Stroke Journal

JANUARY 30, 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

Hemorrhage 40

Hemorrhage Outcomes Stroke Strokes 40

Stroke Journal

JANUARY 30, 2025

Background and Purpose:Intracerebral and subarachnoid hemorrhages comprise roughly 15% of all strokes but have a higher risk of mortality and morbidity than ischemic strokes. Controlling hypertension after a hemorrhage is the primary intervention to limit the risk of hematoma expansion (HE) and the sequelae of secondary injury.

Hemorrhage 40

Hemorrhage Blood Pressure Stroke Strokes 40

Stroke Journal

JANUARY 30, 2025

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.

Hemorrhage 40

Hemorrhage Blood Pressure Academic Nursing 40

Stroke Journal

JANUARY 30, 2025

to skilled-nursing facility, and 4.2% Introduction:Stroke patients experience higher levels of social isolation (SI) compared to their age matched healthy cohorts which is associated with poor quality of life and increased morbidity and mortality. Overall, 24 (21.8%) patients experienced some degree of social isolation (54.2% mild, and 45.8%

Hemorrhage 40

Hemorrhage Quality of Life Nursing Stroke 40

Stroke Journal

JANUARY 30, 2025

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). Two-tailed p value of less than 0.05

Hemorrhage 40

Hemorrhage Hospital Stroke Strokes 40

Stroke Journal

JANUARY 30, 2025

The program involves telephone visits with a stroke-specialized nurse within 1 week after discharge and 3 months post-discharge. Patients were also provided with the stroke nurses direct contact information to help navigate the healthcare system. The control group included patients not enrolled in the program. vs 69.3%, p=0.04).

Hospital 40

Hospital Stroke Strokes Nursing 40

Stroke Journal

FEBRUARY 1, 2024

12, I60-69), clinical data was extracted by a research nurse and adjudicated by physicians. We determined the ability of prehospital LVO triage scores to identify ICH patients and to discriminate lobar from non-lobar ICH.Methods:We identified ICH cases presenting to the ED in Greater Cincinnati/Northern Kentucky in 2005, 2010, and 2015.

Stroke 40

Stroke Strokes Hemorrhage Nursing 40

Stroke Journal

FEBRUARY 1, 2024

We subsequently educated constituents including nursing, pharmacy, technical and clinical staff. Median door-to-needle (DTN), door-to-puncture (DTP), thrombolytic utilization and symptomatic hemorrhage rates were recorded at five primary (P) and a comprehensive stroke center (C).Results:During Symptomatic hemorrhage occurred in 0.0%(P),

Hemorrhage 40

Hemorrhage Education Nursing Ischemia 40

Stroke Journal

FEBRUARY 1, 2024

There were no differences in symptomatic intracerebral hemorrhages between the two groups.Conclusion:The implementation of a hospital wide process that focuses on a neurology resident physician and nursing collaboration greatly improves IHS SRT to thrombolytic administration time with a trend towards improvement in SRT to skin puncture time.

Hospital 40

Hospital Nursing Hemorrhage Strokes 40

Stroke Journal

FEBRUARY 1, 2024

Neuro-telemetry nurses designed Stroke 90 as a follow-up outreach program to reduce the stroke readmission average by 2% over six months and address knowledge gaps. Purpose Patients with a history of stroke have a significantly higher risk of readmission.

Stroke 40

Stroke Strokes Nursing Education 40

Stroke Journal

JANUARY 30, 2025

Nurses were provided with dosing table and care instruction badge backers. All impacted disciplines received education, including nursing skills demonstration. The system Alteplase hemorrhagic complication rate was 2.8% The legal department approved as our new standard of care for AIS. Guidelines and references were updated.

Stroke 40

Stroke Strokes Thrombolysis Nursing 40

Stroke Journal

JANUARY 30, 2025

Based on assessment and individual patient factors, possible algorithm pathways included dysphagia treatment and/or calorie count by nursing and dieticians to guide decision-making for PEG placement.A Data included 68 acute ischemic and hemorrhagic stroke patients admitted to the Neurology and Neurosurgery services from 1/1/2023-2/29/24.

Stroke 40

Stroke Strokes Nursing Diet 40

Stroke Journal

JANUARY 30, 2025

58% of articles assessed ischemic and hemorrhagic stroke participants, and 9 studies only tested aphasia patients. The research questions aim to evaluate technical aspects of digital tests, digital tool effectiveness, cognitive domains assessed, study population characteristics, patient usability, and exam feasibility.

