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Impact of Neurologist In-Hospital 24/7 on stroke patients arriving to the Emergency Department activated as a Code Stroke (S8.003)
Conclusions:In-hospital 24/7 coverage for acute stroke treatment reduces door to alteplase treatment times significantly. For each minute reduction in a neurologist at the bedside for CS, a 2 minute and 18 second improvement in door to alteplase treatment time occurs. An associated reduction in mortality is also demonstrated. A limitation of this study includes a smaller number of post-implementation data. These data will need on-going monitoring to ensure enduring impact.Disclosure: Dr. Schneider has nothing to disclose. Dr. Jones has received personal compensation for activities with Genentech as a speaker. Dr. Gosnell h...
Source: Neurology - April 17, 2017 Category: Neurology Authors: Schneider, A., Jones, R., Gosnell, J., Snyder, S., Taylor, R. Tags: Cerebrovascular Disease and Interventional Neurology: Acute Stroke Treatment Source Type: research

Age, Gender and Racial Disparities in Acute Stroke Therapy in a Large Non-Academic Health System (P3.261)
Conclusions:We confirmed known disparities in ATT rates between PSC and AH. No disparity in age or gender were identified in this population. Racial disparity was problematic because of a small number of non-white patients and a number of patients with no racial data captured. Better racial data collection, analysis of access to care, and care process modeling might impact these findings.Disclosure: Dr. Taylor has nothing to disclose. Dr. Jones has received personal compensation for activities with Genentech as a speaker. Dr. Gosnell has nothing to disclose. Dr. Snyder has nothing to disclose. Dr. Schneider has nothing to disclose.
Source: Neurology - April 17, 2017 Category: Neurology Authors: Taylor, R., Jones, R., Gosnell, J., Snyder, S., Schneider, A. Tags: Cerebrovascular Disease Epidemiology Source Type: research

Role of the Stroke Unit in Reducing the Medical and Neurological Complications Post Stroke in Patient Admitted at Royal Hospital from 2009-2015 (P2.318)
CONCLUSIONS: Medical complications that follow acute stroke not only influence mortality but may influence functional outcome. Stroke patients who receive organized inpatient care in a stroke unit are less likely to be developing medical complications post strokeDisclosure: Dr. Al-Hashmi has nothing to disclose. Dr. Al-Saadi has nothing to disclose. Dr. Maheshwari has nothing to disclose. Dr. Almamari has nothing to disclose. Dr. Salunga has nothing to disclose. Dr. Marfil has nothing to disclose.
Source: Neurology - April 3, 2016 Category: Neurology Authors: Al-Hashmi, A., Al-Saadi, A., Maheshwari, H., Almamari, R., Salunga, C., Marfil, R. Tags: Stroke Systems of Care Source Type: research

LDL and Systolic Blood Pressure Are Associated with Coated-Platelet Levels in Patients with Asymptomatic Carotid Atherosclerosis (P1.235)
Conclusions: In asymptomatic patients with carotid atherosclerosis, higher LDL and lower SBP were associated with increased coated-platelet levels. The relationship between LDL and coated-platelet levels is consistent with the recognized role of hypercholesterolemia in cardiovascular disease. The significance of the association between lower SBP and higher coated-platelet levels is less clear. These findings should be confirmed in prospective studies. Supported by grants from the American Heart Association and Clinical Science Research & Development Service (CX000340).Disclosure: Dr. Kirkpatrick has nothing to disclose...
Source: Neurology - April 3, 2016 Category: Neurology Authors: Kirkpatrick, A., Nguyen, N., Vincent, A., Guthery, L., Mathews, E., Malatinszky, G., Donna-Ferreira, F., Dale, G., Prodan, C. Tags: Carotid Disease Source Type: research

The Effect of Language Barriers on Door-to-Needle Times for IV Thrombolysis Administration in Acute Stroke Patients (P1.266)
Conclusions: We found longer, though not statistically significant, DTN times for LEP patients in comparison to non-LEP patients. Further studies are needed to identify how stroke teams can best address the barriers faced when treating LEP patients. We will perform a sub-study on patients receiving intra-arterial therapy or thrombectomy to elucidate the effect of LEP on door-to-groin time.Disclosure: Dr. Dujari has nothing to disclose. Dr. Lau has nothing to disclose. Dr. Clark has nothing to disclose. Dr. Nguyen has nothing to disclose. Dr. Babikian has nothing to disclose. Dr. Kase has nothing to disclose. Dr. Romero has...
Source: Neurology - April 3, 2016 Category: Neurology Authors: Dujari, S., Lau, H., Clark, J., Nguyen, T., Babikian, V., Kase, C., Romero, J., Aparicio, H. J. Tags: Cerebrovascular Disease: Health Disparities Source Type: research

