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Urinary tract infection after acute stroke: Impact of indwelling urinary catheterization and assessment of catheter-use practices in French stroke centers.

CONCLUSION: Urinary catheterization is common after acute stroke and a well-known risk factor of UTI. However, as high heterogeneity in catheter-use practices is found among French SCs, randomized studies comparing the efficacy of urinary catheterization techniques in terms of UTI prevention in acute stroke patients are now warranted. PMID: 29395254 [PubMed - as supplied by publisher]
Source: Revue Neurologique - Category: Neurology Tags: Rev Neurol (Paris) Source Type: research

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Abstract BackgroundIn‐hospital complications after stroke represent barriers of optimal recovery and are even potentially life‐threatening. Anemia is common in stroke patients and is related to poor outcome after stroke. Less is known, however, of the association of anemia with complications. We aimed to investigate the impact of anemia on a series of in‐hospital complications after ischemic stroke. MethodsConsecutive patients with ischemic stroke within 7 days were included. Anemia on admission and its severity were defined according to World Health Organization criteria. Eight prespecified complications, such as pn...
Source: European Journal of Neurology - Category: Neurology Authors: Tags: Original Article Source Type: research
AbstractDelirium is the most common and serious neurobehavioral complication in acute hospital admissions. Some patients develop signs of delirium but do not meet all diagnostic criteria. Stroke is a major risk factor for delirium. The aim of this prospective study was to build a predictive model for delirium and subsyndromal post-stroke delirium. Patients with stroke were screened for delirium during the first 7  days after admission. Delirium was diagnosed according to DSM-V criteria. Baseline demographic, biochemical, stroke-related data, medications used, neurological deficit, and premorbid cognitive and functiona...
Source: Journal of Neurology - Category: Neurology Source Type: research
CONCLUSIONS: Preventive antibiotics had no effect on functional outcome or mortality, but significantly reduced the risk of 'overall' infections. This reduction was driven mainly by prevention of urinary tract infection; no effect for pneumonia was found. PMID: 29355906 [PubMed - as supplied by publisher]
Source: Cochrane Database of Systematic Reviews - Category: General Medicine Authors: Tags: Cochrane Database Syst Rev Source Type: research
We reported a surge in the use of augmented reality in healthcare at the end of 2016, with the trend continuing in 2017. Notably, Microsoft’s HoloLens was successfully used for spinal surgery applications by a surgical navigation company named ...
Source: Medgadget - Category: Medical Devices Authors: Tags: Exclusive Source Type: blogs
Urinary tract infections can be the "bane" of our existence as caregivers of people living with dementia.By Bob DeMarcoAlzheimer's Reading RoomUTIs are a cause of great distress. This happens to caregivers becauseurinary tract infection often go undetected even by doctors and physician assistants.Urinary tract infections in dementia patients don't always come with signs and symptoms.In dementia patients the signs and symptoms of a UTI are oftensilent.Persons living with dementia rarely tell us they have a UTI. Why? Because they don't know it.UTIs often cause dementia patients to become mean.Article -Death by Comp...
Source: Alzheimer's Reading Room, The - Category: Neurology Tags: care of dementia patients care of dementia patients at home dementia care elderly dementia care health help alzheimer's help with dementia care how to care urinary tract infection UTI Source Type: blogs
We examined trends in resource use and patient characteristics over the study period. RESULTS: There were 136 208 admissions to general internal medicine involving 88 121 unique patients over the study period. General internal medicine admissions accounted for 38.8% of all admissions from the emergency department and 23.7% of all hospital bed-days. Over the study period, the number of admissions to general internal medicine increased by 32.4%; there was no meaningful change in the median length of stay or cost per hospital stay. The median patient age was 73 (interquartile range [IQR] 57-84) years, and the median ...
Source: cmaj - Category: General Medicine Authors: Tags: CMAJ Open Source Type: research
Conclusions: Sex differences exist in the clinical profile of stroke but not in the outcome. Knowledge of these differences could help influence stroke prevention, thereby improving stroke burden in Africa.Neuroepidemiology 2017;49:179 –188
Source: Neuroepidemiology - Category: Epidemiology Source Type: research
By KIP SULLIVAN Managed care advocates see quality problems everywhere and resource shortages nowhere. If the Leapfrog Group, the Medicare Payment Advisory Commission, or some other managed care advocate were in charge of explaining why a high school football team lost to the New England Patriots, their explanation would be “poor quality.” If a man armed with a knife lost a fight to a man with a gun, ditto: “Poor quality.” And their solution would be more measurement of the “quality,” followed by punishment of the losers for getting low grades on the “quality” report card and...
Source: The Health Care Blog - Category: Consumer Health News Authors: Tags: Uncategorized CMS Kip Sullivan value-based care Source Type: blogs
AbstractPurposeManagement of stroke secondary to septic emboli (SE) remains challenging, due to both the lack of specific recommendations and the gravity of the underlying pathology.The aim of this study is to describe the presence of SE in a series of mechanical thrombectomies (MT), analyzing technical complexity and outcomes with respect to the patients by means of histological analysis and microbiological study of the clot.MethodsAll the retrieved clots were studied under an established protocol, including histopathological and bacteriological study with hematoxylin –eosin, Gram and Gomori trichrome staining.Techn...
Source: CardioVascular and Interventional Radiology - Category: Radiology Source Type: research
Conclusions—Compared with nicardipine, labetalol was associated with increased in-hospital infections, but not mortality or modified Rankin Score>2. These findings do not support our hypothesis that labetalol use improves outcomes relative to nicardipine in intracerebral hemorrhage.
Source: Stroke - Category: Neurology Authors: Tags: Autonomic Nervous System, Clinical Studies, Hypertension, Quality and Outcomes, Intracranial Hemorrhage Original Contributions Source Type: research
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