Comprehensive Overview of Nursing and Interdisciplinary Rehabilitation Care of the Stroke Patient

Miller, Elaine L.; Murray, Laura; Richards, Lorie; Zorowitz, Richard D.; Bakas, Tamilyn; Clark, Patricia C.; Billinger, Sandra A.

doi:10.1161/str.0b013e3181e7512b

Cited by 659 publications

(450 citation statements)

References 533 publications

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“…These guidelines also recommend increased social interaction, exercise and goal setting (though our searches found insufficient evidence Printed 27 Sep 2013 to support or refute their effectiveness). 3 The American 29 and European 30 guidelines recommend pharmaceutical treatment (Selective Serotonin Reuptake Inhibitors or heterocyclics) for patients with depression 29,30 The guidelines recommend that treatment should be monitored for effectiveness, and antidepressants (if used) continued for at least 6 months after initial recovery. The choice of antidepressants for individual antidepressants can be guided by side effect profile e.g.…”

Section: Depressionmentioning

confidence: 99%

Neuropsychiatric outcomes of stroke

Hackett

Köhler

O’Brien

et al. 2014

The Lancet Neurology

248

148

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Section: Depressionmentioning

confidence: 99%

Neuropsychiatric outcomes of stroke

Hackett

Köhler

O’Brien

et al. 2014

The Lancet Neurology

248

148

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“…43 For example, several studies have been designed and tested with informal caregivers of individuals with heart failure 13,[62][63][64][86][87][88][89] and stroke, [90][91][92] with some including cost analyses or estimated costs of intervention delivery. 93,94 Scientific guidelines recommend that informal caregivers be included in the care of individuals with CVD, 86,90,95 yet implementation of evidence-based strategies to support informal caregivers remains a challenge in today's healthcare system, primarily because of a lack of allocated resources within healthcare systems.…”

Section: Future Research Opportunities and Policy Implications Researmentioning

confidence: 99%

Projected Costs of Informal Caregiving for Cardiovascular Disease: 2015 to 2035: A Policy Statement From the American Heart Association

Dunbar¹,

Khavjou²,

Bakas³

et al. 2018

Circulation

Self Cite

179

102

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INTRODUCTION:In a recent report, the American Heart Association estimated that medical costs and productivity losses of cardiovascular disease (CVD) are expected to grow from $555 billion in 2015 to $1.1 trillion in 2035. Although the burden is significant, the estimate does not include the costs of family, informal, or unpaid caregiving provided to patients with CVD. In this analysis, we estimated projections of costs of informal caregiving attributable to CVD for 2015 to 2035. METHODS:We used data from the 2014 Health and Retirement Survey to estimate hours of informal caregiving for individuals with CVD by age/sex/race using a zero-inflated binomial model and controlling for sociodemographic factors and health conditions. Costs of informal caregiving were estimated separately for hypertension, coronary heart disease, heart failure, stroke, and other heart disease. We analyzed data from a nationally representative sample of 16 731 noninstitutionalized adults ≥54 years of age. The value of caregiving hours was monetized by the use of home health aide workers' wages. The per-person costs were multiplied by census population counts to estimate nation-level costs and to be consistent with other American Heart Association analyses of burden of CVD, and the costs were projected from 2015 through 2035, assuming that within each age/sex/racial group, CVD prevalence and caregiving hours remain constant. RESULTS:The costs of informal caregiving for patients with CVD were estimated to be $61 billion in 2015 and are projected to increase to $128 billion in 2035. Costs of informal caregiving of patients with stroke constitute more than half of the total costs of CVD informal caregiving ($31 billion in 2015 and $66 billion in 2035). By age, costs are the highest among those 65 to 79 years of age in 2015 but are expected to be surpassed by costs among those ≥80 years of age by 2035. Costs of informal caregiving for patients with CVD represent an additional 11% of medical and productivity costs attributable to CVD. CONCLUSIONS:The burden of informal caregiving for patients with CVD is significant; accounting for these costs increases total CVD costs to $616 billion in 2015 and $1.2 trillion in 2035. These estimates have important research and policy implications, and they may be used to guide policy development to reduce the burden of CVD on patients and their caregivers.

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“…Residual upper extremity hemiparesis in turn limits function [2]. Commercial video gaming is a more recently developed intervention that has been shown to improve arm function post-stroke [3][4][5].…”

Section: Background and Purposementioning

confidence: 99%

Reaching, Swinging, and Punching: Kinematic Change after Video Gaming Intervention in an Individual with Chronic Stroke

Srinivasan¹

2013

J Nov Physiother

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Comprehensive Overview of Nursing and Interdisciplinary Rehabilitation Care of the Stroke Patient

Cited by 659 publications

References 533 publications

Neuropsychiatric outcomes of stroke

Neuropsychiatric outcomes of stroke

Projected Costs of Informal Caregiving for Cardiovascular Disease: 2015 to 2035: A Policy Statement From the American Heart Association

Reaching, Swinging, and Punching: Kinematic Change after Video Gaming Intervention in an Individual with Chronic Stroke

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