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Clinical characteristics, outcomes and risk factors for mortality in hospitalized diabetes and chronic kidney disease patients after COVID-19 infection following widespread vaccination
ConclusionsThese findings highlight the critical importance of identifying and managing comorbid risk factors for COVID-19, especially among the elderly, in order to optimize clinical outcomes, even after COVID-19 vaccination.
Source: Journal of Endocrinological Investigation - September 19, 2023 Category: Endocrinology Source Type: research
Manage your risk of carotid artery disease
Carotid artery disease occurs when the blood vessels supplying your brain and head, known as carotid arteries, are damaged or blocked by fatty deposits. These deposits contain cholesterol that organizes as a plaque, which clogs or blocks the carotid arteries. This is similar to coronary artery disease, which reduces blood flow to your heart. This blockage in blood vessels increases your risk of stroke — a medical emergency that occurs when the blood supply to the brain is…
Source: News from Mayo Clinic - September 19, 2023 Category: Databases & Libraries Source Type: news
Angiography-based hemodynamic features predict recurrent ischemic events after angioplasty and stenting of intracranial vertebrobasilar atherosclerotic stenosis
ConclusionsIn patients with intracranial vertebrobasilar atherosclerosis treated with PTAS, preprocedural prolonged TTP of the target vessel and shortened trans-stenotic TTP difference were associated with stroke relapse. Q-DSA-defined hemodynamic parameters provided incremental predictive value over conventional parameters for stroke recurrence.Clinical relevance statementQuantitative DSA analysis enables intuitive observation and semi-quantitative evaluation of peri-therapeutic cerebral blood flow. More importantly, quantitative DSA –defined hemodynamic parameters have the potential for risk stratification of patients ...
Source: European Radiology - September 19, 2023 Category: Radiology Source Type: research
Clinical characteristics, outcomes and risk factors for mortality in hospitalized diabetes and chronic kidney disease patients after COVID-19 infection following widespread vaccination
ConclusionsThese findings highlight the critical importance of identifying and managing comorbid risk factors for COVID-19, especially among the elderly, in order to optimize clinical outcomes, even after COVID-19 vaccination.
Source: Journal of Endocrinological Investigation - September 19, 2023 Category: Endocrinology Source Type: research
Association Between Cervical Fracture Patterns and Blunt Cerebrovascular Injury When Screened with Computed Tomographic Angiography
Vertebral artery injury (VAI) is estimated to be present in upwards of 0.7% of all patients who sustain blunt trauma [1 –7], and in 19-39% of all cervical spine fractures. This is likely due to the close anatomic relationship between the cervical spine and the vertebral arteries. There has been significant interest in determining the risk factors for development of VAI and carotid artery injuries (CAI) because of t he potentially catastrophic outcomes in a missed posterior circulation stroke. If undetected blunt cerebrovascular injuries (BCVI), which include both VAI and CAIs, have significant morbidity and mortality wit...
Source: The Spine Journal - September 19, 2023 Category: Orthopaedics Authors: Peter Z Du, Nicholas D Christopher, Venkat Ganapathy Tags: Clinical Study Source Type: research
Adult mortality trends in Matlab, Bangladesh: an analysis of cause-specific risks
Conclusion
Deaths from stroke, heart disease and cancers were either on the rise or remained unchanged, but other causes declined continuously from 2003 to 2017. Immediate strengthening of the preventive and curative healthcare systems for NCDs management is a burning need.
Source: BMJ Open - September 19, 2023 Category: General Medicine Authors: Ahmed, A., Nahian, M. A., Rahman, M. M., Alam, N., Nahar, Q., Streatfield, P. K., Haider, M. M., Rahman, M. Tags: Open access, Public health Source Type: research
Progressing patient safety in the Emergency Medical Services
Introduction Patients are vulnerable during emergency episodes outside the formal care sector, for example, care provided by paramedics responding to a stroke or heart attack at home. Yet much less is known about the safety of Emergency Medical Services (EMS) as compared with primary or secondary healthcare.1 This relative lack of information is important given there are aspects of EMS care that create unique patient safety challenges. EMS staff are not surrounded by the usual safety infrastructure one finds in hospitals or community facilities. The episodic nature of each interaction means EMS staff lack the information o...
