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Total 1895 results found since Jan 2013.

Dysphagia Screening and Hospital-acquired Pneumonia in Patients with Acute Ischemic Stroke: Findings from Get with the Guidelines–Stroke
Conclusions: HAP occurs in 1 of 17 hospitalized stroke patients and is associated with a greater than 5-fold increase in mortality. DS did not occur in 31.1% of eligible patients, with increased screening among those with more severe strokes and those who developed HAP. The attenuation of the relationship between DS and HAP risk when controlling for NIHSS score suggests the association between screening and pneumonia is confounded by severity. Controlled trials are needed to determine DS effectiveness.
Source: Journal of Stroke and Cerebrovascular Diseases - January 9, 2013 Category: Neurology Authors: Shihab Masrur, Eric E. Smith, Jeffrey L. Saver, Mathew J. Reeves, Deepak L. Bhatt, Xin Zhao, DaiWai Olson, Wenqin Pan, Adrian F. Hernandez, Gregg C. Fonarow, Lee H. Schwamm Tags: Original Articles Source Type: research

A Simple Bedside Stroke Dysphagia Screen, Validated against Videofluoroscopy, Detects Dysphagia and Aspiration with High Sensitivity
Conclusion: The BJH-SDS, validated against videofluoroscopy, is a simple bedside screen for sensitive identification of dysphagia and aspiration in the stroke population.
Source: Journal of Stroke and Cerebrovascular Diseases - August 1, 2013 Category: Neurology Authors: Jeff Edmiaston, Lisa Tabor Connor, Karen Steger-May, Andria L. Ford Tags: Original Articles Source Type: research

Failed Bedside Dysphagia Screen Predicts Pneumonia Treatment in Acute Stroke: A Resident Quality Initiative Project in a JC-Certified Primary Stroke Center (P3.124)
CONCLUSION: Bedside dysphagia screen effectively identifies patients at increased risk of pneumonia. Patients who fail dysphagia screen have increased risk of being treated for pneumonia during their acute stroke hospitalization.Study supported by: NoneDisclosure: Dr. Babi has nothing to disclose. Dr. Gorman has received personal compensation for activities with Boston Scientific Corp. Dr. Commichau has nothing to disclose. Dr. Kenney has nothing to disclose. Dr. Boyle has nothing to disclose. Dr. Comeau has nothing to disclose. Dr. Hulsey has nothing to disclose.
Source: Neurology - April 9, 2014 Category: Neurology Authors: Babi, M.-A., Gorman, M., Commichau, C., Kenney, S., Boyle, L., Comeau, M., Hulsey, S. Tags: Cerebrovascular Disease and Interventional Neurology: Primary and Comprehensive Stroke Centers Source Type: research

Failing a Dysphagia Screening Test after Acute Ischemic Stroke: Baseline Patient Factors and Outcomes (P6.037)
CONCLUSIONS: Patients with ischemic stroke who failed a dysphagia screening test had worse pre-admission function and more severe strokes, and developed much higher rates of complications and death than those who passed. Multivariable analyses are pending to control for stroke severity and determine the strength of these associations.Disclosure: Dr. Joundi has nothing to disclose. Dr. Martino has nothing to disclose. Dr. Saposnik has nothing to disclose. Dr. Fang has nothing to disclose. Dr. Giannakeas has nothing to disclose. Dr. Kapral has nothing to disclose.
Source: Neurology - April 3, 2016 Category: Neurology Authors: Joundi, R., Martino, R., Saposnik, G., Fang, J., Giannakeas, V., Kapral, M. Tags: In-Hospital Stroke and Stroke Complications Source Type: research

Enteral tube feeding in acute ischemic stroke patients as a strong predictor of in-hospital stroke mortality (P5.294)
Conclusions:In conclusion, age, total NIHSS, and dysarthria score are predictors for enteral tube feeding in acute ischemic stroke patients. Enteral tube feeding is strongly associated with the incidence of pneumonia and increased mortality among acute stroke patients.Disclosure: Dr. ROCHA has nothing to disclose. Dr. Medeiros has nothing to disclose. Dr. HONORATO has nothing to disclose. Dr. OLIVEIRA has nothing to disclose. Dr. NUNES has nothing to disclose. Dr. NASCIMENTO OLIVIERA has nothing to disclose. Dr. FREITAS has nothing to disclose. Dr. DALFIOR has nothing to disclose.
Source: Neurology - April 17, 2017 Category: Neurology Authors: ROCHA, M. S., Medeiros, L., HONORATO, M., OLIVEIRA, L. F., NUNES, P., OLIVIERA, P. N., FREITAS, J. L., DALFIOR, L. Tags: Stroke Recovery and Rehabilitation Source Type: research

