Complications Post Stroke
The Stroke is only the start - Stroke Network of Southeastern Ontario
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Post-stroke Infections – Diagnosis, Prediction, Prevention and Treatment to Improve Patient Outcomes
Despite modern stroke treatment in dedicated stroke units and rehabilitation facilities, infection remains the most important medical complication after ischaemic stroke. Pneumonia and urinary tract infections are the most frequent post-stroke infections. Post-stroke infections not only prolong hospitalisation but also constitute a leading cause of early and long-term mortality and morbidity. They are commonly attributed to neurological sequelae such as immobilisation due to motor paralysis or dysphagia as a risk of aspiration. Recently, stroke-induced impairment of immunological competence has been described. This immunodepression syndrome promotes the development of post-stroke infection.…
Resources
The Neurologic Complications of Ischemic Stroke
Neurologic deterioration is a usual feature of stroke, affecting half of all patients with manifested complications within 24 hours of the stroke episode. Acutely, these include brain swelling; ischemic progression with recruitment and damage to surrounding cerebral tissues; cerebral hemorrhage from accumulation of small petechial hemorrhages; and hematomas, seizure, and death. Several factors can facilitate the neurologic deterioration; chief among these is delay in initiating reperfusion therapy or failure of the therapy to adequately reestablish reperfusion in the affected areas, and/or the occurrence of reocclusion.
After Your Stroke: How to Handle 5 Common Complications
After you’ve had a stroke, some physical or mental complications are likely. Depending on how severe the stroke was and other factors, you may have major or minor difficulties that are sometimes temporary or possibly permanent.
Be on the Lookout for Post-Stroke Complications
Pain, depression, and even urinary tract infections often arise following a stroke, but doctors focus so much on the neurological effects like speech and movement disorders that they may not spot less obvious developments, says Mark Bayley, M.D...
Common Complications After Stroke: What Are They and What Can Be Done?
Complications after stroke are the medical, emotional and neurological problems that can affect a survivor after a stroke event. In one study, 85% of patients hospitalized for stroke experienced at least one complication following the stroke. A survivor may experience major or minor complications, depending on the severity of the stroke and other factors. Complications are not always permanent. In many cases, they can be addressed with timely and appropriate treatment.
Complications After Stroke
Some things happen as a direct result of injury to the brain due to stroke. Others are because of a change in your abilities. For example, being unable to move freely can result in bedsores. Clinical depression can also occur with a stroke.
Complications in the first week after stroke: a 10-year comparison
Complications are still common in the acute phase after stroke in patients treated in a comprehensive stroke unit. However, after adjusting for age, thrombolysis and stroke severity, the odds of experiencing one or more complications have decreased significantly...
Long-term complications of stroke and secondary prevention
Despite a decline in mortality from stroke, the annual incidence in the general population is increasing. For many stroke survivors and their families, the acute stroke is the beginning of an ongoing struggle with physical impairment and subsequent disability. Over time, the immediate clinical consequences of the stroke are complicated by a variety of lesser-known medical, musculoskeletal and psychosocial difficulties.
Medical Complications After Stroke
Our prospective cohort study has confirmed that poststroke complications, particularly infections and falls, are common. However, we have also identified complications relating to pain and cognitive or affective symptoms that are potentially preventable and may previously have been underestimated.
Post-Stroke Complications: Mechanisms, Diagnosis, and Therapies
Post-stroke complications are a major cause of mortality in stroke patients. These complications include psychiatric and cognitive impairments, pulmonary and urinary infections, cardiovascular deficits, metabolic disorders, etc. In contrast to the widely explored local neurovascular deficits, the cellular and molecular mechanisms involved in multiple post-stroke complications have scarcely been investigated. Diagnosis and treatment of these complications tend to be missed or delayed due to inadequate understanding.
Prevention and Management of post Stroke complications
The Stroke is only the start…
Stroke Complications: Hiding in Plain Sight?
Despite the enormous progress made in stroke diagnosis and treatment in recent years, patients continue to experience stroke-related deficits that clinicians-even those working on stroke rehabilitation units-do not always recognize or record. In a recent study of 53 patients who underwent screening tests within 10 days of admission to a stroke unit, every impaired patient had at least 1 undocumented cognitive or sensory deficit. The authors suggested that without formal testing with standardized assessments, much stroke-related impairment goes unrecognized and perhaps untreated.
Post-stroke Infections – Diagnosis, Prediction, Prevention and Treatment to Improve Patient Outcomes
Up to 95% of patients have at least one relevant complication within the first three months after stroke. Complications impair neurological outcomes and approximately one-third of patients with ischaemic stroke die during hospitalisation due to one or more complications. To minimise the impact of stroke-associated adverse events, patients should be treated in specialised units where complications are detected earlier compared with general units. In addition, treatment in stroke units improves survival by preventing life-threatening situations.
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