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Condition: Ischemic Stroke
Management: Hospitals
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Total 2377 results found since Jan 2013.
Ischemic Stroke Management: Posthospitalization and Transition of Care
Am Fam Physician. 2023 Jul;108(1):70-77.ABSTRACTIschemic stroke is a major cause of morbidity and mortality worldwide. Ischemic stroke and transient ischemic attack exist on a continuum of the same disease process. Ischemic stroke is common, and more than 85% of stroke risk is attributed to modifiable risk factors. The initial management of acute stroke is usually performed in the emergency department and hospital settings. Family physicians have a key role in follow-up, ensuring that a complete diagnostic evaluation has been performed, addressing modifiable risk factors, facilitating rehabilitation, and managing chronic s...
Source: American Family Physician - July 13, 2023 Category: Primary Care Authors: Scott T Larson Brigit E Ray Jason Wilbur Source Type: research
Systemic immune-inflammation index as a predictor of prognosis after carotid artery stenting compared with C-reactive protein
This study was a single-center retrospective investigation. Overall, 129 patients who underwent CAS were categorized into tertiles based on their SII levels. We primarily investigated the long-term major adverse cardiac and cerebrovascular events (MACCE) and secondarily the in-hospital and long-term stroke incidence, as well as all-cause death. ResultsThe in-hospital stroke rate tended to increase with a rise in SII (P = 0.13). Over the 5-year follow-up period, the Kaplan –Meier overall incidence of MACCE was 9.3%, 16.3%, and 39.5% in the lowest to highest tertiles, respectively (log-rank trend test,P647) was a predictor...
Source: PLoS One - July 13, 2023 Category: Biomedical Science Authors: Shuji Morikawa Source Type: research
Cerebrovascular disease in patients with COVID-19 infection: a case series from Lebanon
Ann Med Surg (Lond). 2023 Jun 10;85(7):3701-3708. doi: 10.1097/MS9.0000000000000953. eCollection 2023 Jul.ABSTRACTCOVID-19 has been associated with a variety of multi-organs complications, with an increasing proportion of patients presenting with neurologic manifestations. There is still an uncertainty in the relationship between stroke and COVID-19. Therefore, in this study, the authors report 18 cases of acute stroke occurring in the setting of COVID-19 infection, including 11 ischaemic strokes and 7 haemorrhagic strokes and identified in a Lebanese tertiary hospital. In this case series, patients with ischaemic and haem...
Source: Annals of Medicine - July 10, 2023 Category: Internal Medicine Authors: Zeinab El Mawla Ghaidaa El Saddik Maya Zeineddine Mahmoud Hassoun Taghrid El Hajj Source Type: research
Differential Diagnosis of New Giant T-Wave Inversions
To the Editor The electrocardiogram (ECG) presented by Dr Cai and colleagues is indeed a great challenge. Two days after a fall, an older patient was admitted to the hospital with a hip fracture that was treated by external fixation and skin traction. On hospital day 2, the patient suddenly lost consciousness. An ECG immediately performed showed giant negative T waves (>20 mm) in the precordial leads and a QTc prolongation of 535 milliseconds. Cardiac troponin was elevated. Findings of computed tomography and magnetic resonance imaging (performed because of neurologic deficits) showed bilateral multifocal subacute ische...
Source: JAMA Internal Medicine - July 10, 2023 Category: Internal Medicine Source Type: research
Analysis of Echocardiographic Findings of Patients with Acute Ischemic Stroke Admitted to a Tertiary Care Hospital in Mogadishu, Somalia
Source: International Journal of General Medicine - July 7, 2023 Category: General Medicine Tags: International Journal of General Medicine Source Type: research
Post-Acute Expenditures among Patients Discharged Home after Stroke or Transient Ischemic Attack: The COMprehensive Post-Acute Stroke Services (COMPASS) Trial
The COMprehensive Post-Acute Stroke Services (COMPASS) pragmatic trial cluster-randomized 40 hospitals in North Carolina to the COMPASS transitional care (TC) post-acute care intervention or usual care. We estimated the difference in health care expenditures post-discharge for patients enrolled in the COMPASS-TC model of care compared to usual care.
Source: Value in Health - July 6, 2023 Category: International Medicine & Public Health Authors: Yucheng Hou, Karishma D ’Souza, Anna M. Kucharska-Newton, Janet K. Freburger, Cheryl D. Bushnell, Jacqueline R. Halladay, Pamela W. Duncan, Justin G. Trogdon Source Type: research
Postacute Expenditures among Patients Discharged Home After Stroke or Transient Ischemic Attack: The COMprehensive Post-Acute Stroke Services (COMPASS) Trial
The COMPASS (COMprehensive Post-Acute Stroke Services) pragmatic trial cluster-randomized 40 hospitals in North Carolina to the COMPASS transitional care (TC) postacute care intervention or usual care. We estimated the difference in healthcare expenditures postdischarge for patients enrolled in the COMPASS-TC model of care compared with usual care.
