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Source: Journal of Stroke and Cerebrovascular Diseases
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Total 3074 results found since Jan 2013.
Recent Trends in Inpatient Mortality and Resource Utilization for Patients with Stroke in the United States: 2005-2009
Background: The aim of the study is to evaluate recent trends in mortality, length of stay, costs, and charges for patients admitted to the US hospitals with the principal diagnosis of stroke.Methods: This was a retrospective temporal trends study using data from the Nationwide Inpatient Sample from 2005 to 2009.Results: During the study period, there were 2.7 million hospital admissions with the diagnosis of stroke in the United States (470,000 intracerebral hemorrhage, 130,000 subarachnoid hemorrhage, and 2.1 million ischemic strokes). In-hospital mortality decreased from 10.2% in 2005 to 9.0% in 2009 (26.0%-23.0%, 23.4...
Source: Journal of Stroke and Cerebrovascular Diseases - April 1, 2013 Category: Neurology Authors: Maria Stepanova, Chapy Venkatesan, Laith Altaweel, Alita Mishra, Zobair M. Younossi Tags: Original Articles Source Type: research
Impact of Telemedicine Implementation in Thrombolytic Use for Acute Ischemic Stroke: The University of Pittsburgh Medical Center Telestroke Network Experience
Background: Intravenous thrombolysis is the only therapy for acute ischemic stroke that is approved by the US Food and Drug Association. The use of telemedicine in stroke makes it possible to bring the expertise of academic stroke centers to underserved areas, potentially increasing the quality of stroke care.Methods: All consecutive admissions for stroke were reviewed for 1 year before telemedicine implementation and for variable periods thereafter. A retrospective review identified 2588 admissions for acute stroke between March 2005 and December 2008 at 12 hospitals participating in a telestroke network, including 919 pa...
Source: Journal of Stroke and Cerebrovascular Diseases - March 13, 2013 Category: Neurology Authors: Edilberto Amorim, Min-Mei Shih, Steven A. Koehler, Lori L. Massaro, Syed F. Zaidi, Mouhammad A. Jumaa, Vivek K. Reddy, Maxim D. Hammer, Tudor G. Jovin, Lawrence R. Wechsler Tags: Original Articles Source Type: research
Safety of a “Drip and Ship” Intravenous Thrombolysis Protocol for Patients with Acute Ischemic Stroke
Conclusions: Our “drip and ship” protocol for IVT is safe. The protocol was not associated with an excess of sICH or in-hospital mortality compared with patients who received IVT at the CPSC.
Source: Journal of Stroke and Cerebrovascular Diseases - February 10, 2012 Category: Neurology Authors: Simin Mansoor, Ramin Zand, Ameer Al-Wafai, Mervat N. Wahba, Elias A. Giraldo Tags: Original Articles Source Type: research
Optimal Timing and Duration of Continuous Electrocardiographic Monitoring for Detecting Atrial Fibrillation in Stroke Patients
Conclusions: We suggest that in order to enhance the detection rate of AF, CEM could be generalized in the stroke unit. It must be started early in patients with acute stroke and prolonged over a minimum of 4 days.
Source: Journal of Stroke and Cerebrovascular Diseases - February 20, 2012 Category: Neurology Authors: Laurent Suissa, Sylvain Lachaud, Marie Hélène Mahagne Tags: Original Articles Source Type: research
Safety and Effectiveness of Endovascular Treatment after 6 Hours of Symptom Onset in Patients with Anterior Circulation Ischemic Stroke: A Matched Case Control Study
Conclusions: We did not observe any evidence of benefit in halting neurologic worsening or improving outcomes among patients undergoing endovascular treatment for treatment of an anterior circulation ischemic stroke after 6 hours of symptom onset. Strong evidence of both the safety and efficacy of emergent endovascular treatment when administered to patients with stroke in the anterior circulation is needed.
