Seasonal Variation in 30-Day Mortality After Stroke

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Teaching Versus Nonteaching Hospitals STROKEAHA: January 8, 2013 Background and Purpose—A systematic review found an association between the July start of internships and residencies and higher mortality rates for hospitalized patients, but data related to stroke are limited. We assessed seasonal variations in 30-day risk-adjusted mortality rates (RAMRs) after ischemic stroke by hospital teaching status. Methods—The […]

Incidence of stroke in people with Alzheimer disease A national register–based approach

Neurology: January 2, 2013 Objective: Stroke increases the risk of dementias, including Alzheimer disease (AD), but it is unknown whether persons with AD have a higher risk of strokes. We investigated whether noninstitutionalized persons with AD were more likely to experience incident stroke than persons without AD and whether there are differences in the incidence of ischemic […]

Stroke Prognostication using Age and NIH Stroke Scale

Neurology: January 1, 2013   Objectives: Age and stroke severity are major determinants of stroke outcomes, but systematically incorporating these prognosticators in the routine practice of acute ischemic stroke can be challenging. We evaluated the effect of an index combining age and stroke severity on response to IV tissue plasminogen activator (tPA) among patients in the National […]

A History of Stroke/Transient Ischemic Attack Indicates High Risks of Cardiovascular Event and Hemorrhagic Stroke in Patients with Coronary Artery Disease

Ahajournals: 12/31/12 Background—Randomized trials of antithrombotics in coronary artery disease (CAD) have identified prior stroke/TIA as a marker of increased intracranial bleeding risk. We aimed to further characterize the risk of ischemic and bleeding events associated with a history of stroke/TIA in patients with CAD. Methods and Results—From the international REACH registry of atherothrombosis, baseline characteristics […]

Reliability of brain CT evaluation by stroke neurologists in telemedicine

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Neurology: 12/19/12 Objective: To determine the reliability and therapeutic impact of standardized cerebral CT evaluation and quantification of early ischemic changes (EIC) with the Alberta Stroke Program Early CT Score (ASPECTS) by stroke neurologists in the Stroke Eastern Saxony Network (SOS-NET), which provides telemedical consultations for patients with acute ischemic stroke. Methods: Two neuroradiologists re-evaluated all CT scans […]

Carotid endarterectomy vs. medical management: the time is ripe for re-examination

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Academy Health: 12/19/12 Carotid atherosclerosis results in narrowing of the carotid arteries as plaque builds up along artery walls and at the carotid bifurcation.  This narrowing (stenosis) is associated with increased risk of stroke when it progresses into the 50% to 99% range.  Carotid endarterectomy (CEA) is a surgical procedure frequently used to reduce the risk of stroke […]

Antihypertensive treatment can prevent stroke and cognitive decline

Nature Reviews Neurology: 12/18/12 Hypertension is a highly prevalent risk factor for stroke and dementia, and is the greatest risk factor for small-vessel disease—a frequent cause of lacunar infarction and intracerebral haemorrhage. Lacunar and cortical strokes contribute to the development of dementia in patients with, and in those without, Alzheimer disease pathology; this relationship between stroke […]

Delayed Cerebral Ischemia After Subarachnoid Hemorrhage

AHA: 12/18/12 Background and Purpose—Established predictors of delayed cerebral ischemia after aneurysmal subarachnoid hemorrhage are large amounts of extravasated blood and poor clinical condition on admission. The predictive value of other factors is uncertain. Methods—We searched MEDLINE (1960–2012) for clinical, laboratory, and radiological predictors routinely available within 72 hours after subarachnoid hemorrhage. The studies were […]

Psychosocial Distress and Stroke Risk in Older Adults

AHA: 12/13/12 Background and Purpose—To investigate the association of psychosocial distress with risk of stroke mortality and incident stroke in older adults. Methods—Data were from the Chicago Health and Aging Project, a longitudinal population-based study conducted in 3 contiguous neighborhoods on the south side of Chicago, IL. Participants were community-dwelling black and non-Hispanic white adults, […]

Heart Disease and Stroke Statistics

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AHA: 12/12/12 Each year, the American Heart Association (AHA), in conjunction with the Centers for Disease Control and Prevention, the National Institutes of Health, and other government agencies, brings together the most up-to-date statistics on heart disease, stroke, other vascular diseases, and their risk factors and presents them in its Heart Disease and Stroke Statistical […]

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