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BACKGROUNDAneurysmal subarachnoid hemorrhage (aSAH) is a major source of morbidity and mortality, and its management has undergone foundational changes over thepast 2 decades. Stroke: Vascular and Interventional Neurology, Ahead of Print.
The exposure was an incident diagnosis of non-traumatic intracranial hemorrhage, defined as a composite of intracerebral hemorrhage, subarachnoid hemorrhage, or subdural hemorrhage. In secondary analyses, the risks of dementia in different subtypes of intracranial hemorrhage were studied.Results:Among 2.1
Introduction:Alzheimers Disease (AD), characterized by extracellular deposition of amyloid beta (A) plaques in brain tissue, is often comorbid with cerebral amyloid angiopathy, which carries an elevated risk of intracranial hemorrhage. The exposure variable was AD, defined byICD-9-CMcode 331.0 andICD-10-CMcode G30.x.
The exposure was a new diagnosis of non-traumatic intracranial hemorrhage, defined as a composite of intracerebral hemorrhage (ICH), subarachnoid hemorrhage (SAH), and subdural hemorrhage (SDH). In secondary analyses, the risks of dementia in different subtypes of intracranial hemorrhage were studied.Results:Among 2.1
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).
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).
Subarachnoid hemorrhage can cause debilitating headaches, affecting 90% of these patients in the intensive care unit, and 40% at 32 month follow up. Rates of opioid prescription inpatient were 93%, but inclusion of the dot phrase reduced opioid prescription at discharge to 14% compared to 43% in patients who did not have dot phrase included.
The rates for hemorrhagic stroke were 0.68%, 0.55%, 0.81%, and 4.90% for the same groups. Objectives:The aim of this study was to assess the risk of stroke for temporary mechanical circulatory support (tMCS) device treated acute myocardial infarction (AMI).Background:Data 3.48]), followed by Impella only use with an aOR of 1.79 (95%CI [1.61-2.00]),
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).
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
Background:Studies describing outcomes of subarachnoid hemorrhage (SAH) in children are sparse. 1.02], p<0.001), higher NIS-Subarachnoid Hemorrhage Severity Score (NIS-SSS) (12.64 [4.21-37.95], A total of 61.8% were discharged home, 29.3% were discharged to a rehabilitation facility, and in-hospital mortality was 8.8%.
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.
IntroductionUp to 18% of spontaneous intracerebral hemorrhages are cryptogenic despite a thorough workup, usually noted in a lobar location. CT revealed a left parasagittal hemorrhage. The patient was diagnosed with ACA territory stroke complicated by PH2‐type hemorrhagic conversion. CT revealed a right parasagittal hemorrhage.
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. The study exposure was use of ART.
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.
This study explores the risk of recurrent acute ischemic stroke (AIS) or hemorrhagic stroke (HS) in CUD while also evaluating the effects of coexisting substance abuse and mental health conditions.Methods:Elderly (age >65 years) stroke survivors were identified using ICD-10 codes from the National Inpatient Sample (2016-2019) and categorized (..)
Intracerebral hemorrhage (ICH) is a main complication of IVT, with prevalence reported around 3.2% Additionally, extravasation of contrast was seen within the left basal ganglia region, concerning for hemorrhagic transformation from IV‐tPA. Left ICA stenting was not completed secondary to hemorrhagic transformation.
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).
Inclusion criteria was a diagnosis of ischemic stroke or intracerebral hemorrhage (ICH). We dichotomized DD as good (home, inpatient rehab) or poor (hospice, left against medical advice, acute care facility, intermediate care, and skilled nursing facility).
Outcomes of MSU management in patients with intracranial hemorrhage (ICH) have not been reported.Methods:We conducted a retrospective review of ICH patients enrolled in the Benefits of Stroke Treatment Using a Mobile Stroke Unit (BEST-MSU), a prospective multicenter controlled trial comparing MSU with standard EMS management (SM).
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.
Both anticoagulants can be used intraoperatively and postoperatively for DVT prophylaxis in patients undergoing subarachnoid hemorrhage (SAH) treatment. This nationwide, multicenter, retrospective study provides valuable insights for clinicians on how to prevent and manage HIT in patients with subarachnoid hemorrhage.
We seek to define the factors associated discharge to IR, and RA from IR, after AIS.Methods:Data for adult (>18) AIS patients admitted from May 2016-May 2024 were retrieved from the Registry of Neurological Endpoint Assessment among Patients with Ischemic and Hemorrhagic Stroke (REINAH), including demographics, comorbidities, clinical scores, (..)
