Stroke Journal

MARCH 20, 2025

Stroke, Ahead of Print. BACKGROUND:Sex and social determinants of health predict stroke, yet few studies focus exclusively on women at high social risk. We identified stroke from electronic health records during the 2.5-year Nine (3.8%) participants had documented strokes.

Strokes 49

Strokes Stroke Risk Factors Document 49

Stroke Journal

JANUARY 30, 2025

Stroke, Volume 56, Issue Suppl_1 , Page ATP68-ATP68, February 1, 2025. Background:A mandatory educational requirement for nurses and staff at designated stroke centers existed within a health system, but the process varied across sites. Staff selected their own educational content, leading to minimal engagement and irrelevant content.

Education 40

Education Innovation Nursing Strokes 40

Stroke Journal

JANUARY 30, 2025

Stroke, Volume 56, Issue Suppl_1 , Page ATP122-ATP122, February 1, 2025. Background:Classification of etiologic ischemic stroke subtype guides post-stroke care and secondary prevention. Conclusions:Etiologic ischemic stroke subtypes were not documented for the majority of patients transferred to LTACs.

Strokes 40

Strokes Stroke Document Education 40

Journal of the American Heart Association

OCTOBER 25, 2024

BackgroundMulticenter electronic health records can support quality improvement and comparative effectiveness research in stroke. However, limitations of electronic health record–based research include challenges in abstracting key clinical variables, including stroke severity, along with missing data. 2.66) and 0.96 (95% CI, 0.94–0.97)

Strokes 45

Strokes Stroke Document Hospital 45

Stroke Journal

JANUARY 30, 2025

Stroke, Volume 56, Issue Suppl_1 , Page ATP64-ATP64, February 1, 2025. Beginning in April of 2024 the nurse delegate identified patients with an admission diagnosis of stroke and checked for presence of the ischemic stroke orderset prior to virtual rounds. This was above the facility stretch goal of 78%.

Nursing 40

Nursing Strokes Stroke Document 40

Stroke Journal

JANUARY 30, 2025

Stroke, Volume 56, Issue Suppl_1 , Page ADP8-ADP8, February 1, 2025. the 2023 calendar year, our comprehensive stroke metric for hemorrhagic stroke scoring was at 64%, below the 'Get with the Guidelines' benchmark of 87%.To We continue to assess compliance and project feasibility.We

Hemorrhage 40

Hemorrhage Strokes Stroke Document 40

Stroke Journal

FEBRUARY 1, 2024

Stroke, Volume 55, Issue Suppl_1 , Page AWMP41-AWMP41, February 1, 2024. Introduction:High-quality prehospital care during initial assessment by EMS providers can affect downstream care for acute stroke patients. Stroke scale assessment was documented in 78% of cases, and blood glucose in 88%.

Strokes 40

Strokes Stroke Document Research 40

Stroke Journal

FEBRUARY 1, 2024

Stroke, Volume 55, Issue Suppl_1 , Page AWP55-AWP55, February 1, 2024. A gap exists in patient education focusing on advanced stroke treatment procedures such as thrombolytic administration and mechanical thrombectomy.

Education 40

Education Strokes Stroke Document 40

Journal of the American Heart Association

DECEMBER 18, 2023

BackgroundSecondary prevention of ischemic stroke (IS) requires adequate diagnostic evaluation to identify the likely etiologic subtype. We compared the documentation rates and presence of risk factors, diagnostic testing, achievement/quality measures, and outcomes between patients with and without reported IS subtype.

Hospital 40

Hospital Strokes Stroke Document 40

Stroke Journal

FEBRUARY 1, 2024

Stroke, Volume 55, Issue Suppl_1 , Page A5-A5, February 1, 2024. Background:Since 2016, hospitals have been able to document International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) codes for National Institutes of Health Stroke Scale (NIHSS). NIHSS was documented in 40.1% of hospitals.

Medicare 40

Medicare Document Strokes Stroke 40

Stroke Journal

JANUARY 30, 2025

Stroke, Volume 56, Issue Suppl_1 , Page A60-A60, February 1, 2025. Introduction:Over 70% of patients experience post-stroke cognitive impairment (PSCI), which can lead to functional decline. Outpatient stroke clinics often lack a consistent and validated cognitive assessment protocol for follow-ups.

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Outpatient Strokes Stroke Document 40

Circulation

NOVEMBER 11, 2024

A fib is a well-established risk factor for ischemic strokes. In patients with nonvalvular A fib, the majority of embolic strokes are caused by thrombi development in the left atrial appendage. Systemic anticoagulation (AC) is effective in reducing stroke risk in patients with A fib. 5,661 underwent percutaneous closure.

Strokes 40

Strokes Stroke Aortic valve Document 40

Stroke Journal

FEBRUARY 1, 2024

Stroke, Volume 55, Issue Suppl_1 , Page AWP252-AWP252, February 1, 2024. Introduction:Migraine is a risk factor for cerebral ischemic stroke. However, it is not known if migraine is a risk factor for retinal stroke (central retinal artery occlusion, CRAO).Methods:We The primary exposure was hospital-documented migraine.

