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Specialty: Neurology
Education: Teaching Hospitals

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Total 99 results found since Jan 2013.

Short-Term Functional Outcome and its Predictors in a Hospital-Based Cohort of Nigerians with Acute Stroke (P5.171)
CONCLUSIONS: About 1 in 3 stroke patients in this cohort had poor functional outcome. In order to improve functional outcome and reduce the burden of stroke in Nigeria, public health education on early recognition and hospital presentation is needed. In acute stroke management, complications should be prevented while speech and language therapy should be instituted to improve functional outcome.Disclosure: Dr. Wahab has nothing to disclose. Dr. Sanya has nothing to disclose. Dr. Ademiluyi has nothing to disclose. Dr. Bello has nothing to disclose. Dr. Alaofin has nothing to disclose.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Wahab, K., Sanya, E., Ademiluyi, B., Bello, A., Alaofin, W. Tags: Cerebrovascular Disease and Interventional Neurology: Recovery and Rehabilitation Source Type: research

Predictors of Poor Outcome in Bacterial Meningitis: Retrospective Analysis of Nationwide Inpatient Sample (P5.046)
CONCLUSIONS: In this retrospective study, every decade increase in age, teaching hospital status and development of complications like hydrocephalus, ischemic stroke, seizures, intracranial abscess and respiratory failure were predictors of poor outcome. Every calendar year increase was a negative predictor of poor outcome. Study Supported by:Disclosure: Dr. Dharaiya has nothing to disclose. Dr. Modi has nothing to disclose. Dr. Maraka has nothing to disclose.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Dharaiya, D., Modi, S., Maraka, S. Tags: Neuroepidemiology: Headache, Global Health, and Infectious Disease Source Type: research

Obstructive sleep apnea is independently associated with arterial stiffness in ischemic stroke patients
Abstract Obstructive sleep apnea (OSA) is a predictor of all-cause mortality and recurrent vascular events following stroke. However, few studies have investigated the pathophysiology of OSA in ischemic stroke patients. Whether OSA independently increases arterial stiffness in ischemic stroke patients is determined by measuring the carotid–femoral pulse wave velocity (PWV) and via the central augmentation index (AIx). This cross-sectional study consecutively recruited 127 subacute ischemic stroke patients who were admitted to a teaching hospital for inpatient rehabilitation (median age, 61.3 years; IQR 53.6–7...
Source: Journal of Neurology - March 20, 2015 Category: Neurology 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

Variation in Functional Independence among Stroke Survivors Having Fatigue and Depression.
Conclusions. Participants with PSD alone and those with both PSF and PSD had lower functional independence in ADL and IADL. PMID: 24102026 [PubMed]
Source: Neurology Research International - November 16, 2014 Category: Neurology Tags: Neurol Res Int 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

Impact of somatic comorbidities on quality of life of patients living with epilepsy in Sagamu, Nigeria
ConclusionSomatic comorbidity is prevalent in this population with significant impact on their quality of life. We emphasize the need to screen for and reduce the numbers of somatic comorbidities in PWE as this can improve their quality of life.
Source: Acta Neurologica Scandinavica - September 11, 2014 Category: Neurology Authors: Philip B. Adebayo, Rufus O. Akinyemi, Folashade Oluwole, Shamsideen A. Ogun, Adesola Ogunniyi Tags: Original Article Source Type: research

Prehospital Factors Associated with Stroke Misdiagnosis by EMS Providers (S35.006)
Conclusions: LICH EMS providers missed 41% of strokes and our findings suggest that greater clinical suspicion for stroke should be exercised in patients who have a higher prehospital systolic blood pressure, who have a dispatch call of stroke, past medical history of diabetes or stroke and in those who are unconscious.Study support: NIH grants 1U01NS044364, R01 HL096944, 1U10NS077378 and 1U10NS080377.Disclosure: Dr. Brandler has nothing to disclose. Dr. Sharma has nothing to disclose. Dr. Helzner has nothing to disclose. Dr. Levine has received personal compensation in an editorial capacity for MedLink. Dr. Levine has rec...
Source: Neurology - April 9, 2014 Category: Neurology Authors: Brandler, E., Sharma, M., Helzner, E., Levine, S. Tags: Cerebrovascular Disease and Interventional Neurology: Issues in Acute Treatment Source Type: research

