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The prevalence of daily low-dose aspirin use fell significantly after the American College of Cardiology and the American Heart Association narrowed recommendations in 2019. However, new research published Jan.
In this study, we aim to study trends in EC-IC bypass throughout the years.Methods:Using the National Inpatient Sample 2016-2019, hospital admissions with carotid occlusive disease (COD), moyamoya, subarachnoid hemorrhage (SAH), unruptured intracranial aneurysm (UIA) were identified using ICD-10 diagnosis codes.
Introduction:Pregnancy is a risk factor for subarachnoid hemorrhage (SAH). We aim to better understand this risk and its impact on in-hospital outcomes over a longitudinal time period in a large population based sample.Methods:We analyzed the 2000-2019 National Inpatient Sample, selecting for aneurysmal SAH (aSAH).
Therefore, ASPIRING (Antiplatelet Secondary Prevention International Randomized Study After Intracerebral Hemorrhage) aims to recruit 4148 ICH survivors to determine the effects of antiplatelet agents after ICH definitively overall and in subgroups. Stroke, Volume 54, Issue 12 , Page 3173-3181, December 1, 2023. 1.03];P=0.060).
Background:Cerebral vasospasm in non-traumatic subarachnoid hemorrhage (SAH) is associated with a high rate of morbidity and mortality. ICD-10 I67.84) in non-traumatic SAH (ICD-9 430, ICD-10 I60).
We investigated whether computed tomography perfusion (CTP) derived hypoperfusion index ratio correlates with the rate of hemorrhagic transformation.MethodsWe conducted a retrospective cohort analysis of a prospectively maintained patient database. female), 55 (19%) had hemorrhagic transformation. to 15.18; p=0.011).ConclusionIn
From 2016 to 2019, CUD among stroke survivors rose from 0.24% to 0.37%. Comorbidities like diabetes, hyperlipidemia, obesity, and hypothyroidism were less common in CUD patients, but substance abuse and mental health disorders were more prevalent.
Introduction:Cerebral amyloid angiopathy (CAA) is a common cause of intracerebral hemorrhage in elderly patients. Whether CAA is associated with isolated subdural hemorrhage (SDH), without an accompanying intracerebral hemorrhage, remains unclear. Stroke, Volume 56, Issue Suppl_1 , Page A139-A139, February 1, 2025.
Background:Patients with intracerebral hemorrhage (ICH) are known to have a higher risk of venous thromboembolism (VTE) than patients with acute ischemic stroke, but the factors underlying this difference have not been clearly identified. Stroke, Volume 56, Issue Suppl_1 , Page ATP201-ATP201, February 1, 2025.
Clinical and neuroimaging predictors of an unfavorable discharge outcome (modified Rankin score 4) were assessed in univariate and multivariable models.Results:Between 2003 and 2019, 1,791 patients were admitted with non-traumatic ICH. Introduction:The recent update (version 2.0)
Our study aims to describe the trends and outcomes of patients with Subarachnoid Hemorrhage (SAH) using a Nationwide Inpatient Sample (NIS) database.Methods:We examined the 2016-2020 NIS database, focusing on patients aged 18 years and older with a primary SAH discharge diagnosis. years with 72,650 (61.0%) being female. to COVID 5.6 (p=0.0006).
IntroductionSubarachnoid Hemorrhage (SAH) is the leading cause of morbidity and mortality in stroke patients, associated with severe neurological, infectious, and thromboembolic complications. x) from 2016‐2019. x) from 2016‐2019. Stroke: Vascular and Interventional Neurology, Volume 3, Issue S2 , November 1, 2023.
hours of onset) and thrombectomy treatment from January 2019 to April 2023. The outcomes included successful reperfusion (modified Thrombolysis in Cerebral Infarction score, 2b–3), symptomatic intracerebral hemorrhage, 90-day modified Rankin Scale score, and 90-day mortality. mg/kg alteplase).METHODS:We
Introduction:Spontaneous intracerebral hemorrhages (ICH) remains the most devastating form of stroke. SCUBA patient was matched with control ICH patient who received standard medical treatment at 1:1 ratio by variables (hematoma volume and laterality, intraventricular hemorrhage [IVH] with hydrocephalus, age, NIHSS, GCS).
