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ObjectivesComplications of intracranial hemorrhage (ICH) after percutaneous coronary intervention (PCI), although rare, have a poor prognosis with high mortality rates. We mainly analyzed general, procedural, ICH features and subsequent outcomes. ResultsAmong the 24 patients, the mean age was 62.2110.01
Once the diagnosis of nontraumatic subarachnoid hemorrhage (SAH) has been made, our job is not done. Paying attention to the time-sensitive details of ED management of SAH patients can have a significant impact on their outcome. What can we do in the ED to prevent rebleeding in patients with subarachnoid hemorrhage?
(MedPage Today) -- In patients with acute intracerebral hemorrhage who had surgery within 24 hours, minimally invasive evacuation surgery combined with guideline-based medical management care yielded better functional outcomes at 180 days than.
After 30 years of disappointment, 2 randomized controlled trials investigating the effect of neurosurgical treatment on functional outcome in patients with intracerebral hemorrhage were published in 2024. In this critique article, we will discuss the main findings of these trials, their implications and future perspectives.
Recovery trajectories in intracerebral hemorrhage (ICH) are recognized as distinct from those observed in ischemic stroke. This narrative review aims to clarify the pathophysiology underlying ICH recovery patterns, highlighting the unique timeline and nature of functional improvements seen in ICH survivors.
The research group of Susanne Wegener, professor at the University of Zurich (UZH) and senior leading physician at the Department of Neurology of the University Hospital Zurich (USZ), has now demonstrated that the outcome of stroke treatments depends on the collateral network.
Once the diagnosis of nontraumatic subarachnoid hemorrhage (SAH) has been made, our job is not done. Paying attention to the time-sensitive details of ED management of SAH patients can have a significant impact on their outcome. What can we do in the ED to prevent rebleeding in patients with subarachnoid hemorrhage?
Starting with the good news, GLP-1s lowered risks for 42 health outcomes while increasing risks for 19 outcomes. As expected, GLP-1s reduced MI risk by 9%, cardiac arrest by 22%, incident HF by 11%, ischemic stroke by 7%, and hemorrhagic stroke by 14%. year follow-up.
Introduction:Intracerebral hemorrhage (ICH) and subarachnoid hemorrhage (SAH) are severe forms of stroke with high morbidity and mortality rates. However, their role in ICH and SAH remains under-investigated, particularly regarding functional outcomes and survival.
These data from the SHINE trial continue to inform the national stroke community about potential approaches to treating hyperglycemic stroke patients to assure better outcomes,” she said. These brain bleeds, known as symptomatic intracerebral hemorrhages, are considered one of the most dangerous complications of ischemic stroke treatment.
Introduction:Patients who have had hemorrhagic strokes experience psychological and functional deficits after hospital discharge. Social Determinants of Health (SDoH) can also impact outcomes. Conclusion:Psychological and functional outcomes for patients with hemorrhagic strokes are associated with SDoH.
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.
Introduction:Intracerebral Hemorrhage (ICH) leads to high rates of morbidity and mortality. Malnutrition is common in stroke patients and leads to worse outcomes. Body mass index (BMI) is a widely available marker of nutrition status, however studies on BMI and post-ICH outcomes are limited and have conflicting results.
The results showed that giving blood thinners in addition to clot-busting medications to people with ischemic strokes (clot-caused strokes) did not improve their outcomes 90 days later. The study was looking for improvement in functional outcomes at 90 days. those receiving argatroban averaged 5.2,
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.
BACKGROUND:Sex-specific differences in stroke risk factors, clinical presentation, and outcomes are well documented. Primary end points were 90-day readmission for ischemic stroke or hemorrhage and compared between men and women. Stroke, Volume 56, Issue 2 , Page 285-293, February 1, 2025.
Background:The prognostic significance of the affected hemisphere in hemorrhagic stroke remains uncertain. We aimed to determine the relationship between the affected hemisphere (right or left) and differences in non-motor outcomes (pain, mood) in patients with acute intracerebral hemorrhage (ICH).
We aimed to investigate the prevalence and prognostic implications of AMI in primary intracerebral hemorrhage.Methods and ResultsWe retrospectively analyzed patients with primary intracerebral hemorrhage within 48 hours after symptom onset. Patients were followed for up to 5 years. Of 600 patients included, 115 had AMI (19.2%).
Clinical characteristics, technical considerations associated with thrombectomy, severity and subtypes of HT (Heidelberg) and clinical outcomes were analyzed.Results:HT was adjudicated present in 70 out of 149 (47.0%) consecutive thrombectomy patients. Coexisting subtypes were present in 27.1 % of HT cases. of all patients and 11.4%
Introduction:Intracerebral hemorrhage (ICH) volume and expansion are important predictors of clinical outcome. Recent results show volumetric thresholds for prediction of poor outcome differ based on the anatomic location (lobar vs deep) of the ICH. Poor outcome was defined as modified Rankin Scale 4-6.
In stroke, it has been associated with infarct growth, hemorrhagic transformation, and poor outcomes. We hypothesized that severe WMD in large vessel occlusion (LVO) stroke patients would correlate with worse 90-day functional outcomes, measured by the modified Rankin Scale (mRS).Methods:We
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. Secondary outcomes were ICH, SAH, and SDH assessed separately. andICD-10-CMcode G30.x.
