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Condition: Ischemic Stroke
Therapy: Palliative

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Total 50 results found since Jan 2013.

Satisfaction With Palliative Care After Stroke: A Prospective Cohort Study Brief Reports
Conclusions— Families of patients receiving palliative care at our institution showed generally high satisfaction with palliation after stroke; specific domains were identified for improvement. Further study in larger populations is required.
Source: Stroke - August 26, 2013 Category: Neurology Authors: Blacquiere, D., Bhimji, K., Meggison, H., Sinclair, J., Sharma, M. Tags: Health policy and outcome research, Other Treatment, Acute Cerebral Infarction, Other Stroke Treatment - Medical Brief Reports Source Type: research

Palliative Care for Hospitalized Patients With Stroke Clinical Sciences
This study explores patterns of palliative care utilization and death in hospitalized patients with stroke across the United States.Methods—Using the 2010 to 2012 nationwide inpatient sample databases, we included all patients discharged with stroke identified by International Classification of Diseases-Ninth Revision codes. Strokes were subclassified as ischemic, intracerebral, and subarachnoid hemorrhage. We compared demographics, comorbidities, procedures, and outcomes between patients with and without a palliative care encounter (PCE) as defined by the International Classification of Diseases-Ninth Revision code V66....
Source: Stroke - August 28, 2017 Category: Neurology Authors: Tarvinder Singh, Steven R. Peters, David L. Tirschwell, Claire J. Creutzfeldt Tags: Race and Ethnicity, Quality and Outcomes, Cerebrovascular Disease/Stroke, Intracranial Hemorrhage, Ischemic Stroke Original Contributions Source Type: research

Arterial ischemic stroke in children with cardiac disease
Conclusions: Infants with cyanotic CHD were most frequently affected by AIS during the periprocedural period. Prospective cohort studies are required to determine effective primary and secondary prevention strategies.
Source: Neurology - December 7, 2015 Category: Neurology Authors: Asakai, H., Cardamone, M., Hutchinson, D., Stojanovski, B., Galati, J. C., Cheung, M. M. H., Mackay, M. T. Tags: Childhood stroke, All Cerebrovascular disease/Stroke, All Pediatric, Cardiac, Pediatric stroke; see Cerebrovascular Disease/ Childhood stroke ARTICLE Source Type: research

Palliative Care Consultation Did Not Reduce Length of Stay in a Comprehensive Stroke Center (P1.212)
Conclusion: Palliative care consultation for patients with ischemic or hemorrhagic strokes was not associated with decreased hospital costs or LoS. This is in contrast to previously reported studies. We will further analyze the effect of early palliative care on a larger sample size to validate the findings. We also propose that a standardized palliative care trigger tool be implemented for early PC consultation in patients with debilitating stroke, advanced age, and multiple comorbid conditions.Disclosure: Dr. Tversky has nothing to disclose. Dr. Cheng has nothing to disclose. Dr. Mahmud has nothing to disclose. Dr. Schlo...
Source: Neurology - April 3, 2016 Category: Neurology Authors: Tversky, S., Cheng, D., Mahmud, S., Schloss, E., Wright, P. Tags: Re-admission and Stroke Outcomes Source Type: research

Early transition to comfort measures only in acute stroke patients: Analysis from the Get With The Guidelines-Stroke registry
Conclusions: Early CMO was utilized in about 5% of stroke patients, being more common in ICH and SAH than IS. Early CMO use varies widely between hospitals and is influenced by patient and hospital characteristics.
Source: Neurology Clinical Practice - June 12, 2017 Category: Neurology Authors: Prabhakaran, S., Cox, M., Lytle, B., Schulte, P. J., Xian, Y., Zahuranec, D., Smith, E. E., Reeves, M., Fonarow, G. C., Schwamm, L. H. Tags: All Cerebrovascular disease/Stroke, Palliative care Research Source Type: research

Older Patients with Acute Ischemic Stroke Receive Fewer Neurosurgery and Cardiology Consultations (P2.321)
Conclusions: Nearly half of our patient population was age蠅65-years but very few had geriatrics consultation. These patients are not receiving as many cardiology and neurosurgery consultations as the younger population. They are, however, receiving palliative care consults. Our results raise concern that resources are being disproportionately allocated to younger patients. Further study into resource allocation is warranted.Disclosure: Dr. Khawaja has nothing to disclose. Dr. Albright has nothing to disclose. Dr. Boehme has nothing to disclose. Dr. Sands has received research support from Biogen. Dr. Bavarsad Shahri...
Source: Neurology - April 3, 2016 Category: Neurology Authors: Khawaja, A., Albright, K., Boehme, A., Sands, K., Bavarsad Shahripour, R., Shiue, H., Gropen, T. Tags: Stroke Systems of Care Source Type: research

HIAT2 Predicts Poor Functional Outcome, Palliative Care Involvement, and In-hospital Mortality in tPA Treated and Untreated Ischemic Stroke Patients (P1.188)
Conclusions: Our results suggest that the variables used to create the HIAT2 score (age, NIHSS, glucose, ASPECTS score) are useful in predicting poor outcomes in patients receiving endovascular therapy, IV tPA, and neither. Despite its ability to predict poor outcome in these samples, treatment should not be withheld from patients that otherwise qualify.Disclosure: Dr. Kaur has nothing to disclose. Dr. Boehme has nothing to disclose. Dr. Albright has nothing to disclose. Dr. Sisson has nothing to disclose. Dr. Lyerly has nothing to disclose. Dr. Gropen has nothing to disclose.
Source: Neurology - April 3, 2016 Category: Neurology Authors: Kaur, M., Boehme, A., Albright, K., Sisson, A., Lyerly, M., Gropen, T. Tags: Ischemic Stroke Outcomes Source Type: research

