Does Screening for Atrial Fibrillation Reduce Stroke Risk?
NEJM Journal Watch - Cardiology
SEPTEMBER 30, 2024
A 14-day monitor detected more atrial fibrillation but did not affect hospitalization rates for stroke or hemorrhage.
Hemorrhage Hospital Strokes 
Association of Assisted Reproductive Technology and Stroke During Hospitalization for Delivery in the United States
Stroke Journal
FEBRUARY 1, 2024
Stroke, Ahead of Print. 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, including all delivery hospitalizations for patients aged 15-55 years. 100,000 vs. 9.1/100,000),
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Abstract 65: Stroke Location on Imaging in Patients with a Stroke Hospitalization after an Emergency Department Visit for Dizziness.
Stroke Journal
JANUARY 30, 2025
Stroke, Volume 56, Issue Suppl_1 , Page A65-A65, February 1, 2025. Stroke-dizziness diagnosed in the ED is typically due to cerebellar or brainstem lesions which might only have subtle signs of central vestibular dysfunction. Stroke after the ED visit is infrequent but could have been missed at the index visit. cm (IQR, 1.1-4.0);
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Association of Anticoagulant Use With Hemorrhage Location and Etiology in Incident Spontaneous Intracerebral Hemorrhage
Stroke Journal
OCTOBER 2, 2024
Stroke, Ahead of Print. BACKGROUND:It is unknown whether hypertensive microangiopathy or cerebral amyloid angiopathy (CAA) predisposes more to anticoagulant-associated intracerebral hemorrhage (AA-ICH). Of the 1104 patients, 268 (24.3%) had AA-ICH: 148 (55.2%) with vitamin K antagonists and 107 (39.9%) with direct oral anticoagulants.
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Concomitant Drug Interactions With Non–Vitamin K Oral Anticoagulants Are Associated With Bleeding and Mortality Risk in Patients With Nonvalvular Atrial Fibrillation
Journal of the American Heart Association
APRIL 17, 2025
BackgroundNonvitamin K oral anticoagulants prevent stroke and systemic embolism in patients with nonvalvular atrial fibrillation. The objective was to investigate the associated risk of gastrointestinal bleeding, intracranial hemorrhage, hospitalization for major bleeding, and allcause mortality in relation to various concomitant medications.
Abstract TP167: Hemorrhage Severity Associates With Hospital Acquired Delirium During Intracerebral Hemorrhage
Stroke Journal
FEBRUARY 1, 2024
Stroke, Volume 55, Issue Suppl_1 , Page ATP167-ATP167, February 1, 2024. Introduction:Delirium associates with poor outcome after intracerebral hemorrhage (ICH), yet its incidence and contributing factors are poorly characterized. The median hemorrhage volume was 8.0 [1.6-24.7] 1.10]), top-quartile hemorrhage volume (2.89 [1.08-7.75]),
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Abstract WP236: Inflammartory score can predict the risk of hemorrhagic transformation after ischemic stroke
Stroke Journal
JANUARY 30, 2025
Stroke, Volume 56, Issue Suppl_1 , Page AWP236-AWP236, February 1, 2025. Background:A novel inflammatory score has been validated for hematoma expansion and poor outcomes in patients with intracerebral hemorrhage. Inflammatory score was significantly higher in patients with hemorrhagic transformation.
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Abstract WP211: A Retrospective Analysis of the Association of Rehab Time on Discharge Disposition and Length of Stay in Hospitalized Patients with Ischemic Stroke or Intracerebral Hemorrhage
Stroke Journal
JANUARY 30, 2025
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. This study aims to evaluate whether NIHSS, AMPAC or total rehab duration while hospitalized predicts DD or length of stay (LOS).Methods:Data
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Abstract TP298: Patterns of In-Hospital Prescribing of Post-Stroke Antidepressants in a Comprehensive Stroke Center
Stroke Journal
JANUARY 30, 2025
Stroke, Volume 56, Issue Suppl_1 , Page ATP298-ATP298, February 1, 2025. Background:Post stroke depression (PSD) affects over 33% of stroke survivors with the highest incidence occurring in the first year after stroke. Predictors of PSD include stroke severity, cognitive impairment, age, and physical disability.
