Analysis of early phase and subsequent phase III stroke studies of neuroprotectants: outcomes and predictors for success

Experimental & Translational Stroke Medicine: February 7, 2014 Background Efficacy of neuroprotective treatments for ischemic stroke was not convincingly demonstrated in clinical phase III trials so far, whereas some preceding early phase studies found neuroprotection to be beneficial. We aimed to determine the frequency with which phase III studies are preceded by positive early phase studies, […]

Effect of a Novel Video Game on Stroke Knowledge of 9- to 10-Year-Old, Low-Income Children

STROKEAHA: January 30, 2014 Background and Purpose—Improving actionable stroke knowledge of a witness or bystander, which in some cases are children, may improve response to an acute stroke event. Methods—We used a quasiexperimental pre-test post-test design to evaluate actionable stroke knowledge of 210 children aged 9 to 10 years in response to a single, 15-minute exposure […]

Hemicraniectomy and Durotomy Upon Deterioration From Infarction-Related Swelling Trial

STROKEAHA: January 14, 2014 Background and Purpose—Hemicraniectomy and Durotomy Upon Deterioration From Infarction-Related Swelling Trial (HeADDFIRST) was a randomized pilot study to obtain information necessary to design a Phase III trial to evaluate the benefit of surgical decompression for brain swelling from large supratentorial cerebral hemispheric infarction. Methods—All patients with stroke were screened for eligibility (age […]

Increasing Use of Computed Tomographic Perfusion and Computed Tomographic Angiograms in Acute Ischemic Stroke From 2006 to 2010

STROKEAHA: February 25, 2014 Background and Purpose—Our objective was to study nationwide utilization trends of computed tomographic (CT) angiogram (CTA) and CT perfusion (CTP) in acute ischemic stroke and particularly in the context of use of reperfusion therapies. Methods—We reviewed the Premier Perspective Database for ischemic stroke–related hospitalizations of adult patients during a 5-year period, 2006 […]

Treadmill Training for Improving Walking Function After Stroke: A Major Update of a Cochrane Review

AHA: February 20, 2014 Improving walking after stroke is one of the main goals of rehabilitation. Treadmill training, with or without body weight support, uses specialist equipment to assist walking practice. Objectives The objective of this review is to examine the effects of tread- mill training and body weight support, individually or in com- bination […]

Polypills: Essential Medicines for Cardiovascular Disease Secondary Prevention?

JACC: February 2014 In 1977, the World Health Organization (WHO) developed its first Model List of Essential Medicines to guide countries in the creation of national formularies and policies for access, quality, and use of essential medicines as part of achieving the right to health. In 2012, the WHO announced its goal of reducing the number […]

Thrombolysis in Patients With Mild Stroke

STROKEAHA: January 30, 2014 Background and Purpose—Apart from missing the approved time window of 4.5 hours, one frequent cause for withholding recombinant tissue plasminogen activator (rt-PA) treatment in patients with ischemic stroke is presentation with mild deficit on admission. We analyzed in a large cohort of patients whether rt-PA treatment is beneficial for this group of […]

Continuous Antihypertensive Therapy Throughout the Initial 24 Hours of Intracerebral Hemorrhage

STROKEAHA: January 14, 2014 Background and Purpose—A short duration (<24 hours) of antihypertensive therapy (AHT) after acute intracerebral hemorrhage (ICH) may be sufficient because active bleeding generally ceases within several hours. We aimed to determine the association between sequential systolic blood pressure (SBP) levels during AHT and outcomes in ICH patients. Methods—In 211 hyperacute ICH patients […]

Comparison of Medicare Claims Versus Physician Adjudication for Identifying Stroke Outcomes in the Women’s Health Initiative

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STROKEAHA: February 13, 2014 Background and Purpose—Many studies use medical record review for ascertaining outcomes. One large, longitudinal study, the Women’s Health Initiative (WHI), ascertains strokes using participant self-report and subsequent physician review of medical records. This is resource-intensive. Herein, we assess whether Medicare data can reliably assess stroke events in the WHI. Methods—Subjects were WHI […]

Risk of a Thrombotic Event after the 6-Week Postpartum Period

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Nejm: February 13, 2014 The postpartum state is associated with a substantially increased risk of thrombosis. It is uncertain to what extent this heightened risk persists beyond the conventionally defined 6-week postpartum period. Using claims data on all discharges from nonfederal emergency departments and acute care hospitals in California, we identified women who were hospitalized for […]

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