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Follow on Google News | Burke Scientists Report Post-Stroke Apathy and Hypersomnia Lead to Worse OutcomesBy: Burke Medical Research Institute “People don’t typically look at apathy and hypersomnia as factors affecting outcomes, despite 35 percent of post-stroke patients being diagnosed with apathy” said Andrew Goldfine (http://www.burke.org/ Dr. Goldfine, also an assistant professor of neurology at Weill Cornell Medical College (http://weill.cornell.edu/ Dr. Goldfine and his team retrospectively studied 213 stroke patients who were admitted to the stroke-specialized unit (http://www.burke.org/ The team found that 21 percent of patients had persistent apathy and 5.6 percent had persistent hypersomnia. Taking account the patients’ overall impairment, age, time since stroke and stroke type, they found that patients at all stroke severities who had either apathy or hypersomnia exhibited less cognition and attention span. At discharge, patients with apathy were 2.4 times more likely to go to a nursing home and scored 12 points lower on Burke’s overall impairment measure (FIM) than those without apathy or hypersomnia. Patients with hypersomnia were 10 times more likely to go to a nursing home and scored 16 points lower on the FIM. “This study confirms that there is a problem and we need further research to learn more about these conditions so that we can find treatments for them,” Dr. Goldfine noted. Dr. Goldfine and his team are following up this retrospective review with a prospective study using formal research scales and serial measurements of impairment and participation. If the new study confirms what the retrospectively study has found, further studies would then focus on targeted treatments for apathy and hypersomnia. “Adequate treatment at an early stage could potentially improve the patients’ response rate and give them better outcomes,” Dr. Goldfine added. Funded by grants and private donations, Burke’s Medical Research Institute is academically affiliated with Weill Cornell Medical College and engages in cutting-edge basic, translational and clinical research to bring about new knowledge that can become the basis for future rehabilitation therapies in the areas of stroke, traumatic brain injury and spinal cord injury and other neurological conditions. The institute strives to assist patients to recover more fully, not just decrease disability, which has been the focus of mainstream rehabilitation research historically. Burke Medical Research Institute is part of the Burke Rehabilitation Center, which also comprises the Burke Rehabilitation Hospital. The hospital is a private, not-for-profit, acute rehabilitation hospital that is the only hospital in Westchester County dedicated solely to rehabilitation medicine. It offers both inpatient and outpatient programs for those who have experienced a disabling illness, traumatic injury or joint replacement surgery. The hospital’s world-renowned doctors and therapists, and the institute’s scientists share the Burke mission to ensure that every patient makes the fullest possible recovery. For additional information on Burke Rehabilitation Center, please visit burke.org (http://www.burke.org/) End
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