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Abstract TP61: National Hemorrhagic Stroke Initiative: Ensuring Every Patient Receives Optimal Care
Stroke Journal
JANUARY 30, 2025
Stroke, Volume 56, Issue Suppl_1 , Page ATP61-ATP61, February 1, 2025. Background:Intracerebral hemorrhage (ICH) constitutes 10% of all strokes and is the most fatal and debilitating subtype.
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40 Abstract DP42: A Stroke Case Management Program To Improve Hospital Readmission Rates After Index Stroke
Stroke Journal
JANUARY 30, 2025
Stroke, Volume 56, Issue Suppl_1 , Page ADP42-ADP42, February 1, 2025. Introduction:The transitional period from hospital discharge to the community for stroke survivors is a vulnerable time as patients navigate healthcare systems with their new impairments. The control group included patients not enrolled in the program.
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Findings from MOST Trial Presented at ISC24: Blood thinners added to clot-busting medication did not improve stroke outcomes
DAIC
FEBRUARY 7, 2024
Findings from the highly-anticipated MOST (Multi-Arm Optimization of Stroke Thrombolysis) trial were presented on the first day of the American Stroke Association’s International Stroke Conference, ISC 2024, being held through Feb. A lot of our approaches in stroke treatment were learned from how we treat heart attacks.
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Abstract WP164: Social Determinants of Health and Functional and Psychological Outcomes After Hemorrhagic Stroke
Stroke Journal
FEBRUARY 1, 2024
Stroke, Volume 55, Issue Suppl_1 , Page AWP164-AWP164, February 1, 2024. Introduction:Patients who have had hemorrhagic strokes experience psychological and functional deficits after hospital discharge. Conclusion:Psychological and functional outcomes for patients with hemorrhagic strokes are associated with SDoH.
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Abstract 125: Factors Associated with Neuroscience Appointment Attendance in Hemorrhagic Stroke Patients and the Impact on Readmission and Functional Outcomes
Stroke Journal
JANUARY 30, 2025
Stroke, Volume 56, Issue Suppl_1 , Page A125-A125, February 1, 2025. Introduction:Managing post-acute hemorrhagic stroke 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
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Abstract WMP78: Mobile Stroke Units Enable Hyperacute Interventions for Intracerebral Hemorrhage
Stroke Journal
FEBRUARY 1, 2024
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. Median initial blood pressure in the MSU was 190/99, which dropped to a median blood pressure of 157/80 upon arrival to the hospital.
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40 How Good Are Neurologists? A Diagnostic Accuracy Study on the Performance of Neurologists in the Emergency Room
Stroke: Vascular and Interventional Neurology
FEBRUARY 17, 2025
Stroke: Vascular and Interventional Neurology, Ahead of Print. BACKGROUNDIn people with suspected stroke the first assessment occurs under time pressure in the emergency department and is based solely on clinical information. Vessel occlusion was found in 227 of 410 people with ischemic stroke.
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Abstract WP82: Time to Anticoagulation Reversal in Hemorrhagic Stroke (ICH) Patients Not Equal Among Arrival Mode
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. Patients with anticoagulant-related hemorrhage require rapid reversal to mitigate risk of hematoma expansion.
