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Specialty: Endocrinology
Condition: Stroke

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Total 2154 results found since Jan 2013.

Predicting Clinical Outcomes and Response to Thrombolysis in Acute Stroke Patients With Diabetes.
CONCLUSIONSStroke patients with diabetes have poorer outcomes compared with patients without diabetes, which is not explained by ICH. The iScore similarly predicts response to tPA between stroke patients with and without diabetes. PMID: 23359359 [PubMed - as supplied by publisher]
Source: Diabetes Care - January 28, 2013 Category: Endocrinology Authors: Nikneshan D, Raptis R, Pongmoragot J, Zhou L, Johnston SC, Saposnik G, on behalf of the Investigators of the Registry of the Canadian Stroke Network (RCSN) and the Stroke Outcomes Research Canada (SORCan) Working Group Tags: Diabetes Care Source Type: research

An Analysis of EMS and ED Detection of Stroke.
CONCLUSIONS: EMS stroke alerts have better diagnostic test performance than stroke alerts by ED staff, likely due to higher NIH Stroke Scale scores (more obvious presentations) and are associated with better process measures. The fairly low PPV suggests room for improvement in prehospital stroke protocols. PMID: 28339314 [PubMed - as supplied by publisher]
Source: Prehospital Emergency Care - March 26, 2017 Category: Endocrinology Tags: Prehosp Emerg Care Source Type: research

Identifying Key Words in 9-1-1 Calls for Stroke: A Mixed Methods Approach.
CONCLUSIONS: Most 9-1-1 callers used vague, non-specific, or distractor words and phrases and infrequently provide classic stroke descriptions during 9-1-1 calls for stroke. Both qualitative and quantitative methodologies identified similar key words and phrases associated with accurate EMD stroke recognition. This study suggests that tools incorporating commonly used words and phrases could potentially improve EMD stroke recognition. PMID: 28661784 [PubMed - as supplied by publisher]
Source: Prehospital Emergency Care - June 30, 2017 Category: Endocrinology Tags: Prehosp Emerg Care Source Type: research

Accuracy of Prehospital Identification of Stroke in a Large Stroke Belt Municipality.
CONCLUSIONS: EMD and EMS personnel in a large city in the Southeastern United States, with high stroke prevalence, had a relatively high sensitivity in identifying acute stroke patients. Paramedic accuracy was augmented by positive CPSS screening and by EMD recognition of stroke. PMID: 29596006 [PubMed - as supplied by publisher]
Source: Prehospital Emergency Care - March 31, 2018 Category: Endocrinology Tags: Prehosp Emerg Care Source Type: research

Association of glomerular filtration rate with outcomes of acute stroke in type 2 diabetic patients: results from the China National Stroke Registry.
CONCLUSIONSLow and high eGFRs (<45 ml/min/1.73m(2) or ≥120 ml/min/1.73m(2), respectively) are independent predictors of all-cause mortality and other poor outcomes after acute stroke in patients with type 2 diabetes. PMID: 24009297 [PubMed - as supplied by publisher]
Source: Diabetes Care - September 5, 2013 Category: Endocrinology Authors: Luo Y, Wang X, Wang Y, Wang C, Wang H, Wang D, Liu L, Jia Q, Liu G, Zhao X, Wang Y, on behalf of the CNSR investigators Tags: Diabetes Care Source Type: research

HbA1c measurement and relationship to incident stroke
ConclusionsThe frequency of diabetes testing was higher in patients who had experienced a stroke before and after their incident stroke compared with control patients but did not increase after their stroke. Glucose control improved significantly in the year after a stroke.This article is protected by copyright. All rights reserved.
Source: Diabetic Medicine - December 19, 2015 Category: Endocrinology Authors: R. Robson, A. Lacey, S. Luzio, H Van Woerden, M. Heaven, M. Wani, J. Halcox, L. Castilla‐Guerra, J. Dawson, J. Hewitt Tags: Short Report Source Type: research

Stroke Risk among Patients with Type 2 Diabetes Mellitus in Zhejiang: A Population-Based Prospective Study in China.
Conclusions. The relationship between stroke and T2DM was strong, especially in female. The incidence of stroke and stroke subtypes among patients with T2DM was up to 3-fold higher than in general population in Zhejiang province, especially the subtype of cerebral infarctions. PMID: 27403161 [PubMed]
Source: International Journal of Endocrinology - July 13, 2016 Category: Endocrinology Tags: Int J Endocrinol Source Type: research

