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Source: Neurology
Condition: Hemorrhagic Stroke
Education: Education
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Total 25 results found since Jan 2013.
The Temporospatial Role of Microcirculatory Dysfunction in the Prediction of Ischemia or Infarction in Patients with Aneurysmal Subarachnoid Hemorrhages (P2.281)
Conclusions:This ongoing study suggests that patients with low mean minimal pulsatility index had poor functional outcomes relative to patients that had higher mean pulsatility index.Study Supported by: This work was supported in part by a grant from the McKnight Brain Research Foundation, Brain and Spinal Cord Injury Research Trust Fund, a grant from NIH National Institute of Neurological Disorders and Stroke, a Medical Student Anesthesia Research Fellowship awarded by the Foundation for Anesthesiology Education and Research, a grant from the Medical Student Research Program at the University of Florida, and the Departmen...
Source: Neurology - April 17, 2017 Category: Neurology Authors: Zamora, A., Gupta, A., Leclerc, J., Vasilopoulos, T., Dore, S. Tags: Subarachnoid Hemorrhage, Intracranial Aneurysm, and Other Cerebrovascular Malformations Source Type: research
Trends in Alteplase Utilization in Louisianas Level III Hospitals (P4.272)
Conclusions:The treatment rate is increasing in Level III hospitals in Louisiana and is higher than the latest national Primary Stroke Center rate. Half of registered patients presented within 4.5hrs of LSN. Documentation of the reason for not getting alteplase improved. The disability associated with perceived minimal deficits is a target for enhanced education in determining eligibility for alteplase.Disclosure: Dr. Navalkele has nothing to disclose. Dr. Hargrove has nothing to disclose. Dr. Chernyshev has nothing to disclose. Dr. Acosta has nothing to disclose. Dr. DeAlvare has nothing to disclose. Dr. Hidalgo has nothi...
Source: Neurology - April 17, 2017 Category: Neurology Authors: Navalkele, D., Hargrove, P., Chernyshev, O., Acosta, J., DeAlvare, L., Hidalgo, G., El Khoury, R., Martin-Schild, S. Tags: Thrombolysis and Acute Evaluation in Ischemic Stroke Source Type: research
Non-Neurologist Self Assessment of Emergency Neurology Proficiency and Interest in a Novel Intensive Stroke and Neurocritical Care Training Program: The X-CHANGE Program (P1.045)
Conclusions:Hospital based non-neurology physicians have significant exposure to critically ill neurological patients. Many are not comfortable with important fundamental skills, such as the neurological exam. There is strong interest in a proposed intensive training program emphasizing bedside teaching. Based upon these results, we are developing a formal intensive training program for practicing non -neurology physicians called the "Cross-disciplinary Cerebrovascular HospitAl NeuroloGy Education" program.Disclosure: Dr. Yee has nothing to disclose. Dr. Ke has nothing to disclose. Dr. Wong has nothing to disclose. Dr. Bar...
Source: Neurology - April 17, 2017 Category: Neurology Authors: Yee, A., Ke, M., Wong, C., Barazangi, N., Tong, D., Chen, C. Tags: Graduate Medical Education Research Source Type: research
Hypertension is the most Risk Factor Stroke in Indonesia Stroke Registry (P3.263)
Conclusions:Hypertension was the most risk factor in this study. Riskesdas (Basic Health Research) survey 2013 found that 25.8% of Indonesia’s population suffered from hypertension. There were only 7.2% of the population realized and known they had hypertension and only 0.4% of cases controlled by drug.Indonesian Neurological Association collaboration with Indonesian Doctors Association educate people to be aware of their blood pressure, reduce salt intake, increase vegetables and fruits diet, reduce body weight, and increase exercise.Study Supported by:This research was funded by Centre of Applied Health Technology ...
Source: Neurology - April 17, 2017 Category: Neurology Authors: Yudiarto, F., Machfoed, M. H., Amir, D., Ong, A., kurniawan, m., Siswanto, S., Karyana, m. Tags: Cerebrovascular Disease Epidemiology Source Type: research
Rupture of vertebral artery dissection aneurysm during 3D DSA
A 60-year-old man with a history of headache and vomiting had a subarachnoid hemorrhage on CT scan. On 2-dimensional (2D) digital subtraction angiography (DSA), a possible dissection aneurysm of the vertebral artery was seen (video 1 on the Neurology® Web site at Neurology.org). During 3D DSA, the aneurysm suddenly ruptured (video 2), with intracranial hemorrhage. The pressure of contrast was 200 psi, the rate was 2 mL/s, with a total volume of 12 mL. The patient was transferred to the intensive care unit but died of brain herniation and vasospasm. Few dissection aneurysms rupture during 3D DSA, but the risk is likely ...
