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Background:There are conflicting data on temporal trends in subarachnoid hemorrhage (SAH) incidence and outcomes. Aneurysmal SAH (aSAH) was defined as those with culprit aneurysms; cases with no available vessel imaging were considered aSAH if the hemorrhage volume was “massive” or if the patient died rapidly after onset. for trend).
Introduction:Patients who have had hemorrhagic strokes experience psychological and functional deficits after hospital discharge. Conclusion:Psychological and functional outcomes for patients with hemorrhagic strokes are associated with SDoH. Stroke, Volume 55, Issue Suppl_1 , Page AWP164-AWP164, February 1, 2024.
Background:Anticoagulation-associated intracerebral hemorrhage (AC-ICH) often results in death. Stroke, Volume 55, Issue Suppl_1 , Page A145-A145, February 1, 2024. Specific reversal agents are available, but it is not clear whether there is a time-dependent treatment effect.
We sought to explore the relationship between ART and stroke risk using population-level data.Methods:We conducted a retrospective cohort study using data from the National Inpatient Sample (NIS) registry from 2015-2020, including all delivery hospitalizations for patients aged 15-55 years. The study exposure was use of ART.
Osborn waves have been reported with hypercalcemia, brain injury, subarachnoid hemorrhage, Brugada syndrome, cardiac arrest from VFib — and — severe, acute ischemia resulting in acute MI ( See My Comment in the November 22, 2019 post on Dr. Smith’s Blog ). Rituparna et al — as well as Chauhan and Brahma ( Int. Smith’s ECG Blog ).
Introduction:Celecoxib, a selective cyclooxygenase-2 (COX-2) inhibitor, has been shown to reduce perihematomal edema in patients with acute intracerebral hemorrhage (ICH), but its effect on outcome was largely unclear. 2015 and Dec.
Patients with the most severe hemorrhage have an 18-fold increased risk of 24-hour deterioration and an 11-fold increase in 3-month mortality. Background:Hemorrhagic transformation (HT) of ischemic stroke after intravenous thrombolytics is the most feared complication of treatment, occurring in 2-7% of patients.
Background and Objective:The simplified Edinburgh CT criteria allowed a diagnosis of cerebral amyloid angiopathy (CAA) in spontaneous lobar intracerebral hemorrhage (ICH) for patients with limited accessibilities to MRI. The presence of subarachnoid hemorrhage (SAH, 47.5% probable CAA).
We used national death index data to determine death at 30 days post-discharge.Results:Among 13134 strokes from 1993-2015, 1152 (9%) occurred in the hospital. Overall, in-hospital strokes were more likely to be hemorrhagic in 2015 than in 1993/94; 12 % in 2015 vs. 3.6% in1993/94 (p=0.003).
We determined the ability of prehospital LVO triage scores to identify ICH patients and to discriminate lobar from non-lobar ICH.Methods:We identified ICH cases presenting to the ED in Greater Cincinnati/Northern Kentucky in 2005, 2010, and 2015. Cases were identified by ICD codes (ICD9 430-438, ICD10 G45-46, H34.11-12,
Background:Increased immediate and delayed re-occlusion rates, up to 33%, are reported in patients undergoing acute stenting for tandem lesions, with symptomatic hemorrhage rates around 10-15%. The symptomatic hemorrhage rate was 10.76%, consistent with prior literature.
After selecting sporadic non-hemorrhagic bilateral MMD patients aged 18-50 years old, the vascular structures acquired on MRA were visually assessed to evaluate the degree of intracranial arterial stenosis and basal moyamoya collaterals. 2015, Neurol Med Chir (Tokyo).Results:Detailed
Excellent outcome (modified Rankin Scale 01) and symptomatic intracranial hemorrhage were secondary outcomes. Comorbidity burden was weighted according to the Charlson Comorbidity Index (CCI) and categorized into no comorbidity (CCI 0); moderate to severe comorbidity (CCI 12); and very severe comorbidity (CCI3).
women) by propensity score in a 1:3 ratio with follow-up through December 31, 2015. Secondary outcomes included hemorrhagic stroke, acute coronary syndrome, and all-cause mortality. There were no significant treatment-related differences in the risk of hemorrhagic stroke (subdistribution hazard ratio, 0.89 [95% CI, 0.70–1.14];P=0.3571)
of population, while hemorrhagic strokes accounted for 16.8%. For TriNetX, IRIS, and SPS3, BP was evaluated at one year after hospitalization.Results:Among YNHHS patients with stroke [n=3,339; mean age 67, 21% Black race, 10% Hispanic ethnicity, 49% male], the rate of uncontrolled BP was 31%. Ischemic strokes accounted for 83.2%
We sought to explore the relationship between ART and stroke risk using population-level data.Methods:We conducted a retrospective cohort study using data from the National Inpatient Sample (NIS) registry from 2015-2020. We included all delivery hospitalizations for female patients aged 15-55 years. The study exposure was use of ART.
vs. 2015 2.5%, p < 0.001). The theoretical risk in IE patients undergoing cardiac procedures involving heparinization includes the risk of intracerebral hemorrhage, especially in those with IIA. vs. 7.5%; p < 0.001).
