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Thrombolysis and Outcome of Young Stroke Patients Over the Last Decade: Insights From the Nationwide Inpatient Sample
Background: A recent study found a trend toward increasing hospitalizations for acute ischemic stroke (AIS) among young adults, raising concern for this subgroup. In the present study, we evaluated trends of use of thrombolysis and outcome among young adults (19-44 years of age) with AIS using a nationally representative administrative database.Methods: Discharge data were obtained from Nationwide Inpatient Sample between 2001 and 2009. Hospitalizations with a discharge diagnosis of AIS for patients 19 to 44 years of age were included. Use of thrombolysis was determined within this subset. The Cochran–Armitage test was u...
Source: Journal of Stroke and Cerebrovascular Diseases - June 11, 2012 Category: Neurology Authors: Amit Kansara, Seemant Chaturvedi, Pratik Bhattacharya Tags: Original Articles Source Type: research

Mechanical Thrombectomy in Acute Stroke: Utilization Variances and Impact of Procedural Volume on Inpatient Mortality
This study examines variances in the allocation of these procedures in the United States at the hospital level. We investigate operative volume across centers performing mechanical revascularization and establish that procedural volume is independently associated with inpatient mortality.Methods: Data was collected using the Nationwide Inpatient Sample database in the United States for 2008. Medical centers performing mechanical thrombectomy were identified using International Classification of Diseases, 9th revision codes, and procedural volumes were evaluated according to hospital size, location, control/ownership, geogr...
Source: Journal of Stroke and Cerebrovascular Diseases - September 27, 2012 Category: Neurology Authors: Peter Adamczyk, Frank Attenello, Ge Wen, Shuhan He, Jonathan Russin, Nerses Sanossian, Arun Paul Amar, William J. Mack Tags: Original Articles 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

Using Routine Data for Quality Assessment in NeuroNet Telestroke Care
Background: Systematic clinical trials are often unavailable to evaluate and optimize operational telestroke networks. In a complementary approach, readily available routine clinical data were analyzed in this study to evaluate the effect of a telestroke network over a 4-year period.Methods: Routine clinical data from the HELIOS hospital information system were compared before and after implementation of the NeuroNet concept, including neurologic acute stroke teleconsultations, standard operating procedures, and peer review quality management in 3 hospital cohorts: 5 comprehensive stroke centers, 5 NeuroNet hospitals, and ...
Source: Journal of Stroke and Cerebrovascular Diseases - February 24, 2012 Category: Neurology Authors: Stephan Theiss, Franziska Günzel, Anna Storm, Patrick Hausn, Stefan Isenmann, Joachim Klisch, Guntram W. Ickenstein, NeuroNet network Tags: Original Articles Source Type: research

Pineal Calcification Is Associated with Symptomatic Cerebral Infarction
Conclusions: Pineal calcification may be a potential new contributor to cerebral infarction.
Source: Journal of Stroke and Cerebrovascular Diseases - February 22, 2013 Category: Neurology Authors: Amnat Kitkhuandee, Kittisak Sawanyawisuth, Nutjaree Pratheepawanit Johns, Jaturat Kanpittaya, Jeffrey Johns Tags: Original Articles Source Type: research

Diagnosis of Spontaneous Cervical Artery Dissection May Be Associated with Increased Prevalence of Posttraumatic Stress Disorder
Background: Receiving information that one has a dissected cervical artery, which can cause a stroke at any time, is obviously traumatic, but details about the psychiatric and psychosocial sequelae are not known. We investigated the prevalence of and risk factors for posttraumatic stress disorder (PTSD) in patients with spontaneous cervical artery dissection (CD) and the impact of PTSD on their psychosocial functioning.Methods: Patients admitted because of CD between 2006 and 2010 were retrospectively examined using a diagnostic PTSD measure (Posttraumatic Diagnostic Scale). Patients between 2011 and 2012 were examined pro...
Source: Journal of Stroke and Cerebrovascular Diseases - July 12, 2013 Category: Neurology Authors: Verena Speck, Adam Noble, Rainer Kollmar, Thomas Schenk Tags: Original Articles Source Type: research

Response to ‘Recession of Microsurgical Clipping in the Modern Era of Intracranial Aneurysm Treatment’
National Inpatient Sample is a database that is based on data derived from 20% of hospitals in United States and then generates national estimates using appropriate sampling weights according to Healthcare Cost and Utilization Project recommendations (https://www.hcup-us.ahrq.gov/). These hospitals are randomly selected to represent different types (teaching vs. nonteaching), size (small, medium, and large), and geographic regions of United States to provide a nationally representative sample. Consequently, the numbers provided are national estimates but not actual numbers.
Source: Journal of Stroke and Cerebrovascular Diseases - September 26, 2014 Category: Neurology Authors: Farhan Siddiq, Adil Malik, Adnan I. Qureshi Tags: Letter to the Editor Source Type: research

Thrombolysis Alert in Hassan II University Teaching Hospital of Fez (Morocco): A Prospective Study of 2 Years
Thrombolysis alert (TA) is a procedure triggered every time a patient consults for sudden focal neurological deficit within 4.5 hours.
Source: Journal of Stroke and Cerebrovascular Diseases - December 29, 2017 Category: Neurology Authors: Moussa Toudou Daouda, Siham Bouchal, Naima Chtaou, Aouatef Midaoui, Zouahyr Souirti, Faouzi Belahsen Source Type: research

Using Objective Structured Clinical Exams (OSCE) to Teach Neurology Residents to Disclose Prognosis after Hypoxic Ischemic Brain Injury
Neurologists need to be adept at disclosing prognosis and breaking bad news. Objective structured clinical examinations (OSCE) allow trainees to practice these skills.
Source: Journal of Stroke and Cerebrovascular Diseases - May 11, 2021 Category: Neurology Authors: Elizabeth Carroll, Aaron Nelson, Arielle Kurzweil, Sondra Zabar, Ariane Lewis Source Type: research

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