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Dysphagia after ischemic and hemorrhagic stroke: A propensity-matched 20-year analysis of the national inpatient sample
Post-stroke dysphagia (PSD) is a common and debilitating complication of acute stroke associated with increased mortality and morbidity.1,2 Globally, 12.2 million strokes occur every year and 1 in 4 adults over the age of 25 will have a stroke within their lifetime.3 Of these, 87% of strokes are considered ischemic strokes (AIS) and 10% are hemorrhagic (ICH), both of which are associated with dysphagia as an adverse event.4 Recent studies have found that the prevalence of long-term PSD ranges from 42-50% and was an independent risk factor for prolonged hospital stay, institutionalization after discharge, poorer functional ...
Source: Journal of Stroke and Cerebrovascular Diseases - August 4, 2023 Category: Neurology Authors: Vikram Vasan, Trevor A. Hardigan, Muhammad Ali, Margaret Downes, Alex Devarajan, Christina P. Rossitto, Braxton R. Schuldt, Ian C. Odland, Christopher P. Kellner, Johanna T. Fifi, J. Mocco, Shahram Majidi Source Type: research

Associations between multiple sclerosis and in-hospital outcomes of patients with hemorrhagic stroke
To determine the influence of multiple sclerosis (MS) on in-hospital outcomes of patients with hemorrhagic strokes using a large, nationally representative database.
Source: Journal of Stroke and Cerebrovascular Diseases - July 29, 2023 Category: Neurology Authors: Weiguang Xu, Dajun Yan, Zeqian Ning Source Type: research

Hospital Discharge and Readmissions Before and During the COVID-19 Pandemic for California Acute Stroke Inpatients
Stroke is a leading cause of death and disability in the United States, with approximately 795,000 new strokes occurring annually, including acute ischemic stroke (AIS), intracerebral hemorrhage (ICH), and subarachnoid hemorrhage (SAH).1 The Coronavirus Disease 2019 (COVID-19) pandemic has impacted all levels of care for stroke patients, such as delays in initial presentation, reduction in acute therapies, limitations of in-patient resources, delays or lack of initiation of secondary stroke prevention therapy, and limitations in rehabilitation services after hospital discharge.
Source: Journal of Stroke and Cerebrovascular Diseases - June 23, 2023 Category: Neurology Authors: George P. Albert, Daryl C. McHugh, Debra E. Roberts, Adam G. Kelly, Remi Okwechime, Robert G. Holloway, Benjamin P. George Source Type: research

Time to ct scan imaging after symptom onset among ischeamic stroke patients presenting to a quaternary hospital in ghana
This study sought to determine the time of onset of symptoms to the time a CT imaging was done among patients presenting with acute stroke at the Korle-Bu Teaching Hospital.
Source: Journal of Stroke and Cerebrovascular Diseases - March 30, 2023 Category: Neurology Authors: F. Duodu, D. Brodie Mends, B. Agbinko-Djobalar, P. Pekyi-Boateng, M. Amerwornu, P Adjei, A Akpalu, K Nkromah Source Type: research

Using the ICH score during acute telestroke consults to triage transfer to tertiary centers
Constrained resources at tertiary centers indicate a need for re-exploration of the practice of routinely transferring all community hospital patients with complex conditions such as hemorrhagic stroke (ICH). We addressed the clinical question of whether information available during acute care telestroke consults could identify ICH patients not requiring specialty services or neurosurgical intervention who could safely remain at the local center for care.
Source: Journal of Stroke and Cerebrovascular Diseases - January 4, 2023 Category: Neurology Authors: Brad J. Kolls, Imran Farooqui, Evangeline Arulraja, Lorie Ann Meek, Alok K. Sahgal Source Type: research

