2015, Hemorrhage and Outcomes - Cardiovascular Update

Abstract WP164: Social Determinants of Health and Functional and Psychological Outcomes After Hemorrhagic Stroke

Stroke Journal

FEBRUARY 1, 2024

Introduction:Patients who have had hemorrhagic strokes experience psychological and functional deficits after hospital discharge. Social Determinants of Health (SDoH) can also impact outcomes. Conclusion:Psychological and functional outcomes for patients with hemorrhagic strokes are associated with SDoH.

Hemorrhage

Hemorrhage Stroke Strokes Outcomes

Abstract TP1: Changing Trends in the Epidemiology of Subarachnoid Hemorrhage: A Population-Based Study

Stroke Journal

FEBRUARY 1, 2024

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.

Hemorrhage

Hemorrhage Aneurysm Stroke Strokes

Abstract 145: Anticoagulation-Related Intracerebral Hemorrhage and Time to Reversal Treatment After Intracerebral Hemorrhage in the United States

Stroke Journal

FEBRUARY 1, 2024

Background:Anticoagulation-associated intracerebral hemorrhage (AC-ICH) often results in death. For patients with available door-to-treatment (DTT) times, outcomes were analyzed using logistic regression models adjusted for demographic, history, baseline, and hospital characteristics.

Hemorrhage

Hemorrhage Blood Pressure Hospital Document

Abstract WP188: Differences in Outcomes Due to Anesthesia Management During Endovascular Treatment of Patients With Acute Ischemic Stroke Due to Tandem Lesions

Stroke Journal

FEBRUARY 1, 2024

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).

Outcomes

Outcomes Stroke Strokes Hemorrhage

Abstract WMP42: Trends of In-Hospital Strokes Over Time: Results From the Greater Cincinnati and Northern Kentucky Stroke Study

Stroke Journal

FEBRUARY 1, 2024

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).

Hospital

Hospital Stroke Strokes Thrombolysis

Dialysis Modality and Incident Stroke Among Patients With End-Stage Kidney Disease: A Registry-Based Cohort Study

Stroke Journal

OCTOBER 10, 2023

women) by propensity score in a 1:3 ratio with follow-up through December 31, 2015. The primary outcome was incident acute ischemic stroke. Secondary outcomes included hemorrhagic stroke, acute coronary syndrome, and all-cause mortality. We matched 3809 patients undergoing peritoneal dialysis (mean age 59±13 years; 46.5%

Kidney Disease

Kidney Disease Stroke Strokes Cerebrovascular Disease

Abstract 11: Association Between Infertility Treatment With Assisted Reproductive Technology and Stroke in the United States

Stroke Journal

FEBRUARY 1, 2024

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.

Technology

Technology Stroke Strokes Hemorrhage

Abstract TMP62: The Delayed Seizure CVT Score Predicts Delayed Seizure After Cerebral Venous Thrombosis - A Secondary Analysis of ACTION-CVT

Stroke Journal

FEBRUARY 1, 2024

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

Thrombosis

Thrombosis Risk Factors Hemorrhage Outcomes

Abstract 134: Thrombotic Complications of Ovarian Hyperstimulation Syndrome

Stroke Journal

FEBRUARY 1, 2024

Our primary study outcome was any stroke or major thrombotic event identified within 60 days of OHSS diagnosis in HCUP or during the index admission for OHSS in NIS. The low rate of outcome events after OHSS seen in each of our population-level analyses increases the reliability of these study results. were included from each dataset.

Thrombosis

Thrombosis Inpatient Embolism Myocardial Infarction

First?Line Stent Retriever Versus Contact Aspiration or Combined Technique for Endovascular Therapy of Posterior Cerebral Artery Occlusion Stroke: The PLATO Study

Stroke: Vascular and Interventional Neurology

NOVEMBER 17, 2023

The primary outcome was the first‐pass effect (FPE), defined as expanded Treatment in Cerebral Infarction (TICI) 2c/3 on the first pass. FPE was associated with higher rates of favorable outcomes (modified Rankin scale score 0–2: 58% versus 43.4%;P=0.01; FPE was associated with better 90‐day clinical outcomes. 0.95];P=0.04).

