keyword
Keywords National institute of health s...

National institute of health stroke scale

https://read.qxmd.com/read/38489489/risk-of-stroke-among-hiv-patients-a-systematic-review-and-meta-analysis-of-global-studies-and-associated-comorbidities
#1
JOURNAL ARTICLE
Mostafa Hossam El Din Moawad, Mahmoud Mohamed Mohamed Shalaby, Esraa Hamouda, Amany Mahfouz, Adel Mouffokes, Heba Hamouda, Abdallah Abbas, Hussien Ahmed H Abdelgawad
BACKGROUND: Despite advancements in the management of HIV infection, the factors contributing to stroke development among HIV-positive individuals remain unclear. This systematic review and meta-analysis aim to identify and evaluate the relative risk factors associated with stroke susceptibility in the HIV population. METHODS: A comprehensive search was conducted in PubMed, Scopus, and Web of Science databases to identify studies investigating the risk of stroke development in HIV patients and assessing the role of different risk factors, including hypertension, diabetes, dyslipidemia, smoking, sex, and race...
April 15, 2024: Journal of Acquired Immune Deficiency Syndromes: JAIDS
https://read.qxmd.com/read/38487124/a-study-of-factors-affecting-functional-outcomes-in-patients-with-successful-recanalization-by-mechanical-thrombectomy
#2
JOURNAL ARTICLE
Ichiro Deguchi, Takashi Osada, Toru Nakagami, Shinya Kohyama, Shinichi Takahashi
BACKGROUND AND PURPOSE: Reperfusion therapy is typically performed in cases with acute cerebral infarction. Mechanical thrombectomy (MT) achieves superior recanalization and favorable outcomes. However, some patients have poor functional prognosis despite successful recanalization. We investigated factors affecting functional prognosis after MT with good reperfusion. METHODS: Among the 205 consecutive cases with ischemic stroke treated with MT at our center from January 1, 2019 to March 31, 2021, 168 with successful recanalization were included...
February 2024: Curēus
https://read.qxmd.com/read/38483088/inter-hospital-transfer-for-thrombectomy-transfer-time-is-brain
#3
JOURNAL ARTICLE
Pierre Seners, Maeva Khyheng, Julien Labreuche, Bertrand Lapergue, Fernando Pico
BACKGROUND AND PURPOSE: Patients with acute ischaemic stroke and a large vessel occlusion who present to a non-endovascular-capable centre often require inter-hospital transfer for thrombectomy. Whether the inter-hospital transfer time is associated with 3-month functional outcome is poorly known. METHODS: Acute stroke patients enrolled between January 2015 and December 2022 in the prospective French multicentre Endovascular Treatment of Ischaemic Stroke registry were retrospectively analysed...
March 14, 2024: European Journal of Neurology
https://read.qxmd.com/read/38480608/outcome-and-risk-of-poststroke-pneumonia-in-patients-with-acute-ischemic-stroke-after-endovascular-thrombectomy-a-post-hoc-analysis-of-the-direct-mt-trial
#4
JOURNAL ARTICLE
Ping Zhang, Lei Chen, Xiao-Fei Ye, Tao Wu, Ben-Qiang Deng, Peng-Fei Yang, Yi Han, Yong-Wei Zhang, Jian-Min Liu
BACKGROUND: In this study, we aimed to investigate the risk factors and impact of poststroke pneumonia (PSP) on mortality and functional outcome in patients with acute ischemic stroke (AIS) after endovascular thrombectomy (EVT). METHODS: This was a post hoc analysis of a prospective randomized trial (Direct intraarterial thrombectomy in order to revascularize AIS patients with large-vessel occlusion efficiently in Chinese tertiary hospitals: a multicenter randomized clinical trial)...
March 13, 2024: Neurocritical Care
https://read.qxmd.com/read/38479966/the-impact-of-cerebral-embolic-protection-devices-on-characteristics-and-outcomes-of-stroke-complicating-tavr
#5
MULTICENTER STUDY
Amos Levi, Matthias Linder, Moritz Seiffert, Guy Witberg, Thomas Pilgrim, Daijiro Tomii, Yeela Tamlor Barkan, Nicolas M Van Mieghem, Rik Adrichem, Pablo Codner, David Hildick-Smith, Sandeep Arunothayaraj, Leor Perl, Ariel Finkelstein, Itamar Loewenstein, Ole De Backer, Rani Barnea, Giuseppe Tarantini, Luca Nai Fovino, Hana Vaknin-Assa, Darren Mylotte, Max Wagener, John G Webb, Mariama Akodad, Antonio Colombo, Antonio Mangieri, Azeem Latib, Faraj Kargoli, Francesco Giannini, Alfonso Ielasi, Lars Søndergaard, Itay Aviram, Tsahi T Lerman, Mark Kheifets, Eitan Auriel, Ran Kornowski
BACKGROUND: Acute ischemic stroke remains a serious complication of transcatheter aortic valve replacement (TAVR). Cerebral embolic protection devices (CEPD) were developed to mitigate the risk of acute ischemic stroke complicating TAVR (AISCT). However, the existing body of evidence does not clearly support CEPD efficacy in AISCT prevention. OBJECTIVES: In a cohort of patients with AISCT, we aimed to compare the characteristics and outcomes of patients who have had unprotected TAVR (CEPD-) vs CEPD-protected TAVR (CEPD+)...
