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Ambient fine particulate pollution hysteresis triggers wake-up stroke and rapidly triggers non-wake-up stroke: a case-crossover study
This study aimed to explore the relationship between WUS and non-WUS and atmospheric pollutants. A total of 1432 patients (331 WUS patients and 1101 non-WUS patients) were admitted to a tertiary hospital from 2016 to 2019. A time-stratified case-crossover design and a conditional logistic regression model to study the associations of change in pollutant concentration with WUS and non-WUS events were constructed. Data analysis revealed that WUS-related risks increased 48 to 72 h after the increase in the PM2.5 concentration (each 10 μg/m3 increase, lag 0-72 h) [threshold OR (95% CI):18 μg/m3 1.03 (0.94-1.11), 35 μg/m3 1....
Source: Environmental Science and Pollution Research International - June 24, 2022 Category: Environmental Health Authors: Yan Wang Yuan Xin Xi-Xi Wang Yu-Lei Zhang Yue Zhang Yu Wang Li Peng Yun-Cheng Wu Source Type: research

Short-term associations of ambient air pollution with hospital admissions for ischemic stroke in 97 Japanese cities
We examined the association between four regularly measured major ambient air pollutants, i.e., sulfur dioxide (SO2), nitrogen dioxide (NO2), photochemical oxidants (Ox), and particulate matter with aerodynamic diameters ≤ 2.5 μm (PM2.5), and hospital admissions for ischemic stroke by analyzing 3 years of nationwide claims data from 97 cities in Japan. We first estimated city-specific results by using generalized additive models with a quasi-Poisson regression, and we obtained the national average by combining city-specific results with the use of random-effect models. We identified a total of 335,248 hospital admission...
Source: Environmental Science and Pollution Research International - June 14, 2022 Category: Environmental Health Authors: Kohei Hasegawa Teruomi Tsukahara Tetsuo Nomiyama Source Type: research

IJERPH, Vol. 19, Pages 4769: Effect of the COVID-19 Pandemic in the Prehospital Management of Patients with Suspected Acute Stroke: A Retrospective Cohort Study
Ladny Acute Ischemic Stroke (AIS) can be successfully handled if it is noticed early in the prehospital setting and immediately diagnosed in the emergency department (ED). The coronavirus pandemic has altered the way health care is delivered and has had a profound impact on healthcare delivery. The effects could include prioritizing the prevention of COVID-19 spread, which could result in the discontinuation or deferral of non-COVID-19 care. We used the National Emergency Medical Service Command Support System, a register of medical interventions performed by emergency medical services (EMS) in Poland, to assess the im...
Source: International Journal of Environmental Research and Public Health - April 14, 2022 Category: Environmental Health Authors: Natasza Blek Lukasz Szarpak Jerzy Robert Ladny Tags: Article Source Type: research

Effect of apparent temperature on hospitalization from a spectrum of cardiovascular diseases in rural residents in Fujian, China
Environ Pollut. 2022 Mar 3:119101. doi: 10.1016/j.envpol.2022.119101. Online ahead of print.ABSTRACTCardiovascular disease (CVD) is a leading threat to global public health. Although associations between temperature and CVD hospitalization have been suggested for developed countries, limited evidence is available for developing countries or rural residents. Moreover, the effect of apparent temperature (AT) on the spectrum of cause-specific CVDs remains unknown. Based on 2,024,147 CVD hospitalizations for rural residents from eight regions in Fujian Province, China, during 2010-2016, a quasi-Poisson regression with distribu...
Source: Environmental Pollution - March 6, 2022 Category: Environmental Health Authors: Zhi-Ying Zhan Xue Zhong Jun Yang Zan Ding Xiao-Xu Xie Zhen-Quan Zheng Zhi-Jian Hu Source Type: research

IJERPH, Vol. 19, Pages 3050: Sex and Economic Disparity Related to Reperfusion Therapies for Patients with Acute Ischemic Stroke in South Korea across a 10-Year Period: A Nationwide Population-Based Study Using the National Health Insurance Database
This study included AIS patients aged ≥20 years who were hospitalized in a general hospital or tertiary hospital for ≥4 days and underwent brain imaging during the same period. Study participants were classified by sex, economic status (Medical Aid beneficiaries and National Health Insurance beneficiaries) and age (20–44, 45–64, 65–79, and ≥80 years). Women showed a significantly lower OR (Odds ratio) than men in IVT (OR: 0.75; 95% CI: 0.73–0.77), EVT (OR: 0.96; 95% CI: 0.93–0.99), and any therapy (OR: 0.82; 95% CI: 0.80&...
Source: International Journal of Environmental Research and Public Health - March 5, 2022 Category: Environmental Health Authors: Jusun Moon Jinyoung Shin Jeehye Lee Ho Jin Jeong Hyeongsu Kim Jaehyeong An Sung Hyun Jo Kwang-Pil Ko Jeoungbin Choi Tags: Article Source Type: research