Stents

Stents Stent Stroke Strokes

Abstract TP267: Cerebral Venous Thrombosis at High Altitude: A Comparison of Patients From Plateau and Plain in China

Stroke Journal

FEBRUARY 1, 2024

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. Hemorrhage (44.2% Favorable outcome (modified Ranking Score, mRS 0-2) at follow-up was observed in 81.6% respectively. respectively.

Thrombosis

Thrombosis Risk Factors Hospital Hemorrhage

Abstract 157: Endovascular Treatment of Acute Ischemic Stroke Patients With Tandem Lesions Presenting With Low Alberta Stroke Program Early Computed Tomography Score

Stroke Journal

FEBRUARY 1, 2024

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.

Stroke

Stroke Strokes Stents Stent

Abstract 038: Fusiform/Dissecting vs. Saccular Posterior Circulation Aneurysms Treated with Flow Diversion: A Multicenter Study

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

All patients treated with FDs for aneurysms located in the posterior circulation (vertebral and basilar arteries) between 2015 and 2022 were included. The effectiveness outcome was complete aneurysm occlusion (Raymond‐Roy Class 1) at the latest follow‐up. Safety outcomes included the incidence of ischemic/hemorrhagic and mortality.

Aneurysm

Aneurysm Circulation Hemorrhage Outcomes

A teenager involved in a motor vehicle collision with abnormal ECG

Dr. Smith's ECG Blog

FEBRUARY 6, 2024

Massive Transfusion for Motorcycle Collision with Hemorrhage, Troponin Elevated. Atrial fibrillation is also a predictor of worse outcomes in this case (Alborzi). 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. Cramer, M.

Tachycardia

Tachycardia Dysrhythmia Atrial Fibrillation Bradycardia

Emergency Department Syncope Workup: After H and P, ECG is the Only Test Required for Every Patient.

Dr. Smith's ECG Blog

APRIL 8, 2015

Also consider non-hemorrhagic volume depletion, dehydration : orthostatic vitals may uncover this [see Mendu et al. (3)]. Cardiac Syncope ("True Syncope") Independent Predictors of Adverse Outcomes condensed from multiple studies 1. These premonitory symptoms were negative predictors of adverse outcomes in EGSYS.

Arrhythmia

Arrhythmia Outcomes Risk Factors Chest Pain

Abstract WP164: Social Determinants of Health and Functional and Psychological Outcomes After Hemorrhagic Stroke

Abstract TP1: Changing Trends in the Epidemiology of Subarachnoid Hemorrhage: A Population-Based Study

Abstract 145: Anticoagulation-Related Intracerebral Hemorrhage and Time to Reversal Treatment After Intracerebral Hemorrhage in the United States

Abstract WP188: Differences in Outcomes Due to Anesthesia Management During Endovascular Treatment of Patients With Acute Ischemic Stroke Due to Tandem Lesions

Abstract WMP42: Trends of In-Hospital Strokes Over Time: Results From the Greater Cincinnati and Northern Kentucky Stroke Study

Dialysis Modality and Incident Stroke Among Patients With End-Stage Kidney Disease: A Registry-Based Cohort Study

Abstract 11: Association Between Infertility Treatment With Assisted Reproductive Technology and Stroke in the United States

Abstract TMP62: The Delayed Seizure CVT Score Predicts Delayed Seizure After Cerebral Venous Thrombosis - A Secondary Analysis of ACTION-CVT

Abstract 134: Thrombotic Complications of Ovarian Hyperstimulation Syndrome

First?Line Stent Retriever Versus Contact Aspiration or Combined Technique for Endovascular Therapy of Posterior Cerebral Artery Occlusion Stroke: The PLATO Study

Abstract TP267: Cerebral Venous Thrombosis at High Altitude: A Comparison of Patients From Plateau and Plain in China

Abstract 157: Endovascular Treatment of Acute Ischemic Stroke Patients With Tandem Lesions Presenting With Low Alberta Stroke Program Early Computed Tomography Score

Abstract 038: Fusiform/Dissecting vs. Saccular Posterior Circulation Aneurysms Treated with Flow Diversion: A Multicenter Study

A teenager involved in a motor vehicle collision with abnormal ECG

Emergency Department Syncope Workup: After H and P, ECG is the Only Test Required for Every Patient.

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