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Condition: Hemorrhagic Stroke
Management: Electronic Medical Records (EMR)

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Total 44 results found since Jan 2013.

IJERPH, Vol. 17, Pages 618: Risk Factors Associated with Outcomes of Recombinant Tissue Plasminogen Activator Therapy in Patients with Acute Ischemic Stroke
eng Tsong-Hai Lee Ischemic stroke is the most common type of stroke, and early interventional treatment is associated with favorable outcomes. In the guidelines, thrombolytic therapy using recombinant tissue-type plasminogen activator (rt-PA) is recommended for eligible patients with acute ischemic stroke. However, the risk of hemorrhagic complications limits the use of rt-PA, and the risk factors for poor treatment outcomes need to be identified. To identify the risk factors associated with in-hospital poor outcomes in patients treated with rt-PA, we analyzed the electronic medical records of patients who were diagn...
Source: International Journal of Environmental Research and Public Health - January 17, 2020 Category: Environmental Health Authors: Yi-Ju Tseng Ru-Fang Hu Shin-Tyng Lee Yu-Li Lin Chien-Lung Hsu Shih-Wei Lin Chia-Wei Liou Jiann-Der Lee Tsung-I Peng Tsong-Hai Lee Tags: Article Source Type: research

Clinical outcomes of stroke in hemodialysis patients: a retrospective single-center study
ConclusionsStroke outcome in these patients is dismal with prolonged hospital stay, poor functional status at discharge, very limited response to rehabilitation, and increased mortality.
Source: International Urology and Nephrology - June 30, 2019 Category: Urology & Nephrology Source Type: research

Psychosis Polyrisk Score (PPS) for the Detection of Individuals At-Risk and the Prediction of Their Outcomes
Conclusions The combination of risk/protective factors encompassing genetic (PRS) and non-genetic information (PPS) holds promise for overcoming the epidemiological weakness of the CHR-P paradigm. The PPS conceptually and empirically developed here will facilitate future research in this field and hopefully advance our ability to detect individuals at-risk for psychosis and forecast their clinical outcomes. Ethics Statement This study was supported by the King's College London Confidence in Concept award from the Medical Research Council (MRC) (MC_PC_16048) to PF-P. This study also represents independent researc...
Source: Frontiers in Psychiatry - April 16, 2019 Category: Psychiatry Source Type: research

Depression Characterization and Race Among Stroke Survivors Receiving Inpatient Rehabilitation
Race and ethnicity play a significant role in poststroke outcomes. This brief report describes the presence of depression among stroke survivors who received inpatient rehabilitation and whether depression differs by race. Data from eRehabData and electronic medical records were analyzed for patients who received rehabilitation after an acute ischemic or hemorrhagic stroke. Of 1501 stroke patients, 61.3% were white, 33.9% were African American, and 4.8% were of other race/ethnic backgrounds. By retrospective clinical review, depression was documented for 29.7% of stroke patients. Premorbid versus new onset of poststroke de...
Source: American Journal of Physical Medicine and Rehabilitation - March 21, 2019 Category: Rehabilitation Tags: Brief Reports Source Type: research

Back to Basics: Adherence With Guidelines for Glucose and Temperature Control in an American Comprehensive Stroke Center Sample
Conclusion: Glucose and temperature control may be overlooked in this era of rapid stroke diagnosis and treatment. Acute stroke nurses are well positioned to assume leadership of glucose and temperature monitoring and treatment.
Source: Journal of Neuroscience Nursing - May 5, 2018 Category: Neuroscience Tags: Article Source Type: research

Validation of intracranial hemorrhage in the Norwegian Patient  Registry
ConclusionCoding of ICH discharge diagnoses in the NPR is of high quality, showing that data from this registry can safely be used for medical research. Administrative and clinical health registries are established to monitor and manage healthcare services. Data from these registries can be used in epidemiological studies as they are easily obtained, include high number of patients, and provide both high external validity and statistical power. However, in order to be useful in research, health registries need to have accurate diagnoses and sufficient coverage in the population they serve. We validated coding of intracran...
Source: Brain and Behavior - January 23, 2018 Category: Neurology Authors: Lise R. Øie, Mattis A. Madsbu, Charalampis Giannadakis, Anders Vorhaug, Heidi Jensberg, Øyvind Salvesen, Sasha Gulati Tags: ORIGINAL RESEARCH Source Type: research

Outcomes associated with warfarin time in therapeutic range among US veterans with nonvalvular atrial fibrillation.
CONCLUSIONS: The observed quality of warfarin control in VA EMR suggests room for improvement given the association with elevated risk of adverse clinical outcomes. PMID: 28945114 [PubMed - as supplied by publisher]
Source: Current Medical Research and Opinion - September 27, 2017 Category: Research Tags: Curr Med Res Opin Source Type: research