IJERPH, Vol. 19, Pages 2796: Occurrence of No-Harm Incidents and Adverse Events in Hospitalized Patients with Ischemic Stroke or TIA: A Cohort Study Using Trigger Tool Methodology
k Michael Simon Adverse events (AEs)—healthcare caused events leading to patient harm or even death—are common in healthcare. Although it is a frequently investigated topic, systematic knowledge on this phenomenon in stroke patients is limited. To determine cumulative incidence of no-harm incidents and AEs, including their severity and preventability, a cohort study using trigger tool methodology for retrospective record review was designed. The study was carried out in a stroke center at a university hospital in the German speaking part of Switzerland. Electronic records from 150 randomly...
Source: International Journal of Environmental Research and Public Health - February 27, 2022 Category: Environmental Health Authors: Bartosch Nowak Ren é Schwendimann Philippe Lyrer Leo H. Bonati Gian Marco De De Marchis Nils Peters Franziska Z úñiga Lili Saar Maria Unbeck Michael Simon Tags: Article Source Type: research

IJERPH, Vol. 19, Pages 2278: The Impacts of COVID-19 on Healthcare Quality in Tertiary Medical Centers & mdash;A Retrospective Study on Data from Taiwan Clinical Performance Indicators System
IJERPH, Vol. 19, Pages 2278: The Impacts of COVID-19 on Healthcare Quality in Tertiary Medical Centers—A Retrospective Study on Data from Taiwan Clinical Performance Indicators System International Journal of Environmental Research and Public Health doi: 10.3390/ijerph19042278 Authors: Shih-An Liu Chieh-Liang Wu I-Ju Chou Pa-Chun Wang Chia-Ling Hsu Chia-Pei Chen To date, COVID-19 is by far the most impactful contagious disease of the 21st century and it has had a devastating effect on public health in countries around the globe. Elective medical services have declined markedly since the outbreak...
Source: International Journal of Environmental Research and Public Health - February 17, 2022 Category: Environmental Health Authors: Shih-An Liu Chieh-Liang Wu I-Ju Chou Pa-Chun Wang Chia-Ling Hsu Chia-Pei Chen Tags: Article Source Type: research

Acute effect of air pollutants' peak-hour concentrations on ischemic stroke hospital admissions among hypertension patients in Beijing, China, from 2014 to 2018
Environ Sci Pollut Res Int. 2022 Jan 30. doi: 10.1007/s11356-021-18208-5. Online ahead of print.ABSTRACTAir pollutants' effect on ischemic stroke (IS) has been widely reported. But the effect of high-level concentrations during people's outdoor periods among hypertension patients was unknown. Peak-hour concentrations were defined considering air pollutants' high concentrations as well as people's outdoor periods. We conducted a time-series study and used the generalized additive model to analyze peak-hour concentrations' acute effect. A total of 315,499 IS patients comorbid with hypertension were admitted to secondary and ...
Source: Environmental Science and Pollution Research International - January 30, 2022 Category: Environmental Health Authors: Zemeng Zhao Moning Guo Ji An Licheng Zhang Peng Tan Xue Tian Yuhan Zhao Lulu Liu Xiaonan Wang Xiangtong Liu Xiuhua Guo Yanxia Luo Source Type: research

Association of short-term exposure to air pollution with recurrent ischemic cerebrovascular events in older adults
Int J Hyg Environ Health. 2022 Jan 16;240:113925. doi: 10.1016/j.ijheh.2022.113925. Online ahead of print.ABSTRACTThe acute effects of ambient air pollution on recurrence of ischemic cerebrovascular events (ICEs) remains largely unknown. We therefore conducted a time-stratified case-crossover study of 43,896 patients who were 60 years or older and were admitted to hospital for recurrent ICEs including ischemic stroke and transient ischemic attack in Guangzhou, China during 2016-2019. Based on each patient's home address and pollutant data from its neighboring air quality monitoring stations, we used an inverse distance wei...
Source: International Journal of Hygiene and Environmental health - January 19, 2022 Category: Environmental Health Authors: Ruijun Xu Qi Tian Wenfeng Lu Zhengyu Yang Yunshao Ye Yingxin Li Qiaoxuan Lin Yaqi Wang Zhaoyu Fan Tingting Liu Luxi Xu Xu Chen Chunxiang Shi Yun Zhou Yuewei Liu Source Type: research