Association of asymptomatic cerebral vasospasm with outcomes in survivors of aneurysmal subarachnoid hemorrhage
Cerebral vasospasm (cVSP) is a common complication in aneurysmal subarachnoid hemorrhage (aSAH) and is associated with worse outcomes. However, clinical significance of asymptomatic cVSP is poorly understood. We sought to determine the association of asymptomatic cVSP with functional outcome and hospital length of stay (LOS).
Source: Journal of Stroke and Cerebrovascular Diseases - October 12, 2022 Category: Neurology Authors: Alizeh Shamshad, Elijah M. Persad-Paisley, Linda C. Wendell, Bradford B. Thompson, Michael E. Reznik, Karen L. Furie, Ali Mahta Source Type: research

Time to hospital presentation following intracerebral haemorrhage: Proportion of patients presenting within eight hours and factors associated with delayed presentation
Prolonged time to diagnosis of primary intracerebral haemorrhage (ICH) can result in delays in obtaining appropriate blood pressure control, reversal of coagulopathy or surgical intervention in select cases. We sought to characterise the time to diagnosis in a cohort of patients with ICH and identify factors associated with delayed diagnosis.
Source: Journal of Stroke and Cerebrovascular Diseases - September 20, 2022 Category: Neurology Authors: Christopher Dillon Ovenden, Joseph Hewitt, Joshua Kovoor, Aashray Gupta, Suzanne Edwards, Amal Abou-Hamden, Timothy Kleinig Source Type: research

Neutrophil-to-Lymphocyte Ratio Predicts in-Hospital Mortality in Intracerebral Hemorrhage
Intracerebral hemorrhage is one of the world's three most lethal and disabling diseases, which is the second most common kind of stroke and imposes enormous health, economic and social burdens.1-3 Although clinical examination and neuroimaging are available to assess the severity and progression of intracerebral hemorrhage, more reliable indicators are needed to predict the outcome.4,5 Due to the essential role of inflammatory factors in the development of intracerebral hemorrhage, it has attracted increasing attention as a peripheral biomarker for predicting early mortality in patients with intracerebral hemorrhage.
Source: Journal of Stroke and Cerebrovascular Diseases - June 30, 2022 Category: Neurology Authors: Li Li, Hang Zhang, Gui-long Feng Source Type: research

Scoring System to Predict Hospital Outcome After Subarachnoid Hemorrhage –Incorporating Systemic Response: The CRIG Score
Aneurysmal subarachnoid hemorrhage (aSAH) causes acute brain injury by deranging brain's microenvironment and has several systemic effects.1 Deleterious effects of acute brain injury after aSAH are manifested locally as early brain injury (EBI) and delayed cerebral ischemia (DCI).1 Pathological events like EBI and DCI both contribute to morbidity and mortality associated with aSAH. These local physiological derangements are difficult to study in vivo in humans and hence, investigators often rely on serological biomarkers to predict EBI and DCI after aSAH.
Source: Journal of Stroke and Cerebrovascular Diseases - May 24, 2022 Category: Neurology Authors: Mausaminben Y. Hathidara, Yesica Campos, Swathy Chandrashekhar, Chao Xu, DaiWai M. Olson, Aardhra Venkatachalam, Bappaditya Ray Source Type: research

National Institutes of Health Stroke Scale Correlates Well with Initial Intracerebral Hemorrhage Volume
The US Centers for Medicare and Medicaid Services (CMS) currently publicly reports hospital-quality, risk-adjusted mortality measure for ischemic stroke but not intracerebral hemorrhage (ICH). The NIHSS, which is captured in CMS administrative claims data, is a candidate metric for use in ICH risk adjustment and has been shown to predict clinical outcome with accuracy similar to the ICH Score. Correlation between early NIHSS and initial ICH volume would further support use of the NIHSS for ICH risk adjustment.
Source: Journal of Stroke and Cerebrovascular Diseases - February 10, 2022 Category: Neurology Authors: Salman Farooq, Kristina Shkirkova, Pablo Villablanca, Nerses Sanossian, David S. Liebeskind, Sidney Starkman, Gilda Avila, Latisha Sharma, May Kim-Tenser, Suzie Gasparian, Marc Eckstein, Robin Conwit, Scott Hamilton, Jeffrey L. Saver Tags: Original Article Source Type: research

