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The potential impact of sleep-related movement disorders on stroke risk: a population-based longitudinal study
ConclusionsPatients with SRMD were found to have an increased risk of all-cause stroke along with a higher possibility of hemorrhagic stroke over ischemic stroke.
Source: QJM - May 8, 2017 Category: Internal Medicine Source Type: research

Is female sex a risk factor for stroke and thromboembolism in patients with atrial fibrillation? A systematic review and meta-analysis
Conclusions: Women with AF are at increased risk of stroke, particularly elderly women. Comprehensive stroke risk assessment, including sex as a risk factor, should be undertaken in all AF patients.
Source: QJM - November 24, 2014 Category: Internal Medicine Authors: Wagstaff, A. J., Overvad, T. F., Lip, G. Y. H., Lane, D. A. Tags: Reviews Source Type: research

Pregnancy increases stroke risk up to 1 year postpartum and reduces long-term risk
Conclusion: The risk of stroke was elevated during the first year postpartum, but lower in subsequent years. Stroke risk increased in multiparous ( ≥3) women. Physicians should be on alert for pregnancy complications and ensure appropriate management to prevent postpartum stroke.
Source: QJM - January 9, 2017 Category: Internal Medicine Source Type: research

Effect of tele-stroke application on length of stay and outcome of stroke unit inpatients
CONCLUSIONOur study concluded that application of tele stroke had significant improvement in stroke unit care as regard length of stay, rapid improvement of patients according to NIH scoring and mRS
Source: QJM - October 1, 2021 Category: Internal Medicine Source Type: research

Epidemiology, risk factors and characteristics of pediatric stroke: a nationwide population-based study
Conclusions and implicationsInfants younger than 2  years, boys and children in lower socioeconomic status have a significantly higher risk of stroke. Hemorrhagic stroke has a significantly higher mortality rate than ischemic stroke. More than half of the children with stroke had underlying diseases and the causes of hemorrhagic stroke are signifi cantly different from ischemic stroke.
Source: QJM - April 10, 2018 Category: Internal Medicine Source Type: research

Hypovolemia due to cerebral salt wasting may contribute to stroke in tuberculous meningitis
ConclusionIn TBM, stroke occurred in 39.5% of the patients, 50% of whom had CSW. Volume contraction due to CSW may contribute to stroke.
Source: QJM - April 9, 2018 Category: Internal Medicine Source Type: research

Prevalence of paroxysmal atrial fibrillation in patients with cerebrovascular stroke of undetermined etiology
ConclusionThe prevalence of paroxysmal atrial fibrillation among the population of ischemic stroke of undetermined etiology in a population in Egypt is close to worldwide percentage and the recent met analysis studies of 11%.
Source: QJM - October 1, 2021 Category: Internal Medicine Source Type: research

Advance preferences regarding thrombolysis in patients at risk for stroke: a cross-sectional study
Conclusion: Advance discussion of the potential risks and benefits of thrombolysis in at-risk patients may improve decision making if thrombolysis is being considered and the patient can no longer make a decision.
Source: QJM - December 28, 2014 Category: Internal Medicine Authors: O Flatharta, T., Khan, A., Walsh, T., O'Donnell, M., O'Keefe, S. T. Tags: Original papers Source Type: research

Use of central venous catheter and increased risk of ischemic stroke
This study is on fresh ground on the issue of CVC and stroke complications and has the potential to serve as a guide and stimulus for future research. We propose two fundamental strategies to reduce ri sks of stroke associated to CVC that should be evaluated: (i) the implementation of local prevention bundles and (ii) the use of ultrasound scanning for catheter surveillance.5 Based on the authors ’ observations, we further propose that can we create sub-groups of patients, i.e. who were required CVC placement having risk factors to develop stroke vs. patients not having risk factors to develop stroke. This can help us to...
Source: QJM - July 12, 2020 Category: Internal Medicine Source Type: research

DWI Lesion Characteristics As A Predictor For Outcome In Acute Stroke Patients Treated By IV-tPA
ConclusionDWI infarct volume is a predictor for outcome in acute ischemic stroke patients treated by tPA
Source: QJM - October 1, 2021 Category: Internal Medicine Source Type: research

Post Stroke Hyperglycemia as a marker of Stroke Severity and Prognosis: A cohort study
ConclusionFrom our study we can conclude that diabetes mellitus as a risk factor in cases of stroke leads to increase complications and worsens the outcome in cases of stroke whether hemorrhagic or ischemic.RecommendationsFrom our study we recommended strict control of diabetes mellitus when present in cases of stroke to avoid bad outcome and to prevent complications in these cases.
Source: QJM - October 1, 2021 Category: Internal Medicine Source Type: research

Stroke syndromes and clinical management
The knowledge of brain syndromes is essential for stroke physicians and neurologists, particularly those that can be extremely difficult and challenging to diagnose due to the great variability of symptom presentation and yet of clinical significance in terms of potential devastating effect with poor outcome. The diagnosis and understanding of stroke syndromes has improved dramatically over the years with the advent of modern imaging, while the management is similar to general care as recommended by various guidelines in addition to care of such patients on specialized units with facilities for continuous monitoring of vit...
Source: QJM - June 24, 2013 Category: Internal Medicine Authors: Balami, J. S., Chen, R. L., Buchan, A. M. Tags: Reviews Source Type: research

Bleeding risk, physical functioning and non-use of anticoagulation among patients with stroke and atrial fibrillation
Conclusion: It appears that in this sample, post-stroke anticoagulation decisions appear to be made based on clinical factors associated with bleed risk and motor deficits or physical functioning. However, opportunities may exist for improving clinician documentation of specific reasoning for non-anticoagulation prescription.
Source: QJM - February 23, 2015 Category: Internal Medicine Authors: Schmid, A. A., Ofner, S., Shorr, R. I., Williams, L. S., Bravata, D. M. Tags: Original papers Source Type: research

Central venous catheter use increases ischemic stroke risk: a nationwide population-based study
ConclusionCVC placement increases ischemic stroke risk, particularly in those aged ≤35 years; this trend warrants further investigation.
Source: QJM - June 21, 2019 Category: Internal Medicine Source Type: research

Correlation of Serum Albumin Level with Short Term Outcome of Acute Ischemic Stroke Patients
ConclusionHypoalbuminemia had influence to degree of stroke severity, degree of disability and functional outcome. Serum albumin levels had a negatively correlation with NIHSS score and modified Rankin scale. Low serum albumin levels associated with poor prognosis in acute ischemic stroke patients.
Source: QJM - October 1, 2021 Category: Internal Medicine Source Type: research

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