Background and Issues:Timely identification and intervention are critical for positive outcomes in acute intracerebral hemorrhage (ICH) patients. Outcomes were measured using data for when the goals were being met versus not being met.Results:Outcomes were measured from 111 ICH patients from 2022-2023.
The exposure was an incident diagnosis of non-traumatic intracranial hemorrhage, defined as a composite of intracerebral hemorrhage, subarachnoid hemorrhage, or subdural hemorrhage. The outcome was an incident diagnosis of dementia. million patients, 14,775 had a diagnosis of intracranial hemorrhage.
Introduction:Intraventricular hemorrhage (IVH), a common complication of intracerebral hemorrhage (ICH), can occur with little or no associated ICH (mostly IVH, mIVH). mIVH is reported to have better outcomes than IVH associated with substantial ICH. Age and IVH volume were final model independent predictors of good outcome.
Findings from the first international randomized controlled trial to compare patient outcomes following treatment with large-bore mechanical thrombectomy (LBMT) versus catheter-directed thrombolysis (CDT) for intermediate-risk pulmonary embolism (PE) show that LBMT is superior with respect to the hierarchically-tested aggregated outcome of all-cause (..)
A database analysis linked semaglutide use to notable reductions in the rates of diabetic macular edema and vitreous hemorrhage in diabetic retinopathy.
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). The outcome was a first-ever diagnosis of dementia. million patients, 14,775 had a diagnosis of intracranial hemorrhage.
Background:Subarachnoid Hemorrhage (SAH) accounts for 2-7% of strokes and has high mortality and morbidity. We generated the co-expression networks using the Weighted Gene Co-Expression Network Analysis (WGCNA) package to determine modules (groups of co-expressed genes) associated with 90-day SAH outcome.
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]), female) with an ethno-racial distribution of 57.6%
Racial and ethnic disparities in risk factors and outcomes for young patients with ischemic stroke (AIS) are well described. 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. Asian, and 5.1%
Purpose:We previously reported that activated T cells accumulate in the perihematomal regions after Intracerebral hemorrhage (ICH) and aggravate hemorrhagic brain injury. Inhibiting TCR activation through AX-024 proves beneficial for improving neurological outcomes after ICH.
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
Background:Injury location is an established outcome predictor in intracerebral hemorrhage (ICH), with most studies focusing on outcomes relating to motor deficits. Data were analyzed by one-way ANOVA and Tukey post-hoc tests.Results:ICH location had differential effects on behavioral outcomes.
Background:Systolic blood pressure (SBP) fluctuation is linked to increased death or disability in intracerebral hemorrhage (ICH) patients. These findings suggest this time window is crucial for future interventions aimed at controlling SBP in ICH patients.
Introduction:Oxidative stress plays an important role in both early brain injury and delayed cerebral ischemia after subarachnoid hemorrhage (SAH). In this study, we evaluated the effect of MnP-05 on short-term outcomes of SAH in mice.Methods:We used 12-week-old male C57BL/6J mice. P<0.05, Fig.
BACKGROUNDThe rate of underlying ruptured aneurysms, complications, and their relevance to outcomes in “benign” perimesencephalic subarachnoid hemorrhage are not well known and underreported.METHODSRetrospective analysis of patients with perimesencephalic subarachnoid hemorrhage from a large tertiary care center (2007–2022).RESULTSEighty‐one
Background:A novel inflammatory score has been validated for hematoma expansion and poor outcomes in patients with intracerebral hemorrhage. Logistic regression models were used for exploring the association between inflammatory score and hemorrhagic transformation and poor outcomes.
Introduction:Viscoelastic hemostatic assays can detect coagulopathy relevant for intracerebral hemorrhage (ICH) patients at risk for hematoma expansion. However, it is unclear whether these assays associate with long term ICH outcomes. Poor 6-month neurological outcome was defined as modified Rankin Scale (mRS) 4-6.
BACKGROUND:Long-term patterns of functional outcome after intracerebral hemorrhage (ICH) have not been well elucidated in population-based studies from low- and middle-income countries. of available modified Rankin Scale) cases had died and 853 (77.0%) had an unfavorable outcome at 365 days. Stroke, Ahead of Print.
Background and Purpose:Post thrombolytic intracerebral hemorrhage (ICH) is associated with higher rate of death or disability in acute ischemic stroke patients. Outcomes were determined by using utility weighted modified Rankin scale (UW-mRs) at 90-days. Stroke, Volume 55, Issue Suppl_1 , Page ATMP81-ATMP81, February 1, 2024.
Background:Intracerebral hemorrhage (ICH) is a critical neurological condition with high rates of mortality and morbidity. Accurate prediction of the clinical outcomes in ICH patients is essential for effective clinical management. Spot sign was consistently identified as a robust predictor of outcomes across multiple studies.
Hemorrhagic strokes (HS) are increasingly significant causes of disability and mortality worldwide, making the use of blood biomarkers for their diagnosis and prognosis critical. The study found that GFAP levels were significantly higher in HS patients, particularly among those with fatal outcomes. Survivors had GFAP levels of 1.35
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