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Use of Warfarin at Discharge Among Acute Ischemic Stroke Patients With Nonvalvular Atrial Fibrillation in China Clinical Sciences
Conclusions— The rate of warfarin use remains low among patients with ischemic stroke and known nonvalvular atrial fibrillation in China. Hospital size and academic status together with patient age, heart failure, heavy alcohol drinking, international normalized ratio in hospital, and stroke severity on admission were each independently associated with the use of warfarin at discharge. There is much room for improvement for secondary stroke prevention in nonvalvular atrial fibrillation patients in China.
Source: Stroke - January 25, 2016 Category: Neurology Authors: Yang, X., Li, Z., Zhao, X., Wang, C., Liu, L., Wang, C., Pan, Y., Li, H., Wang, D., Hart, R. G., Wang, Y., Wang, Y., on behalf of the China National Stroke Registry II Investigators Tags: Anticoagulants, Treatment, Quality and Outcomes, Ischemic Stroke Clinical Sciences Source Type: research

Missed Ischemic Stroke Diagnosis in the Emergency Department by Emergency Medicine and Neurology Services Clinical Sciences
Conclusions— Atypical symptoms associated with posterior circulation strokes lead to misdiagnoses. This was true at both an academic center and a large community hospital. Future studies need to focus on the evaluation of identification systems and tools in the emergency department to improve the accuracy of stroke diagnosis.
Source: Stroke - February 22, 2016 Category: Neurology Authors: Arch, A. E., Weisman, D. C., Coca, S., Nystrom, K. V., Wira, C. R., Schindler, J. L. Tags: Cardiopulmonary Resuscitation and Emergency Cardiac Care, Cerebrovascular Disease/Stroke, Ischemic Stroke Clinical Sciences Source Type: research

Validity of Hospital Discharge Diagnosis Codes for Stroke: The Atherosclerosis Risk in Communities Study Clinical Sciences
Conclusions— A new AHA/ASA discharge code grouping to identify stroke had similar PPV and lower sensitivity compared with an alternative code grouping. Accuracy varied by patient characteristics and study sites.
Source: Stroke - October 27, 2014 Category: Neurology Authors: Jones, S. A., Gottesman, R. F., Shahar, E., Wruck, L., Rosamond, W. D. Tags: Cerebrovascular disease/stroke, Epidemiology Clinical Sciences Source Type: research

Academic Year-end Changeover and Stroke Outcomes
Lower quality of care and poorer outcomes are suspected when new trainees (eg, residents) start in July in teaching hospitals, the so-called “the July effect.” We evaluated outcomes and processes of care among patients with an acute ischemic stroke (AIS) admitted in July versus other 11 months of the year.
Source: Journal of Stroke and Cerebrovascular Diseases - December 23, 2014 Category: Neurology Authors: Tai Hwan Park, Donald A. Redelmeier, Shudong Li, Jitphapa Pongmoragot, Gustavo Saposnik, Investigators of the Registry of the Canadian Stroke network (RCSN) for the Stroke Outcomes Research (SORCan) Working Group Source Type: research

Disparities in Stroke Type and Vascular Risk Factors Between 2 Hispanic Populations in Miami and Mexico City
Conclusions: We found significant differences in the frequency of hypertension, diabetes, dyslipidemia, and atrial fibrillation in Miami Hispanics and Mexican stroke patients, highlighting the heterogeneity of the Hispanic ethnic group. Future studies are needed to clarify the relative contribution of genetic and environmental disparities amongst Mexican and Caribbean Hispanic stroke patients.
Source: Journal of Stroke and Cerebrovascular Diseases - July 2, 2012 Category: Neurology Authors: Jose G. Romano, Antonio Arauz, Sebastian Koch, Chuanhui Dong, Juan M. Marquez, Carol Artigas, Marlon Merlos, Bernardo Hernandez, Luis F. Roa, Tatjana Rundek, Ralph L. Sacco Tags: Original Articles Source Type: research

Aspiration Pneumonia in Adults Hospitalized With Stroke at a Large Academic Hospital in Zambia
Discussion PSAP is common and life threatening in Zambia, especially among older participants with severe stroke presentations. PSAP was associated with significantly increased mortality independent of initial stroke severity, suggesting that interventions to mitigate PSAP may improve stroke outcomes in Zambia and other resource-limited settings.
Source: Neurology Clinical Practice - December 13, 2021 Category: Neurology Authors: Prust, M. L., Nutakki, A., Habanyama, G., Chishimba, L., Chomba, M., Mataa, M., Yumbe, K., Zimba, S., Gottesman, R. F., Bahouth, M. N., Saylor, D. R. Tags: All Cerebrovascular disease/Stroke, All global neurology Research Source Type: research

Hospital Variation in Functional Recovery After Stroke Original Articles
Conclusions— One third of acute ischemic stroke patients were functionally dependent or dead 3 months postacute stroke; functional recovery rates varied considerably among hospitals, supporting the need to better determine which care processes can maximize functional outcomes.
Source: Circulation: Cardiovascular Quality and Outcomes - January 16, 2017 Category: Cardiology Authors: Bettger, J. P., Thomas, L., Liang, L., Xian, Y., Bushnell, C. D., Saver, J. L., Fonarow, G. C., Peterson, E. D. Tags: Health Services, Quality and Outcomes, Ischemic Stroke Original Articles Source Type: research

