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Increased risk of ischemic stroke in patients with mild traumatic brain injury: a nationwide cohort study
Conclusion: Mild traumatic brain injury is an independent significant risk factor for ischemic stroke.
Source: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine - November 19, 2014 Category: Emergency Medicine Authors: Yi-Kung LeeChen-Wen LeeMing-Yuan HuangChen-Yang HsuYung-Cheng Su Source Type: research

Does early onset cataract increase the risk of ischemic stroke? A nationwide retrospective cohort study
This study was attempted to address the association between early onset cataract (EOC) and ischemic stroke. Using the Longitudinal Health Insurance Database 2000, we established an EOC cohort and a comparison cohort by using 4-fold propensity score matching according to age, gender and comorbidities to detect the incidence of ischemic stroke. A Cox model was used to express the risk of ischemic stroke for the EOC patients compared with the comparison cohort. After adjusting for age, gender and comorbidities of hypertension, diabetes mellitus, hyperlipidemia, coronary artery disease, asthma, chronic obstructive pulmonary...
Source: Internal and Emergency Medicine - December 21, 2016 Category: Emergency Medicine Source Type: research

Stroke Prophylaxis for Atrial Fibrillation? To Prescribe or Not to Prescribe—A Qualitative Study on the Decisionmaking Process of Emergency Department Providers
ConclusionThe decision to prescribe oral anticoagulation in the ED is complex. Improving guideline adherence will require a multifaceted approach inclusive of system-level improvements, physician education, and the development of ED-specific tools and guidelines.
Source: Annals of Emergency Medicine - May 11, 2019 Category: Emergency Medicine Source Type: research

Geographic Clustering of Emergency Department Presentations for Atrial Fibrillation and Flutter in Alberta, Canada
ConclusionsThis population‐based study spanned 12 fiscal years and showed variations in the number of people presenting to EDs for AFF and the number of ED presentations for AFF over geography. The potential clusters identified may represent geographic areas with higher disease severity or a lower availability of non‐ED health services. The clusters are not all likely to have occurred by chance, and further investigation and intervention could occur to reduce ED presentations for AFF.
Source: Academic Emergency Medicine - July 1, 2015 Category: Emergency Medicine Authors: Rhonda J. Rosychuk, Hensley H. Mariathas, Michelle M. Graham, Brian R. Holroyd, Brian H. Rowe Tags: Original Contribution Source Type: research

Geographic Clustering of Emergency Department Presentations for Atrial Fibrillation and Flutter in Alberta, Canada.
CONCLUSIONS: This population-based study spanned 12 fiscal years and showed variations in the number of people presenting to EDs for AFF and the number of ED presentations for AFF over geography. The potential clusters identified may represent geographic areas with higher disease severity or a lower availability of non-ED health services. The clusters are not all likely to have occurred by chance, and further investigation and intervention could occur to reduce ED presentations for AFF. PMID: 26205400 [PubMed - as supplied by publisher]
Source: Accident and Emergency Nursing - July 23, 2015 Category: Emergency Medicine Authors: Rosychuk RJ, Mariathas HH, Graham MM, Holroyd BR, Rowe BH Tags: Acad Emerg Med Source Type: research

Real-world 2-year outcome of atrial fibrillation treatment with dabigatran, apixaban, and rivaroxaban in patients with and without chronic kidney disease
AbstractPatients with non-valvular atrial fibrillation (NVAF) and chronic kidney disease (CKD) are at increased risk of stroke and bleeding. Although direct oral anticoagulant (DOAC) trials excluded patients with severe CKD, a growing portion of CKD patients have been starting DOACs and limited data from real-world outcome in this high-risk setting are available. The INSigHT registry included 632 consecutive NVAF patients that started apixaban (256 patients, 41%), dabigatran (245, 39%) and rivaroxaban (131, 20%) between 2012 and 2015. Based on creatinine clearance, two sub-cohorts were defined: (1) non-CKD group (CrCl 60 �...
Source: Internal and Emergency Medicine - May 8, 2019 Category: Emergency Medicine Source Type: research