Transition in Incidence Rate of Hospitalised Stroke and Case Fatality Rate in the Hunter Region, Australia, 2001-2019: A Prospective Hospital-Based Study
Introduction: Continuous surveillance of stroke admissions has been conducted in the Hunter region, Australia, over the past two decades. We aimed to describe the trends in incidence rates of hospitalised stroke and case-fatality rates in this region, 2001-2019. Methods: From a hospital-based stroke registry, data for admitted adult stroke patients residing in the Hunter region were collected using ICD-10 codes for ischemic and haemorrhagic stroke. Negative binomial regression and logistic regression analysis were used to analyse trends for age-standardised and age-specific incidence rates of hospitalised stroke and 28-day...
Source: Journal of Stroke and Cerebrovascular Diseases - February 3, 2022 Category: Neurology Authors: Yumi Tomari Kashida, Thomas Lillicrap, Rhonda Walker, Elizabeth Holliday, Md Golam Hasnain, Shinya Tomari, Carlos Garcia-Esperon, Jennifer J. Majersik, Neil J. Spratt, Christopher Levi Source Type: research

Whole-Brain Permeability Analysis on Admission Improves Prediction of Delayed Cerebral Ischemia Following Aneurysmal Subarachnoid Hemorrhage
Aneurysmal subarachnoid hemorrhage (aSAH) is a subtype of hemorrhagic stroke with significant morbidity and mortality.1 Delayed cerebral ischemia (DCI), one of the most feared complications of aSAH, mostly occurs within 4-14 days (termed the DCI time window, DCITW) in approximately 30-40% of survivors of initial aneurysmal rupture and is a major contributor to subsequent death, poor function outcome, and prolonged stay in the intensive care unit and hospital,2,3 Prediction of the occurrence of DCI as early and precisely as possible is essential to improving the outcome of patients with aSAH.
Source: Journal of Stroke and Cerebrovascular Diseases - January 27, 2022 Category: Neurology Authors: Chao Zhang, Lei Feng, Feng You, Xintong Zhao, Xinggen Fang, Yunfeng Zhou Source Type: research

Posterior Communicating Artery Hypoplasia: A Risk Factor for Vertebral Artery Dissection Causing Subarachnoid Hemorrhage
Subarachnoid hemorrhage due to vertebral artery dissection is often fatal; however, its anatomical predictors remain unclear. We conducted a retrospective hospital-based case-control study to evaluate whether variations in the posterior communicating artery are associated with the risk of vertebral artery dissection with subarachnoid hemorrhage.
Source: Journal of Stroke and Cerebrovascular Diseases - November 26, 2021 Category: Neurology Authors: Kenichi Ariyada, Keita Shibahashi, Naoshi Fujika, Yuya Sakakura, Kazuo Hanakawa, Masahiko Murao Source Type: research

National Trends in Transfer of Patients with Primary Intracerebral Hemorrhage: An Analysis of 12-Year Nationwide Data
In this study, we explored the national trends in transferred intracerebral hemorrhage hospitalizations, as well as evaluated the differences, in terms of demographic characteristics, co-morbidity, resource utilization, and outcomes, between transferred intracerebral hemorrhage hospitalizations and directly admitted hospitalizations.
Source: Journal of Stroke and Cerebrovascular Diseases - September 22, 2021 Category: Neurology Authors: Abdulaziz T. Bako, Arvind Bambhroliya, Jennifer Meeks, Alan Pan, Thomas Potter, Nneka Ifejika, Farhaan S. Vahidy Source Type: research

Admission Lymphocytopenia is Associated with Urinary Tract Infection and Nosocomial Infections in Hemorrhagic Stroke
This study investigates the relationship between LOA and nosocomial infections in a cohort of patients with ICH in a safety-net hospital.
Source: Journal of Stroke and Cerebrovascular Diseases - September 3, 2021 Category: Neurology Authors: Thiago Carneiro, William Spears, Jessica LeClair, Taylor Mahoney, Courtney Takahashi, Anna Cervantes-Arslanian Source Type: research

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