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Total 178 results found since Jan 2013.
New-Onset Perioperative Atrial Fibrillation Associated With Increased Risk of Ischemic Stroke
Clinical question For patients undergoing any inpatient surgery, is the presence of new-onset perioperative atrial fibrillation associated with a greater long-term risk of ischemic stroke? Bottom line Perioperative atrial fibrillation (AF) is associated with an increased risk of ischemic stroke for patients who are hospitalized for surgery. (LOE = 2b) Reference Gialdini G, Nearing K,... [Read More]
The post New-Onset Perioperative Atrial Fibrillation Associated With Increased Risk of Ischemic Stroke appeared first on The Hospitalist.
Source: The Hospitalist - November 10, 2014 Category: Hospital Management Authors: Nita Shrikant Kulkarni, MD Tags: Clinical Literature Reviews atrial fibrillation outcome risk stroke surgery Source Type: research
Dabigatran and Warfarin are Both Used for Stroke-prevention in Patients with AF but their Side effects Differ
NEW YORK (Reuters Health) – Dabigatran and warfarin offer similar stroke-prevention efficacy in patients with atrial fibrillation (AF), but their side effect profiles differ, according to a systematic review and meta-analysis of real-world clinical practice. “There could be many reasons for the differences in our findings, such as differences in the quality of evidence of... [Read More]
Source: The Hospitalist - February 19, 2016 Category: Hospital Management Authors: Will Boggs MD, Reuters Health Tags: Clinical Education Hospitalist Patient Care atrial fibrillation Dabigatran stroke warfarin Source Type: research
Assessing improvements in survival for stroke patients in the Northern Territory 1992?2013: a marginal structural analysis.
Conclusions Stroke survival has improved in the NT over the past two decades. The marginal structural models provide a powerful methodological tool that can be applied to hospital administrative data to assess changes in quality of care and the impact of interventions. What is known about the topic? Stroke-related mortality has fallen in the past 30 years in Australia. Indigenous Australians have much worse health outcomes than other Australians, including higher stroke incidence and mortality, but it is not known whether stroke survival has improved for Indigenous stroke patients. What does this paper add? This study meas...
Source: Australian Health Review - February 23, 2015 Category: Hospital Management Authors: Zhao Y, Condon J, You J, Guthridge S, He V Tags: Aust Health Rev Source Type: research
Thrombolysis in acute stroke: ongoing challenges based on a tertiary hospital audit and comparisons with other Australian studies.
Conclusion The proportion of eligible stroke patients who receive tPA in a timely manner remains less than ideal at our centre. More accurate patient selection and reductions in treatment delays serve as targets for quality improvement efforts that have broad applicability.What is known about the topic? Stroke unit care and tPA thrombolysis are two proven strategies to improve outcome in patients with ischaemic stroke. Although the stroke unit is gaining momentum of growth in Australia (especially in Queensland), little improvement has been achieved in thrombolysis rate and timeliness of treatment delivery, and little is k...
Source: Australian Health Review - June 29, 2015 Category: Hospital Management Authors: Lau AH, Hall G, Scott IA, Williams M Tags: Aust Health Rev Source Type: research
Code stroke: Multicenter experience with in‐hospital stroke alerts
Between 2.2% and 17% of all strokes have symptom onset during hospitalization in a patient originally admitted for another diagnosis or procedure. A response system to rapidly evaluate inpatients with acute neurologic symptoms facilitates evaluation and treatment of stroke developing during hospitalization. The National Stroke Association implemented an in‐hospital stroke quality‐improvement initiative from July 2010 to June 2011 in 6 certified stroke centers from Michigan, South Carolina, Pennsylvania, Colorado, Washington, and North Carolina. Three hundred ninety‐three in‐hospital stroke alerts were examined over...