Source: Journal of Stroke and Cerebrovascular Diseases - October 24, 2012 Category: Neurology Authors: Adnan I. Qureshi, Jefferson T. Miley, Saqib A. Chaudhry, Edouard Semaan, Gustavo J. Rodriguez, M.Fareed K. Suri, Harold P. Adams Tags: Original Articles Source Type: research
Neutrophil Lymphocyte Ratio as a Predictor of Stroke
Conclusions: The NLR at the time of hospital admission may be a predictor of short-term mortality in acute stroke patients. Because of the routine use and inexpensive nature of hemogram analysis, the NLR should be investigated in future prospective, randomized controlled trials investigating acute stroke.
Source: Journal of Stroke and Cerebrovascular Diseases - March 18, 2013 Category: Neurology Authors: Serhat Tokgoz, Mehmet Kayrak, Zehra Akpinar, Abdullah Seyithanoğlu, Figen Güney, Betigül Yürüten Tags: Original Articles Source Type: research
Factors Associated with Delays in Seeking Treatment for Stroke Care in Veterans
Conclusions: Race appears to be a key factor associated with an increased likelihood of delays in seeking urgent stroke care in veterans. Future studies need to further examine the complex sociodemographic profile of patients who are most likely to delay seeking care for stroke and to develop interventions to reduce the impact of DST.
Source: Journal of Stroke and Cerebrovascular Diseases - December 6, 2012 Category: Neurology Authors: Charles Ellis, Rebecca G. Knapp, Gregory E. Gilbert, Leonard E. Egede Tags: Original Articles Source Type: research
The Impact Factors on the Cost and Length of Stay among Acute Ischemic Stroke
Conclusions: Age 65 and over, atrial fibrillation, stroke treatment, and subtypes were the significant predictive factors affecting hospital costs and LOS. Compared to other countries, Taiwan spent the least while Canada had the highest expense. The United States had the shortest LOS (6 days) in contrast to Canada with the longest LOS (34-47 days). Regarding mean daily cost of stroke, the United States had the highest cost per day while China spent the least.
Source: Journal of Stroke and Cerebrovascular Diseases - December 17, 2012 Category: Neurology Authors: Ying-Chih Huang, Chaur-Jong Hu, Tsong-Hai Lee, Jen-Tsung Yang, Hsu-Huei Weng, Leng Chieh Lin, Shiao-Lin Lai Tags: Original Articles Source Type: research
Periodontal Disease and Recurrent Vascular Events in Stroke/Transient Ischemic Attack Patients
Periodontal disease (PD) has been shown to be associated with incident stroke. We investigated whether PD is independently associated with recurrent vascular events and certain inflammatory markers in stroke/transient ischemic attack (TIA) patients. In this prospective, longitudinal, hospital-based cohort study, PD was assessed in stroke/TIA patients. High periodontal disease (HPD) was defined as the highest tertile of extent (% of sites) with an attachment loss of 5 mm or more. Serum interleukin-6 (IL-6), high-sensitivity C-reactive protein, and soluble intracellular adhesion molecule 1 (s-ICAM) were measured. The patient...
Source: Journal of Stroke and Cerebrovascular Diseases - August 1, 2013 Category: Neurology Authors: Souvik Sen, Roxanne Sumner, James Hardin, Silvana Barros, Kevin Moss, James Beck, Steven Offenbacher Tags: Original Articles Source Type: research
Incidence Rate of Cerebrovascular Diseases in Northern Japan Determined from the Iwate Stroke Registry with an Inventory Survey System
Conclusions: High incidence rates of cerebrovascular diseases were revealed in the stroke registry with a good inventory survey in northern Iwate Prefecture, Japan.