Emergency Dispatcher Stroke Recognition: Associations with Downstream Care.
CONCLUSIONS: Emergency dispatcher stroke recognition is associated with higher rates of on-scene stroke scale performance and EMS ischemic stroke recognition but not with reduced transport times, door-to-CT times, or t-PA treatment. PMID: 29336708 [PubMed - as supplied by publisher]
Source: Prehospital Emergency Care - January 18, 2018 Category: Endocrinology Tags: Prehosp Emerg Care Source Type: research

The Cincinnati Prehospital Stroke Scale Compared to Stroke Severity Tools for Large Vessel Occlusion Stroke Prediction.
Conclusions: In this large sample of real-world prehospital patient encounters, the CPSS demonstrated similar predictive performance characteristics compared to the RACE, LAMS, and VAN for detecting LVO stroke. Prior to implementing a specific screening tool, EMS agencies should evaluate ease of use and associated implementation costs. Scored 0-3, the simple, widely-used CPSS may serve as a favorable prehospital screening instrument for LVO detection with a cut-point of 2 or higher maximizing the tradeoff between sensitivity and specificity. PMID: 32017644 [PubMed - as supplied by publisher]
Source: Prehospital Emergency Care - February 6, 2020 Category: Endocrinology Tags: Prehosp Emerg Care Source Type: research

Simplified Prehospital Prediction Rule to Estimate the Likelihood of 4 Types of Stroke: The 7-Item Japan Urgent Stroke Triage (JUST-7) Score.
Conclusions: The simplified 7-item JUST (JUST-7) score had good predictive ability and can help healthcare providers to estimate the likelihood of different types of stroke and decide the referral hospital. PMID: 32701385 [PubMed - as supplied by publisher]
Source: Prehospital Emergency Care - July 25, 2020 Category: Endocrinology Tags: Prehosp Emerg Care Source Type: research

Emergency Medical Services Utilization for Acute Stroke Care: Analysis of the Paul Coverdell National Acute Stroke Program, 2014-2019.
CONCLUSIONS: Strategies to help increase stroke awareness and utilization of EMS among those with symptoms of stroke should be considered in order to help improve stroke outcomes. PMID: 33464940 [PubMed - as supplied by publisher]
Source: Prehospital Emergency Care - January 21, 2021 Category: Endocrinology Tags: Prehosp Emerg Care Source Type: research

Utilization of screening and treatment for osteoporosis among stroke survivors
ConclusionsBoth BMD testing and osteoporosis treatment were underutilized among stroke survivors even though they had a higher chance of receiving both measures than non-stroke patients.
Source: Frontiers in Endocrinology - December 1, 2022 Category: Endocrinology Source Type: research

Impact of glucose-lowering therapies on risk of stroke in type 2 diabetes.
Abstract Patients with type 2 diabetes (T2D) have an increased risk of stroke compared with people without diabetes. However, the effects of glucose-lowering drugs on risk of ischaemic stroke in T2D have been less extensively investigated than in coronary heart disease. Some evidence, including the UKPDS, has suggested a reduced risk of stroke with metformin, although the number of studies is limited. Inhibition of the KATP channels increases ischaemic brain lesions in animals. This is in agreement with a recent meta-analysis showing an increased risk of stroke with sulphonylureas vs. various comparators as both m...
Source: Diabetes and Metabolism - May 15, 2017 Category: Endocrinology Authors: Bonnet F, Scheen AJ Tags: Diabetes Metab Source Type: research

Prognostic Value of BEFAST vs. FAST to Identify Stroke in a Prehospital Setting.
CONCLUSION: Adding coordination and diplopia assessments to face, arm, and speech assessment does not improve stroke detection in the prehospital setting. PMID: 30118372 [PubMed - as supplied by publisher]
Source: Prehospital Emergency Care - August 18, 2018 Category: Endocrinology Tags: Prehosp Emerg Care Source Type: research

Prevalence of diabetes and its effects on stroke  outcomes: A meta‐analysis and literature review
ConclusionsApproximately one ‐third of all stroke patients have diabetes. Uniform methods to screen for diabetes after stroke are required to identify individuals with diabetes to design interventions aimed at reducing poor outcomes in this high‐risk population.
Source: Journal of Diabetes Investigation - October 13, 2018 Category: Endocrinology Authors: Lik ‐Hui Lau, Jeremy Lew, Karen Borschmann, Vincent Thijs, Elif I Ekinci Tags: Original Article Source Type: research