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Specialty: Neurology
Countries: Spain Health
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Total 137 results found since Jan 2013.
Bottlenecks in the Acute Stroke Care System during the COVID-19 Pandemic in Catalonia
Conclusion: During the COVID-19 pandemic, Catalonia ’s stroke system’s weakest points were the delay to EMS alert and a decline of stroke code activations, reperfusion treatments, and interhospital transfers, mostly at local centers. Patients suffering an acute stroke during the pandemic period had higher odds of poor functional outcome and death . The complete stroke care system’s analysis is crucial to allocate resources appropriately.Cerebrovasc Dis
Source: Cerebrovascular Diseases - May 21, 2021 Category: Neurology Source Type: research
Stroke-related mortality in a tertiary care hospital in Andalusia: Analysis and reflections
Conclusions Stroke is associated with higher admission and in-hospital mortality rates than SCA. Likewise, patients with HS showed higher mortality rates than those with IS. Patients with fatal stroke usually had a history of long-term treatment with anticoagulants; two-thirds of the patients with fatal IS and AF were not receiving anticoagulants. According to our results, optimising prevention in patients with AF may have a positive impact on stroke-related in-hospital mortality.
Source: Neurologia - November 24, 2017 Category: Neurology Source Type: research
Safety and efficacy of GABAA α5 antagonist S44819 in patients with ischaemic stroke: a multicentre, double-blind, randomised, placebo-controlled trial
Publication date: March 2020Source: The Lancet Neurology, Volume 19, Issue 3Author(s): Hugues Chabriat, Claudio L Bassetti, Ute Marx, Marie-Laure Audoli-Inthavong, Aurore Sors, Estelle Lambert, Marine Wattez, Dirk M Hermann, Katharina ALTHAUS, Sergi AMARO, Hee-Joon BAE, Zbigniew BAK, Leonardo BARBARINI, Pietro BASSI, Rodrigo BAZAN, Daniel BERECZKI, Tomasz BERKOWICZ, Joerg BERROUSCHOT, Dylan BLACQUIERE, Waldemar BROLASummaryBackgroundS44819, a selective GABAA α5 receptor antagonist, reduces tonic post-ischaemic inhibition of the peri-infarct cortex. S44819 improved stroke recovery in rodents and increased cortical excitabi...
Source: The Lancet Neurology - February 19, 2020 Category: Neurology Source Type: research
Spanish translation and validation of the Postural Assessment Scale for Stroke Patients (PASS) to assess balance and postural control in adult post-stroke patients.
CONCLUSIONS. The Spanish version of PASS is valid and can reliably evaluate balance and postural control for adult stroke survivors.
PMID: 25670044 [PubMed - in process]
Source: Revista de Neurologia - February 14, 2015 Category: Neurology Authors: Cabanas-Valdes R, Girabent-Farres M, Canovas-Verge D, Caballero-Gomez FM, German-Romero A, Bagur-Calafat C Tags: Rev Neurol Source Type: research
Trends in stroke hospitalisation rates and in-hospital mortality in Aragon, 1998-2010
We present data globally and broken down by stroke subtype, sex, and age group. Results The number of cases increased by 13% whereas age- and sex-adjusted hospitalisation rates showed a significant decrease for all types of stroke (mean annual decrease of 1.6%). Men and women in younger age groups showed opposite trends in hospitalisation rates for ischaemic stroke. Case fatality rate at 28 days (17.9%) was higher in patients with intracerebral haemorrhage (35.8%) than in those with subarachnoid haemorrhage (26.2%) or ischaemic stroke (13%). CVD case fatality showed a mean annual decline of 2.8%, at the expense of the fata...
Source: Neurologia - April 7, 2018 Category: Neurology Source Type: research
Use of emergency medical transport and impact on time to care in patients with ischaemic stroke
ConclusionsEMS transport was associated with shorter prehospital delays. Effective health education programmes should be developed to promote EMS transport for patients with stroke symptoms. In-hospital stroke management should also be improved to reduce time to medical care.ResumenIntroducciónNumerosos estudios han establecido que el traslado al hospital de los pacientes con ictus por los servicios de transporte sanitario urgente (TSU) implica demoras menores hasta el diagnóstico y tratamiento.ObjetivosDeterminar la frecuencia de uso de TSU por los pacientes con ictus en Bizkaia (España), qué factores se asocian con e...
Source: Neurologia - October 26, 2018 Category: Neurology Source Type: research
Mobile applications related to stroke: a systematic review.