Source: Journal of Stroke and Cerebrovascular Diseases - January 28, 2013 Category: Neurology Authors: Shinichi Omama, Yuki Yoshida, Kuniaki Ogasawara, Akira Ogawa, Yasuhiro Ishibashi, Masaki Ohsawa, Kozo Tanno, Toshiyuki Onoda, Kazuyoshi Itai, Kiyomi Sakata, Akira Okayama Tags: Original Articles Source Type: research
Recovery of Swallowing after Dysphagic Stroke: An Analysis of Prognostic Factors
Background: Dysphagia is a major complication of stroke, but factors influencing its recovery are incompletely understood. The goal of this study was to identify important prognostic variables affecting swallowing recovery after acute ischemic stroke.Methods: We retrospectively reviewed our patient database to identify acute ischemic stroke patients who developed dysphagia after stroke but were free of other confounding conditions affecting swallowing. Of the 1774 patients screened, 323 met the study criteria. We assessed the effect of age, sex, baseline National Institutes of Health Stroke Scale (NIHSS) score, level of co...
Source: Journal of Stroke and Cerebrovascular Diseases - October 24, 2012 Category: Neurology Authors: Sandeep Kumar, Christopher Doughty, Gheorghe Doros, Magdy Selim, Sourabh Lahoti, Sankalp Gokhale, Gottfried Schlaug Tags: Original Articles Source Type: research
Venous Thromboembolism in the Get With The Guidelines-Stroke Acute Ischemic Stroke Population: Incidence and Patterns of Prophylaxis
Conclusions: Despite a high overall rate of VTE prophylaxis, VTE was found to occur in approximately 3% of GWTG-S patients. Reported rates of VTE prophylaxis differed among hospitals by region and hospital type, and among patients by age, race, and medical comorbidities.
Source: Journal of Stroke and Cerebrovascular Diseases - December 17, 2012 Category: Neurology Authors: G. Logan Douds, Anne S. Hellkamp, DaiWai M. Olson, Gregg C. Fonarow, Eric E. Smith, Lee H. Schwamm, Kevin M. Cockroft Tags: Original Articles Source Type: research
Studying Effects of Weather Parameters on Acute Stroke: Considering the Contribution of “Risk Factors” and “Triggering Factors” Together
A recently published article in the Journal of Stroke and Cerebrovascular Diseases regarding the effect of season and atmospheric temperature variation in acute stroke by Gomes et al has drawn our attention. The authors studied the variation in the incidence of stroke hospitalizations across seasons and with short-term temperature change in a tropical setting by examining 651 consecutive stroke events occurred during the period of August 1, 2005, through July 31, 2006. The study illustrated that sudden declines in the minimum temperature over the 5-10 days before the event were associated with a 20%-30% higher incidence...
Source: Journal of Stroke and Cerebrovascular Diseases - August 21, 2013 Category: Neurology Authors: Mohammad Al Mamun, Nahid Rumana, Adrian V. Specogna, Tanvir C. Turin Tags: Letters to the Editor Source Type: research
Transient Ischameic Attack/Stroke Electronic Decision Support: A 14-Month Safety Audit
Conclusions: Results suggest that TIA/Stroke EDS use is not associated with major morbidity or mortality. Larger studies are needed to draw more definite conclusions regarding the utility of this TIA/Stroke EDS in preventing strokes.
Source: Journal of Stroke and Cerebrovascular Diseases - April 15, 2013 Category: Neurology Authors: Timothy L. Lavin, Annemarei Ranta Tags: Original Articles Source Type: research
Self-reported Sleep Duration in Relation to Incident Stroke Symptoms: Nuances by Body Mass and Race from the REGARDS Study
Background: To determine, among employed persons with low risk for obstructive sleep apnea (OSA), if sleep duration is associated with incident stroke symptoms, independent of body mass index (BMI), and if sleep duration mediates racial differences in stroke symptoms.Methods: In 2008, 5666 employed participants (US blacks and whites, ≥45 years) from the longitudinal and nationally representative Reasons for Geographic And Racial Differences in Stroke study self-reported their average sleep duration. Participants had no history of stroke, transient ischemic attack, or stroke symptoms and were at low risk for OSA. After ...
Source: Journal of Stroke and Cerebrovascular Diseases - October 10, 2013 Category: Neurology Authors: Megan E. Ruiter Petrov, Abraham J. Letter, Virginia J. Howard, Dawn Kleindorfer Tags: Original Articles Source Type: research