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Abstract 105: Long-term exposure to ambient air pollution, including ultrafine particles, increases ischemic and hemorrhagic stroke risk among women in the California Teachers Study cohort
Stroke Journal
JANUARY 30, 2025
Stroke, Volume 56, Issue Suppl_1 , Page A105-A105, February 1, 2025. Introduction:Ambient air pollution is linked to increased stroke risk, but it is unclear if associations apply to long-term exposures, equally to different stroke subtypes (ischemic versus hemorrhagic) and differ by pollutants. overall stroke: HRPM0.1=1.43,
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Hourly Air Pollution Exposure and Emergency Hospital Admissions for Stroke: A Multicenter Case-Crossover Study
Stroke Journal
OCTOBER 30, 2023
Stroke, Volume 54, Issue 12 , Page 3038-3045, December 1, 2023. We conducted a time-stratified case-crossover study among 86 635 emergency hospital admissions for stroke across 10 hospitals in 3 cities (Jinhua, Hangzhou, and Zhoushan) in Zhejiang province, China, between January 1, 2016 and December 31, 2021.
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40 Abstract WMP79: Biologic mechanisms of Early Exercise After Acute Ischemic Stroke and Intracerebral Hemorrhage (BEACH): A Pilot Randomized Controlled Trial of Cycle Ergometry after Stroke
Stroke Journal
JANUARY 30, 2025
Stroke, Volume 56, Issue Suppl_1 , Page AWMP79-AWMP79, February 1, 2025. Background and Purpose:The inflammatory response after ischemic and hemorrhagic stroke is associated with worse clinical outcomes through immune mediated production of pro- inflammatory cytokines. Of 25 enrolled patients, mean age was 65.8 (SD,
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Abstract TMP2: Flow diversion treatments for unruptured intracranial aneurysms: real-world perioperative outcomes, hospital readmissions, and impact of comorbid anxiety and mood disorders
Stroke Journal
JANUARY 30, 2025
Stroke, Volume 56, Issue Suppl_1 , Page ATMP2-ATMP2, February 1, 2025. Introduction:Flow diversion (FD) is a minimally invasive treatment for unruptured intracranial aneurysms (UIA) and is often preferred over open cerebrovascular surgery; however, FD patients are at risk of post-procedural stroke and hemorrhage.
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40 Abstract TP166: White Matter Hyperintensity Burden Associated With Stroke Severity, Aphasia, and Motor Deficits During Intracerebral Hemorrhage Hospitalization
Stroke Journal
FEBRUARY 1, 2024
Stroke, Volume 55, Issue Suppl_1 , Page ATP166-ATP166, February 1, 2024. The primary outcome was moderate-severe stroke (total NIHSS score ≥5). Severe CSVD was assessed scores ≥ 3, and individual marker severity was assessed using the same criteria.
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Abstract 057: Recent Trends and Outcomes of Hospital Transfer for Endovascular Stroke Treatment in U.S.
Stroke: Vascular and Interventional Neurology
NOVEMBER 9, 2023
Stroke: Vascular and Interventional Neurology, Volume 3, Issue S2 , November 1, 2023. IntroductionOptimal triage strategies for patients suspected of acute ischemic stroke due to large vessel occlusion remains debated. Outcomes were compared for EVT hospitalizations with direct vs transferred presentation at discharge.
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40 Abstract 59: Contemporarypre-Stroke Antiplatelet Use and the Risk of Symptomatic Hemorrhagic Transformation After Intravenous Thrombolysis
Stroke Journal
FEBRUARY 1, 2024
Stroke, Volume 55, Issue Suppl_1 , Page A59-A59, February 1, 2024. Introduction:Many patients are taking antiplatelet medications when an acute stroke occurs. The exposure of interest was pre-stroke antiplatelet use categorized as none, single (SAPT), and dual antiplatelet therapy (DAPT). no antiplatelet, 36.7% SAPT, and 6.4%
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40 Abstract 040: Hemorrhagic Conversion Patterns After Transition of Stroke Thrombolysis from Alteplase to Tenecteplase; Real?World Experience
Stroke: Vascular and Interventional Neurology
NOVEMBER 9, 2023
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).
