Stroke: epidemiology, evidence, and clinical practice
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| Previous Title: | Ebrahim, Shah Clinical epidemiology of stroke |
|---|---|
| Main Authors: | , |
| Format: | Book |
| Language: | English |
| Published: |
Oxford [u.a.]
Oxford Univ. Pr.
1999
|
| Edition: | 2. ed. |
| Subjects: | |
| Online Access: | Inhaltsverzeichnis |
| Physical Description: | XII, 343 S. graph. Darst. |
| ISBN: | 019263075X |
Staff View
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| 650 | 7 | |a Cerebrovasculair accident |2 gtt | |
| 650 | 4 | |a Cerebrovascular Disorders | |
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Record in the Search Index
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| adam_text | Contents
Part 1: EPIDEMIOLOGY
1 Objectives of stroke care 3
Objectives of medical care 3
How epidemiology is useful 4
A wider view 4
Health gain 5
Compliance 6
Health economics 7
Quality in health care 10
Summary 11
2 Risk and risk factors 12
Causation 12
Criteria to establish causality 13
Risk 14
Individual risk 15
Relative and attributable risk 16
Measuring associations 16
Combining risk factors 18
Population attributable risk fraction 19
Calculation of population attributable
risk fraction 21
Sources of error 23
Summary 27
3 Time, places, and people 28
Variation in time 28
Variation in place 33
People: variation within populations 36
Summary 51
PART 2: DIAGNOSIS
4 Diagnosis 59
Accuracy of diagnosis 59
Differentiating stroke from other diseases 62
X CONTENTS
Diagnosis of cerebral haemorrhage and
infarction 64
Clinical stroke syndromes 74
Cardiac embolism 77
Silent infarction 77
Vascular dementia 78
Summary 79
5 Clinical disagreement 81
Clinicians often disagree 81
Chance levels of agreement 82
Adjusting for chance agreement 83
Relative and absolute measures of agreement 84
Clinical disagreements in stroke 85
Improving clinical agreement 89
Solutions 92
Summary 93
6 Investigation 95
How good is a test? 95
Computed tomographic (CT) scanning 96
Magnetic resonance imaging (MRI) 106
Other investigations 108
Investigation of carotid arteries 110
Lumbar puncture 113
Summary 114
7 Severity 115
Is it a bad stroke? 115
Impairment, disability, and handicap 115
Reasons for measuring severity 116
Impairments 119
Disability 121
Handicap 122
Burden of illness 124
Summary 125
PART 3: MANAGEMENT
8 Prevention 129
Why prevent? 129
The potential for prevention 129
Evidence for prevention 129
CONTENTS Xi
Cost effectiveness, cost utility, and
decision analyses 134
Who to treat? 139
Modifiable risk factors 141
Primary and secondary prevention 141
High risk and population approaches 146
Summary 150
9 Acute management 151
Admission to hospital 151
Management at home 152
Acute treatment trials 154
Aspirin and heparin in acute stroke 160
Thrombolysis 162
Other treatments 168
Summary 168
10 Rehabilitation 171
The nature of rehabilitation 171
Evaluation of rehabilitation 172
Studies of effectiveness 178
Community and out patient rehabilitation 187
Future developments 192
Summary 193
11 Preventing recurrence 195
Long term anticoagulation 195
Antiplatelet therapy 198
Lowering blood pressure 204
Carotid endarterectomy 207
Extracranial intracranial bypass surgery 210
Summary 212
PART 4: PROGNOSIS
12 Mortality 217
Risk of dying 217
Time trends in case fatality 219
Causes of death after stroke 220
Predictors of early mortality 221
Predictors of late mortality 225
Triage 226
Modifying predictors 227
Summary 228
xii CONTENTS
13 Recurrence
The chances of a recurrent stroke
Blood pressure 229
Type of stroke 229
Atrial fibrillation 232
Other factors 233
Summary 234
14 Effects of stroke 235
Mood change 236
Cognitive impairment 237
Dysphasia 245
Urinary incontinence 247
Dysphagia 248
Deep vein thrombosis and pulmonary embolus 250
Falls, fractures, and arthritis 253
Quality of life 255
Carers of stroke patients 257
Summary 260
15 Recovery 262
Measuring recovery 265
Pattern of recovery 272
Predictors of recovery 276
Prognostic scores 277
Summary 281
References 282
Index 337
fcs.
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| illustrated | Illustrated |
| indexdate | 2024-07-09T18:39:04Z |
| institution | BVB |
| isbn | 019263075X |
| language | English |
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| physical | XII, 343 S. graph. Darst. |
| publishDate | 1999 |
| publishDateSearch | 1999 |
| publishDateSort | 1999 |
| publisher | Oxford Univ. Pr. |
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| spelling | Ebrahim, Shah Verfasser aut Stroke epidemiology, evidence, and clinical practice Shah Ebrahim and Rowan Harwood 2. ed. Oxford [u.a.] Oxford Univ. Pr. 1999 XII, 343 S. graph. Darst. txt rdacontent n rdamedia nc rdacarrier Accidents vasculaires cérébraux - Épidémiologie Angiopathies intracrâniennes Cerebrovasculair accident gtt Cerebrovascular Disorders Cerebrovascular disease Epidemiology Harwood, Rowan Verfasser aut Früheres u.d.T. Ebrahim, Shah Clinical epidemiology of stroke HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=008924295&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Ebrahim, Shah Harwood, Rowan Stroke epidemiology, evidence, and clinical practice Accidents vasculaires cérébraux - Épidémiologie Angiopathies intracrâniennes Cerebrovasculair accident gtt Cerebrovascular Disorders Cerebrovascular disease Epidemiology |
| title | Stroke epidemiology, evidence, and clinical practice |
| title_auth | Stroke epidemiology, evidence, and clinical practice |
| title_exact_search | Stroke epidemiology, evidence, and clinical practice |
| title_full | Stroke epidemiology, evidence, and clinical practice Shah Ebrahim and Rowan Harwood |
| title_fullStr | Stroke epidemiology, evidence, and clinical practice Shah Ebrahim and Rowan Harwood |
| title_full_unstemmed | Stroke epidemiology, evidence, and clinical practice Shah Ebrahim and Rowan Harwood |
| title_old | Ebrahim, Shah Clinical epidemiology of stroke |
| title_short | Stroke |
| title_sort | stroke epidemiology evidence and clinical practice |
| title_sub | epidemiology, evidence, and clinical practice |
| topic | Accidents vasculaires cérébraux - Épidémiologie Angiopathies intracrâniennes Cerebrovasculair accident gtt Cerebrovascular Disorders Cerebrovascular disease Epidemiology |
| topic_facet | Accidents vasculaires cérébraux - Épidémiologie Angiopathies intracrâniennes Cerebrovasculair accident Cerebrovascular Disorders Cerebrovascular disease Epidemiology |
| url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=008924295&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
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