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Specialty: Emergency Medicine
Condition: Stroke

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Total 1739 results found since Jan 2013.

Study Shows Race and Sex Disparities in Prehospital Stroke Recognition
In this study, Govindarajan, from the University of California, San Francisco, led a diverse team of researchers comparing hospital discharge diagnosis to field impressions documented in EMS electronic charts from two California counties. The team used probabilistic linking to retrospectively associate EMS and hospital database records. They analyzed records from 14 hospitals in these two counties from 2005– 2007, and identified 10,719 stroke patients. Retrospective "data-mining" practices with large databases pose serious threats to the validity of a study. In this case however, researchers did a gre...
Source: JEMS Special Topics - September 8, 2015 Category: Emergency Medicine Authors: David Page, MS, NRP Tags: Special Topics Cardiac & Resuscitation Columns Patient Care Source Type: news

Emergency Transport of Stroke Suspects in a Rural State: Opportunities for Improvement
Time delay is the key obstacle for receiving successful stroke treatment. Alteplase therapy must start within 4.5 hours from stroke occurrence. Rapid transport to a Primary Stroke Center (PSC) or Acute Stroke Ready Hospital (ASRH) by the emergency medical system (EMS) paramedics is vital. We determined transport time and destination data for EMS identified and delivered stroke suspects in Arkansas during 2013. Our objective was to analyze transport time and the hospital qualification for stroke care across the state.
Source: The American Journal of Emergency Medicine - June 12, 2016 Category: Emergency Medicine Authors: Aliza T. Brown, Feifei Wei, William C. Culp, Greg Brown, Ryan Tyler, Appathurai Balamurugan, Nicolas Bianchi Tags: Brief Report Source Type: research

Potentially Missed Diagnosis of Ischemic Stroke in the Emergency Department in the Greater Cincinnati/Northern Kentucky Stroke Study
ConclusionIn a large population‐based sample of AIS cases, 1 in 7 cases were not diagnosed as AIS in the ED, but the impact on acute treatment rates is likely small. Missed diagnosis was more common among those with decreased LOC, suggesting the need for improved diagnostic approaches in these patients.This article is protected by copyright. All rights reserved.
Source: Academic Emergency Medicine - June 16, 2016 Category: Emergency Medicine Authors: Tracy E. Madsen, Jane Khoury, Rhonda Cadena, Opeolu Adeoye, Kathleen A. Alwell, Charles J. Moomaw, Erin McDonough, Matthew L. Flaherty, Simona Ferioli, Daniel Woo, Pooja Khatri, Joseph P. Broderick, Brett M. Kissela, Dawn Kleindorfer Tags: Original Contribution Source Type: research

Emergency transport of stroke suspects in a rural state: opportunities for improvement
Time delay is the key obstacle for receiving successful stroke treatment. Alteplase therapy must start within 4.5 hours from stroke occurrence. Rapid transport to a primary stroke center (PSC) or acute stroke –ready hospital (ASRH) by the emergency medical system (EMS) paramedics is vital. We determined transport time and destination data for EMS-identified and -delivered stroke suspects in Arkansas during 2013. Our objective was to analyze transport time and the hospital qualification for stroke care across the state.
Source: The American Journal of Emergency Medicine - June 12, 2016 Category: Emergency Medicine Authors: Aliza T. Brown, Feifei Wei, William C. Culp, Greg Brown, Ryan Tyler, Appathurai Balamurugan, Nicolas Bianchi Tags: Brief Report Source Type: research

Study Shows Race and Sex Disparities in Prehospital Stroke Recognition
In this study, Govindarajan, from the University of California, San Francisco, led a diverse team of researchers comparing hospital discharge diagnosis to field impressions documented in EMS electronic charts from two California counties. The team used probabilistic linking to retrospectively associate EMS and hospital database records. They analyzed records from 14 hospitals in these two counties from 2005– 2007, and identified 10,719 stroke patients. Retrospective "data-mining" practices with large databases pose serious threats to the validity of a study. In this case however, researchers did a gre...
Source: JEMS Special Topics - September 8, 2015 Category: Emergency Medicine Authors: David Page, MS, NRP Tags: Cardiac & Resuscitation Special Topics Patient Care Source Type: news