Source: Value in Health - July 6, 2023 Category: International Medicine & Public Health Authors: Yucheng Hou, Karishma D ’Souza, Anna M. Kucharska-Newton, Janet K. Freburger, Cheryl D. Bushnell, Jacqueline R. Halladay, Pamela W. Duncan, Justin G. Trogdon Tags: Economic Evaluation Source Type: research
Prospective collection of blood plasma samples to identify potential biomarkers for the prehospital stroke diagnosis (ProGrEss-Bio): study protocol for a multicenter prospective observational study
This study will evaluate whether a single blood biomarker or a combination of biomarkers can distinguish patients with AIS and ICH from patients with stroke and SM in the early phase after symptom onset in the prehospital setting. In addition, the kinetics of blood biomarkers in AIS and ICH patients will be investigated. Our goal is to evaluate new ways to reliably diagnose stroke in the prehospital setting and thus accelerate the application of evidence-based therapies to stroke patients.
Source: Frontiers in Neurology - July 6, 2023 Category: Neurology Source Type: research
Connectomic insight into unique stroke patient recovery after rTMS treatment
This study demonstrates for the first time the feasibility of using individualized connectivity analyses in differentiating unique phenotypes in rTMS treatment responses and recovery. This personalized connectomic approach may be utilized in the future to better understand patient recovery trajectories with neuromodulatory treatment.
Source: Frontiers in Neurology - July 6, 2023 Category: Neurology Source Type: research
Evaluation of Left Atrial (LA) Metrics in Cardioembolic Stroke Patients According to Burden of Atrial Fibrillation (AF)
This study aimed to evaluate left atrial (LA) metrics in CES in sinus rhythm (SR) (Group 1), paroxysmal (PAF) (Group 2), and persistent AF (Group 3). Consecutive CES patients presenting with index stroke to this tertiary hospital were evaluated; no prior AF and in-hospital telemetry determined patients as SR, PAF, or persistent AF (n=30/group). Comprehensive transthoracic echocardiogram evaluated LA metrics.
Source: Heart, Lung and Circulation - July 1, 2023 Category: Cardiology Authors: A. Clark, A. Ferkh, L. Stefani, A. Duggins, S. Nagaratnam, P. Brown, K. Duong, N. Panglinan, L. Thomas Source Type: research
Aspirin and Subarachnoid Haemorrhage in the UK Biobank
In this study, we aimed to clarify the association between aspirin and SAH in the general population. The UK Biobank is a prospective population-based cohort study. Sex, age, smoking, alcohol, medication use, hypertension, blood pressure, ischaemic heart disease and stroke were recorded at baseline assessments. Follow-up is conducted through linkages to National Health Service data including electronic, coded death certificate, hospital and primary care data. Cox proportional hazards modelling was used to analyse the association between aspirin use and SAH. Of the 501,060 participants included in the analysis, a total of 5...
Source: Translational Stroke Research - June 29, 2023 Category: Neurology Source Type: research
Associations between emergency call stroke triage and pre-hospital delay, primary hospital admission, and acute reperfusion treatment among early comers with acute ischemic stroke
AbstractTo investigate the association between the Emergency Medical Service dispatcher ’s initial stroke triage and prehospital stroke management, primary admission to hospitals offering revascularization treatment, prehospital time delay, and rate of acute revascularization. In an observational cohort study, patients with acute ischemic stroke (AIS) in Denmark (2017–2018) were in cluded if the emergency call to the Emergency Medical Dispatch Center (EMDC) was made within three hours after symptom onset. Among 3546 included AIS patients, the EMS dispatcher identified 74.6% (95% confidence interval (CI) 73.1–76.0) co...
Source: Internal and Emergency Medicine - June 27, 2023 Category: Emergency Medicine Source Type: research
Hospital Discharge and Readmissions Before and During the COVID-19 Pandemic for California Acute Stroke Inpatients
Stroke is a leading cause of death and disability in the United States, with approximately 795,000 new strokes occurring annually, including acute ischemic stroke (AIS), intracerebral hemorrhage (ICH), and subarachnoid hemorrhage (SAH).1 The Coronavirus Disease 2019 (COVID-19) pandemic has impacted all levels of care for stroke patients, such as delays in initial presentation, reduction in acute therapies, limitations of in-patient resources, delays or lack of initiation of secondary stroke prevention therapy, and limitations in rehabilitation services after hospital discharge.
Source: Journal of Stroke and Cerebrovascular Diseases - June 23, 2023 Category: Neurology Authors: George P. Albert, Daryl C. McHugh, Debra E. Roberts, Adam G. Kelly, Remi Okwechime, Robert G. Holloway, Benjamin P. George Source Type: research
