Ku-chou Chang

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BACKGROUND AND PURPOSE Accurate information about hospital resource utilization is necessary for management of healthcare service. The purpose of this study was to determine the demographic and clinical predictors of length of hospital stay (LOS) of acute care hospitalization for first-ever ischemic stroke patients. METHODS A group of 330 patients who(More)
BACKGROUND AND PURPOSE Successful acute stroke intervention depends on early hospital presentation. Our study aimed to examine the extent of and factors associated with prehospital delays after acute stroke in Taiwan, where people are new to thrombolytic therapy for stroke. METHODS Data were prospectively collected from 196 patients admitted with acute(More)
BACKGROUND The National Institutes of Health Stroke Scale (NIHSS) is a systematic, 15-point evaluation tool, designed to assess neurological deficit in acute stroke patients and written in English. It is used to support important medical and nursing decisions. OBJECTIVES To translate the NIHSS into Chinese and establish its psychometric properties using(More)
A transition of T to C at nucleotide position 16189 in mitochondrial DNA (mtDNA) has attracted biomedical researchers for its probable correlation with the development of diabetes mellitus in adult life. In diabetes, persistent hyperglycemia may cause high production of free radicals. Reactive oxygen species are thought to play a role in a variety of(More)
BACKGROUND The prevention of early recurrent stroke, which worsens outcomes after a cerebral infarction, is a major objective for acute stroke therapy. The ability to predict which patients are at risk for early recurrence would be useful for both the management and design of clinical trials. METHODS Using the prospective database with the 1,266 stroke(More)
OBJECTIVE To evaluate the adequacy of management of modifiable risk factors (MRF) in a group of ischemic stroke outpatients and the value of pharmacist intervention in a randomized controlled study in a tertiary referral hospital. METHODS 160 ischemic stroke outpatients from the same catchment area and with the same financial arrangements for healthcare,(More)
OBJECTIVE To explore the population-level utilization and factors associated with the use of inpatient stroke rehabilitation services under a single-payer government-based National Health Insurance (NHI) program in Taiwan. STUDY DESIGN Retrospective cohort study based on claims data. METHODS Inpatients with stroke were sampled from a nationally(More)
BACKGROUND Acute stroke management emphasizes prompt recognition of symptoms and early medical attention. The effectiveness of stroke treatment is highly dependent on amount of time lapsed between onset of symptoms and treatment. In this study, factors that delayed seeking medical attention after stroke in southern Taiwan were explored. METHODS This was a(More)
BACKGROUND Numerous population-based epidemiological studies have shown the prevalence and strength of vascular risk factors for stroke but little is known about risk factors of stroke in Taiwan. The aim of this study was to identify vascular risk factors in a group of first-ever ischemic stroke patients in Taiwan. METHODS The study consisted of 228(More)