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Source: Neurology
Education: Academia
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Total 95 results found since Jan 2013.
Correlation of NIH Stroke Scale Change and Vascular Risk Factors in Acute Stroke Patients (P7.164)
Conclusion:In this small sample, change in NIH stroke scale admission through discharge may be a useful quality outcome measure in acute stroke. Tobacco use was harmful in this sample. Presence of hypertension and absence of diabetes showed benefit in select acute stroke outcomes. Investigating the special cause improvements in this population may help identify ways to improve outcomes. Shewhart control charts may provide useful information when examining quality that might be missed on routine statistical methods.Disclosure: Dr. Krishnamohan has nothing to disclose. Dr. Dobbs has nothing to disclose.
Source: Neurology - April 9, 2014 Category: Neurology Authors: Krishnamohan, P., Dobbs, M. Tags: Cerebrovascular Disease and Interventional Neurology: Post-Stroke Function Source Type: research
Race/Ethnic Disparities for In-Hospital Mortality and Disability at Discharge after Acute Ischemic Stroke: Florida Puerto Rico Collaboration to Reduce Stroke Disparities (P5.287)
Conclusions:In our large Florida Stroke Registry, we observed lower in-hospital mortality, but greater disability at discharge after stroke among blacks in comparison to whites. This paradox needs further exploration to design and implement interventions to improve stroke outcome and reduce disparities in post-stroke disability.Disclosure: Dr. Simonetto has nothing to disclose. Dr. Gardener has nothing to disclose. Dr. Wang has nothing to disclose. Dr. Gutierrez has nothing to disclose. Dr. Ciliberti has nothing to disclose. Dr. Dong has nothing to disclose. Dr. Foster has nothing to disclose. Dr. Waddy has nothing to disc...
Source: Neurology - April 17, 2017 Category: Neurology Authors: Simonetto, M., Gardener, H., Wang, K., Gutierrez, C., Ciliberti, M., Dong, C., Foster, D., Waddy, S., Romano, J., Rundek, T., Sacco, R. Tags: Stroke Recovery and Rehabilitation Source Type: research
Reducing Door-To-Needle Times for Treatment of Acute Ischemic Stroke: Quality Improvement Initiative at a High Volume Comprehensive Stroke Center (P4.309)
CONCLUSION: With multiple institution specific interventions it is possible to improve the DTN time even at a high volume non-academic center. One of the key component appears to be the in-house presence of a stroke neurologist 24hours /7days a week.Disclosure: Dr. Sapkota has nothing to disclose. Dr. Sirelkhatim has nothing to disclose. Dr. Devlin has received personal compensation for activities with Concentric Medical, Inc. as a consultant. Dr. Pitiyanuvath has nothing to disclose. Dr. Dellinger has nothing to disclose. Dr. Fesmire has nothing to disclose.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Sapkota, B., Sirelkhatim, A., Devlin, T., Pitiyanuvath, N., Dellinger, C., Fesmire, F. Tags: Cerebrovascular Disease and Interventional Neurology: Acute Stroke, Prehospital, and Telemedicine Source Type: research
An EHR Template and Housestaff Incentive Program to Improve the Frequency of NIHSS Documentation for Code Stroke (P6.047)
Conclusions: At an academic center with housestaff-led Code Stroke teams, the proportion of Code Stroke activations with a documented NIHSS was higher after implementing an EHR note template and housestaff financial incentive.Disclosure: Dr. Jia has nothing to disclose. Dr. Brown has nothing to disclose. Dr. Hessler has nothing to disclose. Dr. Deleon has nothing to disclose. Dr. Parsons has nothing to disclose. Dr. Ching has nothing to disclose. Dr. Smith has received personal compensation for activities with Stryker Neurovascular and Covidien as a consultant. Dr. Josephson has received personal compensation in an editori...
Source: Neurology - April 3, 2016 Category: Neurology Authors: Jia, X., Brown, E., Hessler, C., Deleon, J., Parsons, T., Ching, K., Smith, W., Josephson, S., Kim, A. Tags: Prehospital Stroke Care and Uses of NIHSS Source Type: research
Hydration Practices for the Acute Stroke Patient in an Academic, Certified Stroke Center (P3.125)
Conclusions: Although dehydration is common in the acute stroke population, initiation of fluid supplementation is delayed and many patients spend time without fluids. This provides a foundation for a system improvement project targeting time to fluid administration as well as the development of a fluid resuscitation algorithm for future prospective trials as we attempt to improve clinical outcome.Disclosure: Dr. Bahouth has nothing to disclose. Dr. Hillis has received research support from Allon Pharmaceutical. Dr. Gottesman has nothing to disclose.
