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Racial and ethnic disparities in riskfactors 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.
BACKGROUND:Prior studies on the clinical impact of intracerebral hemorrhage (ICH) location have used visual localization of hematomas to neuroanatomical structures. In a voxel-wise analysis, ICH presence in deep white matter, thalami, caudate, midbrain, and pons was associated with worse outcomes. Stroke, Ahead of Print.
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.
Introduction:Cerebrovascular white matter disease (WMD) severity is linked to vascular riskfactors like hypertension, hyperlipidemia, and diabetes. In stroke, it has been associated with infarct growth, hemorrhagic transformation, and poor outcomes. Stroke, Volume 56, Issue Suppl_1 , Page ATP170-ATP170, February 1, 2025.
Introduction:Cerebral amyloid angiopathy (CAA) is a common cause of intracerebral hemorrhage in elderly patients. Whether CAA is associated with isolated subdural hemorrhage (SDH), without an accompanying intracerebral hemorrhage, remains unclear. Stroke, Volume 56, Issue Suppl_1 , Page A139-A139, February 1, 2025.
Objective:Disorders of consciousness (DoC) are known to correlate with worse functional outcome after hemorrhagic stroke. The primary outcome was coma (GCS ≤ 8) at time of admission. These modifiable riskfactors are an important therapeutic target for improving outcomes for patients with DoC.
Introduction:Intracranial hemorrhage (ICH) is the most severe adverse effect of anticoagulation in atrial fibrillation (AF) patients. Hypertension, diabetes, hyperlipidemia, and chronic kidney disease are well-known cardiovascular riskfactors for ICH.
Introduction:Pregnancy is a riskfactor 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).
Background:Anemia is a riskfactor for worse intracerebral hemorrhage (ICH) outcomes, yet the underlying drivers remain unclear. Further work is required to assess whether anemia modification can abrogate pathologic immune pathways and improve ICH outcomes.
Introduction:Excessive sodium intake is the top dietary riskfactor for mortality and non-communicable diseases such as stroke. Lack of NR4a1 in MDMs recapitulated HSD-induced negative impacts on ICH outcomes.
The primary outcome was a composite of the incidence of myocardial infarction and ischemic and hemorrhagic stroke, obtained by tracking the medical use data of the first-ever ICD-10 codes. HTN elevated the incidence risk of major cardiovascular disease by 2.16 years and median follow-up duration was 15.9
Background:We identified that major ABO incompatible platelet transfusions are associated with poor intracerebral hemorrhage (ICH) outcomes, yet the driver for this relationship is unknown and does not appear to be related to impaired hemostasis. Conversely, acute ICH patients are known to develop remote ischemic lesions on brain MRI.
Diabetes is a riskfactor for acute ischemic stroke and also a poor predictor of outcome for many interventional surgeries. IntroductionThere is a higher prevalence of diabetes mellitus type 2 in Hispanics as compared to other ethnic groups in the United States. or greater. vs. 20.5%; p = 0.048) and stenting (28.4%
Background:Diabetes mellitus (DM) is one of the riskfactors for acute ischemic stroke, usually leading to poor prognosis. While DM can reduce the effect of intravenous thrombolysis, metformin can have a positive outcome on AIS patients. The outcomes of stroke in diabetic patients receiving metformin is largely unexplored.
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%
Introduction:White matter hyperintensities (WMH) are associated with worse clinical outcomes after stroke. Using logistic regression, we tested the associations between WMH fraction, presence and severity of HARM, and clinical outcomes. WMH fraction was associated with a higher risk of severe HARM (OR: 1.35, 95% CI: 1.03-1.78)
The primary outcome was 3-month functional outcome by modified Rankin scale (mRS). Patients with elevated traditional riskfactors at admission may benefit more from thrombolytic therapy compared to those with high inflammatory response indicators. Stroke, Volume 56, Issue Suppl_1 , Page ATP20-ATP20, February 1, 2025.
Recognizing epidemiological riskfactors in local communities helps target specific populations through community education and implement appropriate healthcare delivery measures. ICH score estimated disease severity and modified Rankin score (mRS) at discharge defined patient outcome. Comparison between race/ethnicity [i.e.,
It represents a high mortality and morbidity rate due to its risk of rupture causing Sub Arachnoid Hemorrhage which is a dangerous and life‐threatening condition. Based on limited reports, the 30‐day mortality rate from aneurysmal Sub Arachnoid Hemorrhage was 26.6% Africa presents a fatality rate higher than developed countries.
Introduction:Effective care transition for ischemic or hemorrhagic stroke patients post-hospital discharge is critical. Ensuring a follow-up neurology appointment within two weeks is vital to managing stroke riskfactors like hypertension, diabetes, and atrial fibrillation.
As the eligibility criteria for MT ease, more patients will undergo the procedure who have riskfactors for complications such as malignant edema or hemorrhagic conversion that require decompressive craniectomy (DC).
Introduction:Although prior antiplatelet therapy (APT) could potentially contribute to bleeding risk, the influence of prior APT on intravenous thrombolysis outcomes remains controversial. A favorable outcome was defined as a modified Rankin Scale of 0 to 1 at 90-days.
Introduction:Head CT hyperdensity (HCH) commonly follows mechanical thrombectomy (MT) for large vessel occlusion (LVO), often due to contrast extravasation (CE) or intracerebral hemorrhage (ICH). Given the 20-88% prevalence in studies, understanding associated variables is crucial for outcomes.
