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Classification algorithms using multiple MRI features in mild traumatic brain injury
Conclusion: Multifeature analysis using diffusion-weighted imaging, MFC, fMRI, and volumetrics may aid in the classification of patients with mTBI compared with controls based on optimal feature selection and classification methods. Classification of evidence: This study provides Class III evidence that classification algorithms using multiple MRI features accurately identifies patients with mTBI as defined by American Congress of Rehabilitation Medicine criteria compared with healthy controls.
Source: Neurology - September 29, 2014 Category: Neurology Authors: Lui, Y. W., Xue, Y., Kenul, D., Ge, Y., Grossman, R. I., Wang, Y. Tags: MRI, Other cerebrovascular disease/ Stroke, Brain trauma ARTICLE Source Type: research

Increased risk of stroke in patients with chronic kidney disease after recurrent hypoglycemia
Conclusions: CKD was associated with a higher risk of stroke and mortality in patients with hypoglycemia. Recurrent hypoglycemia considerably increased the risk of stroke and overall mortality in patients with CKD regardless of whether they had diabetes. These results suggest that hypoglycemia has a crucial role in stroke and death in patients with CKD.
Source: Neurology - August 18, 2014 Category: Neurology Authors: Yu, T.-M., Lin, C.-L., Chang, S.-N., Sung, F.-C., Kao, C.-H. Tags: Prognosis, All Cerebrovascular disease/Stroke, Cohort studies ARTICLE Source Type: research

Benign neoplasm of the heart increases the risk of first ischemic stroke: a population‐based cohort study
ConclusionYounger patients (<50 years) with benign cardiac tumors exhibit an increased risk of first ischemic stroke.
Source: International Journal of Stroke - July 24, 2014 Category: Neurology Authors: Ming‐May Lai, Tsai‐Chung Li, Cheng‐Li Lin, Fung‐Chang Sung, Cheng‐Chieh Lin, Chiu‐Shong Liu, Chia‐Hung Kao Tags: Research Source Type: research

Gallstone Disease and the Risk of Stroke: A Nationwide Population-based Study
Background: Gallstone disease (GD) and stroke share a number of risk factors including diabetes and hyperlipidemia. This nationwide population-based study was designed to estimate the risk of stroke after a diagnosis of GD.Methods: Data were obtained from the Taiwan National Health Insurance Research Database. A total of 135,512 patients with a diagnosis of GD and 271,024 age- and gender-matched non-GD control patients were included to assess the risk of stroke using Cox proportional hazard regression.Results: During the study period (2000-2003), 12,234 (153.67/10,000 person-years) strokes occurred among the GD patients, a...
Source: Journal of Stroke and Cerebrovascular Diseases - June 23, 2014 Category: Neurology Authors: Cheng-Yu Wei, Tieh-Chi Chung, Chien-Hua Chen, Che-Chen Lin, Fung-Chang Sung, Wen Ting Chung, Woon-Man Kung, Chung Y. Hsu, Yung-Hsiang Yeh Tags: Original Articles Source Type: research

Impact of living and socioeconomic characteristics on cardiovascular risk in ischemic stroke patients
ConclusionVascular risk in stroke patients in low‐ and middle‐income countries varies not only with the number of arterial beds involved but also with socioeconomic variables.
Source: International Journal of Stroke - June 13, 2014 Category: Neurology Authors: Pierre Amarenco, Halim Abboud, Julien Labreuche, Antonio Arauz, Alan Bryer, Pablo M. Lavados, Ayrton Massaro, Mario Munoz Collazos, Philippe Gabriel Steg, Bassem I. Yamout, Eric Vicaut, Tags: Research Source Type: research

Epidemiology of Moyamoya Disease in Taiwan: A Nationwide Population-Based Study Clinical Sciences
Conclusions— The incidence of moyamoya disease has increased in adults but not in children from 2000 to 2011 in Taiwan. Sex ratio and comorbid conditions differed by age and study period.
Source: Stroke - April 28, 2014 Category: Neurology Authors: Chen, P.-C., Yang, S.-H., Chien, K.-L., Tsai, I.-J., Kuo, M.-F. Tags: Cerebrovascular disease/stroke, Epidemiology Clinical Sciences Source Type: research

