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Stroke, Ahead of Print. The American Heart Association/American Stroke Association released a revised spontaneous intracerebral hemorrhage guideline in 2022. A working group of stroke experts reviewed this guideline and identified a subset of recommendations that were deemed suitable for creating performance measures.
Stroke, Ahead of Print. BACKGROUND:The dynamics of blood clot (combination of Hb [hemoglobin], fibrin, and a higher concentration of aggregated red blood cells) formation within the hematoma of an intracerebral hemorrhage is not well understood.
Stroke, Volume 55, Issue Suppl_1 , Page AWP164-AWP164, February 1, 2024. Introduction:Patients who have had hemorrhagicstrokes experience psychological and functional deficits after hospital discharge. Conclusion:Psychological and functional outcomes for patients with hemorrhagicstrokes are associated with SDoH.
Stroke, Volume 56, Issue Suppl_1 , Page A125-A125, February 1, 2025. Introduction:Managing post-acute hemorrhagicstroke care is complex and necessitates close follow-up and coordination. Outcome data was similar for patients with intracerebral hemorrhage and subarachnoid hemorrhage all p<0.05.Conclusion:Prehospital
Stroke, Volume 55, Issue Suppl_1 , Page AWMP78-AWMP78, February 1, 2024. Introduction:Mobile stroke units (MSUs) are an evolving means to expedited acute stroke management. The target blood pressure goal was met much quicker in the MSU. Faster time metrics convey a hypothetical benefit towards improved patient outcomes.
Stroke, Volume 56, Issue Suppl_1 , Page AWP82-AWP82, February 1, 2025. Background:ICH accounts for 10% of all strokes and is deadliest and most disabling stroke subtype. Patients with anticoagulant-related hemorrhage require rapid reversal to mitigate risk of hematoma expansion.
Stroke, Volume 55, Issue Suppl_1 , Page AWP41-AWP41, February 1, 2024. Background:Intracerebral Hemorrhage (ICH) accounts for 10% of strokes and has higher risk for mortality and disability. Findings: From 2020-2022 there were n=6,648 ICH patients entered, of that 49.1% Hematoma expansion may occur in ICH.
Stroke: Vascular and Interventional Neurology, Volume 3, Issue S2 , November 1, 2023. IntroductionImportance:Tenecteplase (TNK) use is more prevalent as the thrombolytic drug of choice for acute ischemic stroke (AIS), given its ease of use with results from randomized trials showing non‐ inferiority and comparable safety to Alteplase (tPA).
Stroke: Vascular and Interventional Neurology, Volume 3, Issue S2 , November 1, 2023. IntroductionHemorrhagic transformation is a major complication of large vessel occlusion (LVO) recanalization after mechanical thrombectomy in acute ischemic stroke. female), 55 (19%) had hemorrhagic transformation. to 15.18; p=0.011).ConclusionIn
Stroke: Vascular and Interventional Neurology, Ahead of Print. 69.88];P = 0.04), respectively.CONCLUSION“Benign” perimesencephalic subarachnoid hemorrhage pattern was associated with a ruptured aneurysm in 6.2% RESULTSEighty‐one patients were included with mean age of 55.5 ± 10.3 104];P = 0.007, OR = 22.6 [4.2–123.5];P<0.001,
Stroke, Volume 56, Issue Suppl_1 , Page ATMP18-ATMP18, February 1, 2025. Background and Issues:Timely identification and intervention are critical for positive outcomes in acute intracerebral hemorrhage (ICH) patients. Unlike multiple clearly defined target goals for ischemic stroke, there are no established measurable goals for ICH.
Stroke, Volume 56, Issue Suppl_1 , Page AWP211-AWP211, February 1, 2025. Introduction:Physical and occupational therapy are a standard of care for in-hospital stroke patients. Inclusion criteria was a diagnosis of ischemic stroke or intracerebral hemorrhage (ICH).
Stroke, Volume 55, Issue Suppl_1 , Page AWP290-AWP290, February 1, 2024. Background:Despite tremendous scientific advancements in acute stroke care, post-stroke management can be challenging. Information overload and a lack of post-discharge understanding can lead to potential stroke readmissions. hospital days).Conclusion:Overall,
Stroke, Volume 55, Issue Suppl_1 , Page AWMP33-AWMP33, February 1, 2024. Background:The 2022 guidelines from the American Heart Association/American Stroke Association underscore the significance of coordinated multidisciplinary care and early discharge planning for spontaneous intracerebral hemorrhage (ICH) patients.