Endothelial damage, prothrombotic factor release, and a higher prevalence of cardiovascular riskfactors in those receiving ART have been invoked to explain this association. We included all delivery hospitalizations for female patients aged 15-55 years. The study exposure was use of ART.
We sought to establish predictive factors for delayed seizures to stratify risk and guide clinical management.Methods:We analyzed data from the Direct Oral Anticoagulants Versus Warfarin in the Treatment of Cerebral Venous Thrombosis (ACTION-CVT) study of consecutive patients with CVT from 2015 - 2020. p=0.196), alcohol abuse (OR 3.88
IntroductionA high level of low‐density lipoprotein ‐ cholesterol (LDL‐C) is a known riskfactor for ischemic stroke1. However, the impact of LDL‐C on stroke outcomes after mechanical thrombectomy (MT) is unclear. In this study, we aim to examine the relationship between LDL‐C level and post‐MT functional outcome.
The primary end point was a composite of adverse neurovascular events (multiple vessel cervical artery dissection, ischemic stroke, intracerebral hemorrhage, and any neurovascular intervention) at 5- and 10-year follow-ups. Independent riskfactors were identified using univariate and multivariate logistic regression analyses.
Significant heterogeneity was noted in the outcome (I2 = 82%). 1.09; I2 = 67%; p = 0.08) for hemorrhagic stroke while a pooled aHR = 0.98; 95% CI: 0.89-1.20; 1.20; I2 = 0%; p = 0.66) for ischemic stroke.Conclusion:Our analysis reveals an elevated stroke risk post-hysterectomy. 1.40; p &lt 0.01).
Background:Hyperperfusion phenomenon (HPP) constitutes a significant riskfactor for adverse outcomes following carotid artery stenting (CAS). Currently, the sole method for evaluating the risk of HPP post-CAS is the invasive acetazolamide (ACZ) challenge test.
We retrospectively reviewed these patient charts for demographic variables, and clinical and radiographic outcomes. Results:There were no significant differences in baseline demographic variables including age, gender, presenting NIHSS, and vascular riskfactors between the de novo and rescue groups. X2(1,N=84) = 6.1,
The underlying etiology and riskfactors remain unclear due to the limited number of reported cases and the incomplete understanding of the underlying mechanisms. Intra‐arterial and intrathecal vasodilators have been reportedly used with variable outcomes.
1.145];P=0.002; area under the curve [AUC], 0.833) and PIC (aOR, 1.337 [95% CI, 1.087–1.644];P=0.006; AUC, 0.771) correlated significantly with higher symptomatic intracranial hemorrhagerisk. Each 1‐unit increase in ischemic TAT (adjusted odds ratio [aOR], 1.086 [95% CI, 1.03–1.145];P=0.002;
BACKGROUND:Sex-specific differences in stroke riskfactors, 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.
BackgroundNontraumatic subarachnoid hemorrhage (SAH) presents a significant health burden, yet the influence of social determinants of health on outcomes remains unclear. Outcomes included inhospital death, length of stay, and discharge disposition (good: home/rehabilitation; poor: longterm facility/hospice/death).
Introduction:Education, a key modifiable social determinant of health, plays a significant role in shaping outcomes related to ischemic stroke. Higher educational attainment has been linked to improved management of riskfactors and greater adherence to medical treatments. See Table 1 for demographics by education group.
Introduction:While the attention on racial, ethnic, and gender differences in ischemic stroke has progressed beyond reporting to evaluating corrective activities, less is known about disparities in hemorrhagic stroke evaluation and care, especially amongst young population. Conclusion:Men had a higher risk of ICH than women.
Introduction:Chronic kidney disease (CKD) is a riskfactor for intracerebral hemorrhage (ICH) and for worse outcomes following ICH. Univariate analysis for QSM/CMB riskfactors was assessed using Pearson correlation and t-test, while multivariate analysis was assessed using linear regression.
Introduction:Incident intracerebral hemorrhage (ICH) is an uncommon medical event that can lead to devastating outcomes, including death. Small vessel disease (SVD), as measured by cerebral microbleeds (CMBs) and white matter hyperintensities (WMH), has been associated with riskfactors and might be a predictor of incident ICH.
Background:Spontaneous intracerebral hemorrhage (sICH) is a neurological condition characterized by the rupture of blood vessels within the brain, resulting in the formation of a hematoma and subsequent brain injury. Tobacco use is also correlated with worsened outcomes following sICH.
Introduction:Intracerebral hemorrhage (ICH) has high morbidity and mortality without available targets for intervention. No studies have evaluated polyamines as they relate to ICH occurrence or outcomes.
Introduction:Prospective studies and secondary analyses from clinical trials have identified increased systolic blood pressure variability (SBPV) as a riskfactor for poor outcomes. The primary outcome was severe disability or death (SDD; modified Rankin Scale ≥4) at 90-days after discharge.
We aimed to determine the prevalence of acute ischemic stroke (AIS) and intracranial hemorrhage (ICH) in patients with ITP and iTTP in a systematic review and meta-analysis.Methods:We used PubMed, Embase, Cochrane, Web of Science, and Scopus using text related to ITP, iTTP, stroke, AIS, and ICH from inception to 11/3/2023.
Introduction:Chronic kidney disease (CKD) is a riskfactor for intracerebral hemorrhage (ICH) and for worse outcomes following ICH. In this study, we examined the relationship between ICH and CKD, as well as intracranial arterial calcification (IAC) as an intermediate biomarker.
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