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Early Mortality and Associated Factors among Patients with Stroke Admitted to a Large Teaching Hospital in Tanzania
Stroke is a major cause of death worldwide and 85.5% of stroke deaths occur in low- and middle-income countries due to stroke. The aim of this study was to investigate correlates and predictors of 30-day mortality in stroke patients in urban Tanzania.
Source: Journal of Stroke and Cerebrovascular Diseases - November 28, 2016 Category: Neurology Authors: Kigocha Okeng'o, Pilly Chillo, William K. Gray, Richard W. Walker, William Matuja Source Type: research
Telemedicine Quality and Outcomes in Stroke: A Scientific Statement for Healthcare Professionals From the American Heart Association/American Stroke Association AHA Scientific Statements
Purpose—Telestroke is one of the most frequently used and rapidly expanding applications of telemedicine, delivering much-needed stroke expertise to hospitals and patients. This document reviews the current status of telestroke and suggests measures for ongoing quality and outcome monitoring to improve performance and to enhance delivery of care.Methods—A literature search was undertaken to examine the current status of telestroke and relevant quality indicators. The members of the writing committee contributed to the review of specific quality and outcome measures with specific suggestions for metrics in telestroke ne...
Source: Stroke - December 22, 2016 Category: Neurology Authors: Lawrence R. Wechsler, Bart M. Demaerschalk, Lee H. Schwamm, Opeolu M. Adeoye, Heinrich J. Audebert, Christopher V. Fanale, David C. Hess, Jennifer J. Majersik, Karin V. Nystrom, Mathew J. Reeves, Wayne D. Rosamond, Jeffrey A. Switzer Tags: Statements and Guidelines AHA Scientific Statement Source Type: research
Renal Dysfunction Is Associated With Poststroke Discharge Disposition and In-Hospital Mortality Clinical Sciences
Background and Purpose—Kidney disease is a frequent comorbidity in patients presenting with acute ischemic stroke. We evaluated whether the estimated glomerular filtration rate (eGFR) on admission is associated with poststroke in-hospital mortality or discharge disposition.Methods—In this cohort study, data from ischemic stroke patients in Get With The Guidelines–Stroke linked to fee-for-service Medicare data were analyzed. The Modification of Diet in Renal Disease study equation was used to calculate the eGFR (mL/min/1.73 m2). Dialysis was identified by International Classification of Diseases, Ninth Revision codes....
Source: Stroke - January 22, 2017 Category: Neurology Authors: Nada El Husseini, Gregg C. Fonarow, Eric E. Smith, Christine Ju, Lee H. Schwamm, Adrian F. Hernandez, Phillip J. Schulte, Ying Xian, Larry B. Goldstein Tags: Mortality/Survival, Cerebrovascular Disease/Stroke, Ischemic Stroke Original Contributions Source Type: research
Recurrent Stroke and Early Mortality in an Urban Medical Unit in Cameroon
Data on stroke mortality in recurrent strokes in the context of limited acute stroke care and secondary stroke prevention within Africa are very scant. We investigated the risk of in-hospital death in patients with recurrent stroke in the medical department of the Yaound é Central Hospital in Cameroon.
Source: Journal of Stroke and Cerebrovascular Diseases - April 14, 2017 Category: Neurology Authors: Alain Lekoubou, Clovis Nkoke, Anastase Dzudie, Andre Pascal Kengne Source Type: research
This visor-like device could be a defibrillator for stroke
[Image from Cerebrotech Medical Systems]A portable, visor-like device has shown potential for detecting emergent large-vessel occlusion with 92% accuracy in patients who may have had a stroke. The researchers suggest that the diagnostic device could be readily accessible to emergency personnel and in public spaces in the same way a defibrillator is available for treating heart attacks.
Researchers and clinical investigators Medical University of South Carolina (MUSC), Mount Sinai and the University of Tennessee Health Sciences Center reported that patients who had a large-vessel occlusion and used the device could be sent ...