March 11, 2024: JACC. Cardiovascular Interventions
https://read.qxmd.com/read/38479907/factors-influencing-the-reduction-in-quadriceps-muscle-thickness-in-the-paretic-limbs-of-patients-with-acute-stroke
#6
JOURNAL ARTICLE
Shota Tanaka, Kota Yamauchi, Yuri Hayashi, Kenichi Kumagae, Kei Goto, Eisei Harayama, Shuji Arakawa
BACKGROUND & AIMS: Muscle atrophy is an early event that occurs after stroke, but there are few reports on the changes in skeletal muscle thickness in acute stroke. This study investigated the factors contributing to reduced muscle thickness in patients with acute stroke. METHODS: In total, 51 patients with stroke and the National Institute of the Health Stroke Scale (NIHSS) > 3 were included in our study. They were admitted to our hospital between July 2017 and May 2020...
April 2024: Clinical Nutrition ESPEN
https://read.qxmd.com/read/38476594/resourcefulness-among-initial-ischemic-stroke-patients-a-longitudinal-study-of-12-months
#7
JOURNAL ARTICLE
Lina Guo, Jaclene A Zauszniewski, Gege Zhang, Xiaoyu Lei, Mengyu Zhang, Miao Wei, Keke Ma, Caixia Yang, Yanjin Liu, Yuanli Guo
OBJECTIVE: To explore distinct longitudinal trajectories of resourcefulness among initial ischemic stroke patients from diagnosis to 12 months, and to identify whether sociodemographic factors, disease-related factors, self-efficacy, family function, and social support can predict patterns in the trajectories of resourcefulness. METHODS: A prospective longitudinal study was conducted. Initial ischemic stroke patients who met inclusion and exclusion criteria were followed up when still in hospital (Preparing for discharge, Baseline, T1), at 1 month (T2), at 3 months (T3), at 6 months (T4), at 9 months (T5) and 12 months (T6) (±1 week) after discharge...
2024: Patient Preference and Adherence
https://read.qxmd.com/read/38476433/sequential-carotid-doppler-study-in-acute-stroke-and-its-clinical-correlation-a-prospective-study
#8
JOURNAL ARTICLE
Ashutosh Kumar Karn, Shamrendra Narayan, Abdul Qavi, Pradeep Kumar Kumar Maurya, Ajai Singh, Dinkar Kulshreshtha
OBJECTIVES: Resistive index (RI) and pulsatility index (PI) assessed on carotid Doppler assess the hemodynamic status of cranial vasculature. They are related to the severity of stroke and help determine the overall outcome. This study was done to compare the hospital stay and stroke severity with RI and PI of both internal carotid arteries. MATERIALS AND METHODS: Patients >18 years of age presenting within 48 h of anterior circulation stroke (either ischemic or hemorrhagic) were included...
2024: Journal of Neurosciences in Rural Practice
https://read.qxmd.com/read/38475869/long-term-for-patients-with-futile-endovascular-reperfusion-after-stroke
#9
JOURNAL ARTICLE
Mengke Zhang, Ruiwen Che, Jiali Xu, Wenting Guo, Xi Chen, Wenbo Zhao, Changhong Ren, Milan Jia, Xunming Ji
AIMS: With the progress of thrombectomy technology, the vascular recanalization rate of patients with stroke has been continuously improved, but the proportion of futile recanalization (FR) is still quite a few. The long-term prognosis and survival of patients with FR and its influencing factors remain unclear. METHODS: Consecutive patients who received endovascular treatment (EVT) for ischemic stroke were enrolled between 2013 and 2021 from a single-center prospectively registry study...