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Abstract 213: Successful Mechanical Thrombectomy in Acute Stroke With Pre?interventional Thrombolysis?Induced Intracerebral Hemorrhage: Case Report
Stroke: Vascular and Interventional Neurology
NOVEMBER 9, 2023
Stroke: Vascular and Interventional Neurology, Volume 3, Issue S2 , November 1, 2023. IntroductionIntravenous thrombolytics (IVT) and mechanical thrombectomy (MT) have become the standards of care for treating patients with large vessel occlusion (LVO) acute ischemic strokes (AIS) [1‐4}. in a large multicentered meta‐analysis [2,6].
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40 Abstract TP187: Automated Assessment of Intracerebral Hemorrhage Volumes using the VIOLA tool Performs Similarly to ABC/2 in Predictive Modelling
Stroke Journal
JANUARY 30, 2025
Stroke, Volume 56, Issue Suppl_1 , Page ATP187-ATP187, February 1, 2025. Introduction:Hemorrhage volume is a key prognostic characteristic for intracerebral hemorrhage (ICH) patients and has been included as an aspect of critical assessments, such as the ICH score. experienced in-hospital mortality. IVH was present in 48.4%
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Abstract WMP84: The Impact of Pre-Morbid Antidepressant Exposure on the Risk of Intracerebral Hemorrhage: The Florida Stroke Registry
Stroke Journal
FEBRUARY 1, 2024
Stroke, Volume 55, Issue Suppl_1 , Page AWMP84-AWMP84, February 1, 2024. Concerns have been raised regarding their potential increased risk of bleeding complications including intracerebral hemorrhage (ICH) as they are known to affect platelet function. 14.45; 52% male), among those 14% had pre-morbid AD use (age 72.13±13.23,
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Abstract WMP26: Clinical Characteristic-Driven Machine Learning Models for the Prediction of Stroke Subtypes and Eligibility of Endovascular Thrombectomy
Stroke Journal
JANUARY 30, 2025
Stroke, Volume 56, Issue Suppl_1 , Page AWMP26-AWMP26, February 1, 2025. Introduction:Several pre-hospital scales predict ischemic stroke due to large vessel occlusion; however, these scales often fail to detect atypical endovascular thrombectomy (EVT) cases, including posterior circulation and distal vessel occlusion.
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40 Abstract WP41: Last Know Well Documentation Gaps in the Hemorrhagic Stroke Patient Lessons Learned
Stroke Journal
FEBRUARY 1, 2024
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. EMS arrival=33.7%, transfer from another hospital=55.4%, and private transport=58.5% Hematoma expansion may occur in ICH.
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Abstract 47: Rapid prehospital diagnosis of intracerebral hemorrhage in acute stroke patients by measuring GFAP on a point-of-care platform (DETECT study)
Stroke Journal
JANUARY 30, 2025
Stroke, Volume 56, Issue Suppl_1 , Page A47-A47, February 1, 2025. Introduction:The rapid identification of acute intracerebral hemorrhage (ICH) in patients with symptoms of acute stroke is decisive for prehospital triage and initiation of targeted therapies. Blood samples were collected in the prehospital phase.
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40 Abstract TP201: Factors associated with development of venous thromboembolism in patients with intracranial hemorrhage.
Stroke Journal
JANUARY 30, 2025
Stroke, Volume 56, Issue Suppl_1 , Page ATP201-ATP201, 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.
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Abstract 139: Association between Cerebral Amyloid Angiopathy and Non-Traumatic Subdural Hemorrhage
Stroke Journal
JANUARY 30, 2025
Stroke, Volume 56, Issue Suppl_1 , Page A139-A139, February 1, 2025. 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.
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Abstract WP155: Cancer Related Stroke (CRS) in patients with Brain Metastasis; Prevalence and Outcomes.
Stroke Journal
JANUARY 30, 2025
Stroke, Volume 56, Issue Suppl_1 , Page AWP155-AWP155, February 1, 2025. Background:Cancer-related stroke (CRS) is a rare condition where a tumor or its metastasis can compress a blood vessel and result in stroke. Patients were divided into those with strokes (ischemic or hemorrhagic) and those without strokes.
