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Source: Journal of Stroke and Cerebrovascular Diseases
Management: Hospitals

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Total 564 results found since Jan 2013.

Organized multi-disciplinary stroke team care improves acute stroke outcomes in resource limited settings; Results of a retrospective study from a Nigerian tertiary hospital
Evidence for the impact of organized stroke multidisciplinary teams (MDTs) on outcomes in Africa is sparse.
Source: Journal of Stroke and Cerebrovascular Diseases - September 20, 2023 Category: Neurology Authors: Olaleye Adeniji, Osi Adeleye, Joshua Akinyemi, Folajimi Otubogun, Gabriel Ogunde, Mayowa Ogunrombi, Deborah Adesina, Ahmed Wahab, Michael Ogunlana, Talayo Alimi, Rufus Akinyemi Source Type: research

Neutrophil-to-lymphocyte ratio at admission is a risk factor for in-hospital gastrointestinal bleeding in acute ischemic stroke patients after dual antiplatelet therapy: A case control study
Gastrointestinal bleeding is a clinically important complication in acute ischemic stroke patients after dual antiplatelet therapy. The present study was to explore the association between neutrophil-to-lymphocyte ratio (NLR) and in-hospital gastrointestinal  bleeding in acute ischemic stroke (AIS) patients who had received dual antiplatelet therapy.
Source: Journal of Stroke and Cerebrovascular Diseases - September 1, 2023 Category: Neurology Authors: Jiaming Huang, Foqiang Liao, Yeting Luo, Xu Shu Source Type: research

Statewide availability of acute stroke treatment, services, and programs: A survey of North Carolina Hospitals
We conducted a statewide assessment of the availability of stroke treatment, services, and programs in North Carolina (NC) hospitals. We also examined differences in stroke care capabilities between urban, suburban, and rural hospitals and trends over the past 2 decades.
Source: Journal of Stroke and Cerebrovascular Diseases - August 24, 2023 Category: Neurology Authors: Mehul D. Patel, Anna Bess Brown, Essete S. Kebede Source Type: research

Characteristics, management and outcome of stroke: Observations from the Sri Lanka Stroke Clinical Registry
We report data from the initial phase of a nationally representative hospital-based stroke registry in Sri Lanka.
Source: Journal of Stroke and Cerebrovascular Diseases - August 13, 2023 Category: Neurology Authors: Padma Sriyani Gunaratne, Vijayabala Jeevagan, Senaka Bandusena, Ahamed Ismail Ahamed Ziyad, Champika Wickramasinghe, Carukshi Arambepola, Thashi Chang Source Type: research

Mobile point-of-care MRI demonstration of a normal volunteer in a telemedicine-equipped ambulance
Several centers have implemented ambulances equipped with CT scanners and telemedicine capabilities, known as mobile stroke units (MSU), to expedite acute stroke care delivery in the pre-hospital setting. While MSUs have been shown to improve outcomes compared with standard emergency medical management, there are limitations to incorporating CT, including radiation exposure to emergency medical services personnel. Recently, a portable, low-field strength MRI (Swoop ®, Hyperfine, Inc., Guilford, CT) received FDA clearance for in-hospital use.
Source: Journal of Stroke and Cerebrovascular Diseases - August 12, 2023 Category: Neurology Authors: Donna R. Roberts, Todd McGeorge, Dave Abrams, Russell Hewitt, Dustin LeBlanc, William Dennis, Mark Rosenberg, Sami Al Kasab, Christine Holmstedt, Maria V. Spampinato, Sam Torres-Rosado, Richard Ancrum, Michael Haschker, Jillian Harvey Source Type: research

Clinical validation of in-hospital stroke diagnosis
The objective was to validate the diagnostic accuracy of in-hospital stroke identification in stroke audit data at a large teaching hospital.
Source: Journal of Stroke and Cerebrovascular Diseases - August 5, 2023 Category: Neurology Authors: Lucy Chapman, Orla Kennedy, David Bradley, Joseph Harbison Source Type: research

Dysphagia after ischemic and hemorrhagic stroke: A propensity-matched 20-year analysis of the national inpatient sample
Post-stroke dysphagia (PSD) is a common and debilitating complication of acute stroke associated with increased mortality and morbidity.1,2 Globally, 12.2 million strokes occur every year and 1 in 4 adults over the age of 25 will have a stroke within their lifetime.3 Of these, 87% of strokes are considered ischemic strokes (AIS) and 10% are hemorrhagic (ICH), both of which are associated with dysphagia as an adverse event.4 Recent studies have found that the prevalence of long-term PSD ranges from 42-50% and was an independent risk factor for prolonged hospital stay, institutionalization after discharge, poorer functional ...
Source: Journal of Stroke and Cerebrovascular Diseases - August 4, 2023 Category: Neurology Authors: Vikram Vasan, Trevor A. Hardigan, Muhammad Ali, Margaret Downes, Alex Devarajan, Christina P. Rossitto, Braxton R. Schuldt, Ian C. Odland, Christopher P. Kellner, Johanna T. Fifi, J. Mocco, Shahram Majidi Source Type: research

