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Update on Intensive Care Unit Management of Stroke
Anasthesiol Intensivmed Notfallmed Schmerzther. 2022 Mar;57(3):222-229. doi: 10.1055/a-1374-1932. Epub 2022 Mar 23.ABSTRACTIn this review, we provide an update on the intensive care unit (ICU) management of ischemic stroke. Over the last decade, new evidence has led to rapid changes in the early management of patients admitted with acute ischemic stroke. Nevertheless, stroke remains a leading cause of disability. Consequently, a significant number of patients with acute ischemic stroke require ICU level care. The most frequent reasons for ICU admissions are large infarction with potential swelling, reduced level of conscio...
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - March 23, 2022 Category: Intensive Care Authors: Farid Salih Alexandra Becker Nicolai Andrees Hannah Tempel Source Type: research

Predictive Factors for Oral Intake Recovery After Acute Stroke: Analysis of a Japanese Nationwide Inpatient Database
ConclusionThis study identified several prognostic factors for total oral intake in patients with acute stroke. These results may be useful for predicting a patient ’s dysphagia prognosis at the time of admission and designing a nutritional management plan for patients with acute stroke.
Source: Dysphagia - February 26, 2022 Category: Speech-Language Pathology Source Type: research

Various effects of nutritional status on clinical outcomes after intracerebral hemorrhage
AbstractAlthough the assessment of nutrition is essential for stroke patients, detailed associations between nutritional status at admission, subsequent complications, and clinical outcomes in patients with acute intracerebral hemorrhage (ICH) are unclear. We aimed to elucidate these associations using the Controlling Nutritional Status (CONUT) score. Consecutive patients with acute ICH were investigated. Nutritional status was evaluated using the CONUT score, calculated from the serum albumin level, lymphocyte count, and total cholesterol level. Subsequent complications, such as hemorrhage expansion (HE) during the acute ...
Source: Internal and Emergency Medicine - December 1, 2021 Category: Emergency Medicine Source Type: research

IJERPH, Vol. 18, Pages 11568: Particulate Air Pollution and Risk of Neuropsychiatric Outcomes. What We Breathe, Swallow, and Put on Our Skin Matters
to Ayala We appraise newly accumulated evidence of the impact of particle pollution on the brain, the portals of entry, the neural damage mechanisms, and ultimately the neurological and psychiatric outcomes statistically associated with exposures. PM pollution comes from natural and anthropogenic sources such as fossil fuel combustion, engineered nanoparticles (NP ≤ 100 nm), wildfires, and wood burning. We are all constantly exposed during normal daily activities to some level of particle pollution of various sizes—PM2.5 (≤2.5 µm), ultrafine PM (UFP ≤ 100 nm), or NPs. Inhalation, ingestion, and dermal absorpti...
Source: International Journal of Environmental Research and Public Health - November 3, 2021 Category: Environmental Health Authors: Lilian Calder ón-Garcidueñas Elijah W. Stommel Ravi Philip Rajkumar Partha S. Mukherjee Alberto Ayala Tags: Review Source Type: research

Evaluation of energy intake compared to indirect calorimetry requirements in critically ill patients with acute brain injury
CONCLUSION: In this population, patients had lower energy intake compared to their caloric needs determined by IC during the first 72 hours of admission but attained 7-day goals. Future studies should investigate barriers to improve caloric delivery in this patient population. This article is protected by copyright. All rights reserved.PMID:34665471 | DOI:10.1002/jpen.2282
Source: JPEN Journal Of Parenteral And Enteral Nutrition - October 19, 2021 Category: Nutrition Authors: Casey C May Emily A Harris Yousef Hannawi Keaton S Smetana Source Type: research

Impact of early protein provision on the mortality of acute critically ill stroke patients
CONCLUSIONS: Early protein provision during the first week is an independent predictor of short-term and long-term mortality in acute critically ill stroke patients.PMID:34582584 | DOI:10.1002/ncp.10768
Source: Nutrition in Clinical Practice - September 28, 2021 Category: Nutrition Authors: Dongmei Wang Zhenzhou Lin Ling Xie Kaibin Huang Zhong Ji Chunping Gu Shengnan Wang Source Type: research

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