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RapidAI Announces Late-Breaking Abstract Simultaneously Published in NEJM; Highlights Key Data Revealed at ISC 2024
DAIC
FEBRUARY 13, 2024
Other select data from research studies unveiled last week at the American Heart Association ’s International Stroke Conference (ISC) underscore and reinforce the pivotal role of the RapidAI platform in advancing stroke care. Improved Stroke Outcomes Following Implementation of RapidAI Platform at Ascension-Illinois, by Malisch et.
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111 Aneurysmal Versus “Benign” Perimesencephalic Subarachnoid Hemorrhage
Stroke: Vascular and Interventional Neurology
FEBRUARY 19, 2024
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,
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40 Treatment of Spontaneous Subarachnoid Hemorrhage: A 20‐Year National Inpatient Sample Review
Stroke: Vascular and Interventional Neurology
NOVEMBER 9, 2024
Stroke: Vascular and Interventional Neurology, Ahead of Print. BACKGROUNDAneurysmal subarachnoid hemorrhage (aSAH) is a major source of morbidity and mortality, and its management has undergone foundational changes over thepast 2 decades. The proportion treated by microsurgery fell from 70% to 23% in favor of endovascular surgery.
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40 Abstract TP19: Predictors of Outcome in Subarachnoid Hemorrhage in the Pediatric Population
Stroke Journal
FEBRUARY 1, 2024
Stroke, Volume 55, Issue Suppl_1 , Page ATP19-ATP19, February 1, 2024. Background:Studies describing outcomes of subarachnoid hemorrhage (SAH) in children are sparse. Median length of hospitalization was 9.7 were discharged to a rehabilitation facility, and in-hospital mortality was 8.8%. The median age was 11.8
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Abstract TP53: Optimal Time Frame for Post Stroke Hospitalization Follow-Up Phone Calls
Stroke Journal
JANUARY 30, 2025
Stroke, Volume 56, Issue Suppl_1 , Page ATP53-ATP53, February 1, 2025. Background:Post-discharge phone calls to stroke patients are a valuable tool to assess medication compliance, stroke education retention and prevention of emergency room visits. There were no differences in baseline demographics. in Group 1, 4.123.27
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Abstract WMP40: A Geospatial Information Services Assessment of Prehospital Bypass on Overtriage for Large Vessel Occlusion and Hemorrhagic Stroke
Stroke Journal
FEBRUARY 1, 2024
Stroke, Volume 55, Issue Suppl_1 , Page AWMP40-AWMP40, February 1, 2024. We used ArcGIS to calculate drive times to the closest facility among 2 CSCs and 7 non-CSCs, and linked EMS records to hospital records to determine LVO AIS involving the intracranial ICA, M1, M2 or basilar artery.
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40 Impact of Direct Transfer to Angiography Suite on Treatment Time Metrics in Patients With Acute Intracerebral Hemorrhage
Stroke Journal
MARCH 20, 2025
Stroke, Ahead of Print. BACKGROUND:Shorter times to initiate antihypertensive and anticoagulation reversal treatments enhance their benefits in acute intracerebral hemorrhage (ICH). Improving workflows to optimize time performance metrics is strongly advocated.
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40 Magnesium and Hematoma Expansion in Intracerebral Hemorrhage: A FAST-MAG Randomized Trial Analysis
Stroke Journal
DECEMBER 21, 2023
Stroke, Ahead of Print. FAST-MAG (Field Administration of Stroke Therapy-Magnesium) was a pragmatic clinical trial of magnesium sulfate administered prehospital for acute clinical stroke syndromes and included patients with intracerebral hemorrhage.
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40 Abstract WMP33: Translating Evidence Into Practice: Early Supported Discharge in Intracerebral Hemorrhage
Stroke Journal
FEBRUARY 1, 2024
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.
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Abstract WP158: Socioeconomic Influences on Stroke Outcomes: A Comprehensive Zip Code-Based Hospital Analysis
Stroke Journal
JANUARY 30, 2025
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.
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