Strokes 40

Strokes Stroke Document Kidney Disease 40

Stroke Journal

FEBRUARY 1, 2024

Stroke, Volume 55, Issue Suppl_1 , Page AWP45-AWP45, February 1, 2024. Much effort and education has been placed on pre-hospital and emergency departments to recognize signs and symptoms of acute stroke and time metrics such as door-to-CT, door-to-needle, and door-to-device. of patients.

Inpatient 40

Inpatient Strokes Stroke Document 40

Stroke Journal

JANUARY 30, 2025

Stroke, Volume 56, Issue Suppl_1 , Page AWMP73-AWMP73, February 1, 2025. Background:During the course of an ischemic stroke hospitalization, the initial diagnosis of the causative mechanism or etiology of stroke may evolve.

Hospital 40

Hospital Strokes Stroke Inpatient 40

Stroke Journal

JANUARY 30, 2025

Stroke, Volume 56, Issue Suppl_1 , Page AWP167-AWP167, February 1, 2025. Background:Small studies have found that patients presenting with posterior circulation ischemic strokes are more likely than patients with anterior circulation strokes to suffer a missed or delayed diagnosis in the ED.

Circulation 40

Circulation Strokes Stroke Hospital 40

Stroke Journal

JANUARY 30, 2025

Stroke, Volume 56, Issue Suppl_1 , Page AWP71-AWP71, February 1, 2025. Background:Guidelines for secondary stroke prevention focus on vascular risk factor modification. Efforts to optimize stroke prevention begin with patient awareness of mental health and the connection between psychology and stroke risk.

Education 40

Education Strokes Stroke Outpatient 40

Stroke Journal

JANUARY 30, 2025

Stroke, Volume 56, Issue Suppl_1 , Page ATP62-ATP62, February 1, 2025. Introduction:Education for post-acute stroke patients is crucial for several reasons: recovery and rehabilitation, prevention of recurrence, empowerment, caregiver support, and health literacy. The data for 2023 reflects a continuation of this positive trend.

Education 40

Education Strokes Stroke Best Practices 40

Stroke Journal

JANUARY 30, 2025

Stroke, Volume 56, Issue Suppl_1 , Page ATMP24-ATMP24, February 1, 2025. Background and Purpose:The Stroke Response Team (SRT) is comprised of a critical care RN with neuro experience and a Neuro ICU APP. If a stroke alert was called in the ED, the SRT RN met the patient in the ED to establish a baseline exam. days (n=59).

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RN ICU Strokes Stroke 40

Stroke Journal

FEBRUARY 1, 2024

Stroke, Volume 55, Issue Suppl_1 , Page ATP81-ATP81, February 1, 2024. Patients were adults who underwent aspiration thrombectomy for LVO within the past 3 years (verified with documented and calibrated computerized tomography (CT) and angiography) and had a documented 90-day mRS score.

Outcomes 40

Outcomes Strokes Stroke Document 40

Stroke Journal

FEBRUARY 1, 2024

Stroke, Volume 55, Issue Suppl_1 , Page AWP36-AWP36, February 1, 2024. Introduction:Hospital-Acquired Pressure Injuries (HAPI) are preventable complications that stroke patients are at risk for developing during hospitalization due to changes in mobility, nutrition, and continence as complications of stroke.

Education 40

Education Hospital Strokes Stroke 40

Stroke Journal

FEBRUARY 1, 2024

Stroke, Volume 55, Issue Suppl_1 , Page ATP110-ATP110, February 1, 2024. Introduction:The American Heart Association (AHA) estimates 1 in 3 acute ischemic strokes (AIS) are cryptogenic and approximately 1 in 4 survivors will have another event.

Strokes 40

Strokes Stroke Best Practices Document 40

Stroke Journal

FEBRUARY 1, 2024

Stroke, Volume 55, Issue Suppl_1 , Page AWP89-AWP89, February 1, 2024. Background:Emergency medical service (EMS) clinicians provide time-sensitive care for patients with suspected stroke. Included are advanced life support agencies with >6 annual strokes. At least five components were completed in 43.0% had all six.

Strokes 40

Strokes Stroke Document Electrocardiogram 40

Stroke Journal

JANUARY 30, 2025

Stroke, Volume 56, Issue Suppl_1 , Page ATP48-ATP48, February 1, 2025. Introduction:Vascular cognitive impairment and vascular dementia are diagnosed based on brain vascular changes related to strokes. Strokes were self-reported and we used mini-mental score test (MMSE) to asses for cognitive impairment at each visit.

Strokes 40

Strokes Stroke Education Diabetes 40

Stroke Journal

JANUARY 30, 2025

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. Consideration to adopt a quality initiative similar to door to needle in ischemic stroke may prove beneficial.

