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Total 3153 results found since Jan 2013.

Aspirin for acute stroke of unknown etiology in resource-limited settings: A decision analysis
Conclusion: Aspirin treatment for the period of initial hospitalization after acute stroke of undetermined etiology is predicted to decrease acute stroke-related mortality and in-hospital stroke recurrence even at the highest reported proportion of acute strokes due to ICH. In the absence of clinical trials to test this approach empirically, clinical decisions require patient-specific evaluation of risks and benefits of aspirin in this context.
Source: Neurology - August 25, 2014 Category: Neurology Authors: Berkowitz, A. L., Westover, M. B., Bianchi, M. T., Chou, S. H.- Y. Tags: Decision analysis, All Cerebrovascular disease/Stroke, Intracerebral hemorrhage ARTICLE Source Type: research

Protocol Driven Stroke Ward And Stroke Registry Results In Increased Rate Of Thrombolysis In Acute Stroke Care (P4.311)
Conclusion: Protocol-based Multidisciplinary care through Stroke ward & Stroke registry helps in improvement of AS care. It can lead to increase in thrombolysis rate, reduces related complications, improves prognosis, & increases awareness about stroke care not only in physicians & nurses but also in patients and their families.Disclosure: Dr. Akhtar has nothing to disclose. Dr. Kamran has nothing to disclose. Dr. Joseph has nothing to disclose. Dr. SANTOS has nothing to disclose. Dr. BOURKE has nothing to disclose. Dr. D'SOUZA has nothing to disclose. Dr. Imam has nothing to disclose. Dr. Shuaib has received r...
Source: Neurology - April 8, 2015 Category: Neurology Authors: Akhtar, N., Kamran, S., Joseph, S., Santos, M., Bourke, P., D'Souza, A., Imam, Y., Shuaib, A. Tags: Cerebrovascular Disease and Interventional Neurology: Acute Stroke, Prehospital, and Telemedicine Source Type: research

Association between job strain and risk of incident stroke: A meta-analysis
Conclusions: Exposure to high strain jobs was associated with an increased risk of stroke, especially in women. Further studies are needed to confirm whether interventions to reduce work stress decrease the risk of stroke.
Source: Neurology - November 9, 2015 Category: Neurology Authors: Huang, Y., Xu, S., Hua, J., Zhu, D., Liu, C., Hu, Y., Liu, T., Xu, D. Tags: Stroke prevention, All Cerebrovascular disease/Stroke, Risk factors in epidemiology ARTICLE Source Type: research

Vascular Territories of Ischemic Stroke in Associated Takotsubo Cardiomyopathy (P1.221)
Conclusions: TC is a reversible cardiomyopathy that has an association with ischemic stroke. This condition can notably be both the cause and effect of stroke. Ischemic stroke of the left middle cerebral artery appears to be the most prevalent. In female patients suffering from middle cerebral artery distribution ischemic stroke and cardiac dysfunction, TC should be considered.Disclosure: Dr. Zia has nothing to disclose. Dr. Silliman has received research support from Genzyme Corporation, Biogen Idec, and Novartis.
Source: Neurology - April 3, 2016 Category: Neurology Authors: Zia, A., Silliman, S. Tags: Cardiac Mechanisms and Complications of Stroke Source Type: research

Comparison of Ventricular Assist Device (VAD)-Related Stroke to the General Stroke Population: Associations with In-Hospital Mortality (P1.223)
Conclusions: Ischemic stroke in patients with VAD is associated with high in-hospital mortality. Although both older patients and women comprised a smaller percentage of VADWS than in the general stroke population, there was no age or sex association with mortality. While pre-existing CAD was more prevalent in VADWS, these patients had lower in-hospital mortality, possibly suggesting an additional unidentified subset with high mortality. Further study is needed to explore the associations between age, sex, and CAD in patients with VAD and ischemic stroke.Disclosure: Dr. Peters has nothing to disclose. Dr. Singh has nothing...
Source: Neurology - April 3, 2016 Category: Neurology Authors: Peters, S., Singh, T., Tirschwell, D. Tags: Cardiac Mechanisms and Complications of Stroke Source Type: research