Insomnia Subtypes and the Subsequent Risks of Stroke: Report From a Nationally Representative Cohort Clinical Sciences
Conclusions— Insomnia predisposes individuals to increased risk of stroke and this association is profound among young adults. Our results underscore the clinical importance of identifying and treating insomnia. A novel behavioral intervention targeting insomnia that may prevent stroke should be explored.
Source: Stroke - April 28, 2014 Category: Neurology Authors: Wu, M.-P., Lin, H.-J., Weng, S.-F., Ho, C.-H., Wang, J.-J., Hsu, Y.-W. Tags: Behavioral/psychosocial - stroke Clinical Sciences Source Type: research

Identifying Barriers in Acute Stroke Therapy in Argentina. ARENAS Registry (P2.014)
CONCLUSIONS: Only 47% of patients were admitted to an Intensive Care Unit, rt-PA was underused and initial evaluation was not performed by a neurologist in most of cases. The gap between clinical practice guidelines and real world is wide in Argentina and interventions to improve acute stroke care are mandatory.Disclosure: Dr. Atallah has nothing to disclose. Dr. Fustinoni has nothing to disclose. Dr. Zurru has nothing to disclose. Dr. Beigelman has nothing to disclose. Dr. Cirio has nothing to disclose. Dr. Ameriso has nothing to disclose. Dr. Burry has nothing to disclose.
Source: Neurology - April 9, 2014 Category: Neurology Authors: Atallah, A., Fustinoni, O., Zurru, M., Beigelman, R., Cirio, J., Ameriso, S., Burry, G. Tags: Cerebrovascular Disease and Interventional Neurology I Source Type: research

Racial And Ethnic Disparities In Stroke. Declining Age At Time Of Stroke. Analysis Of The Nationwide Inpatient Sample 1988-2010 (S12.002)
CONCLUSIONS: In this longitudinal national sample age at time of stroke became younger for blacks and Hispanics, but not Caucasians. This has increased the disparity of age of onset between blacks and Caucasians. Over time the number of comorbidities have increased, perhaps due to upcoding by hospitals rather than worsening health status of the population.Disclosure: Dr. Costa has nothing to disclose. Dr. Dubinsky has received personal compensation for activities with Allergan Inc. Dr. Dubinsky has received research support from Allergan Inc., Medevation Pharmaceuticals, and from the National Institutes of Health.
Source: Neurology - April 9, 2014 Category: Neurology Authors: Costa, C., Dubinsky, R. Tags: Cerebrovascular Disease and Interventional Neurology: Epidemiology and Risk Factors Source Type: research

Functional Motor Recovery In Stroke Survivors - Determinants In A Stroke Unit in Sub-Saharan Africa. (P3.045)
CONCLUSIONS:Frequent and effective visits to the physical therapist and to wit attainment of good and functional motor recovery may be hampered by its financial burden in resource poor settings where health insurance scarcely existStudy Supported by:NONEDisclosure: Dr. Imarhiagbe has nothing to disclose.
Source: Neurology - April 9, 2014 Category: Neurology Authors: Imarhiagbe, F. Tags: Neural Repair and Neuro-rehabilitation: Clinical Source Type: research

Gender Differences in Primary Stroke Center Evaluation and Utilization of rt-PA (P2.133)
CONCLUSIONS:Among women, PSCs utilize more rt-PA than non-PSCs. The increased utilization of rt-PA at PSCs is consistent between men and women and stable across racial and ethnic groups. Despite this a lower proportion of women receive rt-PA than men.Study Supported by:R01 HS018362-01A1 AHRQDisclosure: Dr. Mullen has nothing to disclose. Dr. Albright has received research support from The Agency for Healthcare Research and Quality, and the National Institute on Minority Health and Health Disparities. Dr. Boehme has nothing to disclose. Dr. Kasner has received personal compensation for activities with Pfizer Inc, Novartis, ...
Source: Neurology - April 9, 2014 Category: Neurology Authors: Mullen, M., Albright, K., Boehme, A., Kasner, S., Kallan, M., Branas, C., Carr, B. Tags: Cerebrovascular Disease and Interventional Neurology: Evaluation, Cost, and Quality Source Type: research

