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Source: International Journal of Stroke
Management: Hospitals
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Total 27 results found since Jan 2013.
Neurothrombectomy trial results: stroke systems, not just devices, make the difference
The overwhelming benefit demonstrated in the four recent randomized trials comparing intra‐arterial therapies to medical management alone will have a transformative effect on the emergent management of strokes throughout the world. New generation neurothrombectomy devices were critical to trial success, but not the sole driver of patient outcomes in these trials. Patients in the positive trials were treated at hospitals with complex, efficient, resource‐rich, team‐based stroke systems in place. To ensure attainment of trial results in actual practice, patients should receive treatment at facilities certified as havin...
Source: International Journal of Stroke - September 24, 2015 Category: Neurology Authors: J. Mocco, Kyle M. Fargen, Mayank Goyal, Elad I. Levy, Peter J. Mitchell, Bruce C. V. Campbell, Charles B. L. M. Majoie, Diederik W. J. Dippel, Pooja Khatri, Michael D. Hill, Jeffery L. Saver Tags: Leading opinion Source Type: research
Discharge educational strategies for reduction of vascular events (DESERVE): design and methods
DiscussionDESERVE will evaluate whether a novel discharge education strategy leads to improved risk factor control in a racially diverse population.
Source: International Journal of Stroke - September 9, 2015 Category: Neurology Authors: Aaron S. Lord, Heather M. Carman, Eric T. Roberts, Veronica Torrico, Emily Goldmann, Koto Ishida, Stanley Tuhrim, Joshua Stillman, Leigh W. Quarles, Bernadette Boden‐Albala Tags: Protocol Source Type: research
Stroke incidence: sensitivity of hospital data coding of acute stroke
Source: International Journal of Stroke - July 23, 2015 Category: Neurology Authors: Luke T. Sansom, Hawraman Ramadan Tags: Letter to the editor Source Type: research
Canadian Stroke Best Practice Recommendations: Mood, Cognition and Fatigue Following Stroke practice guidelines, update 2015
Every year, approximately 62 000 people with stroke and transient ischemic attack are treated in Canadian hospitals, and the evidence suggests one‐third or more will experience vascular‐cognitive impairment, and/or intractable fatigue, either alone or in combination. The 2015 update of the Canadian Stroke Best Practice Recommendations: Mood, Cognition and Fatigue Module guideline is a comprehensive summary of current evidence‐based recommendations for clinicians in a range of settings, who provide care to patients following stroke. The three consequences of stroke that are the focus of the this guideline (poststrok...
Source: International Journal of Stroke - June 29, 2015 Category: Neurology Authors: Gail A. Eskes, Krista L. Lanctôt, Nathan Herrmann, Patrice Lindsay, Mark Bayley, Laurie Bouvier, Deirdre Dawson, Sandra Egi, Elizabeth Gilchrist, Theresa Green, Gord Gubitz, Michael D. Hill, Tammy Hopper, Aisha Khan, Andrea King, Adam Kirton, Paige Moorh Tags: Guidelines Source Type: research
Combination of intracerebral haemorrhage and familial hypercholesterolemia in the acute hospital setting – a challenge for statin treatment?
It is estimated that worldwide, around 35 million people have familial hypercholesterolemia (FH). Thus, patients affected by the combination of FH and acute intracerebral hemorrhage (ICH) are not exceptional and neurologists should be prepared to encounter them. Despite a recent finding of beneficial association between statin use during hospitalization and improved outcomes, the increased risk of recurrent ICH in the long term may make clinicians avoid statins in patients with a history of ICH. However, discontinuing statins in patients with FH worsens cardiovascular outcomes and even increases all‐cause mortality. Acco...
Source: International Journal of Stroke - May 14, 2015 Category: Neurology Authors: Alpo Vuorio, Markku Kaste, Petri T. Kovanen Tags: Leading opinion Source Type: research
Countrywide stroke incidence, subtypes, management and outcome in a multiethnic Asian population: the Singapore Stroke Registry – methodology
DiscussionThe Registry has many features of an ‘ideal’ incidence study. Previously unavailable countrywide data on an Asian population will be acquired. The unique data on inter‐ethnic differences will help fill knowledge gaps in stroke epidemiology.
