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Patients with Stroke and Dysphagia: Demographics and Trends in Percutaneous Endoscopic Gastrotomy Tube Use in Stroke Patients in the United States from 1988-2010 (P01.219)
CONCLUSIONS: The use of PEG tubes has increased over time in US hospital admissions for acute stroke, and was associated with multiple comorbidities, greater length of stay and age > 74. This shows the increasing awareness of post-stroke dysphagia.Disclosure: Dr. Johnson has nothing to disclose. Dr. Dubinsky has received personal compensation for activities with Allergan, Inc. Dr. Dubinsky has received research support from Allergan Pharmaceuticals, Medivation Pharmaceuticals, and from the National Institutes of Health.
Source: Neurology - February 14, 2013 Category: Neurology Authors: Johnson, K., Dubinsky, R. Tags: P01 Cerebrovascular Disease I Source Type: research

Clinico-Radiological Profile of Strokes in Kashmir Valley, North-West India: A Study from a University Hospital (P03.172)
CONCLUSIONS: Intracerebral hemorrhage was the commonest stroke-type observed in Kashmir accounting for close to two third of strokes with male preponderance.Disclosure: Dr. Shah has nothing to disclose. Dr. Bardi has nothing to disclose. Dr. Dar has nothing to disclose.
Source: Neurology - February 14, 2013 Category: Neurology Authors: Shah, P., Bardi, G., Dar, A. Tags: P03 Cerebrovascular Disease III Source Type: research

Increased Hemoglobin A1c Level Is Associated with Decreased Hematoma Volume in Patients with Spontaneous Intracerebral Hemorrhage (P03.176)
CONCLUSIONS: Our data showed inverse correlation between HbA1c levels and BHV. This contradiction may suggest that acute hyperglycemia in response to acute stress is the effect rather than cause of severe ICH. Further studies to determine if increased HbA1c levels lead to the early activation of clotting factors in ICH patients, or increased HbA1c levels lead to changes in the structure of the vessel wall is warranted.Disclosure: Dr. Mehta has nothing to disclose. Dr. Dass has nothing to disclose. Dr. Moussavi has nothing to disclose. Dr. Sodhi has nothing to disclose. Dr. Nizam has nothing to disclose. Dr. Korya has nothi...
Source: Neurology - February 14, 2013 Category: Neurology Authors: Mehta, S., Dass, P., Moussavi, M., Sodhi, R., Nizam, A., Korya, D., Dababneh, H., Ibrahim, M., Kirmani, J. Tags: P03 Cerebrovascular Disease III Source Type: research

Rate of Utilization and Determination of Withdrawal of Care among Acute Ischemic Stroke Patient Treated with Thrombolytics (P02.002)
CONCLUSIONS: Our results identify several individual and institution related factors that determine the use of "withdrawal of care" among thrombolytic treated ischemic stroke patients. The excessively high mortality and resource utilization mandates a more evidence based policy for "withdrawal of care" in these patients.Disclosure: Dr. Suri has nothing to disclose. Dr. Adil has nothing to disclose. Dr. Gilani has nothing to disclose. Dr. ATACH Investigators has nothing to disclose.
Source: Neurology - February 14, 2013 Category: Neurology Authors: Suri, M. F., Adil, M., Gilani, W., Qureshi, A. Tags: P02 Ethics, Pain, and Palliative Care Source Type: research

Thrombolytic Utilization in Ischemic Stroke Is Significantly Higher in US Hospitals with Neurology Residency Program (S02.006)
CONCLUSIONS: Stroke care at NR hospitals is associated with an increased thrombolytic utilization rate. The increased tPA utilization at NR between 2002-2006 may be related to the rapid increase in Primary Stroke Centers across the country.Disclosure: Dr. Moradiya has nothing to disclose. Dr. Grant has nothing to disclose. Dr. Valsamis has nothing to disclose. Dr. Levine has received personal compensation in an editorical capacity for MEDLINK.
Source: Neurology - February 14, 2013 Category: Neurology Authors: Moradiya, Y., Grant, J., Valsamis, H., Levine, S. Tags: S02 Acute Stroke Therapy Source Type: research

Predictive Risk Factors of In-Hospital Mortality Following Acute Stroke in the United States: Data from the Nationwide Inpatient Database, 2006-2010 (P02.015)
CONCLUSIONS: The rate of in-hospital mortality is relatively high following acute stroke (8.42%). We identified multiple risk factors of in-hospital mortality in acute stroke patients. The strongest risk factor is the type stroke (hemorrhagic). The present finding suggests that patients at increased risk of mortality can be identified and additional treatment for prevention might be warranted.Disclosure: Dr. Naderi has nothing to disclose. Dr. Abcede has nothing to disclose. Dr. Al-Khoury has nothing to disclose. Dr. Mozaffar has received personal compensation for activities with California Stem Cell Inc., NuFactor, Cresce...
Source: Neurology - February 14, 2013 Category: Neurology Authors: Naderi, N., Abcede, H., Al-Khoury, L., Mozaffar, T., Jain, V. Tags: P02 Cerebrovascular Disease II 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

Disparities in Stroke Type and Vascular Risk Factors Between 2 Hispanic Populations in Miami and Mexico City
Conclusions: We found significant differences in the frequency of hypertension, diabetes, dyslipidemia, and atrial fibrillation in Miami Hispanics and Mexican stroke patients, highlighting the heterogeneity of the Hispanic ethnic group. Future studies are needed to clarify the relative contribution of genetic and environmental disparities amongst Mexican and Caribbean Hispanic stroke patients.
Source: Journal of Stroke and Cerebrovascular Diseases - July 2, 2012 Category: Neurology Authors: Jose G. Romano, Antonio Arauz, Sebastian Koch, Chuanhui Dong, Juan M. Marquez, Carol Artigas, Marlon Merlos, Bernardo Hernandez, Luis F. Roa, Tatjana Rundek, Ralph L. Sacco Tags: Original Articles Source Type: research

Thrombolysis and Outcome of Young Stroke Patients Over the Last Decade: Insights From the Nationwide Inpatient Sample
Background: A recent study found a trend toward increasing hospitalizations for acute ischemic stroke (AIS) among young adults, raising concern for this subgroup. In the present study, we evaluated trends of use of thrombolysis and outcome among young adults (19-44 years of age) with AIS using a nationally representative administrative database.Methods: Discharge data were obtained from Nationwide Inpatient Sample between 2001 and 2009. Hospitalizations with a discharge diagnosis of AIS for patients 19 to 44 years of age were included. Use of thrombolysis was determined within this subset. The Cochran–Armitage test was u...
Source: Journal of Stroke and Cerebrovascular Diseases - June 11, 2012 Category: Neurology Authors: Amit Kansara, Seemant Chaturvedi, Pratik Bhattacharya Tags: Original Articles Source Type: research

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