Tracking Stroke Hospitalization Clusters Over Time and Associations With County-Level Socioeconomic and Healthcare Characteristics

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AHA: 11/27/12 Background and Purpose—This study evaluated clustering of stroke hospitalization rates, patterns of the clustering over time, and associations with community-level characteristics. Methods—We used Medicare hospital claims data from 1995–1996 to 2005–2006 with a principal discharge diagnosis of stroke to calculate county-level stroke hospitalization rates. We identified statistically significant clusters of high- and low-rate […]

Risk Factors and Stroke Mechanisms in Atherosclerotic Stroke

AHA: 1/15/12 Background and Purpose—The aim of this study was to investigate differences in risk factors and stroke mechanisms between intracranial atherosclerosis (ICAS) and extracranial atherosclerosis (ECAS) and between anterior and posterior circulation atherosclerosis. Methods—A multicenter, prospective, Web-based registry was performed on atherosclerotic strokes using diffusionweighted magnetic resonance imaging and magnetic resonance angiography. Stroke mechanisms […]

Racial and Ethnic Disparities in the Treatment of Unruptured Intracranial Aneurysms

AHA: 11/6/12 Background and Purpose—Minorities in the United States have less access to healthcare system resources, especially preventative treatments. We sought to determine whether racial and sex disparities existed in the treatment of unruptured intracranial aneurysms. Methods—Using the Nationwide Inpatient Sample, hospitalizations for clipping and coiling of intracranial aneurysms from 2001 to 2009 were identified […]

Modeling Dynamic Regulatory Processes in Stroke

PLOS: 10/11/12 The ability to examine the behavior of biological systems in silicohas the potential to greatly accelerate the pace of discovery in diseases, such as stroke, where in vivo analysis is time intensive and costly. In this paper we describe an approach for in silicoexamination of responses of the blood transcriptome to neuroprotective agents and subsequent stroke through the development […]

2012 ACCF/ AHA/ ACP/ AATS/ PCNA/ SCAI/ STS Guideline for the Diagnosis and Management of Patients With Stable Ischemic Heart Disease

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JACC: 11/20/12 The  medical profession should play a central role in evaluating the evidence related to drugs, devices, and procedures for the detection, management, and prevention of disease. When properly applied, expert analysis of available data on the benefits and risks of these therapies and procedures can improve the quality of care, optimize patient outcomes, and favorably […]

A Population-Based Study of Hospital Care Costs During 5 Years After Transient Ischemic Attack and Stroke

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AHA: November 15, 2012 Background and Purpose—Few studies have evaluated long-term costs after stroke onset, with almost no cost data for transient ischemic attack (TIA). We studied hospital costs during the 5 years after TIA or stroke in a population-based study. Methods—Patients from a United Kingdom population-based cohort study (Oxford Vascular Study) were recruited from […]

Trends in Substance Abuse Preceding Stroke Among Young Adults

AHA: November 15, 2012 Background and Purpose—Approximately 5% of strokes occur in adults aged 18 to 44 years. Substance abuse is a prevalent risk factor for stroke in young adults. We sought to identify trends in substance abuse detection among stroke patients. Methods—Using a population-based design, we sought to identify all patients aged 18 to […]

Reliability of Real-Time Video Smartphone for Assessing National Institutes of Health Stroke Scale Scores in Acute Stroke Patients

AHA: November 15, 2012 Background and Purpose—Telestroke reduces acute stroke care disparities between urban stroke centers and rural hospitals. Current technologies used to conduct remote patient assessments have high start-up costs, yet they cannot consistently establish quality timely connections. Smartphones can be used for high-quality video teleconferencing. They are inexpensive and ubiquitous among health care […]

Soft drink intake in relation to incident ischemic heart disease, stroke, and stroke subtypes in Japanese men and women: the Japan Public Health Centre–based study cohort

Background: Soft drink intake has been associated with obesity and diabetes, but its relation with risk of cardiovascular disease (CVD) is limited. Objective: We examined the association between soft drink intake and risk of CVD in a Japanese population. Design: This was a prospective study in 39,786 Japanese men and women aged 40–59 y in which soft drink […]

AHA 2012: Mixed treatments for AF patients should be monitored carefully, researchers say

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DUKE: 11/5/12 The study was conducted by the DCRI’s Benjamin A. Steinberg, MD (pictured); Sunghee Kim, PhD; Kenneth W. Mahaffey, MD; Laine Thomas, PhD; Jonathan P. Piccini, MD, MHS; Eric D. Peterson, MD, MPH, and colleagues from other institutions. Steinberg served as first author of the study, and Peterson served as senior author. The study was […]

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