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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.
Introduction:Intracerebral hemorrhage (ICH) is associated with poor outcomes in part due to a lack of perceived sense of urgency. HE was defined as per revised criteria (33% relative or 6 mL absolute increase in ICH volume, or new presence or 1mL increase in intraventricular hemorrhage).Results:Among
Introduction:Intracerebral hemorrhage (ICH) leads to the highest mortality among stroke patients. Stroke, Volume 56, Issue Suppl_1 , Page AWP136-AWP136, February 1, 2025. ICH expansion causes worse outcomes, especially with anticoagulant-associated ICH. The checklist tracks blood pressure (BP) management and calling a neurosurgery consult.
vs. 8.9%) hemorrhage; discharged to a skilled nursing facility (19.8% Introduction:A significant proportion of stroke patients are lost to follow up (LTFU) after discharge, which may be associated with increased risk of morbidity, mortality, and unnecessary hospitalization. vs. 47.4%); have an intracerebral (12.1% vs. 40.7%).
Background and Purpose:2022 Intracerebral Hemorrhage (ICH) guidelines encourage treatment of blood pressure (BP) as soon as possible following identification of ICH. Our academic comprehensive stroke center (CSC) evaluated the initiation of antihypertensive medications and target systolic BP goals for ICH patients.In
Background:While predictors of seizure in aneurysmal subarachnoid hemorrhage (aSAH) patients have been explored, predictors for seizure in patients with angiogram-negative non-perimesencephalic SAH (an-NPSAH) are less understood. Neither intracerebral hemorrhage nor aneurysm securement modality was associated with seizure.
BACKGROUND:Cerebellar intracerebral hemorrhage (cICH) is often attributed to hypertension or cerebral amyloid angiopathy (CAA). METHODS:We performed a retrospective analysis of consecutive patients with primary cICH admitted to a tertiary academic center between 2000 and 2022.
Our objective is to determine if meth use impacts ICU length of stay/need for sedating agents, and if meth use varies by ethnicity in the ICH population.Methods:This is an IRB approved retrospective review of all patients with acute ICH at a large academic stroke center from 2017 to 2023.
Background:Cisternal score (CISCO), which is calculated based on quantification of blood clot in basal cisterns, has been shown to have good accuracy in predicting ventriculoperitoneal shunt requirement in patients with aneurysmal subarachnoid hemorrhage (aSAH). Data was collected prospectively as part of a quality improvement project.
No significant differences in rates of symptomatic Intracerebral Hemorrhage (SICH) were observed between two groups (2.6% There was a strong trend towards improved 90-day clinical outcomes for TNK-treated patients (mRS 2.5 ALT vs 2.9% Estimated cost savings of TNK use over two year period were $75,102.Conclusion:Our
Safety outcomes included symptomatic intracranial hemorrhage (sICH; defined as a worsening of NIH scores by 4 or more with concurrent PH-2 hemorrhagic transformation in a 24 hour time period), any hemorrhagic transformation (HT), and all-cause mortality by discharge.Results:The rate of functional independence was 25.7%
This study evaluated antidepressant prescribing patterns at hospital discharge in acute AIS and hemorrhagic (ICH) stroke patients.Methods:We retrospectively examined prospectively collected data from an IRB-approved stroke registry at two academic Comprehensive Stroke Centers (CSC) between 1/1/2013 and 6/30/2024.
Cases had a maternal stroke (ischemic, hemorrhagic, subarachnoid hemorrhage, or cerebral venous thrombosis) during pregnancy or PP, identified from a stroke registry. Patients presenting for acute care with this triad could potentially benefit from a comprehensive stroke evaluation.
We report on the stroke rate and associated factors following brain tumor diagnosis and radiation therapy.Design:This is a retrospective cohort study, from a single tertiary academic brain tumor center, of patients with brain gliomas diagnosed between 2004-2021 who received brain radiation therapy during their treatment.