Can we Improve on Neuro-prognostication for Patients with Severe Ischemic Stroke? (P6.272)
Conclusions:The outcomes of patients presenting with severe ischemic stroke (NIHSS 16–20, 21+) is poor overall; although there were significant differences in early mortality, these are no longer significant at 90 days. A good recovery was predicted by early rapid improvement in NIHSS. More data is needed to improve neuro-prognostication to inform patients and families on expected outcomes and when to incorporate palliative care.Disclosure: Dr. Bu has nothing to disclose. Dr. Beilman has nothing to disclose. Dr. Sila has received personal compensation for activities with Axio Research, Hoffman La Roche, Medtronic, Ja...
Source: Neurology - April 17, 2017 Category: Neurology Authors: Bu, J., Beilman, C., Sila, C. Tags: Cerebrovascular Disease Health Services Research Source Type: research

Racial Differences in Palliative Care Use After Stroke in Majority-White, Minority-Serving, and Racially Integrated U.S. Hospitals
Conclusions: The odds of receiving palliative care for both white and minority stroke patients is lower in minority compared with white hospitals, suggesting system-level factors as a major contributor to explain race disparities in palliative care use after stroke.
Source: Critical Care Medicine - November 18, 2017 Category: Emergency Medicine Tags: Clinical Investigations Source Type: research

Early Palliative Care Consultation Decreases Length of Stay in Severe Stroke Patients (P1.211)
Conclusions:Early PCC in severe stroke patients decreased hospital LOS by 3 days. This may be due to prompt clarification of goals of care and hastened discharge to hospice. Advanced age, poor pre-stroke functional status, and severe post-stroke deficits and disability warrant early PCC. In addition to decreasing LOS, further study is needed to determine whether early PCC also limits futile tests, procedures, and iatrogenic complications. Ultimately, timely identification of PCC candidates may produce higher satisfaction and decreased hospital costs.Disclosure: Dr. Schloss has nothing to disclose. Dr. Tversky has nothing t...
Source: Neurology - April 17, 2017 Category: Neurology Authors: Schloss, E. R., Tversky, S., Katz, J. M., Wright, P. Tags: Pain and Palliative Care Source Type: research

Involvement of Specialist Palliative Care in a Stroke Unit in Austria —Challenges for Families and Stroke Teams
Conclusions: Family members benefit from understandable and consistent information, emotional support, and a professional team identifying their needs. Stroke unit professionals need skills as well as knowledge and strategies in order to make decisions and provide treatment at the end-of-life, when there may be ethical or legal issues. Close cooperation with specialist palliative care services supports both treatment teams and families with communication and decision-making for patients with severe ischemic stroke.
Source: Frontiers in Neurology - September 22, 2021 Category: Neurology Source Type: research

Reflection on Stroke Deaths and end ‐of‐life stroke care
ConclusionIn this cohort, palliative care referral and EOLCP were commenced in less than 50% of patients, highlighting significant variations in clinical care. These data support the need to promote awareness of ACP, particularly in patients with prior stroke or significant co‐morbidities. This may help reduce potentially futile invasive investigations and treatment.
Source: Internal Medicine Journal - September 11, 2017 Category: Internal Medicine Authors: Syed Zujajuddin Quadri, Thang Huynh, Cecilia Cappelen ‐Smith, Nirupama Wijesuriya, Abul Mamun, Roy Beran, Alan Mcdougall, Dennis Cordato Tags: Original Article Source Type: research

Adverse consequences of immediate thrombolysis-related complications: a multi-centre registry-based cohort study of acute stroke
In conclusion, the risk of nosocomial infections, worsening of stroke severity, longer HASU stay, disability and death is increased following immediate TRC. The management of patients following immediate TRC is more complex than previously thought and such complexity needs to be considere d when planning an increased thrombolysis service.
Source: Journal of Thrombosis and Thrombolysis - July 13, 2021 Category: Hematology Source Type: research

Causes of Death in Endovascularly Treated Patients with Acute Stroke INTERVENTIONAL
CONCLUSIONS: Cerebrovascular causes in patients with stroke play a major role in the intrahospital causes of death and reasons for palliation. Considering the large proportion of secondarily palliative–treated patients, reasons for palliation should be considered instead of causes of death to avoid concealment by, for example, life-terminating measures.
Source: American Journal of Neuroradiology - September 7, 2022 Category: Radiology Authors: Nagel, H., Pinho, J., Hasan, D., Ridwan, H., Habib, P., Schulz, J. B., Wiesmann, M., Reich, A., Nikoubashman, O. Tags: INTERVENTIONAL Source Type: research

Rate of Utilization and Determination of Withdrawal of Care among Acute Ischemic Stroke Patient Treated with Thrombolytics (P02.002)
CONCLUSIONS: Our results identify several individual and institution related factors that determine the use of "withdrawal of care" among thrombolytic treated ischemic stroke patients. The excessively high mortality and resource utilization mandates a more evidence based policy for "withdrawal of care" in these patients.Disclosure: Dr. Suri has nothing to disclose. Dr. Adil has nothing to disclose. Dr. Gilani has nothing to disclose. Dr. ATACH Investigators has nothing to disclose.
Source: Neurology - February 14, 2013 Category: Neurology Authors: Suri, M. F., Adil, M., Gilani, W., Qureshi, A. Tags: P02 Ethics, Pain, and Palliative Care Source Type: research