Methods:Data from adult patients who discharged from two medical centers in Portland, OR in 2019 or between January 2022 and May 2023 were abstracted from electronic medical records. Inclusion criteria was a diagnosis of ischemic stroke or intracerebral hemorrhage (ICH). Two-tailed p value of less than 0.05
Background:Nationwide data demonstrating the impact of the COVID-19 pandemic on hemorrhagic stroke outcomes are lacking.Methods:We used the National Inpatient Sample (2016-2020) to identify adults (>=18 years) with primary intracerebral hemorrhage (ICH) or subarachnoid hemorrhage (SAH). 2.51; SAH: 2.76, 1.68-4.54),
BackgroundPatients with ischemic stroke and concomitant COVID‐19 infection have worse outcomes than those without this infection, but the impact of COVID‐19 on hemorrhagic stroke remains unclear. We aimed to assess if COVID‐19 worsens outcomes in intracerebral hemorrhage (ICH).Methods
Both anticoagulants can be used intraoperatively and postoperatively for DVT prophylaxis in patients undergoing subarachnoid hemorrhage (SAH) treatment. Results76,387 patients were diagnosed with SAH between 2010 and 2019. Patients with SAH are an understudied population in terms of assessing incidence and impact of HIT.
IntroductionNontraumatic Intracerebral Hemorrhage (ICH) is the second most prevalent type of stroke worldwide and is strongly linked with severe disability and mortality. x) from 2016‐2019 using the Nationwide Readmission Database (NRD). x) from 2016‐2019 using the Nationwide Readmission Database (NRD). years, with 52.6%
BACKGROUND:Smoking is a well-established risk factor for subarachnoid hemorrhage (SAH), and current smokers have an increased risk of SAH. From this cohort, cases were defined as individuals who experienced a nontraumatic SAH during the follow-up period up to 2019. Stroke, Volume 54, Issue 12 , Page 3012-3020, December 1, 2023.
Introduction:Intracerebral Hemorrhage (ICH) is a significant type of stroke, being the second most common and with a higher risk of mortality and morbidity compared to ischemic stroke. The 6069 age cohort presented an estimated joinpoint in 2019 (20142019: APC 1.75 [CI 0.01 to 1.45], p < 0.01). to 0.30], p < 0.05).
Introduction:Collateral status imaging parameters are associated with predicting hemorrhagic transformation (HT) in acute ischemic stroke caused by large vessel occlusions. Stroke, Volume 55, Issue Suppl_1 , Page ATP146-ATP146, February 1, 2024.
Less is known about disparities in risk and outcomes for young patients presenting with intracerebral hemorrhage (ICH), which is associated with higher short-term and long-term mortality. Racial and ethnic disparities in risk factors and outcomes for young patients with ischemic stroke (AIS) are well described.
Introduction:Pregnant patients are at risk of neurological complications including intracerebral hemorrhage (ICH). We compared characteristics between pregnant and non-pregnant patients using t-tests and chi-squared tests.
IntroductionSubarachnoid Hemorrhage (SAH) resulting from the spontaneous rupture of an aneurysm is a rare and highly debilitating condition. Results76,553 patients within the NIS were diagnosed with nontraumatic SAH between 2010 and 2019, of which 10,634 (13.89%) had a comorbid diagnosis of AKI.
Background:We have previously identified that hemoglobin decrements and new-onset anemia during an intracerebral hemorrhage (ICH) hospitalization is frequent, rapid, and associates with poor outcome. Stroke, Volume 55, Issue Suppl_1 , Page AWP176-AWP176, February 1, 2024.