Medicare Coverage Increases Odds of In-Hospital Mortality but Lack of Insurance Increases Odds of Poor Functional Outcome by Modified Rankin Score (mRS) (P2.138)
CONCLUSIONS:Medicare patients have greater odds of in-hospital mortality compared to uninsured, private, and VA patients, though uninsured patients had the highest odds of poor functional outcome on discharge. Further studies are needed to determine whether coverage is a stronger predictor of admission or in-hospital variables to determine if the observed outcome differences are more associated with variance in admission or in-hospital care.Disclosure: Dr. Friedant has nothing to disclose. Dr. Monlezun, Jr has nothing to disclose. Dr. Baranwal has nothing to disclose. Dr. Valmoria has nothing to disclose. Dr. Shaban has no...
Source: Neurology - April 9, 2014 Category: Neurology Authors: Friedant, A., Monlezun, D., Baranwal, P., Valmoria, M., Shaban, A., George, A., El Khoury, R., Martin-Schild, S. Tags: Cerebrovascular Disease and Interventional Neurology: Disparity Source Type: research

Medicare and VA Patients Have More Inpatient Complications and Less Neuroimaging Than Uninsured Patients (P2.139)
CONCLUSIONS:Our results indicate that uninsured patients receive more neuroimaging and experience fewer inpatient complications than patients with other insurance types. Further studies are warranted to explain why these differences in coverage impact clinical care to maintain equitable care appropriate for the degree of clinical severity for stroke patients.Disclosure: Dr. Baranwal has nothing to disclose. Dr. Monlezun, Jr has nothing to disclose. Dr. Ryan has nothing to disclose. Dr. Pineda has nothing to disclose. Dr. Shaban has nothing to disclose. Dr. George has received research support from Tulane University School ...
Source: Neurology - April 9, 2014 Category: Neurology Authors: Baranwal, P., Monlezun, D., Ryan, M., Pineda, D., Shaban, A., George, A., El Khoury, R., Martin-Schild, S. Tags: Cerebrovascular Disease and Interventional Neurology: Disparity Source Type: research

Uninsured Patients May Lack Diagnoses for Chronic Diseases That Are Known Stroke Risk Predictors (P2.140)
CONCLUSIONS:In our population, uninsured patients were significantly less likely to have risk factors for stroke based on past medical history. However, the same population had the higher prevalence of systolic hypertension and elevated LDL on admission and were not taking medications at home. Together, this suggests that uninsured patients may lack access to resources needed to diagnose and treat known chronic risk factors for stroke.Disclosure: Dr. Baranwal has nothing to disclose. Dr. Monlezun, Jr has nothing to disclose. Dr. Lanceta has nothing to disclose. Dr. Shaban has nothing to disclose. Dr. George has received re...
Source: Neurology - April 9, 2014 Category: Neurology Authors: Baranwal, P., Monlezun, D., Lanceta, J., Shaban, A., George, A., Martin-Schild, S., El Khoury, R. Tags: Cerebrovascular Disease and Interventional Neurology: Disparity Source Type: research

Adherence with Post-stroke Follow-up Clinic Visits and Factors Influencing Compliance in a Large Urban Hospital. (P2.141)
CONCLUSIONS:We found poor compliance with post-stroke follow-up clinic visits, which seems to be influenced by age, discharge disposition, type of vascular event and race.Study Supported by: Disclosure: Dr. El-Ghanem has nothing to disclose. Dr. Jin has nothing to disclose. Dr. Punia has nothing to disclose. Dr. He has nothing to disclose. Dr. Hillen has nothing to disclose.
Source: Neurology - April 9, 2014 Category: Neurology Authors: El-Ghanem, M., Jin, P., Punia, V., He, W., Hillen, M. Tags: Cerebrovascular Disease and Interventional Neurology: Disparity Source Type: research

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