Stroke Journal

FEBRUARY 1, 2024

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.

Technology 72

Technology Hospital Stroke Strokes 72

Stroke Journal

FEBRUARY 1, 2024

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 (..)

Inpatient 45

Inpatient Stroke Strokes Obesity 45

Stroke Journal

FEBRUARY 1, 2024

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).

COVID-19 40

COVID-19 Hemorrhage Public Health Inpatient 40

Stroke: Vascular and Interventional Neurology

AUGUST 23, 2023

Secondary outcomes were in‐hospital mortality, intracerebral hemorrhage, and length of stay. BACKGROUNDPrior studies have shown benefit for endovascular therapy (EVT) in patients with large‐vessel occlusion and severe deficits, as captured by the National Institutes of Health Stroke Scale.

Inpatient 40

Inpatient Stroke Strokes Circulation 40

Stroke Journal

FEBRUARY 1, 2024

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).

Hemorrhage 40

Hemorrhage Stroke Strokes Blood Pressure 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

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.

Hemorrhage 40

Hemorrhage AFIB Cerebrovascular Disease Thrombosis 40

Stroke Journal

FEBRUARY 1, 2024

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.

Risk Factors 40

Risk Factors Hemorrhage Outcomes Inpatient 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

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.

Hemorrhage 40

Hemorrhage Thrombolysis Stroke Strokes 40

Stroke Journal

FEBRUARY 1, 2024

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.

Hemorrhage 40

Hemorrhage Outcomes Kidney Disease Atrial Fibrillation 40

Stroke Journal

FEBRUARY 1, 2024

Background:Utilizing medical claims derived information, we evaluated temporal trends in post-acute care utilization pathways among patients with acute ischemic stroke (AIS) or intracerebral hemorrhage (ICH).Methods:Data Whereas ICH survivors entering inpatient rehab had respective likelihoods of 11.2% and 30.5%.

Medicare 40

Medicare Hemorrhage Inpatient Stroke 40

Stroke: Vascular and Interventional Neurology

JANUARY 31, 2024

Secondary outcomes were in‐hospital mortality, intracerebral hemorrhage, and length of stay. BACKGROUNDPrior studies have shown benefit for endovascular therapy (EVT) in patients with large‐vessel occlusion and severe deficits, as captured by the National Institutes of Health Stroke Scale (NIHSS).

Inpatient 40

Inpatient Circulation Stroke Strokes 40

Stroke Journal

FEBRUARY 1, 2024

Background:Large studies evaluating the association of hematoma location with the risk of developing major adverse cardiovascular events (MACE) among survivors of intracerebral hemorrhage (ICH) in the United States are lacking.Methods:We identified adult (>=18 years) ICH survivors from the state inpatient and the state emergency department databases (..)

Hemorrhage 40

Hemorrhage Myocardial Infarction Atrial Fibrillation Medicare 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

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.

Hemorrhage 40

Hemorrhage Aneurysm Outcomes Thrombosis 40

Circulation

NOVEMBER 11, 2024

We assessed in-hospital mortality, intracranial hemorrhage, gastrointestinal (GI) hemorrhage, anemia requiring blood transfusion, acute kidney injury (AKI), and hospital length of stay (LOS) between both groups. 10.23), intracranial hemorrhage (AOR = 4.65, 95% CI: 2.18-10.82), 10.82), GI hemorrhage (AOR = 2.03, 95% CI: 1.63-2.53),

Heart Disease 40

Heart Disease Hospital Inpatient Outcomes 40

Stroke Journal

FEBRUARY 1, 2024

Outcomes included sICH, and inpatient mortality, adjusted for confounders which included age, gender, baseline NIHSS, perfusion grade (TICI) intravenous thrombolysis, history of diabetes and HBA1c.Results:A total of 224 patients (mean age was 68.7 vs. 3.28%; p=0.0006) and inpatient mortality (18.6% years (±14.3); 44.2%

Inpatient 40

Inpatient Stroke Strokes Outcomes 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

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.

Hemorrhage 40

Hemorrhage Aneurysm Cardiac Arrest Myocardial Infarction 40

Stroke Journal

FEBRUARY 1, 2024

Any intracranial hemorrhage was higher among patients treated with IV TNK compared to alteplase (25% versus 14.7%, p=0.024). Symptomatic intracranial hemorrhage(sICH) was higher inTNK group (8.3% A nonsignificant decrease in the odds of symptomatic intracranial hemorrhage (sICH) was seen with TNK. versus3.3%, p=0.075).

Stroke 40

Stroke Strokes Hemorrhage Outcomes 40

Stroke Journal

FEBRUARY 1, 2024

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

Thrombosis 40

Thrombosis Inpatient Embolism Myocardial Infarction 40

Stroke Journal

FEBRUARY 1, 2024

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).

