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Source: Journal of Stroke and Cerebrovascular Diseases
Management: Hospitals
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Total 564 results found since Jan 2013.
Exploring the relationship between Air Quality and Ischemic Stroke Admissions during the COVID-19 pandemic
Amongst all the global catastrophe due to Coronavirus disease 2019, a significant bright spot is a reduction in air pollution as countries undergo lockdowns to limit the spread of infection. Another reduction that has been reported is in the number of strokes presenting to hospitals, despite the virus implicated in causing a hypercoagulable state. Acute exposure to air pollution has been linked to increase in stroke incidence and the improvement in air quality may be responsible for the decrease in stroke presentations.
Source: Journal of Stroke and Cerebrovascular Diseases - May 9, 2021 Category: Neurology Authors: Sajid Hameed, Maria Khan, Zafar Fatmi, Mohammad Wasay Source Type: research
Glasgow Coma Scale ≤ 12 at Admission is a Predictor of Poor Functional Outcome (mRS 2–6) at One Year in Patients with Cerebral Venous Thrombosis
Cerebral venous thrombosis (CVT) is a relatively uncommon cause of stroke with reported annual incidence of 0.2 –1.57 per hundred thousand population.1 Although the exact incidence of the disease in India is not known it is believed to be more common than western population especially in the young. It may occur in as much as 15–20% of all strokes occurring in age less than 40 years.2 The mean age in a lar ge series from India was around 30 years.3 Over the last few decades, the mortality rates of CVT have declined to around 4–5% due to improved diagnostic imaging, better therapeutics, and hospital care.
Source: Journal of Stroke and Cerebrovascular Diseases - April 26, 2021 Category: Neurology Authors: Salil Gupta, Rahul Soni, Pawan Dhull, Manoj Somasekharan, Amit Sreen Source Type: research
Development of a Scoring System to Predict Prolonged Post-Stroke Dysphagia Remaining at Discharge from a Subacute Care Hospital to the Home
Stroke is the second-leading cause of death worldwide.1 One of the major post-stroke disabilities is dysphagia, which occurs in up to 80% of stroke patients.2,3 Post-stroke dysphagia is associated with not only physical problems (malnutrition, dehydration, and mortality)2 but also social and psychological well-being.4,5 Therefore, it is important to anticipate and intervene post-stroke dysphagia in the early stages and to share the predicted risk of long-term dysphagia among multidisciplinary professionals (e.g., physicians, nurses, physical therapists) and patient's families.
Source: Journal of Stroke and Cerebrovascular Diseases - April 24, 2021 Category: Neurology Authors: Yukiko Ito, Tadahiro Goto, Ji Young Huh, Osamu Yamamura, Tadanori Hamano, Ken-Ichiro Kikuta, Hiroyuki Hayashi Source Type: research
Pre-Hospital Diagnosis in Mobile Stroke Unit
Mobile stroke unit (MSU) has been shown to rapidly provide pre-hospital thrombolysis in acute ischemic stroke (AIS). MSU encounters neurological disorders other than AIS that require emergent treatment.
Source: Journal of Stroke and Cerebrovascular Diseases - April 17, 2021 Category: Neurology Authors: Ramnath Santosh Ramanathan, Dolora Wisco, Daniel Vela-Duarte, Atif Zafar, Ather Taqui, Stacey Winners, A Blake Buletko, Fredrick Hustey, Andrew Reimer, Andrew Russman, Ken Uchino, M Shazam Hussain Source Type: research
Cerebral Venous Thrombosis in Sub-Saharan Africa: A Systematic Review
The global clinical epidemiology of cerebral venous thrombosis (CVT) is well described in high-income countries1,2 and in some middle-income countries, where hospital-based case series,3,4 suggest that the frequency of CVT is probably higher than in high-income countries. The clinical epidemiology of CVT in World zones composed predominantly by low-income countries, such as Sub-Saharan Africa, is almost unknown.
