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Nomogram Including Neutrophil-to-Lymphocyte Ratio for the Prediction of Stroke-Associated Infections
Stroke has been a leading cause of mortality in China. Stroke-associated infections (SAI) are common complications, occurring in 5–65% of stroke patients. Faced with SAI, clinicians often are placed in a considerable dilemma. On the one hand, preventive overuse of antibiotics will lead to the emergence of drug-resistant bacteria. On the other hand, treatment delay of the infection will likely result in a poor outcome. Therefore, it is necessary to determine the early predictors of post-stroke infection to screen patients with high infection risk for early clinical intervention, thereby promoting and improving survival ra...
Source: Frontiers in Neurology - November 2, 2020 Category: Neurology Source Type: research

The Power of Clinical Registries and Quality Improvement Collaboratives
The American Heart Association established the American Stroke Association in 1998 to improve stroke care and speed the implementation of evidence-based stroke treatments. In 2001, the Centers for Disease Control and Prevention funded the Paul Coverdell National Acute Stroke Registry pilot programs. The Massachusetts pilot program, 1 of 4, was modeled after the Get With the Guidelines –Coronary Artery Disease program and was called Get With the Guidelines–Stroke (GWTG-Stroke). GWTG-Stroke is a collaborative disease-specific clinical data registry and quality improvement program and includes evidence-based quality measu...
Source: JAMA Neurology - August 6, 2018 Category: Neurology Source Type: research

Concussion and the neurologist: A work in progress
In the last 3 decades, the neurology landscape has changed. Once primarily an academic profession with limited treatment options, neurology now is a clinical field with treatments available in the acute care setting. Treatment of an acute ischemic stroke may begin with tissue plasminogen activator given in the emergency room within 4.5 hours of symptoms.1 This clinical shift now includes the evaluation and management of concussion patients. With the current estimate from the Centers for Disease Control and Prevention being 1.6–3.8 million sports- and recreation-related concussions per year (up from the prior estimate...
Source: Neurology - July 21, 2014 Category: Neurology Authors: Deibert, E. Tags: EDITORIALS Source Type: research