Search results for "Stroke"
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
Over-the-counter test for flu, COVID-19 authorized
The FDA also approved albuterol and budesonide inhalation aerosol, the first combination of an inhaled corticosteroid and a short-acting beta-agonist for asthma, among other recent actions.
https://acphospitalist.acponline.org/archives/2023/03/01/over-the-counter-test-for-flu-covid-19-authorized.htm
1 Mar 2023
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
Revving up rural stroke response
Telehealth, helicopters, and hospitalists all have a part to play in reducing disparities in stroke outcomes, experts say.
https://acphospitalist.acponline.org/archives/2022/09/07/free/revving-up-rural-stroke-response.htm
7 Sep 2022
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
Patients discharged home after stroke less likely to receive rehab
The study also found that, after stroke, 35.0% of patients received no physical therapy, 48.8% got no occupational therapy, and 61.7% didn't undergo speech therapy. Predictors of whether a patient would get therapy could be identified during stroke hospitalization.
https://acphospitalist.acponline.org/archives/2023/02/15/patients-discharged-home-after-stroke-less-likely-to-receive-rehab.htm
15 Feb 2023
New score predicts risk of stroke within a year of sepsis hospitalization
Coagulopathy was the most significant predictor of stroke after sepsis or bloodstream infection, associated with a threefold increase in ischemic stroke and a sevenfold increase in hemorrhagic stroke within a year.
https://acphospitalist.acponline.org/weekly/archives/2019/03/27/4.htm
27 Mar 2019
Social drivers of health associated with care, behaviors after stroke hospitalization
One-third of stroke patients didn't achieve an adequate transition of care (based on adherence to medication, follow-up visits, exercise recommendations, diet modification, and cessation of smoking or drug use), according to a study in Florida.
https://acphospitalist.acponline.org/archives/2023/01/04/social-drivers-of-health-associated-with-care-behaviors-after-stroke-hospitalization.htm
4 Jan 2023
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
Encephalopathy in 2023
It can be a challenge to distinguish between delirium and acute encephalopathy, and both encephalopathy and delirium should be documented for correct coding.
https://acphospitalist.acponline.org/archives/2023/01/11/encephalopathy-in-2023.htm
11 Jan 2023