Compliance With Acute Stroke Care Quality Measures in Hospitals With and Without Primary Stroke Center Certification: The North Carolina Stroke Care Collaborative Stroke
Background Organized stroke care is associated with improved outcomes. Data are limited on differences in changes in the quality of acute stroke care at The Joint Commission–certified Primary Stroke Centers (PSCs) versus non-PSCs over time. Methods and Results We compared compliance with the Joint Commission's 10 acute stroke care performance measures and defect-free care in PSCs and non-PSCs participating in the Registry of the North Carolina Stroke Care Collaborative from January 2005 through February 2010. We included 29 654 cases presenting at 47 hospitals—10 PSCs, 8 preparing for certification, and 29 non-PSCs—representing 43% of North Carolina's non–Veterans Affairs, acute care hospitals. Using a non-PSC referent, odds ratios and 95% CIs were calculated using logistic regression and generalized estimating equations accounting for clustering of cases within hospitals. Time trends were presented graphically using simple linear regression. Performance measure compliance increased for all measures for all 3 groups in 2005–2010, with the exception of discharge on antithrombotics, which remained consistently high. PSCs and hospitals preparing for certification had better compliance with all but 2 performance measures compared with non-PSCs (each P
Publication date: Available online 28 September 2020Source: Brain, Behavior, and ImmunityAuthor(s): Luis Weitbrecht, Daniel Berchtold, Tian Zhang, Sandra Jagdmann, Claudia Dames, Katarzyna Winek, Christian Meisel, Andreas Meisel
Authors: Béjot Y PMID: 32981687 [PubMed - as supplied by publisher]
Authors: Smadja D, Salmon PK Abstract Health professionals are currently facing the challenge of managing an increasing number of old patients presenting with acute stroke, due to rapid aging of the population. Compared to their younger counterparts, elderly patients differ in many ways in the setting of acute stroke. Apart from a striking high stroke incidence, which increases exponentially as age increases, cardioembolism also becomes, as patients age, the main cause of ischemic stroke. Delirium, which can challenge the diagnosis, is frequent at the acute phase of stroke, and may be related to an underlying demen...
Publication date: Available online 28 September 2020Source: Pharmacology &TherapeuticsAuthor(s): Tao Tao, Maozhu Liu, Mengyuan Chen, Ying Luo, Cheng Wang, Tongtong Xu, Yixu Jiang, Yiyan Guo, John H. Zhang
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Authors: Zhang P, Zou JZ, Chen J, Tan X, Xiang FF, Shen B, Hu JC, Wang JL, Wang YQ, Yu JB, Nie YX, Chen XH, Yu JW, Zhang Z, Lv WL, Xie YQ, Cao XS, Ding XQ Abstract BACKGROUND: Trimethylamine-N-Oxide (TMAO) is a proatherogenic and prothrombotic metabolite. Our study examined the association of plasma TMAO level with cardiovascular and all-cause mortality in hemodialysis (HD) patients. METHODS: Patients who were at least 18 years-old and received HD for at least 6 months were enrolled within 6 months. Patients with coronary heart disease, congestive heart failure, arrhythmia, or stroke within...
Conditions: Stroke; Physical Disability Interventions: Device: real stimulation; Device: No stimulation Sponsors: Medical University of South Carolina; Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) Not yet recruiting
Conditions: Stroke; Balance; Distorted Interventions: Diagnostic Test: mini-BESTest (Mini-Balance Evaluation Systems Test); Diagnostic Test: Berg Balance Scale; Diagnostic Test: Timed Up and Go Test; Diagnostic Test: Functional Reach Test Sponsor: Istanbul Medeniyet University Recruiting
CONCLUSION: CAVI independently predicts stroke in patients with HF.The trial registration number: UMIN000029132. PMID: 32981919 [PubMed - as supplied by publisher]
CONCLUSIONS: The the low methodological quality and small number of studies means current evidence provides limited clinical guidance. Clearly more research is needed to inform care: researchers must improve the methodological quality of studies, plus fully consider and report the aspects of attention and function addressed in their work. PMID: 32986625 [PubMed - as supplied by publisher]