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Condition: Ischemic Stroke
Procedure: Tracheostomy

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Total 33 results found since Jan 2013.

Hospital Readmission Rates Among Mechanically Ventilated Patients With Stroke Brief Reports
Conclusions— Approximately one quarter of mechanically ventilated patients with stroke who survive to discharge are readmitted to the hospital within 30 days. Readmission rates are significantly higher in patients with stroke who undergo tracheostomy, but the difference is not clinically meaningful. Thirty-day readmission rates among mechanically ventilated patients with stroke are similar to Medicare beneficiaries hospitalized with major medical diseases such as pneumonia.
Source: Stroke - September 28, 2015 Category: Neurology Authors: Lahiri, S., Navi, B. B., Mayer, S. A., Rosengart, A., Merkler, A. E., Claassen, J., Kamel, H. Tags: Acute Cerebral Hemorrhage, Acute Cerebral Infarction, Emergency treatment of Stroke, Other Stroke Treatment - Medical Brief Reports Source Type: research

Stroke-Related Early Tracheostomy Versus Prolonged Orotracheal Intubation in Neurocritical Care Trial (SETPOINT): A Randomized Pilot Trial Original Contributions
Conclusions— Early tracheostomy in ventilated intensive care stroke patients is feasible, and safe, and presumably reduces sedation need. Whether the suggested benefits in mortality and outcome truly exist has to be determined by a larger multicenter trial. Clinical Trial Registration— http://www.clinicaltrials.gov. Unique identifier: NCT01261091.
Source: Stroke - December 24, 2012 Category: Neurology Authors: Bosel, J., Schiller, P., Hook, Y., Andes, M., Neumann, J.-O., Poli, S., Amiri, H., Schonenberger, S., Peng, Z., Unterberg, A., Hacke, W., Steiner, T. Tags: Other Treatment, Acute Cerebral Hemorrhage, Acute Cerebral Infarction, Cerebral Aneurysm, AVM, & Subarachnoid hemorrhage, Other Stroke Treatment - Surgical Original Contributions Source Type: research

Timing of Percutaneous Endoscopic Gastrostomy for Acute Ischemic Stroke Clinical Sciences
Background and Purpose—Stroke guidelines recommend time-limited trials of nasogastric feeding prior to percutaneous endoscopic gastrostomy (PEG) tube placement. We sought to describe timing of PEG placement and identify factors associated with early PEG for acute ischemic stroke.Methods—We designed a retrospective observational study to examine time to PEG for ischemic stroke admissions in the Nationwide Inpatient Sample, 2001 to 2011. We defined early PEG placement as 1 to 7 days from admission. Using multivariable regression analysis, we identified the effects of patient and hospital characteristics on PEG timing.Res...
Source: Stroke - January 22, 2017 Category: Neurology Authors: Benjamin P. George, Adam G. Kelly, George P. Albert, David Y. Hwang, Robert G. Holloway Tags: Health Services, Ischemic Stroke Original Contributions Source Type: research

Tracheostomy after Severe Ischemic Stroke: A Population-based Study
Conclusions: Tracheostomy is common after decompressive craniectomy and is strongly associated with the development of pneumonia. Given its impact on patient function and potentially modifiable associated factors, tracheostomy may warrant further study as an important patient-centered outcome among patients with stroke.
Source: Journal of Stroke and Cerebrovascular Diseases - October 7, 2013 Category: Neurology Authors: Brian P. Walcott, Hooman Kamel, Brandyn Castro, W. Taylor Kimberly, Kevin N. Sheth Tags: Original Articles Source Type: research

Use and Timing of Tracheostomy After Severe Stroke Topical Reviews
Source: Stroke - August 28, 2017 Category: Neurology Authors: Julian Bosel Tags: Cerebrovascular Disease/Stroke, Intracranial Hemorrhage, Ischemic Stroke Topical Review Source Type: research

Mechanical Ventilation for Acute Stroke: A Multi-state Population-Based Study
Conclusions In this large population-based sample, over half of mechanically ventilated stroke patients died in the hospital despite the fact that younger patients were more likely to receive mechanical ventilation. Future studies are indicated to elucidate mechanical ventilation strategies to optimize long-term outcomes after severe stroke.
Source: Neurocritical Care - December 9, 2014 Category: Neurology Source Type: research

Stroke Thrombolysis in a Tertiary Care Teaching Hospital in Saudi Arabia - A Single Center Experience (P2.282)
Conclusions: In our newly established stroke unit, the overall mortality and discharge disposition were comparable to standards. Women had significantly more stroke related complications. Patients older than 60 years had more thrombolysis related complications and were discharged with higher NIHSS.Disclosure: Dr. Khatri has nothing to disclose. Dr. Alkhathaami has nothing to disclose. Dr. Abulaban has nothing to disclose. Dr. Alhamouieh has nothing to disclose. Dr. Scriven has nothing to disclose. Dr. Tarawneh has nothing to disclose. Dr. Alrasheed has nothing to disclose. Dr. Kojan has received personal compensation for a...
Source: Neurology - April 3, 2016 Category: Neurology Authors: Khatri, I., Alkhathaami, A., Abulaban, A., Alhamouieh, O., Scriven, S., Tarawneh, M., Alrasheed, D., Kojan, S., Alotaibi, N., Al-Khalaf, A., Alshehri, A. M., El-Metwally, A. Tags: Acute Therapy: Thrombolysis and Adjuvant Therapy Source Type: research