Hemorrhage 40

Hemorrhage Strokes Stroke Document 40

Stroke Journal

FEBRUARY 1, 2024

Stroke, Volume 55, Issue Suppl_1 , Page ATP65-ATP65, February 1, 2024. Background:Since becoming a Comprehensive Stroke Center in 2008, our annual stroke patient volume doubled, and intervention volume grew nearly 6-fold. The monthly newsletter achieved a 60% open rate, contributing to nearly 5,000 SharePoint site visits.

Strokes 40

Strokes Stroke ICU Document 40

Stroke Journal

FEBRUARY 1, 2024

Stroke, Volume 55, Issue Suppl_1 , Page AWP93-AWP93, February 1, 2024. Intro:The Michigan Stroke Program (MiSP) monitors statewide EMS stroke care performance and data quality.

Strokes 40

Strokes Stroke Document Outcomes 40

Stroke Journal

JANUARY 30, 2025

Stroke, Volume 56, Issue Suppl_1 , Page AWMP40-AWMP40, February 1, 2025. Introduction:Rehabilitation is essential to stroke recovery; however, access to rehabilitation varies in the US. We report recent national utilization rates of different rehabilitation disciplines in stroke survivors covered by different payors in the US.

Medicare 40

Medicare Strokes Stroke Outpatient 40

Stroke Journal

JANUARY 30, 2025

Stroke, Volume 56, Issue Suppl_1 , Page AWP175-AWP175, February 1, 2025. Background:Post-stroke cognitive impairment (PSCI) is a condition characterized by cognitive decline that occurs after a stroke. PSCI affects up to 60% of stroke survivors.

Strokes 40

Strokes Stroke Document Hemorrhage 40

European Journal of Cardiovascular Nursing

JANUARY 27, 2025

Abstract Aim (i) To explore the attitudes of patients with atrial fibrillation (AF) towards oral anti-coagulation (OAC) for stroke prevention post-intracerebral haemorrhage (ICH) and (ii) to explore factors that influence patients decision-making process for stroke prevention.

Atrial Fibrillation 40

Atrial Fibrillation Strokes Stroke Quality of Life 40

Stroke Journal

FEBRUARY 1, 2024

Stroke, Volume 55, Issue Suppl_1 , Page ATP59-ATP59, February 1, 2024. At a CSC, nurses did not have an organized forum to collaborate across units to develop EBP standards in the stroke population. Members include bedside nurses, educators, managers, supervisors, stroke coordinators, nurse practitioners, and a CNS.

Nursing 40

Nursing Strokes Stroke Education 40

Stroke Journal

JANUARY 30, 2025

Stroke, Volume 56, Issue Suppl_1 , Page AWP263-AWP263, February 1, 2025. Introduction:Despite evidence showing overall improvement of post-stroke outcomes following endovascular therapy (EVT), existing literature on comparative recovery rates of different stroke deficits is limited.

Strokes 40

Strokes Stroke Document Outcomes 40

Journal of the American Heart Association

DECEMBER 20, 2023

years of follow‐up, 385 incident CVD events (159 coronary heart disease and 226 stroke) were documented. The Cox proportional hazards model was used to calculate multivariable‐adjusted hazard ratios (HRs) with 95% CIs for incident CVD and its subtypes according to the degree of CCA stenosis. During the median 14.2 years 1.76), 1.72 (1.23–2.40),

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Stenosis Cardiovascular Disease Plaque Heart Disease 78

Stroke Journal

JANUARY 30, 2025

Stroke, Volume 56, Issue Suppl_1 , Page ANS2-ANS2, February 1, 2025. Background:Patients with acute ischemic stroke (AIS) due to a large vessel occlusion (LVO) who present to a Primary Stroke Center and are eligible for endovascular stroke therapy (EVT) require rapid transfer to a facility capable of EVT.

Strokes 40

Strokes Stroke Document Outcomes 40

Stroke Journal

JANUARY 30, 2025

Stroke, Volume 56, Issue Suppl_1 , Page AWP83-AWP83, February 1, 2025. Background:Stroke centers across the country followadhere to established best practice timeframes for stroke care delivery, such as door-to-doctor, door-to-CT, and door-to-needle times. The team implemented action items to improve the metrics.

Strokes 40

Strokes Stroke Best Practices Thrombolysis 40

Stroke Journal

FEBRUARY 1, 2024

Stroke, Volume 55, Issue Suppl_1 , Page AWP59-AWP59, February 1, 2024. Background and Issue:Delivering efficient comprehensive stroke care can be challenging as there are various interdisciplinary team members and factors impacting the outcome of each stroke patient. days and CMI was 2.0. days and CMI was 2.0.

Nursing 40

Nursing Strokes Stroke Document 40

Stroke Journal

FEBRUARY 1, 2024

Stroke, Volume 55, Issue Suppl_1 , Page AWP52-AWP52, February 1, 2024. Background:Shortly after AHA/ASA released an updated policy on stroke care systems, COVID-19 disrupted these systems. Lockdowns and social distancing were considered critical to mitigate COVID-19 transmission but altered public perceptions about stroke medical care.

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COVID-19 Strokes Stroke Technology 40