When Time Is Critical: How Involving Frontline Health Workers Can Improve Stroke Survival Rates

By Carmen Graffagnino, Neurologist, Duke Hospital ; Nilima Mehta , Philanthropy program manager, Medtronic Foundation ; Anne Katharine Wales, Senior philanthropy portfolio lead, Medtronic FoundationApril 09, 2019Here are three ways to change a system of acute care.April 10 started as an ordinary day for Sarah. But while eating breakfast, her husband noticed that her face had started to droop and she was unable to find her words. Immediately he called 911.Within 10 minutes, the ambulance arrived with emergency medical services (EMS), a segment of the local health system that recently became partners in a new regional model for stroke care in North Carolina.EMS quickly identified Sarah as a possible stroke victim and called the hospital to alert the stroke team to be ready for her arrival. Ten minutes later, Sarah was at the hospital and receiving scans that confirmed her stroke. Fifteen minutes later, Sarah received medication to dissolve the clot that had caused it. She was taken to the interventional radiology suite, where the neurosurgeon operated.Survival rates shouldn ’t be determined by luck.Three hours later, Sarah woke up in the recovery room, fully alert and without any neurological deficits. She could speak and her facial drooping had resolved. Her husband breathed a sigh of incredible relief.Sarah was one of the lucky ones.Time is critical when dealing with a stroke and other acute events. But survival rates shouldn ’t be determined by luck. The be...
Source: IntraHealth International - Category: International Medicine & Public Health Authors: Tags: Noncommunicable Diseases Education & Performance Private-Sector Approaches SwitchPoint Health Workforce Systems USA Source Type: news

Related Links:

CONCLUSION: Our study shows that a shorter thrombus-T2* relaxation time is related to a higher red blood cell content within in vivo thrombi.PMID:34559000 | DOI:10.1177/15910199211042473
Source: Interventional Neuroradiology - Category: Radiology Authors: Source Type: research
Aging (Albany NY). 2021 Sep 22;13(undefined). doi: 10.18632/aging.203557. Online ahead of print.ABSTRACTINTRODUCTION: Cerebral small vessel disease (SVD) is prevalent in the elderly population and is associated with increased risk of dementia, stroke and disability. Currently there are no clear targets or strategies for the treatment of cerebral SVD. We set out to identify modifiable vascular treatment targets.PATIENTS AND METHODS: 112 participants with and without a history of CVD underwent macrovascular, microvascular and endothelial function tests and an MRI head scan.RESULTS: Increased carotid intima media thickness an...
Source: Aging - Category: Biomedical Science Authors: Source Type: research
CONCLUSION: Higher neutrophil counts, low WBC counts, low lymphocyte counts, and low platelet to lymphoycyte ratio were baseline serology biomarkers that were associated with post-EVT hemorrhage. Our findings, particularly the association of diabetes mellitus and high neutrophil, support experimental data on the role of thromboinflammation in hemorrhagic transformation of large vessel occlusions.PMID:34548113 | DOI:10.1017/cjn.2021.197
Source: The Canadian Journal of Neurological Sciences - Category: Neurology Authors: Source Type: research
Surg Neurol Int. 2021 Aug 9;12:392. doi: 10.25259/SNI_345_2021. eCollection 2021.ABSTRACTBACKGROUND: Histoplasma capsulatum infection is largely seen in endemic regions; it results in symptomatic disease in
Source: Surgical Neurology International - Category: Neurosurgery Authors: Source Type: research
Acute stroke patients eligible for treatment with tissue plasminogen activato...Read more on AuntMinnie.comRelated Reading: CT mobile stroke units improve patient outcomes NeuroLogica launches new mobile stroke CT scanner Stroke ambulances improve patient outcomes Neurologica wins Brazilian mobile stroke CT install Portable MRI is feasible for ICU neuroimaging
Source: AuntMinnie.com Headlines - Category: Radiology Source Type: news
This study reports the demographics, stroke types, stroke care and hospital outcomes for stroke in Freetown, Sierra Leone.Methods: A prospective observational register recorded all patients 18 years and over with stroke between May 2019 and April 2020. Stroke was defined according to the WHO criteria. Pearson's chi-squared test was used to examine associations between categorical variables and unpaired t-tests for continuous variables. Multivariable logistic regression, to explain in-hospital death, was reported as odds ratios (ORs) and 95% confidence intervals.Results: Three hundred eighty-five strokes were registered, an...
Source: Frontiers in Neurology - Category: Neurology Source Type: research
This study included data from a demographically representative sample of 428 patients who had completed NECT scans following hospitalisation for stroke. In a subset of the scans (n = 20), the intracranial spaces were segmented using automated tools and compared to the gold standard of manual delineation to calculate accuracy, precision, recall, and dice similarity coefficient (DSC) values. Further, three readers independently performed regional visual comparisons of the qu ality of the results in a larger dataset (n = 428). Three tools were found; one of these had unreliable performance so subsequen...
Source: Neuroinformatics - Category: Neuroscience Source Type: research
This issue of the journal includes a meta-review, ie, a systematic review of systematic reviews, summarizing the published evidence on the associations between exposure to adverse psychosocial working conditions and risk of developing diseases or disorders during the past 20 years (1). Although the authors allowed inclusion of reviews reporting results from cross-sectional studies, the majority of the included reviews were restricted to prospective cohort studies – the gold standard method in psychosocial occupational epidemiology. We commend the authors for their succinct summary of the current knowledge on the topi...
Source: Scandinavian Journal of Work, Environment and Health - Category: Occupational Health Tags: Editorial Source Type: research
Conclusions: A primary neurological and neuroradiological assessment is mandatory and neurovascular specialists should manage the initiation of secondary prophylactic treatment. If a cardioembolic stroke is suspected, a dedicated cardiologist experienced in the management of cardioembolism should provide a tailored clinical and echocardiographic assessment.PMID:34470566 | DOI:10.1080/14017431.2021.1973085
Source: Scandinavian Cardiovascular Journal - Category: Cardiology Authors: Source Type: research
TITUSVILLE, N.J., Sept. 1, 2021 – The Janssen Pharmaceutical Companies of Johnson &Johnson today announced the U.S. Food and Drug Administration (FDA) has approved long-acting atypical antipsychotic INVEGA HAFYERA™ (6-month paliperidone palmitate), the first-and-only twice-yearly injectable for the treatment of schizophrenia in adults. Before transitioning to INVEGA HAFYERA™, patients must be adequately treated with INVEGA SUSTENNA® (1-month paliperidone palmitate) for at least four months, or INVEGA TRINZA® (3-month paliperidone palmitate) for at least one 3-month injection cycle.1 The FDA ap...
Source: Johnson and Johnson - Category: Pharmaceuticals Tags: Innovation Source Type: news
More News: Boys | Brain | Education | Emergency Medicine | Health Management | Hospitals | International Medicine & Public Health | Learning | Lessons | Neurology | Neurosurgery | Partnerships | PET Scan | Radiology | Rural Health | Stroke | Training | Universities & Medical Training | Wales Health