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Total 370 results found since Jan 2013.

Real-life use of Rivaroxaban in the Netherlands: data from the  Xarelto for Prevention of Stroke in Patients with Atrial Fibrillation (XANTUS) registry.
CONCLUSION: In the Dutch subset of the XANTUS registry, we observed low rates of major bleeding and label-discordant dosing and high persistence rates during one year of follow-up in patients receiving rivaroxaban in routine clinical practice. However, documenting the motivation of novel oral anticoagulant (NOAC) type and dose is essential to study label-discordant prescription, a potential safety paradox and identify patient characteristics to optimise NOAC use and adherence. PMID: 28674871 [PubMed - as supplied by publisher]
Source: Netherlands Heart Journal - July 3, 2017 Category: Cardiology Authors: Pisters R, van Vugt SPG, Brouwer MA, Elvan A, Ten Holt WL, Zwart PAG, Kirchhof P, Crijns HJGM, Hemels MEW Tags: Neth Heart J Source Type: research

Variation in Organization of Transient Ischemic Attack Care in The Netherlands. A Nationwide Survey Study
Previous research has shown the importance of urgent initiation of antiplatelet therapy after transient ischemic attack (TIA) to reduce the risk of stroke. Many hospitals in the Netherlands have therefore implemented rapid pathways for assessment of patients with TIA. Dutch stroke guidelines lack clear directives for organization of TIA assessment and thus allow for variation.The aim of this study was to investigate variation in organization of TIA assessment in Dutch hospitals.
Source: Journal of Stroke and Cerebrovascular Diseases - July 20, 2017 Category: Neurology Authors: Fenna Floortje Muller, Frank de Beer, Marieke Christine Visser Source Type: research

Value of Thrombus CT Characteristics in Patients with Acute Ischemic Stroke ADULT BRAIN
CONCLUSIONS: In our study on patients with large-vessel occlusion of the anterior circulation, CT thrombus characteristics appear useful for predicting functional outcome. However, in our study cohort, the effect of intra-arterial treatment was independent of the thrombus CT characteristics. Therefore, no arguments were provided to select patients for intra-arterial treatment using thrombus CT characteristics.
Source: American Journal of Neuroradiology - September 8, 2017 Category: Radiology Authors: Borst, J., Berkhemer, O. A., Santos, E. M. M., Yoo, A. J., den Blanken, M., Roos, Y. B. W. E. M., van Bavel, E., van Zwam, W. H., van Oostenbrugge, R. J., Lingsma, H. F., van der Lugt, A., Dippel, D. W. J., Marquering, H. A., Majoie, C. B. L. M., on behal Tags: ADULT BRAIN Source Type: research

Endovascular Stroke Therapy: Real-World Outcomes Improving Endovascular Stroke Therapy: Real-World Outcomes Improving
Endovascular therapy for patients with acute ischemic stroke in the real world is at least as effective and safe as in randomized clinical trials, a new registry study from the Netherlands suggests.Medscape Medical News
Source: Medscape Medical News Headlines - April 12, 2018 Category: Consumer Health News Tags: Neurology & Neurosurgery News Source Type: news

Accuracy of CT Angiography for Differentiating Pseudo-Occlusion from True Occlusion or High-Grade Stenosis of the Extracranial ICA in Acute Ischemic Stroke: A Retrospective MR CLEAN Substudy INTERVENTIONAL
CONCLUSIONS: On CTA, extracranial ICA pseudo-occlusions can be differentiated from true carotid occlusions.
Source: American Journal of Neuroradiology - May 15, 2018 Category: Radiology Authors: Kappelhof, M., Marquering, H. A., Berkhemer, O. A., Borst, J., van der Lugt, A., van Zwam, W. H., Vos, J. A., Lycklama a Nijeholt, G., Majoie, C. B. L. M., Emmer, B. J., on behalf of the MR CLEAN Investigators Tags: INTERVENTIONAL Source Type: research

Association of Low Urinary Sodium Excretion With Increased Risk of Stroke
We examined the association of urinary sodium excretion (UNaV) as an accurate estimate of intake with risk of stroke. We studied 7330 individuals free of cardiovascular events at baseline in the Prevention of Renal and Vascular End-stage Disease (PREVEND) study, a prospective, population-based cohort of Dutch men and women.
Source: Mayo Clinic Proceedings - September 20, 2018 Category: Internal Medicine Authors: Lyanne M. Kieneker, Michele F. Eisenga, Ron T. Gansevoort, Rudolf A. de Boer, Gerjan Navis, Robin P.F. Dullaart, Michel M. Joosten, Stephan J.L. Bakker Tags: Brief report Source Type: research