Hemorrhage 40

Hemorrhage Outpatient Inpatient Stroke 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

The National Inpatient Sample (NIS) database from 2016‐2019 for patients with a principal diagnosis of AIS using the ICD‐10 code I63 was queried. Outcome measures studied included prolonged length of stay (LOS), discharge disposition, and inpatient mortality.ResultsWe identified 2,939,160 patients with AIS between 2016 and 2019.

Heart Failure 40

Heart Failure Cardiomyopathy Inpatient Stroke 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

However, rates of symptomatic intracranial hemorrhages have been inconclusive. There is no standardized data on antithrombotic therapy use during CAS and MT procedures with less associated rates of symptomatic hemorrhagic transformation. Seven (26%) patients had symptomatic intracranial hemorrhages.

Stent 40

Stent Stents Hemorrhage Inpatient 40

Stroke Journal

FEBRUARY 1, 2024

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

Stroke 40

Stroke Strokes Inpatient Public Health 40

Stroke Journal

FEBRUARY 1, 2024

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

Stroke 40

Stroke Strokes Nursing Hemorrhage 40

Stroke Journal

FEBRUARY 1, 2024

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.

Technology 40

Technology Stroke Strokes Hemorrhage 40

Stroke Journal

FEBRUARY 1, 2024

The hospitals were grouped into quartiles based on the volume of MT procedures performed within the calendar year.

Hospital 40

Hospital Stroke Strokes Outcomes 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

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.

Inpatient 40

Inpatient Aneurysm Hemorrhage Hospital 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

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.

Pediatrics 40

Pediatrics Aneurysm Outcomes Inpatient 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

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.

Hospital 40

Hospital Outcomes Stroke Strokes 40

Stroke Journal

FEBRUARY 1, 2024

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.

Ultrasound 40

Ultrasound Stroke Strokes Hospital 40

Stroke Journal

FEBRUARY 1, 2024

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.

Aneurysm 40

Aneurysm Outcomes Inpatient Nursing 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

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.

Hemorrhage 40

Hemorrhage Inpatient Stroke Strokes 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

We aimed to investigate the impact of COVID‐19 on the overall complications, including ischemic stroke and subarachnoid hemorrhage (SAH) rates in patients treated for intracranial aneurysms (IAs).MethodsThis A total of 57,715 admissions were identified.

COVID-19 40

COVID-19 Aneurysm Outcomes Inpatient 40

Dr. Smith's ECG Blog

OCTOBER 23, 2023

She had an uneventful ICU course and was extubated for ongoing care with the inpatient psychiatric service. She was admitted to the ICU where subsequent ECGs were performed: ECG at 12 hours QTc prolongation, resolution of T wave alternans ECG at 24 hours Sinus tachycardia with normalized QTc interval. Teaching Points: 1.

Tachycardia 128

Tachycardia Cardiac Arrest ICU Blood Pressure 128

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Patients were excluded if they underwent EVT after inter‐hospital transfer, were inpatient at the time of acute ischemic stroke (AIS), received IV tPA outside the 4.5‐hour hour window, or were treated with EVT after the 10‐hour window, as these patients would not contribute to the RD analysis.

Inpatient 40

Inpatient Hospital Outcomes Hemorrhage 40

Dr. Smith's ECG Blog

JULY 22, 2012

5) Myocardial contusion (edema and hemorrhage in the myocardium) which may result in dysrhythmias, blocks (especially RBBB as here), and poor cardiac contractility, including wall motion abnormalities. Localized bleeding from contusion could cause hemopericardium even without rupture.

Dysrhythmia 52

Dysrhythmia Biomarkers Echocardiogram Ultrasound 52

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Among the sequelae observed with an IE diagnosis, acute ischemic stroke (AIS), subarachnoid hemorrhage (SAH), intracerebral hemorrhage (ICH), vasculitis, septic emboli, cerebral abscess, and infectious intracranial aneurysms (IIA) continue to complicate overall management of this disease.

Inpatient 40

Inpatient Hemorrhage Aneurysm Stroke 40

Stroke Journal

FEBRUARY 1, 2024

Survivors of ischemic stroke and intracerebral hemorrhage from a subset of 165 hospitals in the Florida Stroke Registry were included in the Get with the Guidelines-Stroke® (GWTG-S) database. Multivariable analysis showed NHW were significantly less likely to be prescribed inpatient therapy compared to NHB [OR 0.56, 95%CI (0.35-0.88)]

Stroke 40

Stroke Strokes Outpatient Inpatient 40