Source: BMJ Quality and Safety - September 19, 2023 Category: General Medicine Authors: Lydon, S., Masterson, S., Deasy, C., O'Connor, P. Tags: Editorials Source Type: research
Common Data Elements for Disorders of Consciousness: Recommendations from the Working Group on Behavioral Phenotyping
ConclusionsThe proposed behavioral phenotyping CDEs will assist with international harmonization of DoC studies and allow for more precise characterization of study cohorts, favorably impacting observational studies and clinical trials aimed at improving outcome in this population.
Source: Neurocritical Care - September 19, 2023 Category: Neurology Source Type: research
Pressure- vs. volume-controlled ventilation and their respective impact on dynamic parameters of fluid responsiveness: a cross-over animal study
Pulse pressure variation (PPV) and stroke volume variation (SVV), which are based on the forces caused by controlled mechanical ventilation, are commonly used to predict fluid responsiveness. When PPV and SVV ...
Source: BMC Anesthesiology - September 19, 2023 Category: Anesthesiology Authors: Amelie Zitzmann, Tim Bandorf, Jonas Merz, Fabian M üller-Graf, Maria Prütz, Paul Frenkel, Susanne Reuter, Brigitte Vollmar, Nora A. Fuentes, Stephan H. Böhm and Daniel A. Reuter Tags: Research Source Type: research
Blood pressure trajectory of inpatient stroke rehabilitation patients from the Determining Optimal Post-Stroke Exercise (DOSE) trial over the first 12 months post-stroke
ConclusionBlood pressure increased after inpatient rehabilitation over the first 12 months post-stroke, especially among those with a history of hypertension. The 4-week aerobic gait training intervention did not influence this trajectory.
Source: Frontiers in Neurology - September 19, 2023 Category: Neurology Source Type: research
Post-stroke functional assessments based on rehabilitation games and their correlation with clinical scales: A scoping review
AbstractConsidering that stroke is one of the main causes of adult impairment and the growing interest in Virtual Reality (VR) as a potential assessment and treatment tool for the rehabilitation of stroke patients, a scoping review was conducted to check whether user ’s motion data obtained from VR games and simulations can be clinically valid. This was done by reviewing studies on parameters for assessing the functional skills and rehabilitation progress using data from VR games or simulations. Then, identifying the most widely used and validated parameters f or the quantification of motor ability in a virtual environme...
Source: Medical and Biological Engineering and Computing - September 19, 2023 Category: Biomedical Engineering Source Type: research
Neurological telerehabilitation in the COVID-19 era – current perspectives through a bibliometric analysis
ConclusionA greater interest in the subject was observed in China with greater relevance of journals and institutions focused on neurology. However, despite telerehabilitation being an effective alternative in the context of the pandemic, few studies have explored this modality.
Source: Frontiers in Neurology - September 19, 2023 Category: Neurology Source Type: research
Cost of treatment failure: Medicare spending on stroke for atrial fibrillation patients not receiving anticoagulation
It is well known that atrial fibrillation (AF) patients not receiving anticoagulants are at higher risk of Ischemic Stroke (IS).
Source: Journal of the Neurological Sciences - September 19, 2023 Category: Neurology Authors: Steven D. Culler, W. Frank Peacock, April W. Simon Source Type: research
IJERPH, Vol. 20, Pages 6783: Reaching the Frail Elderly for the Diagnosis and Management of Atrial Fibrillation & mdash;REAFEL
CONCLUSIONS: CardioShare was successfully implemented for AF evaluation in primary care.
Source: International Journal of Environmental Research and Public Health - September 19, 2023 Category: Environmental Health Authors: Carsten Bamberg Caroline Thorup Ladegaard Mathias Aalling Dorthea Marie Jensen Christoffer L æssøe Madsen Sadaf Kamil Henrik Gudbergsen Thomas Saxild Michaela Louise Schi øtz Julie Grew Luana Sandoval Castillo Iben Tousgaard Rie Laurine Rosenthal Johan Tags: Article Source Type: research
AHA Reviews Impact of Aggressive LDL Lowering on the Brain AHA Reviews Impact of Aggressive LDL Lowering on the Brain
The preponderance of evidence does not support the conclusion that aggressive cholesterol-lowering is associated with cognitive impairment or hemorrhagic stroke, a new statement concludes.Medscape Medical News
Source: Medscape FamilyMedicine Headlines - September 18, 2023 Category: Primary Care Tags: Cardiology News Source Type: news