Strokes Associated With Pregnancy and Puerperium Clinical Sciences
Conclusions—The incidence of pregnancy-associated stroke in Japan did not seem higher than that in other Asian and Western countries. The proportion of hemorrhagic stroke among Japanese women was much higher than that in white women. Preexisting cerebrovascular diseases and reversible cerebral vasoconstriction syndrome play a key role in hemorrhagic and ischemic stroke, respectively.
Source: Stroke - January 22, 2017 Category: Neurology Authors: Kazumichi Yoshida, Jun C. Takahashi, Yohei Takenobu, Norihiro Suzuki, Akira Ogawa, Susumu Miyamoto Tags: Epidemiology, Pregnancy, Cerebrovascular Disease/Stroke Original Contributions Source Type: research

Thrombolytic Utilization in Ischemic Stroke Is Significantly Higher in US Hospitals with Neurology Residency Program (S02.006)
CONCLUSIONS: Stroke care at NR hospitals is associated with an increased thrombolytic utilization rate. The increased tPA utilization at NR between 2002-2006 may be related to the rapid increase in Primary Stroke Centers across the country.Disclosure: Dr. Moradiya has nothing to disclose. Dr. Grant has nothing to disclose. Dr. Valsamis has nothing to disclose. Dr. Levine has received personal compensation in an editorical capacity for MEDLINK.
Source: Neurology - February 14, 2013 Category: Neurology Authors: Moradiya, Y., Grant, J., Valsamis, H., Levine, S. Tags: S02 Acute Stroke Therapy Source Type: research

Differences in lipid profiles in two Hispanic ischemic stroke populations
ConclusionWe found significant differences in lipid fractions in Hispanic ischemic stroke patients, with lower total cholesterol and low‐density lipoprotein, and higher triglyceride levels in Mexicans. These findings highlight the heterogeneity of dyslipidemia among the Hispanic race‐ethnic group and may lead to different secondary prevention strategies.
Source: International Journal of Stroke - December 20, 2013 Category: Neurology Authors: A. Arauz, J. G. Romano, A. Ruiz‐Franco, T. Shang, C. Dong, T. Rundek, S. Koch, B. Hernández‐Curiel, J. Pacheco, P. Rojas, F. Ruiz‐Navarro, M. Katsnelson, R. L. Sacco Tags: Research Source Type: research

What drives the increasing utilisation of hemicraniectomy in acute ischaemic stroke?
Conclusion Utilisation of hemicraniectomy in the USA has increased significantly, in line with compelling results from European clinical trials. Early transfer of patients with malignant infarctions to urban teaching centres could potentially extend the survival benefit to a larger population.
Source: Journal of Neurology, Neurosurgery and Psychiatry - June 9, 2013 Category: Neurosurgery Authors: Bhattacharya, P., Kansara, A., Chaturvedi, S., Coplin, W. Tags: Stroke Cerebrovascular disease Source Type: research

Assessment of the Completeness and Accuracy of Case Ascertainment in the Michigan Stroke Registry Original Articles
Conclusions— Among registry hospitals, these results revealed relatively high levels of completeness and accuracy. Matching registry data to hospital discharge data identified hospitals that changed their case ascertainment method to a case sampling approach. This study illustrates the value of monitoring case ascertainment in stroke registries using external data sources.
Source: Circulation: Cardiovascular Quality and Outcomes - September 16, 2014 Category: Cardiology Authors: Reeves, M. J., Nickles, A. V., Roberts, S., Hurst, R., Lyon-Callo, S. Tags: Health policy and outcome research, Acute Cerebral Infarction, Other Stroke Treatment - Medical Original Articles Source Type: research

Seasonal Variation in 30-Day Mortality After Stroke: Teaching Versus Nonteaching Hospitals Brief Reports
Conclusions— The 30-day RAMR decreased overall, but seasonal patterns were present, with the highest RAMR in January and a smaller peak in July. Because patterns were similar for teaching and nonteaching hospitals, the July peak cannot be explained by the introduction of new trainees in the beginning of the academic year. The reasons for these seasonal patterns warrant further investigation.
Source: Stroke - January 18, 2013 Category: Neurology Authors: Lichtman, J. H., Jones, S. B., Wang, Y., Leifheit-Limson, E. C., Goldstein, L. B. Tags: Health policy and outcome research, Acute Cerebral Infarction, Epidemiology Brief Reports Source Type: research

Increasing utilization of tissue plasminogen activator in acute ischemic stroke with staff changes (P4.281)
Conclusions:There was a significant increase in iv t-PA utilization during phase 2, without any change in patient demographics, inclusion or exclusion criteria, and with an actual reduction in iv t-PA eligible AIS patients. We believe this change occurred because the attending physician was present in the hospital to personally evaluate all AIS patients and therefore more likely to administer iv t-PA to eligible patients.Disclosure: Dr. Majeed has nothing to disclose. Dr. Cummings has nothing to disclose. Dr. Zand has nothing to disclose. Dr. Groody has nothing to disclose. Dr. Holland has nothing to disclose.
Source: Neurology - April 17, 2017 Category: Neurology Authors: Majeed, M., Cummings, C., Zand, R., Groody, A., Holland, N. Tags: Thrombolysis and Acute Evaluation in Ischemic Stroke Source Type: research

Long Term Impact of ACGME Duty Hour Restrictions on Mortality Rate for Acute Ischemic Stroke (P1.183)
Conclusions: Our results indicate that the ACGME duty hour restrictions had a positive impact on patient safety for AIS while reducing the weekly hours worked by residents. Both hospital types showed significant reduction in mortality rate over the 13 years. More research to determine the long-term impact of ACGME restrictions on mortality rate for other common diseases and surgical procedures is needed.Disclosure: Dr. Berry has nothing to disclose. Dr. Seifi has nothing to disclose.
Source: Neurology - April 3, 2016 Category: Neurology Authors: Berry, K., Seifi, A. Tags: Ischemic Stroke Outcomes Source Type: research

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