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Total 1895 results found since Jan 2013.

Abstract 9: Predictors of Poor Outcome in Patients Not Thrombolysed Due to Mild or Resolving Symptoms ("Too Good To Treat") Session Title: Concurrent I Session B: Oral Abstracts on Stroke Topics
Conclusion: A substantial percentage of patients deemed "too good" for IV tPA were unable to be discharged home. Factors such as advanced age and higher NIHSS should be considered in tPA decision-making to optimize outcomes. Large, multi-center prospective studies are underway to study the predictors of poor outcomes in this group.
Source: Circulation: Cardiovascular Quality and Outcomes - June 2, 2014 Category: Cardiology Authors: Ali, S. F., Faheem, U., Singhal, A. B., Viswanathan, A., Silverman, S. B., Rost, N. S., Schwamm, L. H. Tags: Session Title: Concurrent I Session B: Oral Abstracts on Stroke Topics Source Type: research

Risk Score to Predict Hospital-Acquired Pneumonia After Spontaneous Intracerebral Hemorrhage Clinical Sciences
Conclusion— The ICH-APSs are valid risk scores for predicting SAP after ICH, especially for patients with length of stay >48 hours.
Source: Stroke - August 25, 2014 Category: Neurology Authors: Ji, R., Shen, H., Pan, Y., Du, W., Wang, P., Liu, G., Wang, Y., Li, H., Zhao, X., Wang, Y., on behalf of the China National Stroke Registry investigators, Bi, Zhang, Cui, Sun, He, Fan, Ji, Li, Zhang, Feng, Zhang, Li, Wang, Fan, Liu, Sun, Li, Liu, Chen, Ba Tags: Intracerebral Hemorrhage Clinical Sciences Source Type: research

Guideline clinical nutrition in patients with stroke
Abstract Stroke is regularly accompanied by dysphagia and other factors associated with decreased nutritional intake. Dysphagia with aspiration pneumonia and insufficient nutritional intake lead to worse outcome after stroke. This guideline is the first chapter of the guideline “Clinical Nutrition in Neurology” of the German Society for Clinical Nutrition (DGEM) which itself is one part of a comprehensive guideline about all areas of Clinical Nutrition. The thirty-one recommendations of the guideline are based on a systematic literature search and review, last updated December 31, 2011. All recommen...
Source: Experimental and Translational Stroke Medicine - December 1, 2013 Category: Neurology Source Type: research

The shock index predicts acute mortality outcomes in stroke
Shock index (SI) (ratio between heart rate and systolic blood pressure) has been shown to be associated with poor mortality outcomes in trauma and pneumonia; however it has yet to be examined in stroke. We aimed to examine the relationship between SI and acute outcomes of inpatient, 3-day and 7-day mortality in stroke. Secondly, we aimed to compare SI and systolic blood pressure (SBP) alone in predicting above outcomes.
Source: International Journal of Cardiology - January 3, 2015 Category: Cardiology Authors: Stephen J. McCall, Stanley D. Musgrave, John F. Potter, Rachel Hale, Allan B. Clark, Mamas A. Mamas, Anthony K. Metcalf, Diana J. Day, Elizabeth A. Warburton, Max O. Bachmann, Phyo K. Myint, On behalf of the Anglia Stroke Clinical Network Evaluation Study Source Type: research

A Simple Prediction Score for Developing a Hospital-Acquired Infection after Acute Ischemic Stroke
Hospital-acquired infections (HAIs) are a major cause of morbidity and mortality in acute ischemic stroke patients. Although prior scoring systems have been developed to predict pneumonia in ischemic stroke patients, these scores were not designed to predict other infections. We sought to develop a simple scoring system for any HAI.
Source: Journal of Stroke and Cerebrovascular Diseases - January 16, 2015 Category: Neurology Authors: Adam J. Friedant, Brittany M. Gouse, Amelia K. Boehme, James E. Siegler, Karen C. Albright, Dominique J. Monlezun, Alexander J. George, Timothy Mark Beasley, Sheryl Martin-Schild Source Type: research

Risks and Benefits of Bypassing the Emergency Department for Ischemic Stroke Cases Transferred for Endovascular Therapy (P2.320)
Conclusions: In our sample of acute ischemic patients transferred for acute endovascular therapy, nearly 60[percnt] of patients bypassed the ED, reducing time to recanalization. This time savings was associated with a clinically higher proportion of adverse events. Standardized protocols for patients transferred to acute ET are needed to reduce time to recanalization without increasing adverse event rates.Disclosure: Dr. Kaur has nothing to disclose. Dr. Albright has nothing to disclose. Dr. Deveikis has nothing to disclose. Dr. Deveikis has nothing to disclose. Dr. Sands has received research support from Biogen. Dr. Shui...
Source: Neurology - April 3, 2016 Category: Neurology Authors: Kaur, M., Albright, K., Deveikis, S., Deveikis, J., Sands, K., Shuie, H., Jones, B., Sisson, A., Lyerly, M., Harrigan, M., Gropen, T. Tags: Stroke Systems of Care Source Type: research