Source: Neurology - April 9, 2014 Category: Neurology Authors: Bahouth, M., Hillis, A., Gottesman, R. Tags: Cerebrovascular Disease and Interventional Neurology: Primary and Comprehensive Stroke Centers Source Type: research
Awareness of Stroke and Knowledge of its Warning Signs and Risk Factors in a Developing Country (P7.133)
CONCLUSIONS: The study clearly revealed lack of public’s knowledge about stroke, its warning symptoms and risk factors in the community investigated. Improvement in stroke awareness level can be achieved by health education utilizing the media tools preferred by the targeted population. Study Supported by:Disclosure: Dr. Sokrab has nothing to disclose. Dr. Sokrab has nothing to disclose. Dr. Hassan has nothing to disclose.
Source: Neurology - April 9, 2014 Category: Neurology Authors: Sokrab, O., Sokrab, A., Hassan, E. F. Tags: Cerebrovascular Disease and Interventional Neurology: Barriers and Opportunities in Acute Stroke Treatment Source Type: research
Factors associated with delay in presentation to the hospital for young adults with ischemic stroke (P3.237)
Conclusions: A majority of young adults with ischemic stroke presented outside the time window for intravenous fibrinolysis. Diabetes, single status, and unemployed status were associated with delayed presentation. Disclosure: Dr. Leung has nothing to disclose. Dr. Louis R. Caplan has received personal compensation in an editorial capacity for JAMA Neurology.
Source: Neurology - April 3, 2016 Category: Neurology Authors: Leung, L., Caplan, L. Tags: Stroke in the Young Source Type: research
Placental Pathology in Neonatal Stroke: A Retrospective Case-Control Study (S42.006)
Conclusions: Major placental abnormalities were common in stroke cases relative to controls, with trends towards different patterns in arterial versus venous stroke. Many findings were subacute to chronic and reflect intrauterine stressors that may predispose to acute stroke in the perinatal period. We are continuing to investigate these abnormalities and their implications for screening, monitoring, and even prevention of neonatal stroke.Disclosure: Dr. Bernson-Leung has nothing to disclose. Dr. Boyd has nothing to disclose. Dr. Danehy has nothing to disclose. Dr. Meserve has nothing to disclose. Dr. Rivkin has nothing to disclose.
Source: Neurology - February 7, 2016 Category: Neurology Authors: Bernson-Leung, M., Boyd, T., Danehy, A., Meserve, E., Rivkin, M. Tags: Stroke Mechanism and Modifiers Source Type: research
Ultra-short door-to-needle times of 10 minutes or less in stroke thrombolysis - experience from 63 cases (S8.002)
Conclusions:An ultra-short DNT ≤10 minutes can be achieved safely in unequivocal clinical scenarios, with pre-notification of the multidisciplinary stroke team practically being a sine-qua-non.Disclosure: Dr. Topakian has nothing to disclose. Dr. Hörmanseder has nothing to disclose. Dr. Einsiedler has nothing to disclose. Dr. Straka has nothing to disclose. Dr. Oel has nothing to disclose. Dr. Metschitzer has nothing to disclose. Dr. Pischinger has nothing to disclose. Dr. Groicher has nothing to disclose. Dr. Müller has nothing to disclose. Dr. Vollmann has nothing to disclose. Dr. Kure has nothing to disclos...
Source: Neurology - April 17, 2017 Category: Neurology Authors: Topakian, R., Hormanseder, B., Einsiedler, S., Straka, U., Oel, D., Metschitzer, B., Pischinger, B., Groicher, S., Muller, P., Vollmann, P., Kure, V., Farmer, D., Mezger, M., Wimmer, F., Sperl, W., Karrer, A., Funk, S., Lampl, R., Lugmayr, H., Schusterede Tags: Cerebrovascular Disease and Interventional Neurology: Acute Stroke Treatment Source Type: research
Does Emergency department length of stay affect the 90-day functional outcome after acute ischemic stroke? (P3.073)
Conclusion: In our cohort, there was no association between the ED-LOS and 90-day functional outcome. Further study is ongoing to assess whether ED-LOS adversely affects outcome measures not captured by the mRS.Disclosure: Dr. Patel has nothing to disclose. Dr. Minaeian has nothing to disclose. Dr. Tunguturi has nothing to disclose. Dr. Goddeau has nothing to disclose. Dr. Henninger has received personal compensation in an editorial capacity for Stroke.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Patel, A., Minaeian, A., Tunguturi, A., Goddeau, R., Henninger, N. Tags: Cerebrovascular Disease and Interventional Neurology: Ischemic Stroke Outcome Source Type: research
Strategies for Optimizing Acute Ischemic Stroke Care by Reducing Door to Needle Time in a Major Academic Center (P4.280)
Conclusion: Through the identification and analysis of key metrics in the acute stroke pathway by the neurology team, DTN times were significantly improved within a brief period of time. As the benefits of IV tPA are time dependent, it is critical that hospitals work to optimize acute stroke protocols. By implementing the innovative changes of the neurology house staff, institutions nationwide can achieve similar rapid gains in DTN times and provide effective treatment to a greater percentage of patients with acute ischemic stroke.Disclosure: Dr. Abraham has nothing to disclose. Dr. Oksienik has nothing to disclose. Dr. Be...
