⋯ Outpatient management of clinic-referred minor stroke is feasible and may be as safe as inpatient care. Rates of early hospital admission and recurrent stroke were low and uptake and maintenance of secondary prevention was high.
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J. Neurol. Neurosurg. Psychiatr. · Mar 2013
Long term outcome after conservative and surgical treatment of haemorrhagic moyamoya disease.
To investigate the long term outcomes after conservative and surgical treatment for haemorrhagic moyamoya disease. ⋯ There is a high risk of rebleeding after the first haemorrhagic episode in Chinese patients with haemorrhagic moyamoya disease. Revascularisation surgery can improve regional blood flow and have greater efficacy at preventing rebleeding than conservative treatment.
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J. Neurol. Neurosurg. Psychiatr. · Mar 2013
The severity of cognitive deficits predicts return to work after a first-ever ischaemic stroke.
The inability of stroke patients to return to work contributes disproportionately to the socioeconomic impact of stroke and is best predicted by the severity of stroke. However, the role of cognitive deficits in stroke severity has not been scrutinised. We studied whether the initial cognitive severity of stroke, compared with other influential factors, predicts the inability to return to work after stroke. ⋯ The initial cognitive severity of stroke predicts the later inability to return to work. The benefits of neuropsychological assessments within the first weeks after stroke are emphasised.