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Functional outcomes improving in patients with ischemic stroke


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Journal
JAMA Neurology
Reuters Health - 10/01/2022 - Over the past two decades, stroke onset has been at older ages and stroke severity has become milder for both sexes and for both ischemic and hemorrhagic stroke, a Japanese study suggests. Researchers examined records from the Japan Stroke Data Bank on 183,080 patients who developed acute stroke between 2000 and 2019. They assessed initial stroke severity based on the National Institutes of Health Stroke Scale for ischemic stroke and intracerebral hemorrhage and by the World Federation of Neurological Surgeons grading for subarachnoid hemorrhage. Symptoms at discharge were assessed based on modified Rankin Scale scores and considered "favorable" with scores of 0-2 and "unfavorable" with scores of 5-6. Overall, the study included 135,266 patients with ischemic stroke, 36,014 with intracerebral hemorrhage, and 11,800 with subarachnoid hemorrhage. During the study period, the median age at onset increased for all three types of stroke and ...


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