Source: Mass Device - April 10, 2018 Category: Medical Devices Authors: Danielle Kirsh Tags: Diagnostics Hospital Care mHealth (Mobile Health) Research & Development Cerebrotech Medical Systems Medical University of South Carolina (MUSC) MedTech Mount Sinai Stroke University of Tennessee Health Sciences Center Source Type: news
Features of Patients Aged 80 Years or Older with Embolic Stroke of Undetermined Source
In this study, we investigated the features of this condition in patients greater than or equal to 80 years of age. Methods: All patients with acute ischemic stroke in our hospital underwent diffusion-weighted imaging, magnetic resonance angiography, T2-weighted imaging, and fluid-attenuated inversion recovery sequence imaging. Embolic stroke of undetermined source was defined as a radiologically confirmed nonlacunar brain infarct on diffusion-weighted imaging without (1) extracranial or intracranial atherosclerosis causing greater than or equal to 50% luminal stenosis in arteries supplying the ischemic area, (2) major-ris...
Source: Journal of Stroke and Cerebrovascular Diseases - October 24, 2018 Category: Neurology Authors: Tomonori Iwata, Kazunari Honma, Hideyuki Hanano, Ayana Kadokura, Eiichiro Nagata, Shunya Takizawa Source Type: research
Early Magnetic Resonance Imaging Decreases Hospital Length of Stay in Patients with Ischemic Stroke
Imaging modalities are important part of stroke evaluation. Noncontrast head computed tomography (CT) is the initial imaging modality in acute stroke and although important to rule out acute hemorrhage and making a decision on thrombolytic treatment, ischemic changes may not be visible on CT for up to 24 hours. Magnetic resonance imaging (MRI) brain is an invaluable tool to confirm an ischemic stroke and facilitates stroke evaluation. Objective of this study was to investigate the correlation between time to MRI and length of hospital stay.
Source: Journal of Stroke and Cerebrovascular Diseases - November 3, 2018 Category: Neurology Authors: Bharti Manwani, Subhendu Rath, Nora S. Lee, Ilene Staff, Christoph Stretz, Janhavi Modak, Pasquale F. Finelli Source Type: research
GWTG Risk Model for All Stroke Types Predicts In-Hospital and 3-Month Mortality in Chinese Patients with Acute Stroke
We aimed to externally validate the Get With the Guidelines (GWTG) risk model for all stroke types to predict in-hospital stroke mortality in Chinese patients and moreover to explore its prognostic value in predicting 3-month mortality after stroke.
Source: Journal of Stroke and Cerebrovascular Diseases - December 13, 2018 Category: Neurology Authors: Shichao Sun, Yuesong Pan, Lei Bai, Xingquan Zhao, Liping Liu, Hao Li, Yilong Wang, Li Guo, Yongjun Wang Source Type: research
Sleep Apnea-Predictor of Functional Outcome in Acute Ischemic Stroke
This study was conducted in Kasturba Medical College (KMC) hospital, Manipal, India, between May 2015 and August 2016.
Source: Journal of Stroke and Cerebrovascular Diseases - December 14, 2018 Category: Neurology Authors: Radhika Nair, Kurupath Radhakrishnan, Aparajita Chatterjee, Shankar P. Gorthi, Varsha A. Prabhu Source Type: research
Reliability of the Acutely Estimated Premorbid Modified Rankin Scale for Stroke Treatment Decision Making
Background: Premorbid functional status is an important factor in acute stroke treatment decision making. Determining the modified Rankin Score (mRS) accurately may be difficult due to deficits from stroke and lack of collateral information in the acute setting. Data on the reliability of the premorbid mRS in “real-world” practice outside of clinical trial or registry settings are limited. Methods: A retrospective study at a high volume academic primary stroke center. For patients with acute ischemic stroke treated with alteplase between July 2012 and July 2016, hospital electronic records were revie wed for detailed i...
Source: Journal of Stroke and Cerebrovascular Diseases - January 9, 2019 Category: Neurology Authors: WenWen Zhang, Skye Coote, Tanya Frost, Helen M. Dewey, Phillip M. Choi Source Type: research
Osteoprotegerin Assessment Improves Prediction of Mortality in Stroke Patients
Background: Elevated circulating osteoprotegerin (OPG) level is associated with an increased risk of hospitalization for ischemic stroke and coronary artery disease. The aim of the present study was to analyze whether OPG assessment may improve the prediction of mortality in patients with stroke. Patients and Methods: Serum OPG, fetuin A, 25-OH-D3, intact parathyroid hormone levels were assessed in serum samples which were left over after routine tests in a hospital laboratory. This assessment was conducted in 240 consecutive patients with acute ischemic stroke, admitted within 24 hours after the onset of symptoms to the Stroke Unit.