Associations between early in-hospital medications and the development of delirium in patients with stroke
Patients hospitalized with stroke develop delirium at higher rates than general hospitalized patients. While several medications are associated with existing delirium, it is unknown whether early medication exposures are associated with subsequent delirium in patients with stroke. Additionally, it is unknown whether delirium identification is associated with changes in the prescription of these medications.
Source: Journal of Stroke and Cerebrovascular Diseases - August 1, 2023 Category: Neurology Authors: Sophia L. Ryan, Xiu Liu, Vanessa McKenna, Manohar Ghanta, Carlos Muniz, Rachel Renwick, M. Brandon Westover, Eyal Y. Kimchi Source Type: research

Associations between multiple sclerosis and in-hospital outcomes of patients with hemorrhagic stroke
To determine the influence of multiple sclerosis (MS) on in-hospital outcomes of patients with hemorrhagic strokes using a large, nationally representative database.
Source: Journal of Stroke and Cerebrovascular Diseases - July 29, 2023 Category: Neurology Authors: Weiguang Xu, Dajun Yan, Zeqian Ning Source Type: research

Associations between structure- and process-orientated measures and stroke long term mortality – an observational study based on routine data
This study analyzes these measures in combination, considering patients ’ comorbidities as well as stroke severity in a longitudinal perspective.
Source: Journal of Stroke and Cerebrovascular Diseases - July 27, 2023 Category: Neurology Authors: Dijana Ebbeler, Michael Schneider, Otto Busse, Klaus Berger, Patrik Dr öge, Christian Günster, Björn Misselwitz, Nina Timmesfeld, Max Geraedts Source Type: research

Disparities in transitions of acute stroke care: The transitions of care stroke disparities study methodological report
Despite successful stroke therapies, women, minority, and other disadvantaged populations continue to experience a disproportionate burden of stroke and poor outcomes after stroke.1,2 Hospital based quality improvement stroke programs have demonstrated greater adherence to evidence-based stroke care recommendations. However, it is less evident if the implementation of these programs minimizes race-ethnic, sex and geographic disparities in stroke care post hospitalization. About 25% of discharged stroke patients are readmitted to the hospital within 30 days of initial event.
Source: Journal of Stroke and Cerebrovascular Diseases - July 12, 2023 Category: Neurology Authors: Karlon H. Johnson, Hannah Gardener, Carolina Gutierrez, Erika Marulanda, Iszet Campo-Bustillo, Gillian Gordon Perue, WayWay Hlaing, Ralph Sacco, Jose G. Romano, Tatjana Rundek, Transitions of Care Stroke Disparities Study (TCSD-S) Investigators 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

In-hospital recurrence and functional outcome between ischemic stroke caused by intracranial arterial dissection and intracranial atherosclerosis: Retrospective cohort study of the nationwide multicenter registry
This study aimed to determine the association of ICAD and ICAS with in-hospital recurrence and prognosis and compare their background and clinical findings.
Source: Journal of Stroke and Cerebrovascular Diseases - June 16, 2023 Category: Neurology Authors: Gaku Fujiwara, Hideki Oka, Akihiro Fujii Source Type: research

Access to rehabilitation professionals by individuals with stroke one month after hospital discharge from a stroke unit in Brazil is insufficient regardless of the pandemic
To compare access to rehabilitation professionals by individuals with stroke one month after hospital discharge from a stroke unit in Brazil, before and during the COVID-19 pandemic.
Source: Journal of Stroke and Cerebrovascular Diseases - June 7, 2023 Category: Neurology Authors: Jordana P Magalh ães, Iza Faria-Fortini, Tamires MFV Dutra, Romeu Sant'Anna, Carolina LA Soares, Luci F Teixeira-Salmela, Christina DCM Faria Source Type: research

Social and health determinants related to adverse short-term outcomes after a first-ever stroke in adults younger than 65 years
Stroke-related mortality and disability-adjusted life years in adults younger than 65 have increased over the last decade. However, geographical differences in distributing these outcomes could reflect dissimilarity in determinants. Therefore, this cross-sectional study of secondary data from Chilean hospitals aims to analyze the association of sociodemographic and clinical factors with in-hospital case-fatality risk or acquired neurologic deficits (adverse outcomes) in inpatients aged 18 to 64 who experienced their first-ever stroke.
Source: Journal of Stroke and Cerebrovascular Diseases - May 10, 2023 Category: Neurology Authors: Mauricio Lopez-Espejo, Rodrigo Poblete, Gabriel Bastias Source Type: research