CONCLUSIONS: Evidences with low methodological quality were identified in relation to different areas of care of the patient with stroke, as well as a wide range of applications in the different application markets, which advocated the creation of mechanisms of regulation regarding the validity of content.
PMID: 29557547 [PubMed - in process]
Source: Revista de Neurologia - March 24, 2018 Category: Neurology Authors: Rodriguez-Prunotto L, Cano-de-la-Cuerda R Tags: Rev Neurol Source Type: research
Trends in stroke hospitalisation rates in Extremadura between 2002 and 2014: Changing the notion of stroke as a disease of the elderly
ConclusionsOur results provide indirect evidence that the epidemiological profile of stroke is changing based on the increase in hospitalisation rates in young adults.ResumenIntroducciónLa incidencia del ictus en nuestro medio ha sido evaluada en diferentes estudios con amplia variabilidad y no comparables. Tampoco hay estudios que analicen los cambios epidemiológicos en pacientes más jóvenes.MétodoEstudio retrospectivo observacional. Conjunto Mínimo Básico de Datos. Se seleccionó a todos los pacientes mayores de 19 años hospitalizados por ictus (códigos ICD-9-CM 434.01, 434.11, 434.91, 430, 431, 432.9, 436 y 435...
Source: Neurologia - August 14, 2018 Category: Neurology Source Type: research
Relationship between level of education and one-year survival after ischaemic stroke.
CONCLUSIONS: In our setting, there are differences in the survival of patients with ischaemic stroke as a function of level of education. The impact of this factor was greater in men than women.
PMID: 30741401 [PubMed - in process]
Source: Revista de Neurologia - February 13, 2019 Category: Neurology Authors: Olascoaga-Arrate A, Freijo-Guerrero MM, Fernandez-Maiztegi C, Azkune-Calle I, Silvarino-Fernandez R, Fernandez-Rodriguez M, Mateos-Del Pino M, Anievas-Elena A, Iturraspe-Gonzalez I, Perez-Diez Y, Ruiz-Fernandez R Tags: Rev Neurol Source Type: research
Structural Equation Model (SEM) of Stroke Mortality in Spanish Inpatient Hospital Settings: The Role of Individual and Contextual Factors
Conclusion. Contextual variables, and specifically the availability of stroke units, make a positive impact on individual variables that affect prognosis and mortality in ischemic stroke. Moreover, the determination of this impact is feasible through the use of structural equation methodology. We analyze the methodological and clinical implications of this type of study for hospital policies.
Key words: Stroke; mortality; structural equation model; predictive model
Source: Frontiers in Neurology - May 16, 2019 Category: Neurology Source Type: research
Translation into Spanish and a preliminary analysis of the psychometric properties of the Newcastle Stroke-Specific Quality of Life Measure (NEWSQOL) questionnaire for rating the quality of life among post-stroke patients.
CONCLUSION: The Spanish version of the NEWSQOL questionnaire is reliable for evaluating the quality of life in post-stroke patients, as well as being well accepted. The questionnaire must be used in more broader samples in order to evaluate its validity and sensitivity.
PMID: 29178105 [PubMed - in process]
Source: Revista de Neurologia - November 29, 2017 Category: Neurology Authors: Soto-Vidal C, Pacheco-da-Costa S, Fernandez-Guinea S, Gallego-Izquierdo T Tags: Rev Neurol Source Type: research
Differential Characteristics of Ischemic and Hemorrhagic Stroke in Patients with Cerebral Small Vessel Disease
Conclusion: Identification of differential clinical and prognostic profile between ischemic and hemorrhagic consequences of underlying cerebral SVD is useful for risk stratification in the current process pursuing precision medicine.
Source: Neurology India - February 24, 2021 Category: Neurology Authors: Mireia Bernal Paula Escarcena Adri & #224; Arboix Lluis Garcia-Eroles Enric Verg & #233;s Laura D & #237;ez Joan Massons Source Type: research
Analysis of stroke care resources in Spain in 2012: Have we benefitted from the Spanish Health System's stroke care strategy?
Conclusion Stroke care has improved in terms of numbers of participating hospitals, the increased use of intravenous thrombolysis and endovascular procedures, and surgery for malignant MCA infarction. Implementation of SUs and telemedicine remain insufficient. The availability of diagnostic resources is good in most SUs and irregular in other hospitals. Regional governments should strive to ensure better care and territorial equality, which would achieve the EISNS objectives.
Source: Neurologia - October 12, 2014 Category: Neurology Source Type: research
