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Condition: Ischemic Stroke
Management: Hospitals
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Total 2377 results found since Jan 2013.
Feeding tube placement in stroke patients: Urgent need for health services and outcomes research
Up to 70% of acute stroke patients demonstrate dysphagia. Approximately half of these patients recover sufficient swallowing ability to meet their caloric needs, while the other half will have long-term swallowing dysfunction.1,2 Surgical feeding tubes can provide nutritional support in patients with severe dysphagia, but the decision of if and when to place a feeding tube poses a substantial challenge because of an inability to predict long-term recovery accurately. In this issue of Neurology®, George et al.3 examined feeding tube placement in the United States in adults with acute ischemic stroke. The authors used th...
Source: Neurology - September 1, 2014 Category: Neurology Authors: Willis, A. W., Williams, L., Mullen, M. T. Tags: All Health Services Research, Medical care, All Cerebrovascular disease/Stroke, All Sleep Disorders EDITORIALS Source Type: research
Achieving a Door-To-Needle Time of 25 Minutes in Thrombolysis for Acute Ischemic Stroke: A Quality Improvement Project
Providing intravenous thrombolysis with short door-to-needle time is the result of a complex process that requires specific work standards. To expedite care for acute ischemic stroke patients, close collaboration between all participating health care professionals is required. The aim of this project was to reduce in-hospital treatment delay for acute ischemic stroke patients through the introduction of a standard operating procedure and by creating higher and sustained awareness of the importance of intravenous thrombolysis.
Source: Journal of Stroke and Cerebrovascular Diseases - September 25, 2014 Category: Neurology Authors: Sander M. Van Schaik, Bas Van der Veen, Renske M. Van den Berg-Vos, Henry C. Weinstein, Wendy M.J. Bosboom Source Type: research
International Issues: Acute ischemic stroke: An international experience
Mr. Q, a 72-year-old right-handed man with hypertension, hyperlipidemia, recurrent angina, and a 30 pack-year smoking history is a retired scientist living in the United States with his wife. He recently visited his native country, Ukraine, for the first time in almost 30 years. After an emotional day with family members, he returned home and suddenly became diaphoretic and weak, and ultimately lost consciousness. His wife drove him to the nearest open medical clinic. Because it was severely underresourced, he was then emergently taken by ambulance to a larger hospital 6 hours away. He regained consciousness by the time he...
Source: Neurology - November 3, 2014 Category: Neurology Authors: Colling, M., Lioutas, V.-A., Krishnan, V. Tags: Cost effectiveness/economic, Outcome research, Quality of life, Stroke prevention, All Cerebrovascular disease/Stroke RESIDENT AND FELLOW SECTION Source Type: research
Regional Variations in In-hospital Mortality, Care Processes, and Spending in Acute Ischemic Stroke Patients in Japan
This study investigates the regional variations and associations among outcomes, care processes, spending, and physician workforce availability in acute ischemic stroke care.
Source: Journal of Stroke and Cerebrovascular Diseases - November 22, 2014 Category: Neurology Authors: Tetsuya Otsubo, Etsu Goto, Toshitaka Morishima, Hiroshi Ikai, Chiaki Yokota, Kazuo Minematsu, Yuichi Imanaka Source Type: research
A Simple Prediction Score for Developing a Hospital-Acquired Infection after Acute Ischemic Stroke
Hospital-acquired infections (HAIs) are a major cause of morbidity and mortality in acute ischemic stroke patients. Although prior scoring systems have been developed to predict pneumonia in ischemic stroke patients, these scores were not designed to predict other infections. We sought to develop a simple scoring system for any HAI.
Source: Journal of Stroke and Cerebrovascular Diseases - January 16, 2015 Category: Neurology Authors: Adam J. Friedant, Brittany M. Gouse, Amelia K. Boehme, James E. Siegler, Karen C. Albright, Dominique J. Monlezun, Alexander J. George, Timothy Mark Beasley, Sheryl Martin-Schild Source Type: research
Limited Efficacy of a Long-term Secondary Prevention Program in Ischemic Stroke and Transient Ischemic Attack Patients
Few studies have focused on the quality of care with regard to long-term secondary prevention after transient ischemic attack (TIA) or ischemic stroke. The aim of this study was 2-fold: (1) to determine if ischemic stroke and TIA patients are motivated for a long-term secondary prevention program after hospital discharge and (2) to study the effect of this program on the attainment of guideline-recommended secondary prevention targets.
Source: Journal of Stroke and Cerebrovascular Diseases - March 24, 2015 Category: Neurology Authors: Sander M. Van Schaik, Renske M. Van den Berg-Vos, Henry C. Weinstein, Wendy M.J. Bosboom Source Type: research
Defining Mild Stroke: Outcomes Analysis of Treated and Untreated Mild Stroke Patients
Mild deficit is a relative contraindication to administration of intravenous recombinant tissue plasminogen activator (IV rtPA) for acute ischemic stroke. However, what constitutes “mild” deficit is vague. Prior studies showed patients with mild strokes have substantial disability rates at hospital discharge and at 90 days. We investigated whether the application of a new definition altered the rates of disability overall and assessed the effects of thrombolysis.