Why the uptake of eRehabilitation programs in stroke care is so difficult —a focus group study in the Netherlands
The uptake of eRehabilitation programs in stroke care is insufficient, despite the growing availability. The aim of this study was to explore which factors influence the uptake of eRehabilitation in stroke reh...
Source: Implementation Science - October 29, 2018 Category: Health Management Authors: B. Brouns, J. J. L. Meesters, M. M. Wentink, A. J. de Kloet, H. J. Arwert, T. P. M. Vliet Vlieland, L. W. Boyce and L. van Bodegom-Vos Tags: Research Source Type: research

Association Between Stroke and Mortality in Young Adults
This cohort study uses Dutch registry and population data to estimate associations between incident stroke occurring between ages 18 and 49 years and short- and long-term all-cause mortality stratified by age, sex, and stroke subtype.
Source: JAMA - Journal of the American Medical Association - May 23, 2019 Category: General Medicine Source Type: research

Young Stroke Survivors Face Increased Long-Term Death Risk Young Stroke Survivors Face Increased Long-Term Death Risk
A national Dutch study in more than 15,000 adults younger than 50 who survived at least 30 days following a first stroke suggests higher mortality risks over time for these patients.Medscape Medical News
Source: Medscape Cardiology Headlines - May 29, 2019 Category: Cardiology Tags: Neurology & Neurosurgery News Source Type: news

Radiology workload in clinical implementation of thrombectomy for acute ischemic stroke: experience from The Netherlands
ConclusionOur study estimated the number of stroke patients undergoing CTA for suspected LVO and those eligible for thrombectomy in relation to the population. Numbers were essentially the same throughout the week, and during office and on-call hours. Our data can be used to make adequate staffing plans.
Source: Neuroradiology - April 4, 2020 Category: Radiology Source Type: research

Safety and effectiveness of rivaroxaban for prevention of stroke in patients with nonvalvular atrial fibrillation: analysis of routine clinical data from four countries
CONCLUSIONS: Incidences of intracranial bleeding were generally lower with rivaroxaban than with SOC, whereas incidences of gastrointestinal and urogenital bleeding were generally higher. The safety profile of rivaroxaban for NVAF in routine practice is consistent with findings from randomized controlled trials and other studies.PMID:36795067 | DOI:10.1080/14740338.2023.2181334
Source: Expert Opinion on Drug Safety - February 16, 2023 Category: Drugs & Pharmacology Authors: Luis Alberto Garc ía-Rodríguez Ana Ruig ómez Tania Schink Annemarie Voss Elisabeth Smits Karin M A Swart Yanina Balabanova Kiliana Suzart-Woischnik Gunnar Brobert Ron M C Herings Source Type: research

Standardized circuit class group training versus individualized goal-directed group training to improve upper limb function in stroke survivors during in-patient rehabilitation: a pragmatic trial
CONCLUSIONS: A standardized training could reduce the mental workload for therapists, but patients seemed less engaged. A combination of both might be most beneficial.Trial registration: Dutch Trial Register: NL8844 and NL9471IMPLICATIONS FOR REHABILITATIONProviding a standardized training program after stroke reduces therapists' mental workload.Individualized goal-directed group training results in the best achievement of rehabilitation goals.A combination of standardized and individual training would use best of both intervention modalities.Patients should be involved in the co-creation developing process of training pro...
Source: Disability and Rehabilitation - September 20, 2023 Category: Rehabilitation Authors: S G Rozevink C M Beerepoot C K van der Sluis J M Hijmans Source Type: research

Mortality after primary intracerebral hemorrhage in relation to post-stroke seizures
This study aims to determine the relation between seizures (i.e., with and without anti-epileptic therapy) and long-term mortality risk in a large patient population with intracerebral hemorrhage. We retrospectively included patients with a non-traumatic ICH in all three hospitals in the South Limburg region in the Netherlands between January 1st 2004 and December 31st 2009, and we assessed all-cause mortality until March 14th 2016. Patient who did not survive the first seven days after intracerebral hemorrhage were excluded from analyses. We used Cox multivariate analyses to determine independent predictors of mortality. ...
Source: Journal of Neurology - July 25, 2017 Category: Neurology Source Type: research

Haemorrhagic stroke related to the use of 4-fluoroamphetamine
We report on two patients who presented with headache and mild hypertension after 4-FA use. Patient A developed one-sided weakness and decreased consciousness after a few hours. A computed tomography scan showed a left-sided intracerebral haemorrhage. Because of life-threatening cerebral herniation, haematoma evacuation was performed. Postoperatively, she suffered from a right-sided hemiparalysis and severe aphasia, requiring clinical rehabilitation. Patient B had a subarachnoid haemorrhage without neurological deficits. In total, 939 4-FA-intoxicated patients were registered. These patients used 4-FA alone (44%) or in com...
Source: Journal of Neurology - May 8, 2018 Category: Neurology Source Type: research