Predictive Factors for the Need of Tracheostomy in Patients With Large Vessel Occlusion Stroke Being Treated With Mechanical Thrombectomy
Conclusions: Patients with LVOS undergoing MT are at high risk to require TS if extubation after the intervention fails, DH is needed, and severe infectious complications occur in the acute phase after ischemic stroke. These factors are likely to be useful for the indication and timing of TS to reduce overall sedation and shorten ICU length of stay.
Source: Frontiers in Neurology - November 26, 2021 Category: Neurology Source Type: research

Predictors of Surgical Feeding Tube Placement after Acute Stroke (P02.045)
CONCLUSIONS: Our study suggests that admission findings may be indicative of impending PEG placement. Further, PEG placement was found to be associated with significantly worse functional and neurological outcomes.Supported by: Award Numbers 5 T32 HS013852-10 from The Agency for Healthcare Research and Quality (AHRQ) and 3 P60 MD000502-08S1 from The National Institute on Minority Health and Health Disparities (NIMHD), National Institutes of Health (NIH). The content is solely the responsibility of the authors and does not necessarily represent the official views of the AHRQ or the NIH.Disclosure: Dr. Dubin has nothing to d...
Source: Neurology - February 14, 2013 Category: Neurology Authors: Dubin, P., Boehme, A., Schluter, L., Siegler, J., Shaban, A., Sudkamp, J., Albright, K., Martin-Schild, S. Tags: P02 Cerebrovascular Disease II Source Type: research

Early vs Standard Approach to Tracheostomy and Functional Outcome After Severe Stroke
To the Editor In the subgroup analysis of the recently published Stroke-Related Early Tracheostomy vs Prolonged Orotracheal Intubation in Neurocritical Care Trial 2 (SETPOINT2), the enrolled patients were divided into 3 subgroups according to their pathology diagnosis: acute ischemic stroke, intracerebral hemorrhage, and subarachnoid hemorrhage. However, the type of stroke is not necessarily related to the need for tracheostomy. We believe it would be helpful to classify these patients based on the location of brain infarction, including distinct categories for brainstem or cerebellar stroke. The purpose of tracheostomy in...
Source: JAMA - September 13, 2022 Category: General Medicine Source Type: research

End-of-Life Care Decision-Making in Stroke
Stroke is one of the leading causes of death and long-term disability in the United States. Though advances in interventions have improved patient survival after stroke, prognostication of long-term functional outcomes remains challenging, thereby complicating discussions of treatment goals. Stroke patients who require intensive care unit care often do not have the capacity themselves to participate in decision making processes, a fact that further complicates potential end-of-life care discussions after the immediate post-stroke period. Establishing clear, consistent communication with surrogates through shared decision-m...
Source: Frontiers in Neurology - September 28, 2021 Category: Neurology Source Type: research

Decannulation and Functional Outcome After Tracheostomy in Patients with Severe Stroke (DECAST): A Prospective Observational Study
ConclusionsDecannulation was achieved in 59.4% of stroke patients surviving the first 12  months after tracheostomy and was associated with better functional outcome compared to patients without decannulation. Further prospective studies with larger sample sizes are needed to confirm our results.
Source: Neurocritical Care - July 25, 2017 Category: Neurology Source Type: research

Ischemic Stroke in a 29-Year-Old Patient with COVID-19: A Case Report
We reported, instead, a case of an ischemic stroke in a young woman during her hospitalization for COVID-19-related pneumonia. A 29-year-old woman presented to the emergency department of our institution with progressive respiratory distress associated with a 2-day history of fever, nausea, and vomiting. The patient was transferred to the intensive care unit (ICU) where she underwent a tracheostomy for mechanical ventilation due to her severe clinical condition and her very low arterial partial pressure of oxygen. The nasopharyngeal swab test confirmed SARS-CoV-2 infection. Laboratory tests showed neutrophilic leucocytosis...
Source: Case Reports in Neurology - June 10, 2021 Category: Neurology Source Type: research

Outcomes of endovascular mechanical thrombectomy and intravenous tissue plasminogen activator for the treatment of vertebrobasilar stroke.
CONCLUSIONS: Patients requiring IV-tPA and/or mechanical thrombectomy for the treatment of posterior-circulation strokes suffer from high mortality rates. Increased age is associated with significantly higher mortality rates among posterior-circulation stroke patients who require mechanical thrombectomy. PMID: 24465258 [PubMed]
Source: Journal of Clinical Neurology - December 2, 2014 Category: Neurology Tags: J Clin Neurol Source Type: research

Patient Age and the Outcomes after Decompressive Hemicraniectomy for Stroke: A Nationwide Inpatient Sample Analysis
Conclusion In this nationwide analysis, DHC was associated with reduced mortality regardless of patient age, including among those aged greater than 70 years. However, patients aged greater than 60 years treated surgically experienced higher odds of mortality (32.4 %), discharge to institutional care (47.1 %), and a poor outcome (77.0 %) compared with younger patients.
Source: Neurocritical Care - July 11, 2016 Category: Neurology Source Type: research