Hospital Factors Associated with Feeding Tube Placement for US Stroke Inpatients (S45.004)
CONCLUSIONS: Although feeding tube insertion rates have remained stable among ischemic stroke patients over the past decade, variability across hospitals was large. Differences across hospitals may be partly explained by external factors beyond the patient-centered decision to insert a PEG tube.Study Supported by: American Stroke AssociationDisclosure: Dr. George has nothing to disclose. Dr. Schneider has nothing to disclose. Dr. Holloway has received personal compensation for activities with Milliman Guideline, Inc. Dr. Holloway has received personal compensation in an editorial capacity for Neurology Today.
Source: Neurology - April 9, 2014 Category: Neurology Authors: George, B., Kelly, A., Schneider, E., Holloway, R. Tags: Cerebrovascular Disease and Interventional Neurology: Rehabilitation, Recovery, and Complications Source Type: research

Utilization Of In-Hospital Palliative Care For Ischemic Stroke Deaths In United States (S45.005)
Conclusions:In-hospital palliative care is associated with more conservative resource utilization. Significant patient and hospital related differences exists in palliative care utilization for AIS deaths in United States. A growing concern over high cost associated with end of life care in United States is expected to affect the trend of offering and adopting in-hospital palliative services impacting health care finances and quality of care measures.Disclosure: Dr. Shreyansh has nothing to disclose. Dr. Moradiya has nothing to disclose. Dr. Murthy has nothing to disclose.
Source: Neurology - April 9, 2014 Category: Neurology Authors: Shreyansh, S., Moradiya, Y., Murthy, S. Tags: Cerebrovascular Disease and Interventional Neurology: Rehabilitation, Recovery, and Complications Source Type: research

Intracerebral Hemorrhage Transfer Rates from U.S. Emergency Departments: Findings from the National Hospital Ambulatory Medical Care Survey (P5.148)
CONCLUSIONS: Ischemic stroke and ICH transfer rates are not increasing over time. One in four ICH cases is transferred from the presenting ED to another institution. Attempts should be made to improve pre-hospital triage of ICH and deliver patients to hospitals with resources to provide definitive care.Study Supported by:Disclosure: Dr. Donnelly has nothing to disclose. Dr. Mullen has nothing to disclose. Dr. Albright has received research support from The Agency for Healthcare Research and Quality, and the National Institute on Minority Health and Health Disparities. Dr. Blackburn has nothing to disclose. Dr. Cucchiara ha...
Source: Neurology - April 9, 2014 Category: Neurology Authors: Donnelly, J., Mullen, M., Albright, K., Blackburn, J., Cucchiara, B., Lo, A. Tags: Cerebrovascular Disease and Interventional Neurology: Intracerebral Hemorrhage 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

The burden of inpatient neurologic disease in a tropical african hospital.
Conclusion: The pattern of neurologic diseases in the local medical wards was not remarkably different from those observed in Nigeria and elsewhere. Stroke remains the most frequent cause of neurologic admissions and mortality in this region is same as observed elsewhere. PMID: 23786743 [PubMed - in process]
Source: The Canadian Journal of Neurological Sciences - June 27, 2013 Category: Neurology Authors: Philip-Ephraim EE, Eyong KI, Chinenye S, William UE, Ephraim RP Tags: Can J Neurol Sci Source Type: research

Factors Associated With Length of Hospitalization in Patients Admitted With Transient Ischemic Attack in United States Clinical Sciences
Conclusions— Approximately 75% of patients admitted with transient ischemic attack stay in the hospital for ≥2 days, with the most important determinants being pre-existing medical comorbidities. Longer duration of hospital stay is associated with 2- to 5-fold greater hospitalization charges.
Source: Stroke - May 24, 2013 Category: Neurology Authors: Qureshi, A. I., Adil, M. M., Zacharatos, H., Suri, M. F. K. Tags: Transient Ischemic Attacks Clinical Sciences Source Type: research

Pineal Calcification Is Associated with Symptomatic Cerebral Infarction
Conclusions: Pineal calcification may be a potential new contributor to cerebral infarction.
Source: Journal of Stroke and Cerebrovascular Diseases - February 22, 2013 Category: Neurology Authors: Amnat Kitkhuandee, Kittisak Sawanyawisuth, Nutjaree Pratheepawanit Johns, Jaturat Kanpittaya, Jeffrey Johns Tags: Original Articles Source Type: research