Source: Journal of Stroke and Cerebrovascular Diseases - April 20, 2015 Category: Neurology Authors: Ilana Spokoyny, Rema Raman, Karin Ernstrom, Pooja Khatri, Dawn M. Meyer, Thomas M. Hemmen, Brett C. Meyer Source Type: research
Atrial Fibrillation and Stroke: It's About Point of View
In this issue of the journal, Frandsen et al report that the proportion of atrial fibrillation (AF)-associated ischemic strokes has not changed over 15 years (1997-2012) among all ischemic strokes in patients admitted to a Danish hospital.1 The finding may seem surprising because of the proven efficacy of oral anticoagulants for stroke prevention in patients with AF and the substantial world-wide diffusion effort during this interval. Indeed, the authors also found that the rate of prestroke use of oral anticoagulants (ie, in “treatment failures” in their stroke database) rose over the years in their patients suggest...
Source: Journal of Stroke and Cerebrovascular Diseases - April 30, 2015 Category: Neurology Authors: David C. Anderson, Richard W. Asinger Tags: Editorial Source Type: research
Prognosis of Early-Stage Continuous Electrocardiogram Abnormalities on Patients with Acute Ischemic Stroke
To explore the effects of onset time of electrocardiogram (ECG) abnormalities at an early stage of acute ischemic stroke on patient prognosis. Cardiac dysfunction after stroke is a challenge for clinicians. This is a retrospective study of patients in the neurology departments of 23 hospitals in Shanghai and Wuhan, China.
Source: Journal of Stroke and Cerebrovascular Diseases - May 1, 2015 Category: Neurology Authors: Beisi Jiang, Xiang Han, Liang Wang, Qiang Dong Source Type: research
Causes and Predictors for Hospital Readmission after Ischemic Stroke
This study aimed at assessing frequencies, causes, and factors associated with early and late unplanned readmissions within 1 year after discharge from ischemic stroke hospitalization.
Source: Journal of Stroke and Cerebrovascular Diseases - June 30, 2015 Category: Neurology Authors: Anna T. Bjerkreim, Lars Thomassen, Jan Brøgger, Ulrike Waje-Andreassen, Halvor Næss Source Type: research
A Case of Recurrent Ischemic Stroke Involving Subacute, Progressive Intracranial Cerebral Arterial Sclerosis Prior to Diagnosis with -mutated Polycythemia Vera
A 58-year-old man presenting with no vascular risk factors visited our hospital with right hemiparesis and total aphasia. Diffusion-weighted magnetic resonance imaging of the brain showed multiple hyperintensities in watershed distributions in the left hemisphere. Magnetic resonance angiography (MRA) revealed stenosis of the middle cerebral artery, despite normal MRA findings 2 months prior. One year after the first stroke, the patient experienced a recurrent ischemic stroke involving the left anterior choroidal artery, pulmonary embolism, and deep venous thrombosis.
Source: Journal of Stroke and Cerebrovascular Diseases - September 29, 2015 Category: Neurology Authors: Tomohisa Nezu, Shiro Aoki, Kazuhide Ochi, Sayaka Sugihara, Tetsuya Takahashi, Naohisa Hosomi, Hirofumi Maruyama, Masayasu Matsumoto Tags: Case Studies Source Type: research
Effect of Weekend Admission on In-Hospital Mortality in Patients with Ischemic Stroke: An Analysis of Korean Nationwide Claims Data from 2002 to 2013
Studies conducted on patients with stroke in countries other than Korea demonstrated a phenomenon known as the weekend effect on 7-day, 30-day, and in-hospital mortalities. We studied patients with stroke using nationwide cohort data to determine if there was a weekend effect on mortality in a Korean population.
Source: Journal of Stroke and Cerebrovascular Diseases - November 30, 2015 Category: Neurology Authors: Kyoung Hee Cho, Eun-Cheol Park, Chung Mo Nam, Young Choi, Jaeyong Shin, Sang Gyu Lee Source Type: research
Tissue Plasminogen Activator Prescription and Administration Errors within a Regional Stroke System
We describe the frequency and types of tPA administration errors made in our comprehensive stroke center (CSC) and at community hospitals (CHs) prior to transfer.
Source: Journal of Stroke and Cerebrovascular Diseases - December 11, 2015 Category: Neurology Authors: Lee S. Chung, Aleksander Tkach, Erin M. Lingenfelter, Sarah B. Dehoney, Jeannie Rollo, Adam de Havenon, L. Dana DeWitt, Matthew R. Grantz, Haimei Wang, Jana J. Wold, Peter M. Hannon, Natalie R. Weathered, Jennifer J. Majersik Source Type: research
Door to Intravenous Tissue Plasminogen Activator Time and Hospital Length of Stay in Acute Ischemic Stroke Patients, Georgia, 2007-2013
This study evaluates the benefit of reducing door-to-treatment (DTT) time as measured by hospital length of stay (LOS).
Source: Journal of Stroke and Cerebrovascular Diseases - February 4, 2016 Category: Neurology Authors: Moges Seyoum Ido, Ike S. Okosun, Rana Bayakly, Lydia Clarkson, James Lugtu, Sanita Floyd, Kerrie Krompf, Michael Frankel Source Type: research
Pre-hospital Delay as Determinant of Ischemic Stroke Outcome in an Italian Cohort of Patients Not Receiving Thrombolysis
In this study, the impact of pre-hospital delay on the outcome of ischemic stroke was investigated in an Italian cohort of patients who did not receive thrombolysis.
Source: Journal of Stroke and Cerebrovascular Diseases - March 23, 2016 Category: Neurology Authors: Licia Denti, Andrea Artoni, Umberto Scoditti, Elisa Gatti, Chiara Bussolati, Gian Paolo Ceda Source Type: research