We aimed to determine the optimal duration of DAPT by identifying the differences in clinical events that occur depending on the DAPT maintenance period.METHODS:Data were obtained from the nationwide database of the Korean Health Insurance Review and Assessment Service between 2007 and 2019.
Using latitude and longitude coordinates from our EMS agency’s database, we geocoded the pick-up location of all patients who had a FAST-ED score of ≥6 from September 2019 to December 2022. Actual versus ArcGIS drive times in minutes [mean(SD)] compared favorably [14.8(8.5) 6.4), with an ICC of 0.68 (95% CI 0.64-0.72).
Additionally, these pre-hospital scales cannot differentiate between stroke subtypes, such as ischemic stroke and intracerebral hemorrhage. Patients with ischemic stroke, intracerebral hemorrhage, or subarachnoid hemorrhage who were hospitalized between 2016 and 2020 were included in this study.
This study compared the accuracy of modified WFNS, WFNS, and Hunt and Hess (H&H) scales in predicting the aSAH patient's outcome.Methods:From August 2019 to June 2021, we conducted a multicenter prospective cohort study on aSAH adult patients in three central hospitals in Hanoi, Vietnam.
Detailed examinations of clinical presentation, aneurysm features, treatment modalities, and patient outcomes were conducted.ResultsThe study involved 25 pediatric patients with IDAs, with a mean age of 12.4 ± 4.9 years (range, 3–15 years), comprising 25% of all treated intracranial aneurysms in pediatric cases during the specified period.
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.
Patients treated with TNK or ALT for AIS after January 1, 2019 were divided into subgroups by stroke severity using the National Institutes of Health Stroke Scale (NIHSS). Patients who underwent acute mechanical thrombectomy were excluded. Propensity score matching for baseline characteristics was performed (Figure 1). vs 22.8%, p=0.203).
It represents a high mortality and morbidity rate due to its risk of rupture causing Sub Arachnoid Hemorrhage which is a dangerous and life‐threatening condition. Based on limited reports, the 30‐day mortality rate from aneurysmal Sub Arachnoid Hemorrhage was 26.6% Africa presents a fatality rate higher than developed countries.
However, rates of symptomatic intracranial hemorrhages have been inconclusive. There is no standardized data on antithrombotic therapy use during CAS and MT procedures with less associated rates of symptomatic hemorrhagic transformation. Seven (26%) patients had symptomatic intracranial hemorrhages.
In the total population, 25% had an intracerebral hemorrhage, 56% had an ischemic stroke, and 19% had a subarachnoid hemorrhage. However, the frequency of subarachnoid hemorrhages was the lowest in the WA cohort (9%) in comparison to AA (33%) and those WAA lineage (22%), p-value 0.017.
Initial post-stroke cognitive scores and post-stroke cognitive trajectories did not differ between hemorrhagic and ischemic stroke, except for lower initial post-stroke memory scores (adjusted difference, -1.39 For example, global cognition declined -0.35 points/year (95%CI, -0.43, -0.26);P<0.001. points; 95% CI, -2.77, -0.01;P=0.049).
Methods:We conducted a retrospective cohort study using US data from the National Inpatient Sample (NIS) for the years 2016 to 2019. We therefore sought to determine the prevalence and clinical severity of PRES among hospitalized patients in the United States (US).Methods:We
This study aims to characterize the utilization and clinical outcomes of endovascular therapy (EVT) and microsurgical clipping (MSC) for pediatric UIAs over a two‐decade interval using a large national registry.MethodsPediatric (< 18 years of age) UIA hospitalizations were identified in the National Inpatient Sample from 2002 to 2019.
to identify patients with a diagnosis of AVM from the statewide inpatient and emergency department databases of Florida, Georgia, Maryland, New York, and Washington (2016-2019). Patients with a history of primary intracerebral hemorrhage or subarachnoid hemorrhage at baseline were classified as ruptured AVM (rAVM) patients.
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