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Earlier tracheostomy and percutaneous endoscopic gastrostomy in patients with hemorrhagic stroke: associated factors and effects on hospitalization.
CONCLUSIONSThis study identified patient risk factors associated with increased likelihood of tracheostomy and PEG in patients with hemorrhagic stroke who were critically ill. Additionally, we found that the timing of tracheostomy was associated with length of ICU stay and overall hospital stay, and that the timing of PEG was associated with overall length of hospitalization. Complication rates related to tracheostomy and PEG in this population were minimal. This retrospective data set supports some benefit to earlier tracheostomy and PEG placement in this population and justifies the need for further prospective study. ...
Source: Journal of Neurosurgery - January 4, 2019 Category: Neurosurgery Authors: McCann MR, Hatton KW, Vsevolozhskaya OA, Fraser JF Tags: J Neurosurg Source Type: research

Interrupted intraarterial selective cooling infusion combined with mechanical thrombectomy in patients with acute ischemic stroke: a prospective, nonrandomized observational cohort study
CONCLUSIONS: Interrupted IA-SCI for patients with intracranial large vessel occlusion AIS symptoms treated with MT seems to be safe and associated with favorable functional outcomes.PMID:36964733 | DOI:10.3171/2023.2.JNS222542
Source: Journal of Neurosurgery - March 25, 2023 Category: Neurosurgery Authors: Hao Tian Yue Wan Haojie Zhang Jing Zuo Source Type: research

Neutrophil-to-lymphocyte ratio as an independent predictor for unfavorable functional outcome in aneurysmal subarachnoid hemorrhage.
CONCLUSIONSAmong aSAH patients, NLR represents an independent parameter associated with unfavorable functional outcome. Whether the impact of NLR on functional outcome is related to preexisting comorbidities or represents independent causal relationships in the context of stroke-associated immunosuppression should be investigated in future studies. PMID: 30717052 [PubMed - as supplied by publisher]
Source: Journal of Neurosurgery - February 1, 2019 Category: Neurosurgery Authors: Giede-Jeppe A, Reichl J, Sprügel MI, Lücking H, Hoelter P, Eyüpoglu IY, Kuramatsu JB, Huttner HB, Gerner ST Tags: J Neurosurg Source Type: research

Adapting the 5-factor modified frailty index for prediction of postprocedural outcome in patients with unruptured aneurysms
CONCLUSIONS: mFI-5 and AmFI-5 represent potential predictors of procedure-related complications in unruptured aneurysm patients. After further validation, integration of these tools into clinical workflows may optimize patients for intervention.PMID:34388727 | DOI:10.3171/2021.2.JNS204420
Source: Journal of Neurosurgery - August 13, 2021 Category: Neurosurgery Authors: James Feghali Abhishek Gami Sarah Rapaport Jaimin Patel Adham M Khalafallah Sakibul Huq Debraj Mukherjee Rafael J Tamargo Judy Huang Source Type: research

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