“This is an important new tool because studies show that people who have a second stroke soon after a first stroke are more likely to die or have severe disability,” said study author Hakan Ay, MD, with Massachusetts General Hospital and Harvard Medical School in Boston.
“This tool can help doctors identify people who are at high risk of having another stroke and need immediate evaluation based on information typically available at the time of initial evaluation.”
For the study, researchers examined information from 1,458 people who experienced an ischemic stroke and were admitted to the hospital within 72 hours. Participants gave information about their medical history and underwent brain scans. After a three-month follow up involving 806 of the participants, 60 strokes had occurred. Of those, 30 strokes occurred within 14 days of the first stroke. The study found that the risk of recurrent stroke was 2.6 percent at 14 days and six percent at 90 days.
Scientists developed a new tool known as the “Recurrence Risk Estimator at 90 days” or “RRE-90 score” to calculate a person’s risk of having another stroke within three months by looking at risk factors of stroke, such as history of mini-stroke, or transient ischemic attack (TIA), age and the type of first stroke the person experienced, along with information from brain scans. The higher the score, the more likely it was a patient would experience a second stroke. The 90-day risk was approximately 40 times greater in people with four or more stroke risk factors than in people without any risk factors. The study found that over 96 percent of patients who developed a second stroke showed signs of one or more risk factor.
“We currently don’t have a well-developed tool for predicting short-term risk of early recurrent stroke, so this tool could help improve stroke care and outcome,” Ay said. “For example, people at high risk of a second stroke can be immediately admitted to specialized stroke centers and given preventative treatment.”
Another interesting finding in the study was that long-term predictors of stroke, such as smoking, diabetes and hypertension did not predict short-term strokes. Ay says the accuracy of the tool still needs to be confirmed before it can be implemented for general use.
The study was supported by the National Institutes of Health.
The American Academy of Neurology, an association of more than 21,000 neurologists and neuroscience professionals, is dedicated to promoting the highest quality patient-centered neurologic care. A neurologist is a doctor with specialized training in diagnosing, treating and managing disorders of the brain and nervous system such as stroke, Alzheimer’s disease, epilepsy, Parkinson’s disease, and multiple sclerosis.
For more information about the American Academy of Neurology, visit http://www.aan.com or http://www.thebrainmatters.org
Rachel L. Seroka | American Academy of Neurology
Study suggests possible new target for treating and preventing Alzheimer's
02.12.2016 | Oregon Health & Science University
The first analysis of Ewing's sarcoma methyloma opens doors to new treatments
01.12.2016 | IDIBELL-Bellvitge Biomedical Research Institute
A multi-institutional research collaboration has created a novel approach for fabricating three-dimensional micro-optics through the shape-defined formation of porous silicon (PSi), with broad impacts in integrated optoelectronics, imaging, and photovoltaics.
Working with colleagues at Stanford and The Dow Chemical Company, researchers at the University of Illinois at Urbana-Champaign fabricated 3-D birefringent...
In experiments with magnetic atoms conducted at extremely low temperatures, scientists have demonstrated a unique phase of matter: The atoms form a new type of quantum liquid or quantum droplet state. These so called quantum droplets may preserve their form in absence of external confinement because of quantum effects. The joint team of experimental physicists from Innsbruck and theoretical physicists from Hannover report on their findings in the journal Physical Review X.
“Our Quantum droplets are in the gas phase but they still drop like a rock,” explains experimental physicist Francesca Ferlaino when talking about the...
The Max Planck Institute for Physics (MPP) is opening up a new research field. A workshop from November 21 - 22, 2016 will mark the start of activities for an innovative axion experiment. Axions are still only purely hypothetical particles. Their detection could solve two fundamental problems in particle physics: What dark matter consists of and why it has not yet been possible to directly observe a CP violation for the strong interaction.
The “MADMAX” project is the MPP’s commitment to axion research. Axions are so far only a theoretical prediction and are difficult to detect: on the one hand,...
Broadband rotational spectroscopy unravels structural reshaping of isolated molecules in the gas phase to accommodate water
In two recent publications in the Journal of Chemical Physics and in the Journal of Physical Chemistry Letters, researchers around Melanie Schnell from the Max...
The efficiency of power electronic systems is not solely dependent on electrical efficiency but also on weight, for example, in mobile systems. When the weight of relevant components and devices in airplanes, for instance, is reduced, fuel savings can be achieved and correspondingly greenhouse gas emissions decreased. New materials and components based on gallium nitride (GaN) can help to reduce weight and increase the efficiency. With these new materials, power electronic switches can be operated at higher switching frequency, resulting in higher power density and lower material costs.
Researchers at the Fraunhofer Institute for Solar Energy Systems ISE together with partners have investigated how these materials can be used to make power...
16.11.2016 | Event News
01.11.2016 | Event News
14.10.2016 | Event News
02.12.2016 | Medical Engineering
02.12.2016 | Agricultural and Forestry Science
02.12.2016 | Physics and Astronomy