Source: Journal of Stroke and Cerebrovascular Diseases - March 31, 2021 Category: Neurology Authors: Yanina Baduro, Jos é M Ferro Source Type: research
Total Transfer Time for Ground vs. Air Transport for Interhospital and Scene Transfers of Acute Stroke Patients
Stroke patients are frequently transported to a comprehensive stroke center for treatment, either from a regional hospital via interhospital transfer or from the field via direct-from-scene transfer, by air or ground transportation. We sought to determine whether air or ground transport was faster in both transfer circumstances.
Source: Journal of Stroke and Cerebrovascular Diseases - March 18, 2021 Category: Neurology Authors: Sameer A. Kunte, Drew Anderson, Kiersten Brown-Espaillat, Michael T. Froehler Source Type: research
Age-Related Disparities in the Quality of Stroke Care and Outcomes in Rehabilitation Hospitals: The Australian National Audit
Stroke is a life-changing event affecting survivors, their families, communities and workplaces. About 75% of strokes occur in people 65 years or older,1 but the incidence is increasing in those aged 20-64,2,3 during the most productive years of people's live. This contributes substantially to the social and economic burden of stroke to society.2,4 Specialist inpatient rehabilitation is cost effective in working age adults, even with complex neurological conditions such as stroke.5 The characteristics and rehabilitative needs often differ between younger and older survivors of stroke.
Source: Journal of Stroke and Cerebrovascular Diseases - March 16, 2021 Category: Neurology Authors: Tara Purvis, Isobel J Hubbard, Dominique A Cadilhac, Kelvin Hill, Justine Watkins, Natasha A. Lannin, Steven G Faux, Monique F Kilkenny Source Type: research
Coronavirus disease-19 (COVID-19) related acute stroke causing Transient Global Amnesia
Transient global amnesia (TGA) presents as an acute anterograde amnesia that generally resolves within 24 hrs.1 Werner et al. had noted increasing TGA since severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) outbreak in their hospital in Germany and reported 16 patients with TGA between February 1st and May 15th 2020 compared to their 10-year average of 9.72 In our series we noted 2 patients who presented with TGA secondary to acute hippocampal stroke in COVID-19 positive patients.
Source: Journal of Stroke and Cerebrovascular Diseases - March 5, 2021 Category: Neurology Authors: Ramnath Santosh Ramanathan, Ari Wachsman Source Type: research
Stroke Mortality Outcomes in Uganda
The objective of this study was to capture 30-day mortality outcomes in patients presenting with acute and subacute stroke to Mbarara Regional Referral Hospital (MRRH) in Uganda.
Source: Journal of Stroke and Cerebrovascular Diseases - March 5, 2021 Category: Neurology Authors: Sam Olum, Anthony Muyingo, Tony L. Wilson, Bart M. Demaerschalk, Joseph M. Hoxworth, Nan Zhang, Joseph G. Hentz, Amir Abdallah, Adrian Kayanja, Maria I. Aguilar, Cumara B. O'Carroll Source Type: research
Risk of Early Bleeding with Dual Antiplatelet Therapy in Acute Stroke and Transient Ischemic Attack Regardless of NIHSS Admission
Background: Dual antiplatelet therapy (DAT) is a therapeutic option for patients with minor ischemic stroke (IS) or transient ischemic attack (TIA). No study has evaluated the incidence of early bleeding in patients with moderate to major ischemic stroke. The current study aimed to analyze both the frequency of early bleeding and hospital morbidity related to DAT for either acute IS or TIA regardless of admission National Institute of Health Stroke Scale (NIHSS) score. Methods: This was a retrospective analysis based on data collected from a prospective data bank of a single center.
Source: Journal of Stroke and Cerebrovascular Diseases - March 4, 2021 Category: Neurology Authors: Valeria Cristina Scavasine, Rubens Mendes Barbosa, Francisco Diego Negrao Lopes Neto, Francisco Manoel Branco Germininani, Rodrigo Bazan, Viviane Flumignan Z étola, Ayrton Roberto Massaro, Marcos Christiano Lange Source Type: research
Glycemic Gap Predicts in-Hospital Mortality in Diabetic Patients with Intracerebral Hemorrhage
The relationship between admission hyperglycemia and intracerebral hemorrhage (ICH) outcome remains controversial. Glycemic gap (GG) is a superior indicator of glucose homeostatic response to physical stress compared to admission glucose levels. We aimed to evaluate the association between GG and in-hospital mortality in ICH.