Source: Neurology - July 10, 2016 Category: Neurology Authors: Xu, D., Wang, C., Zhang, C., Xiang, S., Xie, X. Tags: All Imaging, All Clinical Neurology, All Cerebrovascular disease/Stroke, Critical care, All Education VIDEO NEUROIMAGES Source Type: research
Journal Club: Time trends in incidence, case fatality, and mortality of intracerebral hemorrhage
Intracerebral hemorrhage (ICH) remains one of the most catastrophic stroke subtypes, with high case-fatality rate and poor functional outcomes. In the Journal Club article "Time trends in incidence, case fatality, and mortality of intracerebral hemorrhage" by Jolink et al.,1 hospital and population registries were used to assess age- and sex-specific trends in incidence and case fatality of patients with ICH in the Netherlands. The study provides a significant epidemiologic contribution examining a large cohort of patients with ICH from 1980 to 2010. The authors report a decline in incidence, case-fatality, and mortality r...
Source: Neurology - May 15, 2016 Category: Neurology Authors: Charidimou, A., Morotti, A., Valenti, R., Giese, A.-K., Boulouis, G., Pasi, M., Roongpiboonsopit, D., Lauer, A., Xiong, L., Van Harten, T. W., Karadeli, H., Fotiadis, P., Jessel, M. J., Viswanathan, A. Tags: All Cerebrovascular disease/Stroke, All Education, Intracerebral hemorrhage RESIDENT AND FELLOW SECTION Source Type: research
Results of Systemizing Stroke Care in Acute Endovascular Patients (P2.308)
CONCLUSIONS: Implementation of a streamlined routing and transfer process significantly shortened treatment times and decreased complications in our stroke patients. Our pre-established expedited triage, imaging, stroke physician expertise, and mechanical clot retrieval proficiency resulted in more favorable outcomes. With these changes, patients receive the most specialized endovascular care in a highly efficient manner.Disclosure: Dr. Hawkins has nothing to disclose. Dr. Martin has nothing to disclose. Dr. Akhtar has nothing to disclose. Dr. Holloway has nothing to disclose. Dr. Olds has nothing to disclose. Dr. Morris h...
Source: Neurology - April 3, 2016 Category: Neurology Authors: Hawkins, A., Martin, C., Akhtar, N., Holloway, W., Olds, K., Morris, H. Tags: Stroke Systems of Care Source Type: research
Educational Intervention Reduces Utilization of Low-Value Testing in Cerebrovascular Inpatients: An Example of Rapidly Implementable Quality Improvement (P2.309)
Conclusions: In this prospective quality improvement study, an educational intervention resulted in significant reduction in utilization of low-value tests in patients admitted to an inpatient cerebrovascular service. While the per-patient costs of these diagnostic tests were small, a similar approach at the system level could result in considerable avoidance of low value testing and associated costs, particularly if applied to higher-cost/lower-value investigations and procedures.Disclosure: Dr. Scharf has nothing to disclose. Dr. Jones has nothing to disclose. Dr. Martinez-Thompson has nothing to disclose. Dr. Pichler ha...
Source: Neurology - April 3, 2016 Category: Neurology Authors: Scharf, E., Jones, A., Martinez-Thompson, J., Pichler, M., Cohen, A., Clark, S., Nozile-Firth, K., Jones, L. Tags: Stroke Systems of Care Source Type: research
Factors Influencing Oral Anticoagulant Prescribing Practices for Atrial Fibrillation among Cardiologists, Internists, and Vascular Neurologists (P1.227)
Conclusions: Medical specialties differ in their reasons for selecting NOACs over warfarin and in their use of aspirin with warfarin. Educational interventions may prevent misinterpretations of clinical trial results, particularly with regards to comparative efficacy in the prevention of ischemic stroke and intracerebral hemorrhage. Disclosure: Dr. Leung has nothing to disclose. Dr. Mcallister has nothing to disclose. Dr. Selim has nothing to disclose. Dr. Fisher has nothing to disclose.
Source: Neurology - April 3, 2016 Category: Neurology Authors: Leung, L., Mcallister, M., Selim, M., Fisher, M. Tags: Cardiac Mechanisms and Complications of Stroke Source Type: research
A Survey on Knowledge of Stroke Subtypes and Etiology at Moi Teaching and Referral Hospital (P1.260)
Conclusions: HS is an under recognized part of stroke subtype at MTRH. Kenya has yet to develop specific national guidelines for HS management. The goal is to utilize the results from this survey to develop education and process improvement initiatives. We hope this will translate into improved care and outcomes for patients with stroke at MTRH.Disclosure: Dr. Lin has nothing to disclose. Dr. Guhwe has nothing to disclose. Dr. Vakani has nothing to disclose. Dr. Kussin has nothing to disclose. Dr. Graffagnino has received personal compensation for activities with Alsius and Medivance as an advisor.
