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Source: Neurocritical Care

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Total 235 results found since Jan 2013.

Rural –Urban Disparities in Intracerebral Hemorrhage Mortality in the USA: Preliminary Findings from the National Inpatient Sample
ConclusionsDespite current efforts to reduce disparity in stroke care, ICH patients hospitalized in rural hospitals had two times the odds of dying compared to those in urban hospitals. In addition, the ICH mortality gap between rural and urban centers is increasing. Further studies are needed to identify and reverse the causes of this disparity.
Source: Neurocritical Care - May 31, 2020 Category: Neurology Source Type: research

Low-Intensity Monitoring After Stroke Thrombolysis During the COVID-19 Pandemic
Source: Neurocritical Care - June 7, 2020 Category: Neurology Source Type: research

Determining Optimal Mean Arterial Pressure After Cardiac Arrest: A Systematic Review
AbstractThe use of cerebral autoregulation monitoring to identify patient-specific optimal mean arterial pressure (MAPOPT) has emerged as a technique to augment cerebral oxygen delivery in post-cardiac arrest patients. Our systematic review aims to determine (a) the average MAPOPT in these patients, (b) the feasibility of identifying MAPOPT, (c) the brain tissue oxygenation levels when MAP is  within proximity to the MAPOPT and (d) the relationship between neurological outcome and MAPOPT-targeted resuscitation strategies. We carried out this review in accordance with the PRISMA guidelines. We included all studies that use...
Source: Neurocritical Care - June 21, 2020 Category: Neurology Source Type: research

Incidence and Risk Factors for Silent Brain Infarction After On-Pump Cardiac Surgery: A Meta-analysis and Meta-regression of 29 Prospective Cohort Studies
ConclusionFrom the meta-regression, we concluded that advanced age and diabetes were related to increased SBI incidence after on-pump cardiac surgery, while CABG procedure alone was associated with less SBI onset. Studies with more accurate diagnoses of SBI are required to add more conclusive evidence to the field.
Source: Neurocritical Care - July 8, 2020 Category: Neurology Source Type: research

A Model for Prediction of In-Hospital Mortality in Patients with Subarachnoid Hemorrhage
ConclusionsIn addition to the conventional risk factors for in-hospital mortality, in our study, mortality was associated with the presence of coma at onset of the condition, the physiological variables assessed by means of the APACHE II scale within the first 24  h, and the total SOFA score on day 0. A simple prediction model of mortality was developed with novel parameters assessed on admission, which also assessed organ failure and did not require a previous etiological diagnosis.
Source: Neurocritical Care - July 14, 2020 Category: Neurology Source Type: research

Early Consciousness Disorder in Acute Large Hemispheric Infarction: An Analysis Based on Quantitative EEG and Brain Network Characteristics
ConclusionIn patients with LHI, higher levels of consciousness were associated with more alpha and beta oscillations and fewer delta and theta oscillations. Higher ApEn, PeEn, total brain connectivity, and small-worldness and a wider signal distribution range corresponded to a higher consciousness level.
Source: Neurocritical Care - July 22, 2020 Category: Neurology Source Type: research

Cerebral Microembolism in Intracerebral Hemorrhage: A Prospective Case –Control Study
ConclusionMicro-embolic signals occur in over one-third of patients with ICH. Further research is needed to identify the sources of cerebral microembolism and their relationship with small acute infarcts in ICH.
Source: Neurocritical Care - August 6, 2020 Category: Neurology Source Type: research

Use of a Novel Negative-Pressure Tent During Bedside Tracheostomy in COVID-19 Patients
ConclusionsIt is feasible to perform PDT on intubated COVID-19 patients using the AerosolVE negative-pressure tent. This is a promising low-cost device to decrease risk to healthcare providers during AGPs.
Source: Neurocritical Care - August 6, 2020 Category: Neurology Source Type: research

Brain abscess complicating venous ischemic stroke: a rare occurrence
Source: Neurocritical Care - August 12, 2020 Category: Neurology Source Type: research

Liver Fibrosis and Perihematomal Edema Growth in Primary Intracerebral Hemorrhage
ConclusionsIn a multicenter cohort of patients with primary intracerebral hemorrhage, a liver fibrosis score was not associated with PHE volume or growth.
Source: Neurocritical Care - August 16, 2020 Category: Neurology Source Type: research

Outcomes After Tracheostomy in Patients with Severe Acute Brain Injury: A Systematic Review and Meta-Analysis
ConclusionsOur findings suggest that about one in three patients with SABI who undergo tracheostomy may eventually achieve independence. Future research is needed to understand the reasons for the heterogeneity between studies and to identify those patients with promising outcomes as well as factors influencing outcome.
Source: Neurocritical Care - October 9, 2020 Category: Neurology Source Type: research

US Practitioner Attitudes Toward Tracheostomy Timing, Benefits, Risks, and Techniques for Severe Stroke Patients: A National Survey and National Inpatient Sample Analysis
Source: Neurocritical Care - October 22, 2020 Category: Neurology Source Type: research

The Modified Fisher Scale Lacks Interrater Reliability
ConclusionsAgreement among raters in grading the mFS is only moderate. Online training tools could be developed to improve mFS reliability and standardize research in SAH.
Source: Neurocritical Care - November 16, 2020 Category: Neurology Source Type: research

Inactivated Four-Factor Prothrombin Complex Concentrate Dosing Practices for Reversal of Warfarin-Related Intracranial Hemorrhage
ConclusionsMost patients received single doses of I4F-PCC, with adjunctive reversal agents and rounding doses to vial size. The time difference from baseline INR to factor product administration is a potential opportunity for process improvement in the management of warfarin-related ICH.
Source: Neurocritical Care - November 20, 2020 Category: Neurology Source Type: research

Intracranial Reserve in Ischemic Stroke: Is the Skull Half-Full or Half-Empty?
Source: Neurocritical Care - December 1, 2020 Category: Neurology Source Type: research