Stroke, Volume 55, Issue Suppl_1 , Page AWMP40-AWMP40, February 1, 2024. 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. 6.4), with an ICC of 0.68 (95% CI 0.64-0.72).
Stroke, Volume 55, Issue Suppl_1 , Page ATP156-ATP156, February 1, 2024. Introduction:Spontaneous intracerebral hemorrhages (ICH) remains the most devastating form of stroke. Only approximately 20% survivors achieve functional independence at six months after ICH. were females, pre-op median NIHSS of 18, 45.0%
Stroke, Volume 56, Issue Suppl_1 , Page AWP102-AWP102, February 1, 2025. Background and Purpose:2022 Intracerebral Hemorrhage (ICH) guidelines encourage treatment of blood pressure (BP) as soon as possible following identification of ICH.
Stroke, Volume 55, Issue Suppl_1 , Page ANS3-ANS3, February 1, 2024. Introduction:The 2022 AHA/ASA Guidelines for Intracerebral Hemorrhage (ICH) recommend initiating treatment and lowering blood pressure (BP) within 2 hours of ICH onset and reaching the target systolic BP of 130-150mmHg within one hour of treatment initiation.
Stroke, Volume 56, Issue Suppl_1 , Page AWP72-AWP72, February 1, 2025. Background:Our system, comprised of 21 Northeast Ohio hospitals includes 3 Stroke Ready, 10 Primary and 1 Comprehensive Stroke Center (CSC). Alteplase was the standardized thrombolytic until 2022. Guidelines and references were updated.
BackgroundA strong risk factor for intracerebral hemorrhage (ICH) is elevated arterial blood pressure, which is known to vary by season, with highest values in winter months. Cases were identified from a stroke inpatient quality assurance registry covering the entire Federal State of Hesse, Germany.
ConclusionsIn routine practice, close to 30% of EVT treated stroke patients are over the age of 80 years. BackgroundOlder patients (80 years of age) were underrepresented in randomized trials of endovascular thrombectomy (EVT).
Stroke, Volume 55, Issue Suppl_1 , Page AWP80-AWP80, February 1, 2024. DESTINY was developed as a single tool to screen for all stroke subtypes.Methods:This study is a Phase II prospective two part adaptive design validation study of DESTINY in ED during the early triage of suspected stroke patients from 05/01/2022 to 08/08/2022.
Stroke, Volume 56, Issue Suppl_1 , Page ATP45-ATP45, February 1, 2025. 58% of articles assessed ischemic and hemorrhagicstroke participants, and 9 studies only tested aphasia patients. Enhancements in these tools will expand access to testing and allow for increased identification of post-stroke cognitive impairment.
Stroke, Volume 55, Issue Suppl_1 , Page ATP113-ATP113, February 1, 2024. Introduction:Screening for dysphagia is vital in post-stroke care, with the Yale Swallow Protocol being a widely recognized tool. Our NIHSS inclusion criteria was based on prior literature proposing an NIHSS score of 12 as a cutoff for a formal swallow evaluation.
Stroke, Volume 55, Issue Suppl_1 , Page A152-A152, February 1, 2024. Objective:Recent randomized trials demonstrated the benefit of endovascular thrombectomy for acute ischemic stroke with large infarct. The primary outcome was favorable outcome (modified Rankin scale 0-3) at 90 days. 6.32]), 6-12 hours (45.7%
Stroke, Volume 55, Issue Suppl_1 , Page AWP23-AWP23, February 1, 2024. Introduction:Hemorrhagic transformation (HT) following acute ischemic stroke (AIS) is a common consideration especially when therapeutic anticoagulation is indicated in cases such as left ventricular or left atrial appendage thrombi.
Stroke, Volume 54, Issue 12 , Page 3074-3080, December 1, 2023. BACKGROUND:Cerebellar intracerebral hemorrhage (cICH) is often attributed to hypertension or cerebral amyloid angiopathy (CAA). However, deciphering the exact etiology can be challenging.
Stroke, Volume 55, Issue Suppl_1 , Page ATMP64-ATMP64, February 1, 2024. Introduction:Short-term dual antiplatelet therapy (DAPT) lowers the risk of early stroke recurrence after mild non-cardioembolic ischemic stroke (NCIS) and high-risk transient ischemic attack. in 2022 (Figure 1). in 2010 to 44.8%
Stroke, Volume 56, Issue Suppl_1 , Page ATP261-ATP261, February 1, 2025. We aim to describe the clinical characteristics, functional status and RT use of PHT Pts with stroke during the PHT admission.Methods:Retrospective cohort study of consecutive PHT Pts at a tertiary center between 09/01/2012 and 09/30/2022.
