{"id":292,"date":"2013-03-06T08:43:51","date_gmt":"2013-03-06T08:43:51","guid":{"rendered":"http:\/\/stg-blogs.bmj.com\/jnnp\/?p=292"},"modified":"2013-03-18T12:02:59","modified_gmt":"2013-03-18T12:02:59","slug":"the-first-week","status":"publish","type":"post","link":"https:\/\/stg-blogs.bmj.com\/jnnp\/2013\/03\/06\/the-first-week\/","title":{"rendered":"The First Week"},"content":{"rendered":"

Dr Susanna Park from the Institute of Neurology, UK critically considers Stroke and the First Week<\/strong><\/span><\/p>\n

The focus of the March issue of JNNP is stroke, highlighting a range of research assessing risk factors, prognosis, treatment and management.<\/p>\n

In this timely issue, Kauranen and colleagues1<\/sup> present a study which emphasises the importance of cognitive function in the early stages after a stroke as a predictor of long term outcomes. In the study, 140 patients who experienced a first ever ischaemic stroke underwent a neurocognitive evaluation within the first week post-stroke. Before their stroke, all of the patients were engaged in full time employment. Six months later, the main predictor for a return to work was the number of cognitive deficits that were present in the first week.<\/p>\n

Importantly, each additional cognitive deficit present in the first week doubled the likelihood of a patient being unable to return to employment at follow-up. This study stresses the role of cognition as an important predictor of long term outcomes post-stroke2<\/sup>, with previous studies indicating that cognitive status is also predictive of long-term functional status3<\/sup> and quality of life4<\/sup>.<\/p>\n

In the same issue of JNNP, El Hachioui and colleagues5<\/sup> identified that the degree of aphasia one year following a stroke could be predicted within the first week by a combination of factors including phonology scores and stroke severity indices. These studies highlight the first week following stroke as a critical window not only for prognosis but also for rehabilitation and recovery.\u00a0 Not only are early assessments of cognition and language invaluable for predicting long-term prognosis for stroke patients, but early interventions may be able to intervene in this time period to boost functional recovery and rehabilitative outcomes long-term.<\/p>\n

 <\/p>\n

\"Recovery<\/a>
Recovery post-stroke.<\/span><\/strong>
Wallaby great Michael Lynagh and his neurologist Dr Rob Henderson – discuss Noddy’s miraculous recovery post-stroke<\/span><\/strong><\/figcaption><\/figure>\n

 <\/p>\n

References<\/b><\/p>\n

1. Kauranen T, Turunen K, Laari S, Mustanoja S, Baumann P, Poutiainen E (2013) The severity of cognitive deficits predicts return to work after a first ever ischaemic stroke. JNNP<\/i> 84: 316-321.<\/p>\n

2. Arauz A. (2013) Return to work after stroke: the role of cognitive deficits. JNNP<\/i> 84: 240.<\/p>\n

3. Wagle J, Farner L, Flekk\u1d13y K, Bruun Wyller T, Sandvik L, Fure B, Stensr\u1d13d B, Engedal K (2011). Early post-stroke cognition in stroke rehabilitation patients predicts functional outcome at 13 months.\u00a0 Dement Geriatr Cogn Disord <\/i>31: 379-387.<\/p>\n

4. Nys GM, van\u00a0 Zandvoort MJ, van der Worp HB, de Haan EH, de Kort\u00a0 PL, Jansen BP, Kappelle LJ. (2006). Early cognitive impairment predicts long-term depressive symptoms and quality of life after stroke. J Neurol Sci<\/i> 247: 149-56<\/p>\n

5. El-Hachioui H, Lingsma HF, van de Sandt-Koenderman MWME, Dippel DWJ, Koudstaal PJ, Visch-Brink EG. (2013) Long-term prognosis of aphasia after stroke. \u00a0JNNP<\/i> 84: 310-315.<\/p>\n","protected":false},"excerpt":{"rendered":"

Dr Susanna Park from the Institute of Neurology, UK critically considers Stroke and the First Week The focus of the March issue of JNNP is stroke, highlighting a range of research assessing risk factors, prognosis, treatment and management. In this timely issue, Kauranen and colleagues1 present a study which emphasises the importance of cognitive function […]<\/p>\n

Read More…<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-292","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"jetpack_featured_media_url":"","_links":{"self":[{"href":"https:\/\/stg-blogs.bmj.com\/jnnp\/wp-json\/wp\/v2\/posts\/292","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/stg-blogs.bmj.com\/jnnp\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/stg-blogs.bmj.com\/jnnp\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/jnnp\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/jnnp\/wp-json\/wp\/v2\/comments?post=292"}],"version-history":[{"count":0,"href":"https:\/\/stg-blogs.bmj.com\/jnnp\/wp-json\/wp\/v2\/posts\/292\/revisions"}],"wp:attachment":[{"href":"https:\/\/stg-blogs.bmj.com\/jnnp\/wp-json\/wp\/v2\/media?parent=292"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/jnnp\/wp-json\/wp\/v2\/categories?post=292"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/jnnp\/wp-json\/wp\/v2\/tags?post=292"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}