Source: Neurology - April 3, 2016 Category: Neurology Authors: Lin, C., Guhwe, M., Vakani, R., Kussin, P., Graffagnino, C. Tags: Cerebrovascular Disease: Health Disparities Source Type: research
Acute Stroke Educational Video Associated with Improved Stroke Literacy and Increased Patient Satisfaction (P6.012)
Conclusions: A stroke educational video was associated with improved stroke knowledge, certainty in recognizing stroke symptoms and satisfaction with stroke education. A randomized trial is planned.Disclosure: Dr. Denny has nothing to disclose. Dr. Vahidy has nothing to disclose. Dr. Shah has nothing to disclose. Dr. Vu has nothing to disclose. Dr. Sharrief has nothing to disclose. Dr. Savitz has received research support from NIH T32 grant.
Source: Neurology - April 3, 2016 Category: Neurology Authors: Denny, M. C., Vahidy, F., Shah, R., Vu, K. Y. T., Sharrief, A., Savitz, S., Edquilang, G. Tags: Cerebrovascular Disease and Interventional Neurology ePoster Session Source Type: research
Temporal and Racial Trends in Post-Stroke Dementia in the "Stroke Buckle" of the United States (P1.099)
CONCLUSIONS: Over the last decade, incidence of PSD significantly increased in South Carolina. Black stroke patients had higher overall rates of PSD than whites, but this difference was largely driven by a comparatively greater burden of Non-AD dementia. Since Non-AD dementia is predominantly composed of vascular dementia, better vascular risk factor control may help bridge this racial disparity.Disclosure: Dr. Boan has nothing to disclose. Dr. Lackland has nothing to disclose. Dr. Feng has nothing to disclose. Dr. Voeks has nothing to disclose. Dr. Adams has received personal compensation for activities with Reach Call In...
Source: Neurology - April 3, 2016 Category: Neurology Authors: Boan, A., Lackland, D., Feng, W., Voeks, J., Adams, R., Bachman, D., Ovbiagele, B. Tags: Neuroepidemiology: Aging and Dementia, Epilepsy, and Education Source Type: research
Primordial Prevention of Stroke: Identifying the Determinants of Hypertension in Urban Uganda (P3.338)
Conclusions: Primordial interventions at the population and individual levels are needed to address the determinants of hypertension identified in this study. Reducing the prevalence of hypertension will have a major impact on the growing burden of stroke in Uganda and SSA. Study Supported by: NIH Fogarty International CenterDisclosure: Dr. Chin has nothing to disclose. Dr. Twinobuhungiro has nothing to disclose.
Source: Neurology - April 3, 2016 Category: Neurology Authors: Chin, J., Twinobuhungiro, A. Tags: Neuroepidemiology: Global Health, Neuro Trauma, and CNS Inflammation Source Type: research
Acute Stroke Code Accuracy in the Inpatient Versus Emergency Department (ED) Setting (S16.003)
Conclusion FP were more common for inpatient versus ED codes AMS or SS were infrequently associated with stroke diagnosis. Better education for non-neuroscience hospital providers, regarding acute stroke criteria, is needed.Disclosure: Dr. Schneck has received research support from NIH (POINT, COSS, ARUBA, ALIAS, Lundbeck (DIAS4), TIMI-50 Consortium, and Local PI Multicenter Clincial trials. Dr. Bruzzone has nothing to disclose. Dr. Vlahovic has nothing to disclose. Dr. Durazo-Arvizu has nothing to disclose. Dr. Biller has received personal compensation in an editorial capacity for the Journal of Stroke and Cerebrovascular...
Source: Neurology - February 7, 2016 Category: Neurology Authors: Schneck, M., Bruzzone, M., Vlahovic, L., Durazo-Arvizu, R., Biller, J., Flaster, M., Morales-Vidal, S., Ruland, S., Ray, J. Tags: Prehospital/Emergency Room Stroke Care and Intracerebral Hemorrhage Source Type: research
Is CT Scan in Patients with Suspected TIA Necessary: A quality improvement initiative (P2.307)
CONCLUSIONS: Patients with suspected TIA and low risk for intracranial hemorrhage could undergo MRI rather than CT plus MRI. This practice would prevent unnecessary radiation dose from CT, decrease cost, and increase availability of the CT scanner for other patients in the ED.Disclosure: Dr. Baghshomali has nothing to disclose. Dr. Bishop has nothing to disclose. Dr. Hiestand has nothing to disclose. Dr. Reynolds has nothing to disclose. Dr. Bushnell has nothing to disclose.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Baghshomali, S., Bishop, L., Hiestand, B., Reynolds, P., Bushnell, C. Tags: Cerebrovascular Disease and Interventional Neurology: Education and TIA Source Type: research