Abstract 150: Machine Learning Methodology Predicts Comorbidities are Associated With Increased Total Healthcare Costs Among Patients With Severe Peripheral Artery Disease Session Title: Poster Session II
Conclusion: In this study, the presence of chronic ulcers in the lower extremities and CKD were two factors most predictive of increased all-cause total HC in a geographically diverse population of severe PAD patients.
Source: Circulation: Cardiovascular Quality and Outcomes - March 31, 2017 Category: Cardiology Authors: Berger, J. S., Haskell, L., Ting, W., Lurie, F., Eapen, Z., Valko, M., Alas, V., Rich, K., Crivera, C., Schein, J. Tags: Session Title: Poster Session II Source Type: research

Role of the Stroke Unit in Reducing the Medical and Neurological Complications Post Stroke in Patient Admitted at Royal Hospital from 2009-2015 (P2.318)
CONCLUSIONS: Medical complications that follow acute stroke not only influence mortality but may influence functional outcome. Stroke patients who receive organized inpatient care in a stroke unit are less likely to be developing medical complications post strokeDisclosure: Dr. Al-Hashmi has nothing to disclose. Dr. Al-Saadi has nothing to disclose. Dr. Maheshwari has nothing to disclose. Dr. Almamari has nothing to disclose. Dr. Salunga has nothing to disclose. Dr. Marfil has nothing to disclose.
Source: Neurology - April 3, 2016 Category: Neurology Authors: Al-Hashmi, A., Al-Saadi, A., Maheshwari, H., Almamari, R., Salunga, C., Marfil, R. Tags: Stroke Systems of Care Source Type: research

Incidence of stroke and seizure in Alzheimer's disease dementia
Background: the objective of the study was to estimate and compare the incidence rates of ischaemic and haemorrhagic stroke and seizure among cohorts with and without Alzheimer's disease (AD) dementia. Methods: we conducted a retrospective cohort study using electronic medical records (EMRs) from primary care practices that participated in The Health Improvement Network (THIN) in the United Kingdom from 1 January 1990 to 31 July 2009. For each AD-dementia patient, we selected one general population control patient without AD-dementia matched to one AD-dementia patient on year of birth, sex and physician practice. Findings:...
Source: Age and Ageing - June 22, 2015 Category: Geriatrics Authors: Cook, M., Baker, N., Lanes, S., Bullock, R., Wentworth, C., Arrighi, H. M. Tags: Short Reports Source Type: research

Stroke Patterns and Short Term Mortality in Marijuana Users and Non-Users: A Cross-Sectional Study (P1.061)
CONCLUSIONS: Our findings suggest that the SAH patients have higher rate of positive THC test in urine than other stroke types. Marijuana use has no effect on post-stroke in-hospital mortality. Study Supported by: NoneDisclosure: Dr. Mittal has nothing to disclose. Dr. Adabala has nothing to disclose.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Mittal, M., Adabala, N. Tags: Cerebrovascular Disease and Interventional Neurology: Epidemiology Source Type: research

Prediction of intracerebral haemorrhage expansion with clinical, laboratory, pharmacologic, and noncontrast radiographic variables
ConclusionClinical and noncontrast radiographic variables only weakly predict hematoma expansion. Examination of other indicators, such as computed tomographic angiography contrast extravasation (the ‘spot sign’), may prove more valuable in acute intracerebral haemorrhage care.
Source: International Journal of Stroke - April 1, 2015 Category: Neurology Authors: Sheila Chan, Carol Conell, Kaivalya T. Veerina, Vivek A. Rao, Alexander C. Flint Tags: Research Source Type: research

Intraoperative Neurophysiologic Monitoring of Surgical and Endovascular Treatment of Pediatric Arteriovenous Malformations (S55.002)
CONCLUSIONS:Persistent IONM changes had a strong correlation with new post-operative deficits. Transient IONM changes, including those resolving after alterations in surgical management or pre-embolization methohexital testing, had a much lower risk of new deficits. Therefore, IONM can be a useful tool in pediatric AVM cases, not only in predicting neurological compromise, but also in identifying when to alter management.Study Supported by:N/ADisclosure: Dr. Nguyen has nothing to disclose. Dr. Avila has nothing to disclose. Dr. Lee has nothing to disclose. Dr. Cho has nothing to disclose. Dr. Le has nothing to disclose. Dr...
Source: Neurology - April 9, 2014 Category: Neurology Authors: Nguyen, V., Avila, S., Lee, L., Cho, S., Le, S., Lopez, J. Tags: Pediatric Stroke and Stroke in the Young Source Type: research

AUtomated Risk Assessment for Stroke in Atrial Fibrillation (AURAS-AF) - an automated software system to promote anticoagulation and reduce stroke risk: study protocol for a cluster randomised controlled trial
DiscussionAURAS-AF will investigate whether a simple intervention, using electronic primary care records, can improve OAC uptake in a high risk group for stroke. Given previous concerns about safety, especially surrounding inappropriate prescribing, we will also examine whether electronic reminders safely impact care in this clinical area.Trial registration: ISRCTN 55722437
Source: Trials - November 13, 2013 Category: Journals (General) Authors: Tim HoltDavid FitzmauriceTom MarshallMatthew FayNadeem QureshiAndrew DaltonF HobbsDaniel LassersonKaren KearleyJenny HislopJing Jin Source Type: research