IJERPH, Vol. 18, Pages 9461: Experience of a Neuro-Emergency Expert in the Emergency Department during One Year of the COVID-19 Pandemic
-Sun Park We aimed to evaluate the overall clinical characteristics of patients treated by a neuro-emergency expert dedicated to the emergency department (ED) as an attending neurologist during the COVID-19 pandemic. We included adult patients who visited the ED between 1 January and 31 December 2020 and were treated by a neuro-emergency expert. We retrospectively obtained and analyzed the data on patients’ clinical characteristics and outcome. The neuro-emergency expert treated 1155 patients (mean age, 62.9 years). The proportion of aged 18–40 years was the lowest, and the most common modes of arrival were public ...
Source: International Journal of Environmental Research and Public Health - September 8, 2021 Category: Environmental Health Authors: Yong-Won Jung Sang-Ook Ha Jin-Hyouk Kim Won-Seok Yang Young-Sun Park Tags: Article Source Type: research

IJERPH, Vol. 18, Pages 4666: Predictors of Adherence to Lifestyle Recommendations in Stroke Secondary Prevention
Blake The risk of recurrent vascular events is high following ischaemic stroke or transient ischaemic attack (TIA). Unmanaged modifiable risk factors present opportunities for enhanced secondary prevention. This cross-sectional study (n = 142 individuals post-ischaemic stroke/TIA; mean age 63 years, 70% male) describes adherence rates with risk-reducing behaviours and logistical regression models of behaviour adherence. Predictor variables used in the models com-prised age, sex, stroke/TIA status, aetiology (TOAST), modified Rankin Scale, cardiovascular fit-ness (VO2peak) measured as peak oxygen uptake during increment...
Source: International Journal of Environmental Research and Public Health - April 27, 2021 Category: Environmental Health Authors: Olive Lennon Patricia Hall Catherine Blake Tags: Article Source Type: research

IJERPH, Vol. 18, Pages 4054: Gender Inequalities in Diagnostic Inertia around the Three Most Prevalent Cardiovascular Risk Studies: Protocol for a Population-Based Cohort Study
This study will assess the gender-related differences in diagnostic inertia around the three most prevalent cardiovascular risk factors: dyslipidemia, arterial hypertension, and diabetes mellitus, and to evaluate the consequences on cardiovascular disease incidence. This is an epidemiological and cohort study. Eligible patients will be adults who presented to public primary health care centers in a Spanish region from 2008 to 2011, with hypertension, dyslipidemia, or/and diabetes and without cardiovascular disease. Participants’ electronic health records will be used to collect the study variables in a window of six mont...
Source: International Journal of Environmental Research and Public Health - April 12, 2021 Category: Environmental Health Authors: Carratala-Munuera Lopez-Pineda Orozco-Beltran Quesada Alfonso-Sanchez Pallar és-Carratalá Soriano-Maldonado Navarro-Perez Gil-Guillen Martin-Moreno Tags: Study Protocol Source Type: research

IJERPH, Vol. 18, Pages 3673: Mild to Severe Neurological Manifestations of COVID-19: Cases Reports
Alberto Barbieri The main focus of Coronavirus disease 2019 (COVID-19) infection is pulmonary complications through virus-related neurological manifestations, ranging from mild to severe, such as encephalitis, cerebral thrombosis, neurocognitive (dementia-like) syndrome, and delirium. The hospital screening procedures for quickly recognizing neurological manifestations of COVID-19 are often complicated by other coexisting symptoms and can be obscured by the deep sedation procedures required for critically ill patients. Here, we present two different case-reports of COVID-19 patients, describing neurological complica...
Source: International Journal of Environmental Research and Public Health - April 1, 2021 Category: Environmental Health Authors: Gabriele Melegari Veronica Rivi Gabriele Zelent Vincenzo Nasillo Elena De Santis Alessandra Melegari Claudia Bevilacqua Michele Zoli Stefano Meletti Alberto Barbieri Tags: Case Report Source Type: research

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