Source: Journal of Stroke and Cerebrovascular Diseases - January 15, 2019 Category: Neurology Authors: Jaros ław Wajda, Maciej Świat, Aleksander J. Owczarek, Michał Holecki, Jan Duława, Aniceta Brzozowska, Magdalena Olszanecka-Glinianowicz, Jerzy Chudek Source Type: research
Association between Mapuche Ethnicity and Stroke: A Case-Control Study
Background: There is evidence of a greater incidence of stroke in native populations and minorities. A total of 34% of the population in the Araucan ía Region is indigenous. The association between Mapuche ethnicity and stroke is unknown. The aim of the study was to estimate the magnitude of the association between Mapuche ethnicity and stroke occurrence in patients admitted to the Dr. Hernán Henríquez Aravena Hospital (HHHA) in Temuco, Chile . Methods: We performed an incident case–control-paired study with patients hospitalized with an acute stroke in the internal medicine service and controls from other medical services at the HHHA.
Source: Journal of Stroke and Cerebrovascular Diseases - February 13, 2019 Category: Neurology Authors: Álvaro Soto, Gladys Morales, Rosa Provoste, Fernando Lanas, Isabel Aliaga, Daniela Pacheco, Sergio Muñoz Source Type: research
Etiologic Evaluation of Ischemic Stroke in Young Adults: A Comparative Study between Two European Centers
Introduction: Identifying the cause of ischemic stroke in young adults is often difficult. Our objective was to compare the etiologic diagnostic strategy for ischemic stroke in young adults between 2 European centers and investigate the influence of workup variations in the diagnosed etiologies. Patients and Methods: We included patients aged 18-55 years admitted for ischemic stroke or transient ischemic attack to the stroke units of Santa Maria Hospital in Lisbon, Portugal, and Innsbruck University Hospital in Innsbruck, Austria, between 2014 and 2016.
Source: Journal of Stroke and Cerebrovascular Diseases - February 13, 2019 Category: Neurology Authors: Bernardo Crespo Pimentel, Johann Willeit, Thomas T öll, Stefan Kiechl, Teresa Pinho e Melo, Patrícia Canhão, Catarina Fonseca, José Ferro Source Type: research
Risk Factors for Acute Heart Failure and Impact on In-Hospital Mortality after Stroke
Background: In the acute phase of stroke, some patients develop cardiac events. It could be fatal in their clinical courses. We aimed to investigate acute heart failure after stroke onset and stratify the patients by establishing a predictive model. Methods: This single-center, observational study included stroke patients diagnosed at the Department of Neurology and Neurosurgery from January 2013 to December 2014. Baseline characteristics and clinical findings on admission were analyzed for acute heart failure after stroke.
Source: Journal of Stroke and Cerebrovascular Diseases - March 27, 2019 Category: Neurology Authors: Shogo Shima, Masaki Shinoda, Osamu Takahashi, Akihiko Unaki, Tetsuya Kimura, Yoshikazu Okada, Yasunari Niimi Source Type: research
Obstructive Sleep Apnea before Ischemic Stroke: Clinical Relevance to Infarction Volume and Neurological Recovery
Background: Obstructive sleep apnea (OSA) is a probable risk factor with speculative roles in the induction or aggravation of acute ischemic stroke (AIS). Methods: The association between OSA and AIS severity was retrospectively analyzed using clinical data of first-onset AIS patients, admitted to our hospital between January 2013 and September 2016. Eligible patients were categorized based on the presence of OSA prior to stroke. Stroke severity and functional outcomes were evaluated using the National Institute of Health Stroke Severity Scale (NIHSS) and the modified Rankin scale (mRS), respectively.
Source: Journal of Stroke and Cerebrovascular Diseases - May 20, 2019 Category: Neurology Authors: Li Zhang, Ran Meng, Shuling Shang, Chuanjie Wu, Di Wu, Shuyi Shang, Lifeng Chen, Yunshu Zhang, Xunming Ji Source Type: research