Sex-Related Differences in the Risk of Hospital-Acquired Sepsis and Pneumonia Post Acute Ischemic Stroke
Infectious complications after ischemic stroke are frequent and lead to neurological deterioration, poor functional outcomes, and higher mortality. Local and systemic inflammatory responses to brain ischemia differ between males and females, but little is known about differences in poststroke susceptibility to infection by sex. The purpose of this study was to compare sex-related differences in the risk of hospital-acquired sepsis and pneumonia after acute ischemic stroke (AIS).
Source: Journal of Stroke and Cerebrovascular Diseases - June 27, 2016 Category: Neurology Authors: James F. Colbert, Richard J. Traystman, Sharon N. Poisson, Paco S. Herson, Adit A. Ginde Source Type: research

Leukoaraiosis as a predictor of pneumonia after acute ischemic stroke
【Background and Purpose】Stroke-associated pneumonia (SAP) is common in patients with acute ischemic stroke, and several risk factors have been reported. However, the relationship between underlying leukoaraiosis (LA) and SAP has not been addressed.
Source: Journal of Stroke and Cerebrovascular Diseases - March 18, 2017 Category: Neurology Authors: Ki-Woong Nam, Hyung-Min Kwon, Jae-Sung Lim, Yong-Seok Lee Source Type: research

Effectiveness and Safety of Antibiotics for Preventing Pneumonia and Improving Outcome after Acute Stroke: Systematic Review and Meta-analysis
Pneumonia is a common complication after stroke which increases morbidity and mortality. This systematic review was conducted to evaluate the efficacy and safety of antibiotics for the prevention of pneumonia after acute stroke.
Source: Journal of Stroke and Cerebrovascular Diseases - August 7, 2018 Category: Neurology Authors: Monica S. Badve, Zien Zhou, Craig S. Anderson, Maree L. Hackett Source Type: research

Care for Patients with Stroke During the COVID-19 Pandemic: Physical Therapy and Rehabilitation Suggestions for Preventing Secondary Stroke
Infection with the novel severe acute respiratory syndrome coronavirus 2 causes the development of the novel 2019 coronavirus disease (COVID-19) and associated clinical symptoms, which typically presents as an upper respiratory syndrome such as pneumonia. Growing evidence indicates an increased prevalence of neurological involvement (e.g., in the form of stroke) during virus infection. COVID-19 has been suggested to be more than a lung infection because it affects the vasculature of the lungs and other organs and increases the risk of thrombosis.
Source: Journal of Stroke and Cerebrovascular Diseases - July 21, 2020 Category: Neurology Authors: Chien-Chih Wang, Jian-Kang Chao, Mong-Lien Wang, Yi-Ping Yang, Chien-Shiu Chien, Wei-Yi Lai, Yi-Chiang Yang, Yu-Hui Chang, Chen-Liang Chou, Chung-Lan Kao Source Type: research

Risk Factors and Outcomes of Stroke-Associated Pneumonia in Patients with Stroke and Acute Large Artery Occlusion Treated with Endovascular Thrombectomy
Stroke-associated pneumonia (SAP) often increases high hospital mortality, prolongs length of hospital stay, and has considerable economic impact on healthcare costs. We aimed to explore independent predictors of SAP in acute anterior large artery occlusion patients who treated with endovascular treatment (EVT).
Source: Journal of Stroke and Cerebrovascular Diseases - October 14, 2020 Category: Neurology Authors: Yubo Zhu, Jie Gao, Qiushi Lv, Qihua Yin, Dong Yang Source Type: research

Bilateral large vessel occlusion causing massive ischemic stroke in a covid-19 patient
The case of a 70-year-old male presenting an ischemic stroke related to COVID-19 infection is described. He was initially admitted to the hospital with respiratory insufficiency syndrome secondary to pneumonia caused by SARS Co2. In the next days, he developed rapid neurological deterioration characterized by drowsiness which progressed to deep coma. D-dimer was elevated. Brain CT scan showed bilateral massive ischemic stroke located in the anterior circulation, CT angiogram showed occlusion in the left internal carotid artery and the right middle cerebral artery.
Source: Journal of Stroke and Cerebrovascular Diseases - January 7, 2021 Category: Neurology Authors: Luis A. Robles Tags: Case Report Source Type: research

Use of Pulmonary Computed Tomography for Evaluating Suspected Stroke-Associated Pneumonia
Accurate and timely diagnosis of pneumonia complicating stroke remains challenging and the diagnostic accuracy of chest X-ray (CXR) in the setting of stroke-associated pneumonia (SAP) is uncertain. The overall objective of this study was to evaluate the use of pulmonary computed tomography (CT) in diagnosis of suspected SAP.
Source: Journal of Stroke and Cerebrovascular Diseases - April 16, 2021 Category: Neurology Authors: Amit K. Kishore, Anand Devaraj, Andy Vail, Kirsty Ward, Philip G. Thomas, Dwaipayan Sen, Alex Procter, Maychaw Win, Natasha James, Christine Roffe, Andreas Meisel, Mark Woodhead, Craig J. Smith Source Type: research

Annual Direct Cost of Dysphagia Associated with Acute Ischemic Stroke in the United States
Dysphagia after acute ischemic stroke is frequent and increases the risk of pneumonia, insertion of feeding tube, hospital length-of-stay and rates of discharge to institutional care. However, the financial impact of dysphagia after acute ischemic stroke is not well understood.
Source: Journal of Stroke and Cerebrovascular Diseases - March 5, 2022 Category: Neurology Authors: Adnan I. Qureshi, M. Fareed K. Suri, Wei Huang, Yasemin Akinci, Mohammad R. Chaudhry, Donna S. Pond, Brandi R. French, Farhan Siddiq, Camilo R. Gomez Source Type: research