Very Low Frequency Heart Rate Variability Predicts the Development of Post-Stroke Infections
AbstractStroke-induced immunodepression is a major risk factor for severe infectious complications in the immediate post-stroke period. We investigated the predictive value of heart rate variability (HRV) to identify patients at risk of post-stroke infection, systemic inflammatory response syndrome, or severe sepsis during the post-acute interval from days 3 to 5 after stroke onset. A prospective, observational monocentric cohort study was conducted in a university hospital stroke unit of patients with ischemic infarction in the territory of the middle cerebral artery without an ongoing infection at admission. Standard HRV...
Source: Translational Stroke Research - January 7, 2019 Category: Neurology Source Type: research

Inflammatory and stress markers predicting pneumonia, outcome, and etiology in patients with stroke: Biomarkers for predicting pneumonia, functional outcome, and death after stroke
Conclusions The tested biomarkers are associated with SAP and poor functional outcome. However, these biomarkers only slightly improve prediction of SAP and do not improve long-term outcome prediction over clinical parameters. MRproANP showed the best discrimination for identifying cardioembolic stroke, warranting further studies to confirm our finding. Clinical trial registration clinicaltrials.gov NCT01264549 and NCT01079728.
Source: Neurology Neuroimmunology and Neuroinflammation - February 24, 2020 Category: Neurology Authors: Hotter, B., Hoffmann, S., Ulm, L., Montaner, J., Bustamante, A., Meisel, C., Meisel, A. Tags: All Immunology, All Cerebrovascular disease/Stroke Article Source Type: research

Outcomes of Thrombolytic Treatment for Acute Ischemic Stroke in Dialysis Dependant Patients in the United States (S02.003)
CONCLUSIONS: The three fold higher odds of in-hospital mortality associated with administration of IV thrombolytics in dialysis dependant patients who present with acute ischemic stroke warrants a careful assessment of risk benefit ratio in this population.Disclosure: Dr. Adil has nothing to disclose. Dr. Adil has nothing to disclose. Dr. Irfan has nothing to disclose. Dr. Chaudhry has nothing to disclose. Dr. ATACH Investigators has nothing to disclose.
Source: Neurology - February 14, 2013 Category: Neurology Authors: Tariq, N., Adil, M., Irfan, M., Chaudhry, S., Qureshi, A. Tags: S02 Acute Stroke Therapy Source Type: research

Tracheostomy after Severe Ischemic Stroke: A Population-based Study
Conclusions: Tracheostomy is common after decompressive craniectomy and is strongly associated with the development of pneumonia. Given its impact on patient function and potentially modifiable associated factors, tracheostomy may warrant further study as an important patient-centered outcome among patients with stroke.
Source: Journal of Stroke and Cerebrovascular Diseases - October 7, 2013 Category: Neurology Authors: Brian P. Walcott, Hooman Kamel, Brandyn Castro, W. Taylor Kimberly, Kevin N. Sheth Tags: Original Articles Source Type: research

Delays in the Emergency Department, Medical Complications of Stroke and Predictors of Clinical Outcomes: The McGill Experience (P2.310)
Conclusions: This preliminary analysis of our cohort reveals that there is a significant delay in the admission of patients from the ED to the stroke unit, and that this delay is not in keeping with current Canadian Stroke Best Practice guidelines. Medical complications were prevalent, and pneumonia, brain edema and sepsis during admission were associated with worse clinical outcomes. Further work will explore the correlation between delays in ED, medical complications and clinical outcomes. Conclusions:Disclosure: Dr. Chen has nothing to disclose. Dr. Cote has nothing to disclose. Dr. Vieira has nothing to disclose. Dr. B...
Source: Neurology - April 3, 2016 Category: Neurology Authors: Chen, B. Y., Cote, R., Vieira, L., Benjamin, L., Legault, C. Tags: Stroke Systems of Care Source Type: research

