Search results for "Stroke"
Early anticoagulation appears safe after acute ischemic stroke in patients with afib
The AREST trial, which ended early due to changes in national guidelines, found statistically similar but numerically lower rates of the primary study outcome (fatal stroke, recurrent ischemic stroke, or transient ischemic attack) in those who received anticoagulation early with apixaban versus later with warfarin.
https://acphospitalist.acponline.org/weekly/archives/2021/03/03/5.htm
3 Mar 2021
Thrombectomy improved outcomes even in stroke patients with a large infarct, trial finds
Stroke patients with a large infarct who underwent endovascular thrombectomy had a median modified Rankin scale score of four and a mortality rate of 36.1% at 90 days, compared to a score of six and a rate of 55.5% with medical therapy alone, a French trial found.
https://acphospitalist.acponline.org/archives/2024/05/15/thrombectomy-improved-outcomes-even-in-stroke-patients-with-a-large-infarct-trial-finds.htm
15 May 2024
Greater SBP reduction linked to better outcomes after thrombolysis for stroke
Analyses of the ENCHANTED trial found that in the day after stroke symptom onset, every 10-mm Hg drop in systolic blood pressure (SBP) (down to as low as 110 to 120 mm Hg) was associated with a 20% decrease in the odds of unfavorable functional status.
https://acphospitalist.acponline.org/weekly/archives/2021/11/03/3.htm
3 Nov 2021
Uncovering AF
Experts discuss the increasing evidence that new atrial fibrillation (AF) in an inpatient is something to worry about.
https://acphospitalist.acponline.org/archives/2024/09/04/uncovering-af.htm
4 Sep 2024
Mobile stroke units led to better outcomes in patients eligible for tPA
A prospective, observational, multicenter study found that median time from stroke onset to administration of tissue plasminogen activator (tPA) was 72 minutes in patients treated by mobile stroke units and 108 minutes for those receiving standard emergency medical services.
https://acphospitalist.acponline.org/weekly/archives/2021/09/15/3.htm
15 Sep 2021
Timing of stroke treatment, preventive therapies presented at stroke meeting
Mostly disappointing results on transfers for thrombectomy, delayed use of thrombolysis plus thrombectomy or tenecteplase, and anticoagulation for secondary prevention after cryptogenic stroke were reported at the International Stroke Conference.
https://acphospitalist.acponline.org/archives/2024/02/14/timing-of-stroke-treatment-preventive-therapies-presented-at-stroke-meeting.htm
14 Feb 2024
CT perfusion imaging not often available at hospitals treating acute ischemic stroke
In findings from a Texas Medicare cohort validated with national data, 3% of patients with acute ischemic stroke were evaluated with CT perfusion, and most cases were evaluated at hospitals that did not offer this test.
https://acphospitalist.acponline.org/weekly/archives/2021/03/31/4.htm
31 Mar 2021
ED treat-and-release visits for fall associated with stroke risk
Patients were almost three times as likely to have an ED treat-and-release visit for a fall in the 15 days before an ischemic stroke than in a 15-day control period a year earlier, a case-crossover study using data from 10 U.S. states found.
https://acphospitalist.acponline.org/archives/2024/07/24/ed-treat-and-release-visits-for-fall-associated-with-stroke-risk.htm
24 Jul 2024
U.S. study finds gaps in access to mechanical thrombectomy for ischemic stroke
An analysis spanning 11 U.S. states found that 16% of patients with ischemic stroke from 2016 through 2018 were treated by EDs and hospitals that neither performed mechanical thrombectomy nor transferred patients to receive it.
https://acphospitalist.acponline.org/weekly/archives/2021/05/19/4.htm
19 May 2021
Adding antiplatelet or anticoagulant to thrombolysis didn't improve stroke outcomes
Ischemic stroke patients who were randomized to IV argatroban or eptifibatide within 75 minutes of initiation of thrombolysis had higher mortality and lower Rankin scale scores at 90 days than patients given a placebo, a trial found.
https://acphospitalist.acponline.org/archives/2024/09/11/adding-antiplatelet-or-anticoagulant-to-thrombolysis-didnt-improve-stroke-outcomes.htm
11 Sep 2024