Assessment of hospital readmissions in stroke patient population from the Stroke Center at the University of Kentucky: as a quality measure (P5.150)
Conclusions: Our study determined etiologies for hospital readmission after initial stroke hospitalization. Urinary tract infections were found to be the most common cause for stroke readmissions. Further analysis may help to identify risks for readmission and potentially reduce readmission rates.Disclosure: Dr. Al Sawaf has nothing to disclose. Dr. Lee has nothing to disclose.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Al Sawaf, A., Lee, J. Tags: Cerebrovascular Disease and Interventional Neurology: Quality Research and Initiatives Source Type: research

Stroke Patterns and Short Term Mortality in Marijuana Users and Non-Users: A Cross-Sectional Study (P1.061)
CONCLUSIONS: Our findings suggest that the SAH patients have higher rate of positive THC test in urine than other stroke types. Marijuana use has no effect on post-stroke in-hospital mortality. Study Supported by: NoneDisclosure: Dr. Mittal has nothing to disclose. Dr. Adabala has nothing to disclose.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Mittal, M., Adabala, N. Tags: Cerebrovascular Disease and Interventional Neurology: Epidemiology Source Type: research

Natural Language Processing Method Accurately Classifies and Extracts Unstructed Data from Stroke Admission and Progress Notes (P4.288)
CONCLUSIONS: Notes associated with stroke-related ICD9 codes has a closer association with the the training data as compared to notes that did not have a stroke associated ICD9 code (36.5 linear degrees of agreement versus 40.5 degrees). This method allowed for greater than 80% identification of patients with stroke related conditions.Disclosure: Dr. Franc has nothing to disclose.
Source: Neurology - April 9, 2014 Category: Neurology Authors: Franc, D. Tags: Practice, Policy, and Ethics: Stroke, Critical Care, and Other Source Type: research

Association between Intracranial Stenosis and Cerebro-Renal Microvascular Damage in a Latin American Cohort. (P1.151)
CONCLUSIONS: physiopatological mechanisms involved in IS and extracranial stenosis (carotid artery disease, CHD and peripheral artery disease) seem to be different. IS is associated with higher burden microvascular damage, which could be related to occlusion of penetrating arteries, embolism to border-zone areas or hemodynamic mechanisms associated with IS.Disclosure: Dr. Zurru has nothing to disclose. Dr. Alonzo has nothing to disclose. Dr. Brescacin has nothing to disclose. Dr. Santiago has nothing to disclose. Dr. Camera has nothing to disclose. Dr. Waisman has nothing to disclose. Dr. Cristiano has received personal co...
Source: Neurology - April 9, 2014 Category: Neurology Authors: Zurru, M., Alonzo, C., Brescacin, L., Santiago, P., Camera, L., Waisman, G., Cristiano, E. Tags: Cerebrovascular Disease and Interventional Neurology: Intracranial Disease Source Type: research

Intraoperative Neurophysiologic Monitoring of Surgical and Endovascular Treatment of Pediatric Arteriovenous Malformations (S55.002)
CONCLUSIONS:Persistent IONM changes had a strong correlation with new post-operative deficits. Transient IONM changes, including those resolving after alterations in surgical management or pre-embolization methohexital testing, had a much lower risk of new deficits. Therefore, IONM can be a useful tool in pediatric AVM cases, not only in predicting neurological compromise, but also in identifying when to alter management.Study Supported by:N/ADisclosure: Dr. Nguyen has nothing to disclose. Dr. Avila has nothing to disclose. Dr. Lee has nothing to disclose. Dr. Cho has nothing to disclose. Dr. Le has nothing to disclose. Dr...
Source: Neurology - April 9, 2014 Category: Neurology Authors: Nguyen, V., Avila, S., Lee, L., Cho, S., Le, S., Lopez, J. Tags: Pediatric Stroke and Stroke in the Young Source Type: research