Search results for "Stroke"


 
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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

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

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

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

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/

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

May 15, 2024

ACP Hospitalist provides hospital-based physicians with news and information about the practice of hospital medicine.
https://acphospitalist.acponline.org/archives/2024/05/15/

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

July 27, 2022

ACP Hospitalist provides hospital-based physicians with news and information about the practice of hospital medicine.
https://acphospitalist.acponline.org/archives/2022/07/27/

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