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Education: Teaching Hospitals

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Total 488 results found since Jan 2013.

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

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

Clinical validation of in-hospital stroke diagnosis
The objective was to validate the diagnostic accuracy of in-hospital stroke identification in stroke audit data at a large teaching hospital.
Source: Journal of Stroke and Cerebrovascular Diseases - August 5, 2023 Category: Neurology Authors: Lucy Chapman, Orla Kennedy, David Bradley, Joseph Harbison 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

Hydration practices for hospitalized stroke patients at the university teaching hospital in zambia
Volume contracted state (VCS) at stroke onset may worsen stroke outcomes; therefore, providers may consider administering increased rehydration in these patients. Thus, we sought to understand current hydration practices after stroke at the University Teaching Hospital in Lusaka, Zambia.
Source: Journal of Stroke and Cerebrovascular Diseases - March 30, 2023 Category: Neurology Authors: Stanley Zimba, Lorraine Chishimba, Mashina Chomba, Aparna Nutakki, Gloria Habanyama, Moses Mataa, Kunda Yumbe, Rebecca F. Gottesman, Deanna Saylor, Mona N. Bahouth Source Type: research

Time to ct scan imaging after symptom onset among ischeamic stroke patients presenting to a quaternary hospital in ghana
This study sought to determine the time of onset of symptoms to the time a CT imaging was done among patients presenting with acute stroke at the Korle-Bu Teaching Hospital.
Source: Journal of Stroke and Cerebrovascular Diseases - March 30, 2023 Category: Neurology Authors: F. Duodu, D. Brodie Mends, B. Agbinko-Djobalar, P. Pekyi-Boateng, M. Amerwornu, P Adjei, A Akpalu, K Nkromah 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

Rate of Endovascular Therapy in Octogenarian/Nonagenarian Acute Ischemic Stroke Patients Compared to Younger Patients (I2.007)
Conclusions: Frequency of EVT and IV-TPA use in AIS patients 蠅80years are increasing but rates remain significantly lower compared with younger patients. Disparity in EVT use in octogenarian/nonagenarian also exists by race and hospital factors. Targeted efforts are needed to lessen this disparity.Disclosure: Dr. Otite has nothing to disclose. Dr. Khandelwal has nothing to disclose. Dr. Tipirneni has nothing to disclose. Dr. Fellman has nothing to disclose. Dr. Malik has nothing to disclose. Dr. Yavagal has received personal compensation for activities with Covidien/evV3 as a consultant and Steering Committee Member...
Source: Neurology - April 3, 2016 Category: Neurology Authors: Otite, F., Khandelwal, P., Tipirneni, A., Fellman, M., Malik, A., Yavagal, D., Chaturvedi, S. Tags: Stroke in the Elderly and Young: Challenges for the Next Decade Data Blitz Presentations Source Type: research

The Cost-Effectiveness of a Stroke Unit in Providing Enhanced Patient Outcomes in an Australian Teaching Hospital
The objective of this study was to assess the performance and analyze the cost-effectiveness of an SU.
Source: Journal of Stroke and Cerebrovascular Diseases - June 13, 2017 Category: Neurology Authors: Shaun Zhai, Fergus Gardiner, Teresa Neeman, Brett Jones, Yash Gawarikar Source Type: research

Predictors of stroke mortality at university teaching hospital in lusaka, zambia
Stroke burden in sub-Saharan Africa (SSA) is one of the highest in the world. However, systematic studies of stroke mortality and outcomes in SSA are lacking.
Source: Journal of Stroke and Cerebrovascular Diseases - March 20, 2022 Category: Neurology Authors: Aparna Nutakki, Deanna Saylor, Lorraine Chishimba, Mashina Chomba, Moses Mataa, Stanley Zimba Source Type: research

Factors determining discharge against medical advice among stroke admissions in oauthc ile ife
Discharge against medical advice (DAMA) is request for a discharge treatment plan that is outside the range of medically acceptable standards of practice based on risk or other factors. We aimed to explore the rate and factors determining DAMA among stroke patients in OAUTHC Ile Ife.The study is a retrospective descriptive study that spanned 1st July 2017 to 30th June 2022 at the Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Southwestern Nigeria. Data on all stroke patients that DAMA within the study period was extracted from the unit register and case note retrieved at the record department of the hospit...
Source: Journal of Stroke and Cerebrovascular Diseases - March 30, 2023 Category: Neurology Authors: Adebimpe F. Ogunmodede, Akintunde A. Adebowale, Ahmed O. Idowu, Ahmad A. Sanusi, Uchenna C. Eke, Mercy O. Oluwatosin, Morenikeji A Komolafe Source Type: research

Predictors of 30-day mortality among stroke patients admitted at a tertiary teaching hospital in northwestern tanzania: a prospective cohort study
Stroke is the 2nd leading cause of death worldwide, with the highest mortality in Low-middle-income countries particularly in sub-Saharan Africa. We aimed to investigate the predictors of 30-day mortality among stroke patients admitted at a tertiary hospital in Northwestern Tanzania.
Source: Journal of Stroke and Cerebrovascular Diseases - March 30, 2023 Category: Neurology Authors: Sarah Shali Matuja, Gilbert Mlay, Fredrick Kalokola, Patrick Ngoya, Jemima Shindika, Rashid Ali Ahmed, Basil Tumaini, Khuzeima Khanbhai, Reuben Mutta, Mohamed Manji, Faheem Sheriff, Karim Mahawish Source Type: research

The level of stroke severity amongst early and late presenters and their functional outcomes during a 30-day period in a teaching hospital in ghana
This study aimed at examining the clinical presentation of patients with acute ischaemic stroke, who presented early ( 4.5 hrs) against their functional outcomes during a 30-day period.
Source: Journal of Stroke and Cerebrovascular Diseases - March 30, 2023 Category: Neurology Authors: F. Duodu, D. Brodie Mends, P. Pekyi-Boateng, B. Agbinko-Djobalar, J. Abugre, P. Adjei, A Akpalu, K Nkromah Source Type: research