We compared baseline characteristics and completed a one‐way ANOVA to analyze for outcome measures such as in‐hospital mortality, 90‐day mortality, favorable functional outcome defined as modified Rankin Score (mRS) of 0‐2, at 90 days, symptomatic intracranial hemorrhage (sICH) and asymptomatic hemorrhage (aICH) between groups.
We evaluated whether utilizing an APP in the emergency room affected timing and safety of IV thrombolytic therapy.Methods:Single center academic hospital retrospective analysis on acute ischemic stroke patients given thrombolytic therapy in the emergency department between January 2022 and June 2024. Patients treated greater than 4.5
This multicenter study aimed to compare outcomes between MT alone and MT+IVtPA in patients with MeVO.Methods:Data from 827 patients treated at 37 academic centers in North America, Asia, and Europe were collected between September 2017 and July 2021.
Patients who transitioned to comfort care, had an embolic source, were treated with a therapeutic dose of anticoagulation, had hemorrhagic conversion of infarct, or had a contraindication to antiplatelet use were excluded. This data was collected at an academic comprehensive stroke center.
The objective of this study was to describe real world utilization of TNK on a MSU.Methods:This was a retrospective observational study of patients receiving TNK as compared to alteplase between February 2021 and April 2023 at a large academic comprehensive stroke center. Primary endpoint was time from MSU door to thrombolytic administration.
We characterized rates of technical success achieved using this technique for mechanical aspiration thrombectomy.METHODSA retrospective review of prospectively collected thrombectomy databases at 4 academic institutions identified patients undergoing procedures in which AO‐ADAPT was used.
Our academic institution is a statewide telestroke network hub which implemented system-wide shift from tPA to TNK in August 2023. There were no significant differences in symptomatic hemorrhagic transformation (4.2% There was no statistical difference in baseline characteristics between both groups.
Eligible patients were adults (>=18) admitted with ischemic stroke, intracerebral hemorrhage, or coma after cardiac arrest as the primary reason for hospitalization and who met at least one severity criteria (e.g.
Primary effectiveness was complete occlusion (Raymond Roy Class 1) without retreatment at 1-year follow-up (core lab adjudicated), and primary safety was major stroke (ischemic/hemorrhagic) in the territory supplied by the target artery or death.Results:129 cases were included (median age 58 years, IQR: 50-67 years, 85% females). mm (IQR: 4.0-7.5)
We studied SDOH and academic hospital influence on SAH outcomes.Methods:We conducted a retrospective study using data from the GWTG Stroke. The exposures of interest were the Social Deprivation Index (SDI), the Adjusted Gross Income (AGI), and academic hospital care status. Academic hospital care demonstrated lower LOS (7.7±10.9
Introduction:Intracerebral hemorrhage (ICH) accounts for 10-20% of strokes and is associated with severe disability and high mortality. Stroke, Volume 55, Issue Suppl_1 , Page AWMP77-AWMP77, February 1, 2024. All vascular and non-vascular causes were included other than trauma.
Introduction:Intracerebral hemorrhage (ICH) is a major cause of maternal morbidity and mortality. Methods:We performed a cross-sectional analysis of 134 adults, aged 18-44 years, admitted to an urban academic medical center with non-traumatic acute ICH between 01/01/2012-12/31/2021.
Also consider non-hemorrhagic volume depletion, dehydration : orthostatic vitals may uncover this [see Mendu et al. (3)]. Academic Emergency Medicine., Academic Emergency Medicine, 2003 Volume 10, Number 5 539-540. Thiruganasambandamoorthy, V., Sivilotti, M., Mukarram, M., Baumann, B. 24 (11), 1315-1326. of ED visits.
The documentation of true coronary arterial systolic BP in physiology and various pathologies is an important academic vacuum that youngsters can explore. In this context, we can also be happy there is no risk of myocardial hemorrhage due to HT. Clinical Implication : Does LV dysfunction Improve coronary perfusion ?
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