Stroke, Volume 56, Issue Suppl_1 , Page ADP40-ADP40, February 1, 2025. Introduction:Challenging anatomy and tortuous vessels have been associated with poor outcomes in endovasculat treatment (EVT) of stroke.
Stroke, Volume 56, Issue Suppl_1 , Page AWP158-AWP158, February 1, 2025. Objective:Socioeconomic disparities significantly affect the treatment and outcomes of cardiovascular and cerebrovascular diseases, including acute ischemic stroke. Baseline characteristics, stroke characteristics, procedural details, and outcomes were collected.
Stroke, Volume 55, Issue Suppl_1 , Page AWP175-AWP175, February 1, 2024. Current guidelines for blood pressure (BP) management in patients with intracerebral hemorrhage (ICH) recommend acute lowering of systolic BP (SBP) to 140 mm Hg with a maintenance goal of 130 - 150 mm Hg. All ICH patients from 2018 through 2022 were included.
Stroke, Volume 56, Issue Suppl_1 , Page ATP283-ATP283, February 1, 2025. Of the 32 who had a stroke event, 24 had ischemic strokes, 7 hemorrhagic, and 1 of unknown mechanism. Amongst those who had an ischemic stroke, 10 (41.7%) were cardioembolic. Within the cardioembolic stroke subgroup, 60.0%
Stroke: Vascular and Interventional Neurology, Volume 3, Issue S2 , November 1, 2023. IntroductionTicagrelor use has become more prominent in acute ischemic stroke management in the presence of clopidogrel resistance(1‐2). A total of 162/433 (36.0%) had a presumed stroke etiology of intracranial atherosclerotic disease (ICAD).
Stroke, Volume 56, Issue Suppl_1 , Page ATMP66-ATMP66, February 1, 2025. Introduction:The 2022 AHA/ASA Guidelines for Nontraumatic ICH recommend initiating blood pressure (BP) reduction within 2 hours of onset and achieving a target systolic BP of 130-150 mmHg within one hour of initiating a BP medication.
Stroke: Vascular and Interventional Neurology, Ahead of Print. BACKGROUNDAs the number of thrombectomy passes increases during endovascular therapy (EVT) for acute stroke, neurointerventionalists must weigh the risks of potential complications against the risk of failing to recanalize the affected vessel. 60.3]; and 5.26 [1.12–24.8],
Stroke, Volume 55, Issue Suppl_1 , Page ATMP86-ATMP86, February 1, 2024. Introduction:Tenecteplase improves reperfusion and functional outcomes in stroke patients with large vessel occlusion. Use of TPA was converted to TNK on 1/11/2022 per hospital policy. Secondary outcomes were NIHSS at 24 hours and at discharge. versus 7.0,
Stroke, Volume 55, Issue Suppl_1 , Page ATP219-ATP219, February 1, 2024. Introduction:The outcomes of mechanical thrombectomy (MT) for patients with acute ischemic stroke (AIS) caused by medium vessel occlusions (MeVOs) in different vessels remains unknown. The primary outcome measure was a 90-day modified Rankin score (mRS) 0-2.
Stroke, Volume 55, Issue Suppl_1 , Page A86-A86, February 1, 2024. The primary outcome was the composite of functional independence (FI, mRS 0-2) or return to pre-stroke mRS (return of Rankin, RoR) at 90 days. Outcomes were compared between patients with pre-stroke disability (pre-stroke mRS 2-4) vs those without (mRS 0-1).Results:There
Stroke: Vascular and Interventional Neurology, Volume 3, Issue S2 , November 1, 2023. IntroductionAcute large vessel occlusions (LVOs) represent one‐third of acute ischemic strokes (AIS). were used to control differences in the comparison cohorts.ResultsWe identified 11,972 patients who received EVT for LVO ischemic stroke.
Stroke, Volume 55, Issue Suppl_1 , Page ATP193-ATP193, February 1, 2024. Secondary outcomes were symptomatic intracranial hemorrhage and intracranial hemorrhage within 24 hours and mortality at 90 days. Successful recanalization was defined as modified Thrombolysis in Cerebral Ischemia Score≥ 2b.
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