Post-stroke pneumonia: Factors associated with readmission within 90 days of stroke discharge
Stroke is the fifth leading cause of death and a leading cause of disability within the United States.1,2 On average, a stroke occurs every 40 seconds and accounts for approximately 1 in every 19 deaths.2 The prevalence of stroke is projected to increase by 20.5% from 2012 to 2030.2 Post-stroke complications are prevalent; infection occurs among 30% of acute cases.3 Pneumonia is one of the most common post-stroke infections and is associated with increased morbidity.4,5 Moreover, pneumonia is recognized as an independent risk factor for stroke-related mortality.
Source: Journal of Stroke and Cerebrovascular Diseases - August 21, 2023 Category: Neurology Authors: Tiffany Bouddhara, LeighAnn Persondek, Elizabeth Ablah, Hayrettin Okut, Liuqiang Lu, James Walker Source Type: research

Recovery of Swallowing after Dysphagic Stroke: An Analysis of Prognostic Factors
Background: Dysphagia is a major complication of stroke, but factors influencing its recovery are incompletely understood. The goal of this study was to identify important prognostic variables affecting swallowing recovery after acute ischemic stroke.Methods: We retrospectively reviewed our patient database to identify acute ischemic stroke patients who developed dysphagia after stroke but were free of other confounding conditions affecting swallowing. Of the 1774 patients screened, 323 met the study criteria. We assessed the effect of age, sex, baseline National Institutes of Health Stroke Scale (NIHSS) score, level of co...
Source: Journal of Stroke and Cerebrovascular Diseases - October 24, 2012 Category: Neurology Authors: Sandeep Kumar, Christopher Doughty, Gheorghe Doros, Magdy Selim, Sourabh Lahoti, Sankalp Gokhale, Gottfried Schlaug Tags: Original Articles Source Type: research

External Validation of the Prestroke Independence, Sex, Age, National Institutes of Health Stroke Scale Score for Predicting Pneumonia After Stroke Using Data From the China National Stroke Registry
Pneumonia is an important risk factor for mortality and morbidity after stroke. The Prestroke Independence, Sex, Age, National Institutes of Health Stroke Scale (ISAN) score was shown to be a useful tool for predicting stroke-associated pneumonia based on UK multicenter cohort study. We aimed to externally validate the score using data from the China National Stroke Registry (CNSR).
Source: Journal of Stroke and Cerebrovascular Diseases - December 13, 2016 Category: Neurology Authors: Runhua Zhang, Ruijun Ji, Yuesong Pan, Yong Jiang, Gaifen Liu, Yilong Wang, Yongjun Wang Source Type: research

Stroke Associated Pneumonia: The University Hospitals-Cleveland Medical Center experience (P4.301)
Conclusions:In our series, most cases of SAP occurred in patients with severe stroke who were more likely to be ‘found down’ on presentation, urgently intubated and NPO. This data supports that impacting prevention and outcomes will require new strategies focusing on patients that require urgent or prolonged intubation rather than revising the current dysphagia assessment process.Disclosure: Dr. Attar has nothing to disclose. Dr. Beilman has nothing to disclose. Dr. Sila has received personal compensation for activities with Axio Research, Hoffman La Roche, Medtronic, Janssen, and Daiichi-Sanyko. Dr. Sila has r...
Source: Neurology - April 17, 2017 Category: Neurology Authors: Attar, H., Beilman, C., Sila, C. Tags: In-Hospital Stroke Care Source Type: research

External Validation of the ISAN, A2DS2, and AIS-APS Scores for Predicting Stroke-Associated Pneumonia
The Prestroke Independence, Sex, Age, National Institutes of Health Stroke Scale (ISAN), Age, Atrial Fibrillation, Dysphagia, male sex, and National Institutes of Health Stroke Scale (A2DS2), and acute ischemic stroke-associated pneumonia score (AIS-APS) scores were created to predict stroke-associated pneumonia (SAP), one of the most important medical stroke complications. External validation of all such scores in an acute stroke population was the aim of our study.
Source: Journal of Stroke and Cerebrovascular Diseases - November 2, 2017 Category: Neurology Authors: Elena Zapata-Arriaza, Francisco Moniche, Pardo-Galiana Blanca, Alejandro Bustamante, Irene Escudero-Mart ínez, Oscar Uclés, Ángela Ollero-Ortiz, Jose Antonio Sánchez-García, Miguel Ángel Gamero, Ángeles Quesada, Diana Vidal De Francisco, Mercedes R Source Type: research