We sought to establish predictive factors for delayed seizures to stratify risk and guide clinical management.Methods:We analyzed data from the Direct Oral Anticoagulants Versus Warfarin in the Treatment of Cerebral Venous Thrombosis (ACTION-CVT) study of consecutive patients with CVT from 2015 - 2020. Variables with P-value < 0.2
We aimed to assess the impact of anesthesia modality on clinical outcomes in AIS patients with TLs.Methods:Patient level data were pooled from 16 centers for anterior circulation TLs from 2015-2020. Patients were divided into general anesthesia (GA) and procedural sedation (PS).
We used previously validated ICD-10-CM codes for acute ischemic stroke, intracerebral and subarachnoid hemorrhage, cerebral venous thrombosis, acute myocardial infarction, pulmonary embolism, and acute deep venous thrombosis to define our study outcome.Results:We identified a total of 747 patients with OHSS in HCUP.
Hemorrhage (44.2% The risk factors, clinical and radiological presentations, treatment, and outcomes were analyzed.Results:A total of 43 patients with CVT from Tibet and 111 patients from PUMCH were included. The median age was 31 and 35 years old, and women accounted for 65.1% respectively. Headache (90.7% vs. 5.4%, P=0.000).
We also compared the safety of acute carotid stenting (CAS) in TLs with low ASPECTS.Methods:This prospective multicenter study from 16 centers included patients with anterior circulation TL from 2015-2020. 5.02; p=0.86), petechial hemorrhages (OR: 0.79, CI: 0.10-6.05; Patients were divided into ASPECTS 0-5 and 6-10 groups.
Overall, symptomatic intracranial hemorrhage was present in 5.6% (18/326) and mortality in 10.9% (35/326) without difference between first‐line technique.CONCLUSIONIn patients with isolated PCA occlusion, SR was associated with a higher rate of FPE compared with CA or combined techniques with no difference in final successful reperfusion.
In such a population, the safety and efficacy of EVT remain uncertain, with emphasis on the risk of intracranial hemorrhage (ICH).Method:We Method:We searched Pubmed, Cochrane, and Embase from 2015 to August 2024, which compared EVT in OAC and Non-OAC patients with acute ischemic stroke.
Introduction:In 2015, mechanical thrombectomy (MT) was established as an essential treatment for large-vessel occlusion ischemic stroke (LVO). Stroke, Volume 56, Issue Suppl_1 , Page ATMP80-ATMP80, February 1, 2025.
Massive Transfusion for Motorcycle Collision with Hemorrhage, Troponin Elevated. 2015, March 1). : A Child with Blunt Trauma -- See how the ECG can be definite for myocardial contusion, but subtle, and what happens if you miss it. Dyer From the Division of Cardiology, Thankavel, P. Myocardial contusion in an 8-year-old boy. Cramer, M.
All patients treated with FDs for aneurysms located in the posterior circulation (vertebral and basilar arteries) between 2015 and 2022 were included. Safety outcomes included the incidence of ischemic/hemorrhagic and mortality. 97) and hemorrhagic (fusiform/dissecting, 4%, vs. saccular, 10%; p=.125). 015) were different.
Osborn waves have been reported with hypercalcemia, brain injury, subarachnoid hemorrhage, Brugada syndrome, cardiac arrest from VFib — and — severe, acute ischemia resulting in acute MI ( See My Comment in the November 22, 2019 post on Dr. Smith’s Blog ). Rituparna et al — as well as Chauhan and Brahma ( Int.
deaths, followed by intracerebral hemorrhage and ischemic stroke. Between 2015-2022, age-standardized CVD mortality increased in 27 out of 204 locations. Key takeaways from the report: Ischemic heart disease remains the leading cause of global CVD mortality with an age-standardized rate per 100,000 of 108.8 per 100,000 globally.
With the widespread use of CTA for stroke evaluation, a CTA-based Plaque-RADS would be valuable for generalizability.METHODS:A retrospective observational cross-sectional study was conducted at a single integrated health system comprised of 3 hospitals with a comprehensive stroke center between October 1, 2015, and April 1, 2017.
for interaction) in a u-shaped fashion, with no association present in 2010, a significant association in 2015 (RR for 90th vs 10th percentile nSES=0.59, 95% CI=0.49-0.70), Incidence rate ratios for nSES changed over time (p<0.01 0.70), and no association in 2021 (Figure).Conclusions:The
million in the Greater Cincinnati Northern Kentucky area, incident strokes among adult residents were ascertained at all area hospitals during calendar years 2005, 2010 and 2015. Similarly, there were 552 intracerebral hemorrhages with 224 deaths over 5 years: yielding an all-cause post-stroke mortality rate of 40.58%.
Also consider non-hemorrhagic volume depletion, dehydration : orthostatic vitals may uncover this [see Mendu et al. (3)]. Annals of Emergency Medicine March 2015 ; Volume 65, Issue 3, Pages 268–276.e6 Serious outcomes included death, arrhythmia, myocardial infarction, structural heart disease, pulmonary embolism, and hemorrhage.
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