Evaluating Efficacy of a Stroke Code Process in Identifying Stroke Mimics Since Its Implementation in a New Primary Stroke Center (P2.316)
Conclusions: Our findings demonstrate that the rate of stroke mimics actually increased and plateaued over time following inception of a new PSC. Hospitals looking to establish a new PSC should be vigilant in continually reevaluating their programs to ensure stroke mimic rates remain low from year to year.Disclosure: Dr. Blair has nothing to disclose. Dr. Samuels has nothing to disclose. Dr. Candelore has nothing to disclose. Dr. Slotman has nothing to disclose. Dr. Farmer has nothing to disclose.
Source: Neurology - April 3, 2016 Category: Neurology Authors: Blair, K., Samuels, E., Candelore, J., Slotman, G., Farmer, A. Tags: Stroke Systems of Care Source Type: research

Incidence of Ischemic Stroke in Young Adults, a 4 Year Retrospective Review from an Urban Tertiary Care Center in North Philadelphia (P3.232)
Conclusions: The incidence of Ischemic Stroke in this cohort is much higher than that reported in other observational studies. Despite an extensive work up, a cause was not found in the majority of patients. These data support the need for a more in depth investigation of the causes of stroke in the young in urban, underserved communities. Standard of care diagnostic tests fail to explain the unusually high incidence of Ischemic Stroke in this cohort.Disclosure: Dr. Pirastehfar has nothing to disclose. Dr. Katz has nothing to disclose. Dr. Gentile has nothing to disclose. Dr. Jacobi has nothing to disclose. Dr. Linares has...
Source: Neurology - April 3, 2016 Category: Neurology Authors: Pirastehfar, M., Katz, P., Gentile, N., Jacobi, J., Linares, G. Tags: Stroke in the Young Source Type: research

The Stroke Nurse Project: A Community-Based Approach to Improving the Post-Acute Care of Stroke Patients (S31.004)
Conclusions: Organized post-acute care by a "Stroke Nurse" is welcome among stroke patients and seems to be an economic way to improving the effectiveness of secondary prevention strategies. A controlled trial is in preparation. Disclosure: Dr. Staudacher has nothing to disclose. Dr. Bader has nothing to disclose. Dr. Kunz has nothing to disclose. Dr. Bengel has nothing to disclose. Dr. von Büdingen has nothing to disclose.
Source: Neurology - February 7, 2016 Category: Neurology Authors: Staudacher, T., Bader, P., Kunz, J., Bengel, D., von Budingen, H. J. Tags: Stroke Risk, Outcomes, and Complications Source Type: research

Association between hospitalization and care after transient ischemic attack or minor stroke
Conclusions: Patients with minor ischemic stroke or TIA discharged from the ED are less likely than admitted patients to receive timely stroke care interventions. Among discharged patients, referral to a stroke prevention clinic is associated with improved processes of care and lower mortality. Additional strategies are needed to improve access to high-quality outpatient TIA care.
Source: Neurology - April 24, 2016 Category: Neurology Authors: Kapral, M. K., Hall, R., Fang, J., Austin, P. C., Silver, F. L., Gladstone, D. J., Casaubon, L. K., Stamplecoski, M., Tu, J. V. Tags: All Health Services Research, Stroke prevention, All Cerebrovascular disease/Stroke, Cohort studies ARTICLE Source Type: research

Performance of bedside stroke recognition tools in discriminating childhood stroke from mimics
Conclusions: Adult stroke recognition tools perform poorly in children and require modification to be useful for pediatric stroke identification. Classification of evidence: This study provides Class II evidence that, for children presenting to the ED with brain attack symptoms, the CPSS and ROSIER tools do not accurately distinguish strokes from mimics.
Source: Neurology - June 5, 2016 Category: Neurology Authors: Mackay, M. T., Churilov, L., Donnan, G. A., Babl, F. E., Monagle, P. Tags: All Clinical Neurology, All Cerebrovascular disease/Stroke, Pediatric stroke; see Cerebrovascular Disease/ Childhood stroke ARTICLE Source Type: research