Stroke 40

Stroke Strokes Allied Health Article 40

Stroke Journal

JANUARY 30, 2025

The purpose of this study was to determine if there is an optimal time frame to call patients and whether call fatigue affects call completion rate.Methods:Ischemic and hemorrhagic stroke patients discharged to home with and without home health from 2/2024 to 6/2024 were included. Two call attempts were made.

Stroke 40

Stroke Strokes Hospital Education 40

Stroke Journal

FEBRUARY 1, 2024

DESTINY was incorporated into EHR and standardized workflow for nursing triage in ED. Acute symptomatic stroke occurred in 39% (n=110) (sTIA, 20; PCI, 31; CRAO, 5; MeVO, 22; LVO, 19; hemorrhagic, 11, other, 13). CSTAT (questions: 2, 4, 5, 10) and VAN (questions: 3, 4, 5, 6, 7, 10) were embedded in the tool.

Stroke 40

Stroke Strokes Nursing Hemorrhage 40

Stroke Journal

FEBRUARY 1, 2024

A switch to TNK was implemented at our Comprehensive Stroke center (CSC) after a rigorous training of nurses and providers on May 1, 2021. No significant differences in rates of symptomatic Intracerebral Hemorrhage (SICH) were observed between two groups (2.6% ALT vs 2.9%

Academic 40

Academic Stroke Strokes Nursing 40

Stroke Journal

JANUARY 30, 2025

Separate multivariable logistic regression models were fit to determine factors associated with discharge to IR vs. home (model 1) and IR vs. unfavorable discharge (UD; long-term acute care, skilled nursing facility, hospice, expired, other; model 2). Adjusted odds ratios (aOR) and 95% confidence intervals (CI) are reported. female and15.7%

Inpatient 40

Inpatient Stroke Strokes Atrial Fibrillation 40

Stroke Journal

JANUARY 30, 2025

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%).

Academic 40

Academic Stroke Strokes Risk Factors 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 Journal

JANUARY 30, 2025

Introduction:Over half of stroke patients experience sexual dysfunction as a result of an ischemic or hemorrhagic stroke. Interviewed interdisciplinary in-patient and out-patient treatment team members including physicians, nurses, occupational therapists and physical therapists.

Education 76

Education Stroke Strokes Quality of Life 76

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 Analytical sample included all Medicare enrollees with a primary discharge diagnosis (AIS or ICH) from 2016 to 2020.

Medicare 40

Medicare Hemorrhage Inpatient Nursing 40

Stroke Journal

JANUARY 30, 2025

Objectives:We evaluate the potential link between post-acute care, particularly care provided at inpatient rehabilitation facilities (IRF) (vs.

Inpatient 40

Inpatient Hemorrhage Myocardial Infarction Nursing 40

Stroke Journal

FEBRUARY 1, 2024

The significance of underdosing or overdosing of TNK may not achieve the desired patient outcome and may increase the risk of complications such as hemorrhage, anaphylaxis, thromboembolism, arrhythmia, intracranial hemorrhage, extended hospitalizations, and death.

Myocardial Infarction 40

Myocardial Infarction Stroke Strokes Nursing 40

Stroke Journal

JANUARY 30, 2025

Background:We evaluate the contemporary trends and socioeconomic disparities in utilization of post-stroke rehabilitation using statewide inpatient data from 5 states with large and diverse populations.Methods:We used ICD codes (I60, I61, I63) to identify adult patients (18 years) discharged home (including home health), to IRF, or skilled nursing (..)

Inpatient 40

Inpatient Stroke Strokes Hemorrhage 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

An analysis of the rates of post‐intervention intracerebral hemorrhage showed that there was no significant difference observed between groups. CM‐HF patients had higher rates of in‐patient complications such as PEG placement, tracheostomy, sepsis, DVT or PE, pneumonia, UTI, AKI, myocardial infarction, and intracerebral hemorrhage.

Heart Failure 40

Heart Failure Cardiomyopathy Inpatient Stroke 40

Journal of the American Heart Association

JANUARY 16, 2025

had an intracerebral hemorrhage, and 31.1% days,P=0.13) and were similarly likely to be discharged to a skilled nursing facility (15.6% days,P=0.13) and were similarly likely to be discharged to a skilled nursing facility (15.6% Of 167 patients (mean age, 79.9 women) transported by an MSU for suspected acute stroke, 61.1%

Stroke 40

Stroke Strokes Medicare Blood Pressure 40