Impact of an Expanded Hospital Recognition Program for Stroke Quality of Care Stroke

We examined hospital‐level performance on 6 quality of care (process) measures and 1 defect‐free composite quality measure for stroke following expansion of the existing performance measure recognition program. Compliance with all measures improved following launch of the expanded program, and this rate increased significantly for all 9 measures. When evaluated as the relative rate of increase in use over time, process improvement slowed significantly (P
Source: JAHA:Journal of the American Heart Association - Category: Cardiology Authors: Tags: Quality and Outcomes Original Research Source Type: research

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“Normally, when a child is missing that much brain, it’s bad,” says the doctor who diagnosed him as having suffered a perinatal stroke. But his brain was able to remap itself.
Source: Washington Post: To Your Health - Category: Consumer Health News Authors: Source Type: news
Eur J Med Genet. 2022 Jan 18:104429. doi: 10.1016/j.ejmg.2022.104429. Online ahead of print.ABSTRACTPrimary fibrotic atrial cardiomyopathy (PF-ACM) is a novel type of cardiomyopathy characterized by primary atrial fibrosis with arrhythmogenicity and increased stroke risk without ventricular myocardium involvement. However, genetic analysis regarding PF-ACM and genotype-phenotype correlations is lacking. A cohort of PF-ACM patients was recruited and followed up. Whole-exome sequencing (WES) was applied, and genes were screened using a cardiovascular disease (CVD)-related gene panel. Echocardiography and cardiac magnetic res...
Source: European Journal of Medical Genetics - Category: Genetics & Stem Cells Authors: Source Type: research
ConclusionsPatients with stroke and COVID-19 had higher mortality compared to patients without COVID-19. Among patients with COVID-19 those with out-of-hospital stroke had better outcome and fewer blood test abnormalities compared to patients with in-hospital stroke.
Source: Neurological Sciences - Category: Neurology Source Type: research
This study is a retrospective database review of all telestroke requests at one academic vascular neurology center telestroke network with seven remote sites in the USA between March 15 and April 30, 2020. Data were compared with historical cohort spanning same time frame in 2019 using parametric or nonparametric methods as appropriate. Among telestroke requests, characteristics of age, gender, race/ethnicity, National Institutes of Health Stroke Scale (NIHSS), primary diagnosis of AIS or transient ischemic attack (TIA), and number of patients receiving intravenous alteplase (IV-rtPA) and endovascular therapy (ET) were rec...
Source: Neurological Sciences - Category: Neurology Source Type: research
This study is aimed to delineate the molecular mechanistic actions by which sevoflurane protects against cerebral I/R injury. A rat model of cerebral I/R injury was established and pre-treated with sevoflurane, in which hippocampal neuron apoptosis was found to be repressed and the level of E2F transcription factor 1 (E2F1) was observed to be down-regulated. Then, the up-regulated expression of E2F1 was validated in rats with cerebral I/R injury, responsible for stimulated neuron apoptosis. Further, the binding of E2F1 to enhancer of zeste homolog 2 (EZH2) and EZH2 to tissue inhibitor of metalloproteinases-2 (TIMP2) was id...
Source: Molecular Neurobiology - Category: Neurology Source Type: research
ConclusionIschemic complications after BCVI are rare, occur within the first week and do not seem to impact independently the 1-year neurological prognosis.
Source: European Journal of Trauma and Emergency Surgery - Category: Emergency Medicine Source Type: research
Ai Jiwei Hu The prediction of hand grasping and control of a robotic manipulator for hand activity training is of great significance to assist stroke patients to recover their biomechanical functions. However, the human hand and the figure joints have multiple degrees of freedom; therefore, it is complex to process and analyze all the collected data in hand modeling. To simplify the description of grasping activities, it is necessary to extract and decompose the principal components of hand actions. In this paper, the relationships among hand grasping actions are explored by extracting the postural synergy basis of h...
Source: Sensors - Category: Biotechnology Authors: Tags: Article Source Type: research
Chronic inflammatory signaling is an important issue in aging, both generally throughout the body, and in localized hot spots such as atherosclerotic lesions in blood vessel walls. Macrophage cells responsible for clearing out molecular waste and repairing damage in blood vessels are made less effective by inflammatory signaling. The feedback loop of ineffective macrophages becoming incapacitated by the toxic lesion environment, while inflammation draws in more macrophages, is at the center of the progression of atherosclerosis. Ultimately these fatty lesions grow to the point of rupture, and the result is a heart attack o...
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Olive oil, breastfeeding and CV health, informed consent during stroke, and controversy regarding revascularization guidelines are the topics John Mandrola, MD, covers in this week ’s podcast.theheart.org on Medscape
Source: Medscape Cardiology Headlines - Category: Cardiology Tags: Cardiology Commentary Source Type: news
Conditions:   Acute Ischemic Stroke;   Cerebral Edema Interventions:   Drug: SIM1910-09;   Drug: Placebo Sponsor:   Jiangsu Simcere Pharmaceutical Co., Ltd. Recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
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