Source: Neurology - April 8, 2015 Category: Neurology Authors: Abraham, J., Oksienik, C., Bell, R., Skidmore, C., Tzeng, D., Pineda, C. Tags: Cerebrovascular Disease and Interventional Neurology: Acute Ischemic Stroke Care Source Type: research
Routine troponin measurements are unnecessary in acute ischemic stroke evaluations (P4.285)
CONCLUSIONS: Troponin elevation in patients with ischemic stroke is not caused by acute myocardial ischemia unless iatrogenic in the setting of vasopressor administration. Serum troponins should be measured based on clinical context rather than routinely in all acute ischemic stroke patients.Disclosure: Dr. Ali has nothing to disclose. Dr. Young has nothing to disclose. Dr. Rabinstein has received royalty payments from Elsevier and Oxford University Press. Dr. Rabinstein has received research support from DJO Global. Dr. Flemming has nothing to disclose. Dr. Fugate has nothing to disclose.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Ali, F., Young, J., Rabinstein, A., Flemming, K., Fugate, J. Tags: Cerebrovascular Disease and Interventional Neurology: Acute Ischemic Stroke Care Source Type: research
Target Stroke Implementation: Best Practice Strategies Cut Thrombolysis Time to < 30 minutes in a 1,550 Bed Academic Urban County Hospital (P4.280)
Conclusions:Individualized hospital gap analysis identifies targeted interventions to shorten treatment times. DTN and DTG time can be reduced with implementation of simple, low-cost interventions, with persistent effect and no increase in symptomatic intracranial hemorrhage or stroke mimic treatment.Disclosure: Dr. Marulanda-Londoño has nothing to disclose. Dr. Bhatt has nothing to disclose. Dr. Atchaneeyasakul has nothing to disclose. Dr. Asdaghi has nothing to disclose. Dr. Malik has nothing to disclose. Dr. Akram has nothing to disclose. Dr. Zhang has nothing to disclose. Dr. D’Amour has nothing to disclos...
Source: Neurology - April 17, 2017 Category: Neurology Authors: Marulanda-Londono, E., Bhatt, N., Atchaneeyasakul, K., Asdaghi, N., Malik, A., Akram, N., Zhang, T., DAmour, D., Hesse, K., Sacco, R., Romano, J. Tags: Thrombolysis and Acute Evaluation in Ischemic Stroke Source Type: research
A Simple, Real-Time Text-Messaging Intervention Is Associated with Improvements Door-to-Needle Times for Acute Ischemic Stroke (S02.007)
CONCLUSIONS: A simple real-time text-messaging intervention was associated with significant improvement in DTN times.Disclosure: Dr. Burnett has nothing to disclose. Dr. Zimmermann has nothing to disclose. Dr. Coralic has nothing to disclose. Dr. Quon has nothing to disclose. Dr. Whetstone has nothing to disclose. Dr. Kim has received research support from SanBio, Inc.
Source: Neurology - February 14, 2013 Category: Neurology Authors: Burnett, M., Zimmermann, L., Coralic, Z., Quon, T., Whetstone, W., Kim, A. Tags: S02 Acute Stroke Therapy Source Type: research
Intravenous Tissue Plasminogen Activator Treatment for Acute Ischemic Stroke in the REGARDS Study (P7.138)
CONCLUSIONS:Our study of unselected US hospitals showed low tPA utilization. Documented reasons for non-use were suboptimal with the lowest among patients not evaluated by a stroke team. Our sample was not limited to hospitals participating in national quality improvement programs, thus increasing generalizability. Strategies that focus on earlier hospital arrival and educating both the public and healthcare field to increase tPA utilization are urgently needed.Disclosure: Dr. Sands has nothing to disclose. Dr. Albright has nothing to disclose. Dr. Blackburn has nothing to disclose. Dr. Boehme has nothing to disclose. Dr. ...
Source: Neurology - April 8, 2015 Category: Neurology Authors: Sands, K., Albright, K., Blackburn, J., Boehme, A., Howard, G., Howard, V., Judd, S., Kissela, B., Limdi, N., Rhodes, D., Shiue, H., Sisson, A., Safford, M. Tags: Cerebrovascular Disease and Interventional Neurology: Race, Ethnicity, and Stroke Source Type: research