Source: Journal of Stroke and Cerebrovascular Diseases - February 24, 2021 Category: Neurology Authors: Elaheh Zarean, Simona Lattanzi, Mehdi Azizmohammad Looha, Mario Di Napoli, Sherry H-Y Chou, Alibay Jafarli, Michel Torbey, Afshin A Divani Source Type: research
Decision-Making on Referral to Primary Care Physiotherapy After Inpatient Stroke Rehabilitation
Worldwide, stroke is a leading cause of death and disability.1 Although incidence rates are expected to increase over the next few decades, survival rates are expected to improve. Consequently, more stroke survivors will have to learn to live with the consequences. After acute stroke care or rehabilitation, returning home is one of the primary goals for stroke survivors.2 In the Netherlands, 65 % of stroke survivors return home immediately after acute hospital care.3 The remaining 35% continue inpatient rehabilitation in a rehabilitation center (RC) or geriatric rehabilitation center (GRC) before returning home.
Source: Journal of Stroke and Cerebrovascular Diseases - February 23, 2021 Category: Neurology Authors: Marieke Geerars, Roderick Wondergem, Martijn F. Pisters Source Type: research
Efficacy and Safety of the Telestroke Drip-And-Stay Model: A Systematic Review and Meta-Analysis
To compare outcomes between two models of acute ischemic stroke care. Namely 1) “drip-and-stay”, i.e. IV tissue plasminogen activator (tPA) administered at a spoke hospital in a telestroke network, with the patient remaining at the spoke, versus 2) “drip-and-ship”, i.e. tPA administered at a spoke hospital with subsequent patient transfer to a hub hospital, and 3) “hu b”, i.e. tPA and subsequent treatment at a hub hospital.
Source: Journal of Stroke and Cerebrovascular Diseases - February 2, 2021 Category: Neurology Authors: Hena Waseem, Yasir A. Salih, Charles P. Burney, Mark A. Abel, Natalie Riblet, Anthony Kim, Nathaniel Robbins Source Type: research
Analysis of Mechanical Thrombectomy for Acute Ischemic Stroke on Nights and Weekends Versus Weekdays at Comprehensive Stroke Centers
Treatment of patients outside of normal full-staffing hours has been associated with worse outcomes in multiple medical and surgical conditions [1-4]. Termed the “weekend effect,” such poorer outcomes are presumably due to fewer in-hospital personnel and resources during off-hours [2]. While poorer outcomes have been demonstrated in the treatment of patients presenting with acute ischemic stroke (AIS) on nights/weekends versus weekdays [5-9], the develop ment of comprehensive stroke centers (CSCs) with continuous coverage by stroke neurology, neurointerventional surgery, neurosurgery, and neurocritical care specialists...
Source: Journal of Stroke and Cerebrovascular Diseases - January 28, 2021 Category: Neurology Authors: Matthew B. Potts, Ramez N. Abdalla, Pedram Golnari, Madhav Sukumaran, Aaron H. Palmer, Michael C. Hurley, Ali Shaibani, Babak S. Jahromi, Sameer A. Ansari Source Type: research
A Triage Model for Interhospital Transfers of Low Risk Intracerebral Hemorrhage Patients
Spontaneous intracerebral hemorrhage (ICH) has an annual incidence of about 30 per 100,000 adults in the US and continues to carry a high morbidity and mortality.1,2 ICH is a dynamic condition with up to one-third of patients having neurologic deterioration after presentation.3,4 Despite paucity of ICH-specific therapies to improve outcomes, some data suggest that management in specialized neurocritical care units reduces mortality.5 Further, the 2015 American Heart Association (AHA) guidelines recommend acute treatment of ICH at tertiary care centers with “neurology, neuroradiology, neurosurgery, and critical care facil...
Source: Journal of Stroke and Cerebrovascular Diseases - January 19, 2021 Category: Neurology Authors: Safa Kaleem, Michael W. Lutz, Christian E. Hernandez, Jennifer H. Kang, Michael L. James, Keith E. Dombrowski, Christa B. Swisher, Joshua D. VanDerWerf Source Type: research
