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External validity of post-stroke interventional gait rehabilitation studies.
CONCLUSIONS: The external validity of a substantial number of intervention studies about rehabilitation of gait post-stroke appears to be limited by exclusivity of the samples as well as by deficiencies in ecological validity of the interventions. These limitations are not accurately reflected in the titles or abstracts of the studies. PMID: 27145119 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - May 3, 2016 Category: Neurology Authors: Kafri M, Dickstein R Tags: Top Stroke Rehabil Source Type: research

Thrombolytic Utilization in Ischemic Stroke Is Significantly Higher in US Hospitals with Neurology Residency Program (S02.006)
CONCLUSIONS: Stroke care at NR hospitals is associated with an increased thrombolytic utilization rate. The increased tPA utilization at NR between 2002-2006 may be related to the rapid increase in Primary Stroke Centers across the country.Disclosure: Dr. Moradiya has nothing to disclose. Dr. Grant has nothing to disclose. Dr. Valsamis has nothing to disclose. Dr. Levine has received personal compensation in an editorical capacity for MEDLINK.
Source: Neurology - February 14, 2013 Category: Neurology Authors: Moradiya, Y., Grant, J., Valsamis, H., Levine, S. Tags: S02 Acute Stroke Therapy Source Type: research

Characteristics of Certified Stroke Center Programs Led by Vascular Neurologists (P3.123)
CONCLUSION: Vascular neurologists are more likely to be found leading stroke programs at larger hospitals with established teaching programs. This may be a reflection of the concentration of multiple subspecialties in such institutions.Disclosure: Dr. Ramirez has nothing to disclose. Dr. Krug has nothing to disclose. Dr. Perese has nothing to disclose. Dr. Gasparian has nothing to disclose. Dr. Kazaryan has nothing to disclose. Dr. Sanossian has received personal compensation for activities with Boehringer-Ingelheim Pharmaceutical Inc.
Source: Neurology - April 9, 2014 Category: Neurology Authors: Ramirez, L., Krug, A., Perese, J., Gasparian, G., Kazaryan, S., Sanossian, N. Tags: Cerebrovascular Disease and Interventional Neurology: Primary and Comprehensive Stroke Centers Source Type: research

Stroke education in the Philippines
Education is paramount in effectively reducing the significant burden of stroke in the Philippines. Dedicated academic institutions and dynamic professional organizations in the Philippines have collaborated to involve themselves in the plight against stroke through systematic curriculum development for undergraduates, continuous regulation of quality residency and fellowship training program, hosting up‐to‐date Continuing Medical Education (CME) activities for local and international audience, and active participation in clinical stroke trials. Most recently, the University of Santo Tomas Faculty of Medicine & Sur...
Source: International Journal of Stroke - March 19, 2013 Category: Neurology Authors: Jose C. Navarro, Alejandro C. Baroque, Johnny K. Lokin Tags: Panorama Source Type: research

Thrombolytic utilization for ischemic stroke in US hospitals with neurology residency program
Conclusions: Acute stroke care in NR hospitals is associated with an increased thrombolytic utilization. The disparities between the thrombolysis rate in NR and that in OT and NT hospitals are greater among elderly patients.
Source: Neurology - December 2, 2013 Category: Neurology Authors: Moradiya, Y., Crystal, H., Valsamis, H., Levine, S. R. Tags: Medical care, All Cerebrovascular disease/Stroke ARTICLE Source Type: research

Seasonal Variation in 30-Day Mortality After Stroke: Teaching Versus Nonteaching Hospitals Brief Reports
Conclusions— The 30-day RAMR decreased overall, but seasonal patterns were present, with the highest RAMR in January and a smaller peak in July. Because patterns were similar for teaching and nonteaching hospitals, the July peak cannot be explained by the introduction of new trainees in the beginning of the academic year. The reasons for these seasonal patterns warrant further investigation.
Source: Stroke - January 18, 2013 Category: Neurology Authors: Lichtman, J. H., Jones, S. B., Wang, Y., Leifheit-Limson, E. C., Goldstein, L. B. Tags: Health policy and outcome research, Acute Cerebral Infarction, Epidemiology Brief Reports Source Type: research

Differences in Payment for Inpatient Transient Ischemic Attack Care Between Stroke Center and Non-Stroke-Center Hospitals (P3.128)
Conclusions: There is a wide discrepancy in hospital charges and covered payments for TIA hospitalization. Larger for-profit hospitals with primary stroke center certification located in more affluent areas charge more for TIA hospitalization.Disclosure: Dr. He has nothing to disclose. Dr. Bulic has nothing to disclose. Dr. Kazaryan has nothing to disclose. Dr. Cen has nothing to disclose. Dr. Kim-Tenser has nothing to disclose. Dr. Kim-Tenser has nothing to disclose. Dr. Mack has nothing to disclose. Dr. Sanossian has received personal compensation for activities with Boehringer-Ingelheim Pharmaceutical Inc.
Source: Neurology - April 9, 2014 Category: Neurology Authors: He, S., Bulic, S., Kazaryan, S., Cen, S., Kim, M., Kim, M., Mack, W., Sanossian, N. Tags: Cerebrovascular Disease and Interventional Neurology: Primary and Comprehensive Stroke Centers Source Type: research