Predictors of in-hospital mortality and dependence at discharge in patients with MCA stroke with intravenous thrombolysis
AbstractEarly risk stratification of mortality and dependence is important for guiding medical decision-making in stroke care. The study aim is to evaluate whether there are any differences between risk factors for in-hospital mortality and dependence at discharge in patients with first-episode ischemic stroke in the middle cerebral artery (MCA) receiving intravenous thrombolysis (IVT) treatment. The study comprised a single-center cohort of patients admitted consecutively for first-episode MCA ischemic stroke. A logistic regression analysis was performed to determine the variables associated with in-hospital mortality and...
Source: Internal and Emergency Medicine - December 26, 2016 Category: Emergency Medicine Source Type: research

Researchers Find Mobile Communication App Helps Deliver Stroke Treatments Faster
Currently in the United States someone suffers a stroke every 40 seconds, and each of those cases relies on getting treatment as fast as possible in order to assure best chances for recovery. Expediting care for these critical patients requires smooth communication between first responders in the field, the emergency room staff, and the specialty stroke team. Unfortunately, this delicate relay is not always well executed, as care teams are patching together archaic technologies such as pagers, faxes, emails, call lists, and other communication methods that do not integrate. Results from a study recently published in the Jo...
Source: JEMS Patient Care - February 3, 2017 Category: Emergency Medicine Tags: Patient Care Industry News Source Type: news

Study Shows Race and Sex Disparities in Prehospital Stroke Recognition
In this study, Govindarajan, from the University of California, San Francisco, led a diverse team of researchers comparing hospital discharge diagnosis to field impressions documented in EMS electronic charts from two California counties. The team used probabilistic linking to retrospectively associate EMS and hospital database records. They analyzed records from 14 hospitals in these two counties from 2005– 2007, and identified 10,719 stroke patients. Retrospective "data-mining" practices with large databases pose serious threats to the validity of a study. In this case however, researchers did a gre...
Source: JEMS Special Topics - September 8, 2015 Category: Emergency Medicine Authors: David Page, MS, NRP Tags: Columns Cardiac & Resuscitation Special Topics Patient Care Source Type: news

Clinical Predictors of Survival and Functional Outcome of Stroke Patients Admitted to Critical Care*
Conclusions: Mortality in critically ill stroke patients is high and occurs most often shortly after the event. Less than one in three surviving patients is able to function independently after 1 year. This study has identified several clinical variables that predict long-term all-cause mortality and functional outcome among critically ill stroke patients and found that mainly acute physiologic disturbance and absolute values of neurologic clinical assessment are predictive.
Source: Critical Care Medicine - June 16, 2018 Category: Emergency Medicine Tags: Clinical Investigations Source Type: research

Seizure in code stroke: Stroke mimic and initial manifestation of stroke
The objective of this study was to analyze the frequency, characteristics and results of neuroimaging including CT perfusion in patients with seizures manifesting initially as stroke-like symptoms.
Source: The American Journal of Emergency Medicine - December 27, 2018 Category: Emergency Medicine Authors: Soo Jeong Kim, Dong Wook Kim, Hahn Young Kim, Hong Gee Roh, Jeong-Jin Park Source Type: research

An acute stroke CT imaging algorithm incorporating automated perfusion analysis
AbstractIn this paper, we propose a CT imaging algorithm for patients presenting with suspected acute stroke that incorporates automated CT perfusion  (CTP) imaging. The algorithm details evaluation of the non-contrast CT (NCCT) for hemorrhage and acute ischemia, calculation of ASPECTS, with performance and interpretation of CTP if appropriate. In particular, we consider the key steps in expeditious interpretation of non-contrast CT and CT angi ography in the context of suspected acute ischemic stroke. Given the recent expansion of the “imaging based” treatment window for thrombectomy from 6 to 24 h in the 2018 Amer...
Source: Emergency Radiology - February 1, 2019 Category: Emergency Medicine Source Type: research

Delayed Recognition of Acute Stroke by Emergency Department Staff Following Failure to Activate Stroke by EMS
Introduction:Early recognition and pre-notification by emergency medical services (EMS) improves the timeliness of emergency department (ED) stroke care; however, little is known regarding the effects on care should EMS providers fail to pre-notify. We sought to determine if potential stroke patients transported by EMS, but for whom EMS did not provide pre-notification, suffer delays in ED door-to-stroke-team activation (DTA) as compared to the other available cohort of patients for whom the ED is not pre-notified –those arriving by private vehicle.Methods: We queried our prospective stroke registry to identify consecuti...
Source: Western Journal of Emergency Medicine - February 6, 2019 Category: Emergency Medicine Source Type: research