Early Experience on Intravenous Tissue Plasminogen Activator Delivery in Mobile Stroke Unit Patients with Stroke Mimics (P1.269)
Conclusions:In our early experience with MSU, treatment of stroke mimics occurred without IV-tPA related complications. This does not appear to be due to rushed decision making.Disclosure: Dr. Sheikhi has nothing to disclose. Dr. Winners has nothing to disclose. Dr. George has nothing to disclose. Dr. Russman has received personal compensation for activities with Genentech and Bristol-Myers Squibb as a scientific advisory board member. Dr. Khawaja has nothing to disclose. Dr. Uchino has nothing to disclose. Dr. Hussain has nothing to disclose.
Source: Neurology - April 17, 2017 Category: Neurology Authors: Sheikhi, L., Winners, S., George, P., Russman, A., Khawaja, Z., Uchino, K., Hussain, M. Tags: Pre-Hospital Stroke, Tele-Stroke, and mHealth Source Type: research

Lytic therapy and mechanical thrombecomty over tele-stroke, a comprehensive stroke center experience (P1.275)
Conclusions:Our study shows that our Tele stroke program had evolved over time to involve more sites throughout the state of South Carolina. Post IV tPA sICH was within the expected range.Disclosure: Dr. Al Kasab has nothing to disclose. Dr. Debenham has nothing to disclose. Dr. Jones has nothing to disclose. Dr. Holmstedt has nothing to disclose.
Source: Neurology - April 17, 2017 Category: Neurology Authors: Kasab, S. A., Debenham, E., Jones, D. J., Holmstedt, C. A. Tags: Pre-Hospital Stroke, Tele-Stroke, and mHealth Source Type: research

Rapid transitions in the epidemiology of stroke and its risk factors in China from 2002 to 2013
Conclusions: In 2002–2013, the incidence of stroke in China increased rapidly. Combined with a high prevalence, a trend toward a younger age, and stable mortality, this finding suggests that additional clinical and behavioral interventions for metabolic and lifestyle risk factors are necessary to prevent stroke, particularly in certain populations.
Source: Neurology - July 3, 2017 Category: Neurology Authors: Guan, T., Ma, J., Li, M., Xue, T., Lan, Z., Guo, J., Shen, Y., Chao, B., Tian, G., Zhang, Q., Wang, L., Liu, Y. Tags: All Cerebrovascular disease/Stroke, Prevalence studies, Incidence studies, Risk factors in epidemiology ARTICLE Source Type: research

Type 2 diabetes, glucose, insulin, BMI, and ischemic stroke subtypes: Mendelian randomization study
Conclusions: This study provides support that T2D may be causally associated with large artery stroke.
Source: Neurology - July 31, 2017 Category: Neurology Authors: Larsson, S. C., Scott, R. A., Traylor, M., Langenberg, C. C., Hindy, G., Melander, O., Orho-Melander, M., Seshadri, S., Wareham, N. J., Markus, H. S., For the METASTROKE Collaboration and NINDS Stroke Genetics Network (SiGN) Tags: Risk factors in epidemiology, Infarction ARTICLE Source Type: research

Dehydration Is Associated with More Severe Hemispatial Neglect after Stroke (S02.004)
CONCLUSIONS: Patients who are dehydrated at the time of presentation with stroke have more severe stroke symptoms, independent of stroke severity. This represents an opportunity to evaluate our hydration practices in patients with varying degrees of cardiac dysfunction during the acute stroke period in order to prescribe more precise fluid resuscitation algorithms. Future clinical trials designed to evaluate fluid resuscitation practices at the time of ischemic stroke are needed.Disclosure: Dr. Bahouth has nothing to disclose. Dr. Bahrainwala has nothing to disclose. Dr. Hillis has received personal compensation in an edit...
Source: Neurology - February 14, 2013 Category: Neurology Authors: Bahouth, M., Bahrainwala, Z., Hillis, A., Gottesman, R. Tags: S02 Acute Stroke Therapy Source Type: research