Virtual rounding in stroke care and neurology education during the COVID-19 pandemic - a residency program survey
During the coronavirus disease 2019 (COVID-19) pandemic, we instituted virtual inpatient stroke rounds and acute stroke evaluations via telemedicine in the emergency department. We sought to explore trainees ’ and experienced providers’ views on stroke care and education.
Source: Journal of Stroke and Cerebrovascular Diseases - October 14, 2021 Category: Neurology Authors: Murali K. Kolikonda, Elena Blaginykh, Peter Brown, Shivakrishna Kovi, Lucy Q. Zhang, Ken Uchino Source Type: research

Spanish Version of the National Institutes of Health Stroke Scale: Awareness and Use in the United States. A Survey Study (P6.023)
Conclusion: Neurology and Emergency medicine training programs are generally not aware of the availability of the NIHSS Spanish version. There is a need to increase awareness and to promote the use of the Spanish version of the NIHSS and to address the validation of its use by interpreters given the large and expected increase in the population of Hispanics.Disclosure: Dr. Villalobos has nothing to disclose. Dr. Barnes has nothing to disclose. Dr. Maud has nothing to disclose. Dr. Qureshi has nothing to disclose. Dr. Piriyawat has nothing to disclose. Dr. Rodriguez has nothing to disclose. Dr. Cruz-Flores has nothing to disclose.
Source: Neurology - April 3, 2016 Category: Neurology Authors: Villalobos, E., Barnes, S., Maud, A., Qureshi, I., Piriyawat, P., Rodriguez, G., Cruz-Flores, S. Tags: Ischemic Stroke Diagnosis Source Type: research

Early Access to a Neurologist Reduces the Rate of Missed Diagnosis in Young Strokes
Conclusions: Young adults with ischemic stroke seen at hospitals with a neurology residency had a lower missed diagnosis rate. The presence of an EM resident or a neurology teaching program was associated with a greater use of acute stroke therapies. These results support initiatives to triage young adults with suspected acute stroke to hospitals with access to neurologic expertise in the emergency department.
Source: Journal of Stroke and Cerebrovascular Diseases - February 18, 2013 Category: Neurology Authors: Wazim Mohamed, Pratik Bhattacharya, Seemant Chaturvedi Tags: Original Articles Source Type: research

Engaging Residents in Stroke Quality Measures with Financial Incentives and Electronic Checklist (S11.007)
CONCLUSIONS: Implementing a real-time, interactive decision support checklist and pay-for-performance program for residents improved compliance with stroke process measures. Empowering residents through leadership roles has been an important step toward integrating them into the quality infrastructure of the health system.Disclosure: Dr. Dean has nothing to disclose. Dr. Rashid has nothing to disclose. Dr. Wiese-Rometsch has nothing to disclose. Dr. Arsene has nothing to disclose. Dr. Hamstra has nothing to disclose. Dr. White has nothing to disclose. Dr. Hussain has nothing to disclose.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Dean, M., Rashid, S., Wiese-Rometsch, W., Arsene, C., Hamstra, C., White, S., Hussain, S. Tags: Practice, Policy, and Ethics Source Type: research

The emerging partnership between palliative care and stroke
Stroke care displays 2 truisms. First, a severe stroke is a common event often close to one's death. It unleashes a series of intense conversations among clinicians, patients, and families, rife with uncertainty, about health states with varying degrees of acceptability and what makes life worth living.1 Second, enormous variations in clinical practice remain prevalent, including end-of-life care practices. This end-of-life practice variation has been called a hidden curriculum, providing medical students with insights into how the location of their residency training helps shape the type of physicians they will become.2 I...
Source: Neurology Clinical Practice - June 12, 2017 Category: Neurology Authors: Holloway, R. G., Bernat, J. L. Tags: Editorial Source Type: research

Thrombolysis in acute ischemic stroke in patients with dementia: A Swedish registry study
Conclusions: Younger patients with dementia and AIS are less likely to receive IVT. Among patients receiving thrombolysis, there are no differences in sICH or death, although patients with dementia have worse accommodation and functional outcomes at 3 months.
Source: Neurology - October 30, 2017 Category: Neurology Authors: Zupanic, E., von Euler, M., Kareholt, I., Contreras Escamez, B., Fastbom, J., Norrving, B., Religa, D., Kramberger, M. G., Winblad, B., Johnell, K., Eriksdotter, M., Garcia-Ptacek, S. Tags: Prognosis, All Cognitive Disorders/Dementia, Cohort studies, Infarction ARTICLE Source Type: research

Neurology residency program as factor associated with thrombolysis utilization in acute stroke
Despite strong evidence on the safety and efficacy of IV alteplase up to 4.5 hours after ischemic stroke (IS) symptom onset1 and increased use of thrombolysis over recent decades, this treatment remains underused and accessible to only a fraction of patients. The rate of thrombolysis in the United States is 3.4%–5.2% of all stroke cases.2 Several studies have identified barriers to thrombolysis delivery,3 but other as yet unmeasured factors may also underlie these barriers, thereby influencing rates of thrombolysis utilization and access.
Source: Neurology - December 2, 2013 Category: Neurology Authors: Lorenzano, S. Tags: Infarction EDITORIALS Source Type: research

Delayed Stroke Treatment during COVID-19 Pandemic in China
Conclusions: COVID-19 pandemic has remarkable impacts on the management of AIS. Both pre- and posthospital delays were prolonged significantly, and proportion of patients arrived within the 4.5-h time window for intravenous thrombolysis treatment was decreased. Given that anti-COVID-19 measures are becoming medical routines, efforts are warranted to shorten the delay so that the outcomes of stroke could be improved.Cerebrovasc Dis
Source: Cerebrovascular Diseases - July 9, 2021 Category: Neurology Source Type: research

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