Source: International Journal of Stroke - March 1, 2015 Category: Neurology Authors: Narayanaswamy Venketasubramanian, Hui Meng Chang, Bernard Poon Lap Chan, Sherry H. Young, Keng He Kong, Kok Foo Tang, Yan Hoon Ang, Aftab Ahmad, Khuan Yew Chow, Tags: Protocol Source Type: research
Canadian Stroke Best Practice Recommendations: secondary prevention of stroke guidelines, update 2014
Every year, approximately 62 000 people with stroke and transient ischemic attack are treated in Canadian hospitals. The 2014 update of the Canadian Secondary Prevention of Stroke guideline is a comprehensive summary of current evidence‐based recommendations for clinicians in a range of settings, who provide care to patients following stroke. Notable changes in this 5th edition include an emphasis on treating the highest risk patients who present within 48 h of symptom onset with transient or persistent motor or speech symptoms, who need to be transported to the closest emergency department with capacity for advanced...
Source: International Journal of Stroke - December 23, 2014 Category: Neurology Authors: Shelagh B. Coutts, Theodore H. Wein, M. Patrice Lindsay, Brian Buck, Robert Cote, Paul Ellis, Norine Foley, Michael D. Hill, Sharon Jaspers, Albert Y. Jin, Brenda Kwiatkowski, Carolyn MacPhail, Dana McNamara‐Morse, Michael S. McMurtry, Tania Mysak, Andr Tags: Guidelines Source Type: research
Recent advances in TeleStroke: a systematic review on applications in prehospital management and Stroke Unit treatment or TeleStroke networking in developing countries
TeleStroke has become an increasing means to overcome shortage of stroke expertise in underserved areas. This rapidly growing field has triggered a large amount of publications in recent years. We aimed to analyze recent advances in the field of telemedicine for acute stroke, with main focus on prehospital management, Stroke Unit treatment and network implementations in developing countries. Out of 260 articles, 25 were selected for this systematic review: 9 regarding prehospital management, 14 regarding Stroke Unit treatment and 2 describing a network in developing countries. Prehospital management showed that stroke reco...
Source: International Journal of Stroke - November 10, 2014 Category: Neurology Authors: Gordian J. Hubert, Peter Müller‐Barna, Heinrich J. Audebert Tags: Review Source Type: research
Burden of stroke in Puerto Rico
Stroke is the fifth leading cause of death and the first cause of long‐term disability in Puerto Rico. Trained staff reviewed and independently validated the medical records of patients who had been hospitalized with possible stroke at any of the 20 largest hospitals located in Puerto Rico during 2007, 2009, and 2011. The mean age of the 5005 newly diagnosed stroke patients (51·2% female) was 70 years. At the time of hospitalization, women were 4½ years older, were less likely to be married (60·2% vs. 39·9%, P < 0·001), smoked less (5·8% vs. 13·4%, P < 0·001), and had significantly higher proportion...
Source: International Journal of Stroke - August 1, 2014 Category: Neurology Authors: J. C. Zevallos, F. Santiago, J. González, A. Rodríguez, L. Pericchi, R. Rodríguez‐Mercado, U. Nobo Tags: Panorama Source Type: research
Randomized controlled trial of a multipronged intervention to improve blood pressure control among stroke survivors in Nigeria
This study is designed to enhance the implementation and sustainability of secondary stroke‐preventive services following hospital discharge.
Aim/HypothesisThe primary study aim is to test whether a Chronic Care Model‐based initiative entitled the Tailored Hospital‐based Risk reduction to Impede Vascular Events after Stroke (THRIVES) significantly improves blood pressure control after stroke.
DesignThis prospective triple‐blind randomized controlled trial will include a cohort of 400 patients with a recent stroke discharged from four medical care facilities in Nigeria. The culturally sensitive, system‐appropriate...
