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Evaluation of stroke pre-hospital management in Lebanon from symptoms onset to hospital arrival and impact on patients ’ status at discharge: a pilot study
Hospital arrival time after acute ischemic stroke onset is the major factor limiting the eligibility of patients to receive intravenous thrombolysis. Shortening the prehospital delay is crucial to reducing mor...
Source: BMC Neurology - December 20, 2022 Category: Neurology Authors: Hiba Kamal, Sara Assaf, Mayssan Kabalan, Raneem El Maissi, Dima Salhab, Deema Rahme and Nathalie Lahoud Tags: Research Source Type: research

Alert on elongated in-hospital acute stroke management delays. An Aquitain cohort study
The objectives were to analyze changes from 2012 to 2017 in different management times of stroke patients included in the Aquitaine stroke Observatory (ObA2). The studied times (onset-to-needle time-ONT, onset-to-door time-ODT, door-to-imaging time-DIT, door-to-needle time-DNT and imaging-to-needle time-INT) were described as median, interquartile ranges and proportion of patients within the recommended median time goals (ODT under 4hours, DIT within 20min; for thrombolyzed patients, DIT under 20min and a ONT under 4:30) to be compared with an objective of 50% of patients within said time goal. Globally, ODT was 160min, wi...
Source: Revue Neurologique - November 6, 2022 Category: Neurology Authors: V Thevenet E Lesaine S Domecq S Miganeh-Hadi M Maugeais F Rouanet I Sibon F Saillour-Glenisson ObA2 team Source Type: research

Modeling the potential efficiency of a blood biomarker-based tool to guide pre-hospital thrombolytic therapy in stroke patients
ConclusionsThe use of a blood biomarker test to guide pre-hospital thrombolysis is cost-effective compared with standard hospital care in patients with ischemic stroke.
Source: The European Journal of Health Economics - July 27, 2022 Category: Health Management Source Type: research

Differences in the pre-hospital management of women and men with stroke by emergency medical services in New South Wales
CONCLUSION: Our large population-based study identified sex differences in pre-hospital management by emergency medical services of women and men admitted to hospital with stroke. Paramedics should receive training that improves the recognition of stroke symptoms in women.PMID:35831059 | DOI:10.5694/mja2.51652
Source: Med J Aust - July 13, 2022 Category: General Medicine Authors: Xia Wang Cheryl Carcel Benjumin Hsu Sultana Shajahan Matthew Miller Sanne Peters Deborah A Randall Alys Havard Julie Redfern Craig S Anderson Louisa Jorm Mark Woodward Source Type: research

Multicentre collection of uniform data on patients hospitalised for transient ischaemic attack or stroke in the Philippines: the Philippine Neurological Association One Database-Stroke (PNA1DB-Stroke) protocol
Introduction For scientific advances to translate into improved patient outcomes, systems of care must be in place to facilitate delivery of care. There is scarce information on quality of care and clinical outcome in our stroke patients. We aim to collect uniform data from patients with first or recurrent transient ischaemic attack (TIA) or ischaemic or haemorrhagic stroke to determine in-patient caseload, patient profile, types of diagnostic and therapeutic procedures, outcomes and overall quality of care among patients hospitalised for acute stroke in the Philippines. Methods and analysis This multicentre observational...
Source: BMJ Open - May 24, 2022 Category: General Medicine Authors: Philippine Neurological Association One Database - Stroke, Disease Study Management Group, Gan, Alvarez, Canete, Co, Collantes, Escabillas, Hiyadan, Juangco, Lokin, Macrohon-Valdez, Punsalan, Sarapuddin, Picar, Pascual V Tags: Open access, Neurology Source Type: research

Endovascular therapy in basilar artery occlusion in Sweden 2016 –2019—a nationwide, prospective registry study
ConclusionWe confirm a serious outcome in BAO despite endovascular therapies, and demonstrate important differences relating to occlusion location in baseline characteristics, procedural time, therapeutic measures and outcome. Further in-depth analyses of factors affecting outcome in BAO are warranted.
Source: Neuroradiology - April 12, 2022 Category: Radiology Source Type: research

Hospital management of major stroke types in Chinese adults: a population-based study of 20 000 hospitalised stroke cases
Conclusions Among IS cases, use of antiplatelet and lipid-lowering medications increased in recent years, but use of TCM still exceeded use of blood pressure-lowering treatment. In contrast, blood pressure-lowering treatment was widely used for ICH, but only half of all ICH cases used blood pressure-lowering treatment.
Source: BMJ Open - November 16, 2021 Category: General Medicine Authors: Qin, H., Turnbull, I., Chen, Y., Wright, N., Liu, L., Pei, P., Tang, W., Xiang, S., Guo, Y., Zhao, X., Clarke, R., Li, L., Wang, Y., Chen, Z., On behalf of The China Kadoorie Biobank Collaborative Group Tags: Open access, Epidemiology Source Type: research

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