Search results for "Stroke"
Current tools insufficient to guide anticoagulation decisions for new-onset AF in sepsis
The most commonly used stroke risk calculator does not predict postsepsis stroke and should not be used to guide decisions about anticoagulation among patients with new-onset atrial fibrillation (AF) and sepsis, a new study concluded.
https://acphospitalist.acponline.org/archives/2024/04/17/current-tools-insufficient-to-guide-anticoagulation-decisions-for-new-onset-af-in-sepsis.htm
17 Apr 2024
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
Early minimally invasive surgery may improve outcomes for certain intracerebral hemorrhages
An industry-sponsored trial found that functional outcomes at 180 days were better with minimally invasive hematoma evacuation plus guideline-based medical management than medical management alone, if surgery could be done within 24 hours.
https://acphospitalist.acponline.org/archives/2024/04/17/early-minimally-invasive-surgery-may-improve-outcomes-for-certain-intracerebral-hemorrhages.htm
17 Apr 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
Antibiotic OKed for pneumonia, bloodstream, skin infections
In addition to approving ceftobiprole medocaril sodium for three different types of infection, the FDA authorized the first generic version of fidaxomicin, among other actions.
https://acphospitalist.acponline.org/archives/2024/04/10/antibiotic-oked-for-pneumonia-bloodstream-skin-infections.htm
10 Apr 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
Two in five HF patients not on guideline-directed medical therapy at discharge
A study of Veterans Affairs hospitals found that 42% of patients hospitalized for heart failure (HF) in 2013 to 2019 were not prescribed all guideline-recommended medications at discharge, and those receiving care at urban hospitals were even less likely to receive the treatments.
https://acphospitalist.acponline.org/archives/2024/04/10/two-in-five-hf-patients-not-on-guideline-directed-medical-therapy-at-discharge.htm
10 Apr 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
August 2020
ACP Hospitalist provides hospital-based physicians with news and information about the practice of hospital medicine.
https://acphospitalist.acponline.org/archives/2020/08/
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