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- W2022928797 abstract "New knowledge on factors associated with stroke clinical outcomes and care costs and a rapid growth in regional restructuring of stroke care services as well as ever-growing incorporation of hospital stroke care quality metrics are noteworthy highlights of outcomes and policy-relevant research on stroke over the last 2 years.### Factors Associated With Short-Term OutcomeDuring the index stroke admission of patients from a large biracial cohort in the United States, prestroke fatalism—or the belief that events are predetermined or inevitable—and depression were each uniquely associated with all-cause mortality after stroke and with stroke recurrence; optimism and spirituality were not.1 The mechanism for these associations warrants further investigation and may be particularly relevant to those at known elevated stroke risk, who could be targeted for screening. Drilling down into the context of the known association of fever with poor stroke outcomes produced findings that high fever burden—a metric incorporating maximum temperature and number of days with a fever—has over a 6-fold increased odds (after adjustment for patient characteristics) of death or discharge to hospice relative to no fever.2 In another study, an early rise in body temperature—but not admission body temperature—was associated with worse stroke outcome.3 Treatment factors associated with better ischemic stroke outcome include statin therapy within 72 hours of stroke onset (OR of death at 1 year, 0.26; 95% CI, 0.12–0.55).4 Cost-effectiveness of statin use for primary prevention was estimated from …" @default.
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- W2022928797 date "2012-02-01" @default.
- W2022928797 modified "2023-10-16" @default.
- W2022928797 title "Advances in Health Policy and Outcome 2010–2011" @default.
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- W2022928797 doi "https://doi.org/10.1161/strokeaha.111.642637" @default.
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