Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association
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J Stroke Cerebrovasc Dis · Mar 2014
Case ReportsSubarachnoid hemorrhage after resuscitation from out-of-hospital cardiac arrest.
This study was undertaken to retrospectively investigate clinical features of subarachnoid hemorrhage (SAH) with cardiopulmonary arrest in patients achieving return of spontaneous circulation (ROSC) in order to explore the possibility of long-term survival. ⋯ Cardiac arrest caused by SAH is a disease state with a grave prognosis, but there is the possibility of a good survival outcome when the administration of a small dose of adrenaline results in the rapid recovery of brainstem reflexes.
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J Stroke Cerebrovasc Dis · Mar 2014
Speech-language pathologist-led fiberoptic endoscopic evaluation of swallowing: functional outcomes for patients after stroke.
Dysphagia is a common complication after stroke and is associated with the development of pneumonia. Early detection of dysphagia and specifically aspiration is, therefore, critical in the prevention of pneumonia. Fiberoptic endoscopic evaluation of swallowing (FEES) is a safe bedside instrumental tool for detecting dysphagia and aspiration and, therefore, has the potential to inform dysphagia management. This study investigated the clinical utility of a speech-language pathologist-led FEES service on functional outcomes for patients after acute stroke. ⋯ When used selectively, FEES services have potential for improving functional outcomes for patients after stroke.
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J Stroke Cerebrovasc Dis · Mar 2014
Comparative StudyThrombolysis for acute ischemic stroke: do patients treated out of hours have a worse outcome?
Previous studies on the impact of nonworking hours (NWH) have produced conflicting results. We aimed to compare the time to treatment with thrombolysis between NWH and working hours (WH) at an Australian comprehensive stroke center. ⋯ Our study showed that the "NWH effect" increased the door-to-needle time. The patients treated out of hours did not have a worse outcome.
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J Stroke Cerebrovasc Dis · Feb 2014
Case ReportsDabigatran-related intracerebral hemorrhage resulting in hematoma expansion.
Warfarin-related intracerebral hemorrhage carries a particularly high risk of neurologic deterioration and death because of a high rate of hematoma expansion of about 50%. Novel oral anticoagulants (NOACs)--apixaban, dabigatran, and rivaroxaban--have a significantly smaller risk of intracerebral hemorrhage (ICH). ⋯ Second, there is no specific antidote for neither of the NOACs. We present a case that suggests that hematoma expansion may occur after NOAC-related ICH.
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J Stroke Cerebrovasc Dis · Feb 2014
Comparative StudyInsurance status and outcome after intracerebral hemorrhage: findings from Get With The Guidelines-stroke.
[corrected] Few studies have examined associations among insurance status, treatment, and outcomes in patients hospitalized for intracerebral hemorrhage (ICH). ⋯ GWTG-Stroke ICH patients demonstrated differences in mortality, functional status, discharge destination, and quality of care measures associated with insurance status.