Source: International Journal of Stroke - July 18, 2014 Category: Neurology Authors: Mayowa O. Owolabi, Rufus O. Akinyemi, Mulugeta Gebregziabher, Olanrewaju Olaniyan, Babatunde L. Salako, Oyedunni Arulogun, Bruce Ovbiagele Tags: Protocols Source Type: research
Telestroke a viable option to improve stroke care in India
In India, stroke care services are not well developed. There is a need to explore alternative options to tackle the rising burden of stroke. Telemedicine has been used by the Indian Space Research Organization (ISRO) to meet the needs of remote hospitals in India. The telemedicine network implemented by ISRO in 2001 presently stretches to around 100 hospitals all over the country, with 78 remote/rural/district health centers connected to 22 specialty hospitals in major cities, thus providing treatment to more than 25 000 patients, which includes stroke patients. Telemedicine is currently used in India for diagnosing stro...
Source: International Journal of Stroke - July 18, 2014 Category: Neurology Authors: Padma V. Srivastava, Paulin Sudhan, Dheeraj Khurana, Rohit Bhatia, Subash Kaul, P. N. Sylaja, Majaz Moonis, Jeyaraj Durai Pandian Tags: Panorama Source Type: research
How to unfasten the Spanish Stroke Belt? Andalusia chooses research
Andalusia in southern Spain, one of the largest regions in the European Union, has made a profound economic and social transformation that has led to establishment of a modern universal public health care system. However, due to its high stroke mortality rates, Andalusia is still known as the ‘Spanish Stroke Belt’. To fight these figures, successive initiatives culminated in the launch of the Andalusian Plan for Stroke Care, to be developed during the period of 2011 to 2014. In addition, involved professionals have hypothesized that clinical and experimental research may contribute to improving stroke care in our commu...
Source: International Journal of Stroke - July 15, 2014 Category: Neurology Authors: J. Montaner, M. D. Jiménez‐Hernández, J. López‐Barneo Tags: Panorama Source Type: research
Burden of stroke in Egypt: current status and opportunities
Middle East and North Africa (MENA) countries have a diversity of populations with similar life style, dietary habits, and vascular risk factors that may influence stroke risk, prevalence, types, and disease burden. Egypt is the most populated nation in the Middle East with an estimated 85.5 million people. In Egypt, according to recent estimates, the overall prevalence rate of stroke is high with a crude prevalence rate of 963/100 000 inhabitants. In spite of disease burden, yet there is a huge evidence practice gap. The recommended treatments for ischemic stroke that are guideline include systematic supportive care in ...
Source: International Journal of Stroke - July 7, 2014 Category: Neurology Authors: Foad Abd‐Allah, Ramez Reda Moustafa Tags: Panorama Source Type: research
Translation of the ‘time is brain’ concept into clinical practice: Focus on prehospital stroke management
Acute stroke is one of the main causes of death and chronic disability. Thrombolysis with recombinant tissue plasminogen activator within the first hours after onset of symptoms is an effective therapeutic option for ischemic stroke. However, fewer than 2% to 7% of patients receive this treatment, primarily because most patients reach the hospital too late for the initiation of successful therapy. Several measures can reduce detrimental delay until treatment. It is of importance to use continual public awareness campaigns to reduce delays in patients' alarm of emergency medical services. Further relevant measures are repet...
Source: International Journal of Stroke - March 4, 2014 Category: Neurology Authors: A. Ragoschke‐Schumm, S. Walter, A. Haass, C. Balucani, M. Lesmeister, A. Nasreldein, L. Sarlon, A. Bachhuber, T. Licina, I. Q. Grunwald, K. Fassbender Tags: Review Source Type: research
Methodology of the Field Administration of Stroke Therapy – Magnesium (FAST‐MAG) phase 3 trial: Part 2 – prehospital study methods
DiscussionThe suite of prehospital trial methods developed for the FAST‐MAG Trial enable enrollment of patients in very early time windows, including the hyperacute, ‘golden hour’ period immediately after stroke onset.
Source: International Journal of Stroke - January 20, 2014 Category: Neurology Authors: Jeffrey L. Saver, Sidney Starkman, Marc Eckstein, Samuel Stratton, Frank Pratt, Scott Hamilton, Robin Conwit, David S. Liebeskind, Gene Sung, Nerses Sanossian, Tags: Protocol Source Type: research
