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BackgroundPatients with ischemic stroke and concomitant COVID‐19 infection have worse outcomes than those without this infection, but the impact of COVID‐19 on hemorrhagic stroke remains unclear. We aimed to assess if COVID‐19 worsens outcomes in intracerebral hemorrhage (ICH).Methods
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 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
Introduction:Managing post-acute hemorrhagic stroke care is complex and necessitates close follow-up and coordination. Primary outcome evaluated variables contributing to attendance of a neuroscience appointment post-discharge and secondary outcome: examined 90-day all cause readmission using binomial logistic regressions.
Improving patient care and outcomes is what drives my commitment to helping find new solutions in the field. In addition to being locally trusted for improving patient outcomes through his medical practice at El Camino Health , Dr. St. standard-of-care for managing postpartum hemorrhage, the JADA System.
Introduction:Intracerebral hemorrhage (ICH) leads to the highest mortality among stroke patients. ICH expansion causes worse outcomes, especially with anticoagulant-associated ICH. In terms of functional outcome, the average improvement in discharge NIHSS score increased by 1.33
to skilled-nursing facility, and 4.2% risk stratification for ICH patients is a critical gap in improving post-ICH outcomes. Overall, 24 (21.8%) patients experienced some degree of social isolation (54.2% mild, and 45.8% moderate-severe). Among patients with 1-year SI, 33.3% were initially discharged home, 33.3% to rehab, 16.7%
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
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).
Chi-square or Fisher’s exact test were used for categorical variables; Wilcoxon’s rank sum test was used for the outcomes of SRT to bolus and SRT to puncture.Result:We identified 196 IHS who received emergent treatment: 58 (30%) in Pre and 138 (70%) in Post Intervention (p=0.05). There was no difference in baseline demographics.
Outcomes included modified Rankin Score (mRS) at discharge and last follow up as well as aneurysm occlusion status at discharge.Results:Of 670 treated, unruptured MCA aneurysms, 43 were tiny (6.4%). New intracerebral hemorrhage occurred in 7% of patients (3/43) and unplanned return to OR occurred in 14.8% There were no mortalities.
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.
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.
Our primary outcome was post-discharge LTFU, defined as having zero post-discharge encounters within 12 months. Our secondary outcomes included having one or more outpatient visits with a provider, unplanned hospitalizations, and emergency department (ED) visits within 30 days post-discharge. vs. 47.4%); have an intracerebral (12.1%
DESTINY was incorporated into EHR and standardized workflow for nursing triage in ED. Primary outcomes included predictability of acute symptomatic: stroke, PCI, LVO, and MeVO. Secondary outcomes included comparison of DESTINY performance to other screening tools. 98.8], specificity 0.44 [95% CI 36.9-51.6]);
A switch to TNK was implemented at our Comprehensive Stroke center (CSC) after a rigorous training of nurses and providers on May 1, 2021. There was a strong trend towards improved 90-day clinical outcomes for TNK-treated patients (mRS 2.5 The mean DTN was 53.0 minutes for ALT and 41.5 minutes for TNK (p<0.001). ALT vs 2.9%
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 Conclusion:Post stroke transitions of care patterns may yield insights as to the long-term trajectory of outcomes.
Specific aspects of IRF care driving better vascular outcomes need further evaluation. Objectives:We evaluate the potential link between post-acute care, particularly care provided at inpatient rehabilitation facilities (IRF) (vs. Conclusions:Post-acute care at an IRF (vs.
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.
Many studies have aimed to determine if heart failure (HF) is an independent risk factor in the development of AIS, but there is a paucity of literature describing the interventions and functional outcomes in this group of patients. AIS patients with CM and HF were compared to those without. 5.6%, p < 0.001) and EVT and tPA (0.9%
BackgroundTransport by mobile stroke units (MSUs), which provide access to computed tomography scanning and intravenous blood pressure medications and thrombolytics, reduces time to treatment and may improve shortterm functional outcomes for patients with acute stroke. had an intracerebral hemorrhage, and 31.1% versus 15.1%,P=0.86).
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