Source: Journal of Hospital Medicine - December 24, 2014 Category: Hospital Management Authors: Ethan Cumbler, Jennifer Simpson Tags: Brief Reports Source Type: research
Optimal patient protocols in regional acute stroke care
We describe acute stroke care as a multi-flow two-level hierarchical facility location problem and the model is formulated as a mixed integer linear program. The objective of the model is the minimization of the total time until treatment in a region and it incorporates volume-dependent in-hospital delays. The resulting model is used to gain insight in the performance of practically oriented patient allocation protocols, used by EMS. We observe that the protocol of directly driving to the nearest stroke centre with s pecial facilities (i.e., the mothership protocol) performs closest to optimal, with an average total time d...
Source: Health Care Management Science - September 1, 2021 Category: Hospital Management Source Type: research
Cost-effectiveness of the Victorian Stroke Telemedicine program
ConclusionThe VST program was likely to be cost saving or cost-effective. Our findings provide confidence in supporting wider implementation of telemedicine for acute stroke care in Australia.PMID:35589669 | DOI:10.1071/AH21377
Source: Australian Health Review - May 19, 2022 Category: Hospital Management Authors: Joosup Kim Elise Tan Lan Gao Marj Moodie Helen M Dewey Kathleen L Bagot Nancy Pompeani Lauren Sheppard Christopher F Bladin Dominique A Cadilhac Source Type: research
The scope for improvement in hyper-acute stroke care in Scotland
Publication date: Available online 11 September 2015 Source:Operations Research for Health Care Author(s): Evin Uzun Jacobson, Steffen Bayer, James Barlow, Martin Dennis, Mary Joan MacLeod Thrombolysis is associated with reduced disability for selected patients who have suffered ischemic stroke. However only a fraction of all patients who have suffered this type of stroke receive thrombolysis. The short time window of 4.5 h in which treatment is licensed means that rapid care and well-organised pathways are essential. We studied measures to increase the uptake of thrombolysis through a better understanding of the ho...
Source: Operations Research for Health Care - September 11, 2015 Category: Hospital Management Source Type: research
A framework to accelerate simulation studies of hyperacute stroke systems
Publication date: Available online 21 September 2017 Source:Operations Research for Health Care Author(s): Thomas Monks, Durk-Jouke van der Zee, Maarten Lahr, Michael Allen, Kerry Pearn, Martin A. James, Erik Buskens, Gert-Jan Luijckx Stroke care has been identified as an area where operations research has great potential. In recent years there has been a small but sustained stream of discrete-event simulation case studies in modelling hyperacute stroke systems. The nature of such case studies has led to a fragmented knowledge base and high entry cost to stroke modelling research. Two common issues have faced researcher...
Source: Operations Research for Health Care - September 22, 2017 Category: Hospital Management Source Type: research
Compliance with joint commission measures in state‐designated stroke centers
CONCLUSIONSNew Jersey state‐designated CSCs are better at adhering to the JC core stroke measures and have shorter door‐to‐thrombolytic drug times. Journal of Hospital Medicine 2013. © 2013 Society of Hospital Medicine
Source: Journal of Hospital Medicine - December 12, 2013 Category: Hospital Management Authors: Spozhmy Panezai, Tefera Gezmu, Jawad Kirmani, Florence Chukwuneke, Ratna Bitra, Abate Mammo, Martin Gizzi Tags: Original Research Source Type: research
Impact of transesophageal echocardiography on clinical management of patients over age 50 with cryptogenic stroke and normal transthoracic echocardiogram
CONCLUSIONIn our study population, when performed subsequent to a normal TTE in patients aged >50 years with cryptogenic stroke, TEE demonstrated a high diagnostic value, but had minimal incremental effect on patient management. Journal of Hospital Medicine 2015. © 2015 Society of Hospital Medicine
Source: Journal of Hospital Medicine - September 21, 2015 Category: Hospital Management Authors: Brian Marino, Abhishek Jaiswal, Seth Goldbarg, Gary L. Bernardini, Todd Kerwin Tags: Original Research Source Type: research
