Navigation Links
More screening needed to identify depression, vision loss after mild stroke
Date:10/2/2011

OTTAWA, Oct. 3, 2011 -- On the surface they appear unaffected, but people who have mild strokes may live with hidden disabilities, including depression, vision problems and difficulty thinking, according to a study released today at the Canadian Stroke Congress.

The study calls for new guidelines for the treatment and management of mild strokes, which account for two-thirds of all strokes and usually involve a hospital stay of one to five days. Co-author Annie Rochette, Ph.D, of the University of Montreal, and her research team interviewed 200 people in Quebec, Ontario and Alberta within the first six weeks of their stroke.

"There is no such thing as a mild stroke," says Dr. Rochette, who describes high rates of sleeplessness and depression among study participants almost a quarter of whom were clinically depressed. "These patients face huge challenges in their daily lives." Study participants reported a significantly poorer perceived quality of life.

Participants in the study were generally younger than people who have severe strokes. The mean age of study participants was 62. Seventy-five per cent of severe strokes occur in people over age 65.

People interviewed worried about returning to work (41 per cent were working before their stroke), taking care of their families and being able to drive. Yet, few were screened for visual or cognitive impairments, which are not as easily detected as impairments in movement, before leaving hospital or provided with post-stroke rehabilitation.

Nearly 25 per cent of mild stroke patients only visited the emergency room. Occupational therapists, neuropsychologists or speech therapists, who typically do these types of screenings, do not usually see mild stroke patients, says Dr. Rochette.

"Patients are told to see their family doctor, but given no other tools or rehabilitation," says Dr. Rochette. "When they go to drive again some people are too afraid to get behind the wheel."

People with mild stroke also faced the fear and increased risk of another stroke and uncertainty about the future. "This study dispels the myth that mild strokes lead to few or no consequences," Dr. Rochette says.

Study authors say new treatment guidelines, including greater access to rehabilitation services, will ensure more people get the care they require and return to their usual activities. Each year, about 15,000 people in Canada experience a mild stroke. Many more go unreported.

"Stroke patients who have had a mild stroke face many challenges getting back to their daily lives," says Dr. Antoine Hakim, CEO and Scientific Director of the CSN. "Proper evaluation to avoid a recurrence and rehabilitation after leaving hospital is essential to ease this transition and to provide people with the tools to live a healthy life."

Heart and Stroke Foundation spokesperson Dr. Michael Hill warns that mild strokes can be a warning of a future stroke. "People who have had a mild stroke are five times more likely to have a stroke over the next two years than the general population," says Dr. Hill. "Proper treatment and management of risk factors can help prevent another stroke."

In addition to managing risk factors, he notes that treatment of depression symptoms should be high on the agenda. "For the depressed patient recovering from stroke, medication and counselling can be an important aspect of patient care."

A list of common symptoms of depression include persistent:

  • Sad feelings
  • Fatigue or loss of energy
  • Change in activity (restless, moving slower)
  • Change of appetite, sudden increase or decrease
  • Disturbed sleeping habits
  • Difficulty concentrating
  • Loss of interest in pleasurable activities
  • Feelings of guilt, helplessness or worthlessness
  • Thoughts about death or suicide

If you or a member of your family has survived a stroke and is having difficulty with any of these symptoms, talk to your physician, advise Drs. Hakim and Hill. Depression, untreated, could increase the risk of another stroke.


'/>"/>
Contact: Cathy Campbell
cathy@canadianstrokenetwork.ca
613-852-2303
Heart and Stroke Foundation of Canada
Source:Eurekalert

Related medicine news :

1. Do Men Need Colon Cancer Screening Earlier Than Women Do?
2. Fatalism Keeps Many From Colon Cancer Screening
3. Cancer screening rates lower among those with fatalistic attitudes
4. High-risk, underserved women benefited from MRI screening for breast cancer
5. Parents anxiety about newborn screening results does not lead to increased health care use
6. Screening Lots of Lymph Nodes Little Help for Colon Cancer Patients
7. Screening for HPV persistence and cervical cancer risk
8. Troubled Teens Spotted in Routine School Screenings: Study
9. Single flexible sigmoidoscopy screening associated with reduced colorectal cancer
10. Annual cervical cancer screening persists, despite recommended guidelines
11. New prostate cancer screening test shows promise for diagnosis
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:5/22/2017)... , ... May 22, 2017 , ... Patients who avoid ... receive relaxing sedation dentistry in Mt. Kisco, NY from Advanced Endodontics of Westchester. This ... a variety of treatments. One or more sedation methods may be recommended based on ...
(Date:5/22/2017)... ... May 22, 2017 , ... An inventor from Columbia, ... a pen. "My wife’s hand was damaged in a firework accident, so she couldn’t ... people with manual problems." , He then designed and created a prototype for the ...
(Date:5/22/2017)... , ... May 22, 2017 , ... Faithfully following pop ... body squatted, stretched, jumped, toned and shaped through fitness programs. It carries on to ... course, finished off with an irresistible, radiant smile. CDA has found that ...
(Date:5/21/2017)... New York, NY (PRWEB) , ... May 19, 2017 , ... Chris Cornell, 52, was ... understand or imagine why one of the most respected lead singers in the rock industry ... had a history of mental illness. FindaTopDoc investigates how mental illness played a role in ...
(Date:5/21/2017)... ... May 20, 2017 , ... Pixel Film Studios presents ... use in Final Cut Pro X. The business-oriented elements and dignified animations are ... ProParagraph Corporate will deliver a professional and distinguished look to any multi-line text ...
Breaking Medicine News(10 mins):
(Date:5/18/2017)... , May 17, 2017  Bayer announced today ... portfolio will be presented at the 53 rd ... (ASCO), taking place June 2-6 in Chicago ... at ASCO span prostate, colorectal, liver and thyroid cancers, ... from the Phase II CHRONOS-1 trial of copanlisib in ...
(Date:5/10/2017)... 10, 2017 Hologic, Inc. (Nasdaq: ... the fiscal second quarter ended April 1, 2017 . ... increased 666.7% compared to the prior year period as ... a significant gain, while non-GAAP diluted EPS of $0.50 ... 3.8% in constant currency terms.  Excluding the effects of ...
(Date:5/9/2017)... 9, 2017 Zimmer Biomet Holdings, Inc. (NYSE ... today announced it has earned a spot on ... The Company was ranked among 500 U.S. employers as ... Healthcare Equipment and Services. The annual ... anonymous, independent survey of over 30,000 employees across 25 ...
Breaking Medicine Technology: