Chronic Diseases/Conditions: Stroke
Chronic diseases and conditions (i.e., cancer, diabetes, heart disease, hypertension, and stroke) are prolonged conditions that often do not improve and can have a profound effect on a person's quality of life. Important issues being studied include how to improve chronic disease management, including patient self-management, as well as strategies to improve chronic disease prevention.
Search results were generated based on the search term "Stroke". Results are updated weekly, as new data are available.
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(5 of more than 857 STROKE focused publications)
- Williams LS. Evaluating National Program to Improve Access to Acute Stroke Services for Rural Veterans. QUERI/HSR&D Veteran's Perspective. 2018 Jun 1; 1(3): 1.
- Bravata DM, Myers LJ, Arling G, Miech EJ, Damush T, Sico JJ, Phipps MS, Zillich AJ, Yu Z, Reeves M, Williams LS, Johanning J, Chaturvedi S, Baye F, Ofner S, Austin C, Ferguson J, Graham GD, Rhude R, Kessler CS, Higgins DS, Cheng E. Quality of Care for Veterans With Transient Ischemic Attack and Minor Stroke. JAMA neurology. 2018 Apr 1; 75(4):419-427.
- Levine DA, Wadley VG, Langa KM, Unverzagt FW, Kabeto MU, Giordani B, Howard G, Howard VJ, Cushman M, Judd SE, Galecki AT. Risk Factors for Poststroke Cognitive Decline: The REGARDS Study (Reasons for Geographic and Racial Differences in Stroke). Stroke. 2018 Apr 1; 49(4):987-994.
- Bravata DM. Quality of Care for Veterans with Transient Ischemic Attack (TIA) and Minor Stroke: The Key Role of Emergency Medicine. VA Emergency Medicine Community of Practice Monthly Conference [Cyberseminar]. Emergency Medicine. 2018 Mar 13.
- Kohok DD, Sico JJ, Baye F, Myers L, Coffing J, Kamalesh M, Bravata DM. Post-stroke hypertension control and receipt of health care services among veterans. Journal of clinical hypertension (Greenwich, Conn.). 2018 Feb 4; 20(2):382-387.
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(5 of more than 23 STROKE focused publication briefs)
- Evidence Review Identifies Modest Mortality Disparities among Racial and Ethnic Minority Groups in VA Healthcare
To support VA’s efforts to better understand the scale and determinants of disparities in racial and ethnic mortality – and to develop interventions to reduce disparities, investigators from the VA Evidence-based Synthesis Program (ESP) Coordinating Center in Portland, OR conducted an evidence review of mortality disparities specific to VA. Findings showed that although VA’s equal access healthcar...
Date: March 1, 2018
- Systematic Review Finds Treating Blood Pressure to Current Guidelines in Older Adults Improves Health Outcomes
This systematic review sought to compare the effects of more versus less intensive blood pressure control in older adults. Findings showed that treating blood pressure in adults over 60 to at least current guideline standards (<150/90 mmHg) substantially improves health outcomes in older adults, including reducing mortality, stroke, and cardiac events. The most consistent and largest effects were ...
Date: March 21, 2017
- Use of Oral Anticoagulant Therapy for Veterans with Atrial Fibrillation Declines over 10-Year Period in VA Healthcare
Among patients with atrial fibrillation (AF), oral anticoagulants (OACs) are recommended when the risk of stroke is moderate or high, but not when the risk of stroke is low. This study sought to quantify trends and evaluate guideline adherence with OACs in Veterans with newly diagnosed AF over a ten-year period within the VA healthcare system. Findings showed that among Veterans with new AF and ad...
Date: June 21, 2016
- Study Compares Stroke Care in VA Community Living Centers with Private, VA-Contracted Nursing Homes
This study is part of a larger investigation comparing the use and functional outcomes between Veterans in VA community living centers (CLCs) and VA-contracted community nursing homes (CNHs). Findings showed that compared with Veterans residing at CNHs, Veterans residing at CLCs had fewer average rehabilitation therapy days (both adjusted and unadjusted), but were significantly more likely to rece...
Date: March 1, 2016
- Incident Stroke Associated with Accelerated and Persistent Cognitive Decline Over Six Years Post-Stroke
This prospective study measured changes in cognitive function among survivors of incident stroke, controlling for their pre-stroke cognitive trajectories. Findings showed that incident stroke was associated with an acute decline in cognitive function and accelerated and persistent cognitive decline over a median follow-up of six years. Incident stroke was associated with significant acute declines...
Date: July 7, 2015
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( 5 of more than 63 STROKE focused projects
|| Spanish Online & Telephone Intervention for Caregivers of Veterans with Stroke
|| Hypertension Improvement Pilot Intervention in Post-Stroke Veterans
|| Utilizing the RESCUE Stroke Caregiver Website to Enhance Discharge Planning
|| e-Measurement of Meaningful Use Stroke Electronic Quality Indicators (MUSE-QI)
|| Integrating Tobacco, Drinking, and Depression into the STOP Stroke Tool
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