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Total 370 results found since Jan 2013.

Abnormal electrocardiogram T  wave pattern in ischaemic stroke
Neth Heart J. 2022 May 3. doi: 10.1007/s12471-022-01690-y. Online ahead of print.NO ABSTRACTPMID:35503399 | DOI:10.1007/s12471-022-01690-y
Source: Netherlands Heart Journal - May 3, 2022 Category: Cardiology Authors: C Soares M Temtem A S á R Rodrigues Source Type: research

Minimally Invasive Surgery for Spontaneous Intracerebral Hematoma. Real-Life Implementation Model and Economic Estimation
ConclusionAround 12–43% of patients admitted to hospital with spontaneous hemorrhagic stroke could be potential candidates to MIS early evacuation of the cerebral hematoma. In our real-life implementation model, the cost-utility analysis favored the neuroendoscopic evacuation over the catheter aspiration technique. Further studies are advisable as new data from the ongoing randomized trials becomes available.
Source: Frontiers in Neurology - May 2, 2022 Category: Neurology Source Type: research

Contemporary Review on Craniectomy and Cranioplasty; Part 1: Decompressive Craniectomy
This paper aims to review clinical benefits of decompressive craniectomy (DC) in both adult and paediatric populations; its indications and factors contributing to its postoperative success. The Glasgow Outcome Scale and the Modified Rankin Scale are the most commonly used scales to assess the long-term outcome in patients post DC. In adult traumatic brain injury patients, 2 randomized clinical trials were carried out; DECRA (Decompressive Craniectomy in Diffuse Traumatic Brain Injury) and RESCUEicp (Randomised Evaluation of Surgery with Craniectomy for Uncontrollable Elevation of inter cranial pressure) employing collecti...
Source: Journal of Craniofacial Surgery - May 1, 2022 Category: Surgery Tags: Clinical Studies Source Type: research

The transferability and validity of a population-level simulation model for the economic evaluation of interventions in diabetes: the MICADO model
ConclusionsThe transferability of the MICADO model varied by event and per cohort. Additional adjustments improved prediction of events for MICADO. To ensure a valid model in a new setting it is imperative to assess the impact of adjustments in terms of model accuracy, even when this involves the same country, but a new time period.
Source: Acta Diabetologica - April 21, 2022 Category: Endocrinology Source Type: research

Expediting workflow in the acute stroke pathway for endovascular thrombectomy in the northern Netherlands: a simulation model
Conclusions In our region, the proposed workflow improvements might reduce time to treatment by about 1 hour and increase the number of patients regaining functional independence by 6%. Simulation modelling is useful for assessing the potential effects of interventions aimed at reducing time from onset to EVT.
Source: BMJ Open - April 6, 2022 Category: General Medicine Authors: Maas, W. J., Lahr, M. M. H., Uyttenboogaart, M., Buskens, E., van der Zee, D.-J., On behalf of CONTRAST investigators Tags: Open access, Neurology Source Type: research

Visit-to-visit blood pressure variability and the risk of stroke in the Netherlands: A population-based cohort study
by Alis Heshmatollah, Yuan Ma, Lana Fani, Peter J. Koudstaal, M. Arfan Ikram, M. Kamran Ikram BackgroundApart from blood pressure level itself, variation in blood pressure has been implicated in the development of stroke in subgroups at high cardiovascular risk. We determined the association between visit-to-visit blood pressure variability and stroke risk in the general population, taking into account the size and direction of variation and several time intervals prior to stroke diagnosis. Methods and findingsFrom 1990 to 2016, we included 9,958 stroke-free participants of the population-based Rotterdam Study in the Nethe...
Source: PLoS Medicine - March 17, 2022 Category: Internal Medicine Authors: Alis Heshmatollah Source Type: research

The WOEST  2 registry : A prospective registry on antithrombotic therapy in atrial fibrillation patients undergoing percutaneous coronary intervention
CONCLUSIONS: Patients on combined oral anticoagulation and antiplatelet therapy undergoing PCI are elderly and have both a high bleeding and ischaemic risk. Over time, a NOAC plus clopidogrel became the preferred treatment. The rate of thrombotic and bleeding events was not significantly different between patients on triple or dual therapy or between those on VKAs versus NOACs.PMID:35230636 | DOI:10.1007/s12471-022-01664-0
Source: Netherlands Heart Journal - March 1, 2022 Category: Cardiology Authors: A J W M de Veer N Bennaghmouch W L Bor J P R Herrman M Vrolix M Meuwissen T Vandendriessche T Adriaenssens B de Bruyne M Magro W J M Dewilde J M Ten Berg Source Type: research

Cost-effectiveness of a photopethysmographic procedure for screening for atrial fibrillation in 6 European countries
ConclusionThe model results showed a strong dependence of the results on the country-specific costs for stroke treatment. The use of the investigated screening method is close to cost-neutral or cost-reducing in the Western European countries and Greece. In countries with low price levels, higher cost increases due to AF screening are to be expected. Lower costs of anticoagulation, which are expected due to the upcoming patent expiry of direct anticoagulants, have a positive effect on the cost result.
Source: Health Economics Review - February 26, 2022 Category: International Medicine & Public Health Source Type: research

Changes in demographics, treatment and outcomes in a  consecutive cohort who underwent transcatheter aortic valve implantation between 2005 and 2020
CONCLUSION: Over our 15 years' experience, patient age remained unchanged but the patient risk profile became more favourable. Simplification of the TAVI procedure occurred in parallel with major improvement in outcomes and survival. Bleeding/vascular complications and the need for pacemaker implantation remain the Achilles' heel of TAVI.PMID:35212972 | DOI:10.1007/s12471-022-01662-2
Source: Netherlands Heart Journal - February 25, 2022 Category: Cardiology Authors: M J A G De Ronde-Tillmans R M Nuis J A Goudzwaard P A Cummins T W Hokken M P H Van Wiechen J F W Ooms J Daemen N M D A Van Mieghem F U S Mattace-Raso M J Lenzen P P T de Jaegere Source Type: research