IntroductionSubarachnoid Hemorrhage (SAH) resulting from the spontaneous rupture of an aneurysm is a rare and highly debilitating condition. Stroke: Vascular and Interventional Neurology, Volume 3, Issue S2 , November 1, 2023. Subgroup analysis was stratified by the presence of a definitive AKI diagnosis.
In this study, we wanted to see the prevalence of ischemic or hemorrhagic stroke in patients with metastatic cancer to the brain, the demographic characteristics, and associated comorbidities.Methods:We conducted a retrospective analysis using the National Inpatient Sample Database from 2016 to 2020.
Among patients receiving EVT, characteristics associated with age 80 years and the impact of age on EVT outcomes of discharge directly to home or acute inpatient rehabilitation, and independent ambulation at discharge were studied using multivariable analysis with generalized estimating equations.
HCUP contains both emergency department and inpatient encounters whereas NIS contains a nationally representative sample of inpatient encounters. For our study, all female patients with an encounter for OHSS, defined using International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code N98.1
Convexity subarachnoid hemorrhage, and less commonly, ischemic stroke and intracerebral hemorrhage can occur. Patients without RCVS trigger (n= 40) had higher ischemic stroke or hemorrhage occurrence (χ2= 3.8,P=0.05). There are few studies of the clinical-imaging features of RCVS (Singhal, 2011; Ducros, 2007).
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.
In this study, the National Inpatient Sample Database was utilized to examine the proportion of hospital admissions attributed to stroke between two distinct time intervals: 2008-2010 and 2016-2020.Methods:A
The Plan Do Study Act (PDSA) cycle was implemented May 2021 for 11 months and only included acute ischemic or hemorrhagic stroke patients (n=154) discharged home from the Neuro-Telemetry Unit. 90-day readmissions only included inpatient hospital stays with another stroke diagnosis.Results:From September 2022 to December 2022, 6.25
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. We included all delivery hospitalizations for female patients aged 15-55 years. The study exposure was use of ART.
The theoretical risk in IE patients undergoing cardiac procedures involving heparinization includes the risk of intracerebral hemorrhage, especially in those with IIA. Future directions should focus on understanding the appropriate timing of imaging in relation to the patient’s disease course to optimize inpatient care.
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.
We explored the US national claims database to explore trends in presentation (transferred vs direct presentation) and their outcomes for EVT hospitalizations using a nationally representative sample.MethodsNational Inpatient Sample database was retrospectively explored from 2016 to 2020 for stroke hospitalizations with EVT.
retrospective study was conducted in the inpatient setting of a comprehensive stroke center. Data included 68 acute ischemic and hemorrhagic stroke patients admitted to the Neurology and Neurosurgery services from 1/1/2023-2/29/24.
He re‐presented in April 2023 with sepsis and was found to have multiple pressure ulcers; his left‐sided weakness had worsened despite a course of inpatient rehabilitation. A repeat NCHCT demonstrated hyperdensity within the suspected infarct, interpreted as hemorrhagic transformation.
Since the model focused on the cost of patient care, costs included only billed ED, inpatient, and outpatient hospital care and services provided in the baseline year and then estimated cost of care over the next four years. At discharge, 54% were independent and 46% dependent.
vs. 8.9%) hemorrhage; discharged to a skilled nursing facility (19.8% Of the 1,719 patients not LTFU, 974 (56.7%) had a provider visit, 405 (23.6%) had an unplanned admission, and 257 (14.9%) had an unplanned ED visit within 30 days post-discharge. Patients who were LTFU were significantly more likely to be male (52.9% vs. 40.7%).
A detailed query of our common inpatient and outpatient medical record was performed for medications including prescription and adherence to OAC, as well as occurrence of CVA post ablation.Results:Out of 2313 AF patients who underwent CA, 32 (1.4%) had a CVA (6 TIA, 26 stroke) within 5 years of ablation (Table 1). vs 2.74).
Introduction:Transcranial Doppler Ultrasound (TCD) has proven to be useful in monitoring vasospasm after intracerbral hemorrhage (ICH), predicting delayed ischemic stroke (AIS) (sensitivity 91.2%, specificity 80.8%), and assessing recanalization post-thrombolysis for AIS. (91%, XX as a primary diagnosis and 88.71 respectively.
New intracerebral hemorrhage occurred in 7% of patients (3/43) and unplanned return to OR occurred in 14.8% 16.3% (7/43) of patients were discharged to inpatient rehabilitation or a skilled nursing facility. The post-operative complication rate was 9.3% (4/43). of patients who underwent microsurgery (4/27). There were no mortalities.
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