Brain Week: Early Rehab for Stroke and Drug Interaction Increases Bleeding in Brain
Amol, general internal resident at the University of Toronto, and Raed Joundi, neurology resident at the University of Toronto, discuss 2 recent studies:
Is early mobilization helpful for stroke patients? A randomized control trial showed that early aggressive rehabilitation for acute stroke patients resulted in worse outcomes. Amol and Raed speculate reasons behind this counter-intuitive finding.
A study that analyzed administrative data from insurance claims in Korea found that patients who received both anti-depressants and anti-inflammatory medications have an increased risk for intracranial hemorrhage. Should drug interaction results from massive registries be used to dictate prescribing practices?
1. Early rehabilitation for stroke patients: http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(15)60690-0/fulltext?rss=yes
2. Drug interaction that increase intracranial hemorrhage: http://www.bmj.com/content/351/bmj.h3517
1. Germany’s refugee crisis: http://healthaffairs.org/blog/2015/10/22/the-public-health-dimension-of-germanys-refugee-crisis/
2. Caring for refugees in Munich: http://www.nejm.org/doi/full/10.1056/NEJMp1512139
3. The patient wish list: https://armstronginstitute.blogs.hopkinsmedicine.org/2015/10/20/the-patient-wish-list/
Music Credits (Creative Commons)
In your Robotic Heart – Nicolai Heidlas https://soundcloud.com/nicolai-heidlas/in-your-robotic-heart
Drive – Nicolai Heidlas https://soundcloud.com/nicolai-heidlas/drive-fresh-upbeat-pop-background-music
Swingin’ Jazz – Nicolai Heidlas https://m.soundcloud.com/nicolai-heidlas/jazz-blues-background-music
All tracks have been modified for the purposes of this podcast.