March 2024: CNS Neuroscience & Therapeutics
https://read.qxmd.com/read/38475783/comparison-of-the-efficacy-of-neuronavigation-assisted-intracerebral-hematoma-puncture-and-drainage-with-neuroendoscopic-hematoma-removal-in-treatment-of-hypertensive-cerebral-hemorrhage
#10
JOURNAL ARTICLE
Lei Jiang, Jinjie Tian, Chao Guo, Yi Zhang, Ming Qian, Xuejian Wang, Zhifeng Wang, Yang Chen
OBJECTIVE: To compare neuronavigation-assisted intracerebral hematoma puncture and drainage with neuroendoscopic hematoma removal for treatment of hypertensive cerebral hemorrhage. METHOD: Ninety-one patients with hypertensive cerebral hemorrhage admitted to our neurosurgery department from June 2022 to May 2023 were selected: 47 patients who underwent endoscopic hematoma removal with the aid of neuronavigation in observation Group A and 44 who underwent intracerebral hematoma puncture and drainage in control Group B...
March 12, 2024: BMC Surgery
https://read.qxmd.com/read/38473288/establishment-of-different-intraoperative-monitoring-and-mapping-techniques-and-their-impact-on-survival-extent-of-resection-and-clinical-outcome-in-patients-with-high-grade-gliomas-a-series-of-631-patients-in-14-years
#11
JOURNAL ARTICLE
Franziska Staub-Bartelt, Marian Preetham Suresh Babu, Andrea Szelényi, Marion Rapp, Michael Sabel
BACKGROUND: The resection of brain tumors can be critical concerning localization, but is a key point in treating gliomas. Intraoperative neuromonitoring (IONM), awake craniotomy, and mapping procedures have been incorporated over the years. Using these intraoperative techniques, the resection of eloquent-area tumors without increasing postoperative morbidity became possible. This study aims to analyze short-term and particularly long-term outcomes in patients diagnosed with high-grade glioma, who underwent surgical resection under various technical intraoperative settings over 14 years...
February 25, 2024: Cancers
https://read.qxmd.com/read/38472157/safety-and-efficacy-of-tight-versus-loose-glycemic-control-in-acute-stroke-patients-a-meta-analysis-of-randomized-controlled-trials
#12
JOURNAL ARTICLE
Shuangzhe Wu, Yuke Mao, Sijia Chen, Peiyan Pan, Huiying Zhang, Siqi Chen, Jue Liu, Donghua Mi
BACKGROUND: Hyperglycemia is associated with worse stroke outcomes but it is uncertain whether tight glycaemic control during the acute stroke period is associated with a better outcome. We conducted a meta-analysis to compare the effect of tight glycemic control versus loose glycemic control in the acute phase of stroke patients. METHODS: A literature search was performed to identify randomized controlled trials (RCTs) comparing the safety and efficacy of tight glycemic control with a relatively loose control of blood glucose of acute stroke (ischemic or hemorrhagic) patients within 24 hours after stroke onset...
March 12, 2024: International Journal of Stroke: Official Journal of the International Stroke Society
https://read.qxmd.com/read/38471827/technical-risk-stratification-nomogram-model-for-90-day-mortality-prediction-in-patients-with-acute-basilar-artery-occlusion-undergoing-endovascular-thrombectomy-a-multicenter-cohort-study
#13
JOURNAL ARTICLE
Heng Ni, Linbo Zhao, Xinghua Ma, Penghua Lv, Yasuo Ding, Zhensheng Liu, Haibin Shi, Sheng Liu
BACKGROUND: This study aimed to establish and validate a nomogram model for predicting 90-day mortality in patients with acute basilar artery occlusion receiving endovascular thrombectomy. METHODS AND RESULTS: A total of 242 patients with basilar artery occlusion undergoing endovascular thrombectomy were enrolled in our study, in which 172 patients from 3 stroke centers were assigned to the training cohort, and 70 patients from another center were assigned to the validation cohort...
March 12, 2024: Journal of the American Heart Association
https://read.qxmd.com/read/38471696/rationale-and-design-of-treatment-of-acute-ischaemic-stroke-with-edaravone-dexborneol-ii-taste-2-a-multicentre-randomised-controlled-trial
#14
JOURNAL ARTICLE
Chunjuan Wang, Hong-Qiu Gu, Qiang Dong, Anding Xu, Ning Wang, Yi Yang, Feng Wang, Yongjun Wang
BACKGROUND: Edaravone dexborneol is believed to be a novel cytoprotective drug, demonstrating a synergistic combination of antioxidative and anti-inflammatory properties in animal models. The Treatment of Acute Ischaemic Stroke with Edaravone Dexborneol (TASTE) trial demonstrated its superior efficacy over edaravone alone for acute ischaemic stroke (AIS) patients. However, its efficacy in individuals undergoing endovascular therapy (EVT) remains uncertain. AIM: To clarify the rationale and design of the TASTE II (TASTE-2) trial...
March 11, 2024: Stroke and Vascular Neurology
https://read.qxmd.com/read/38466274/clopidogrel-plus-aspirin-vs-aspirin-alone-in-patients-with-acute-mild-to-moderate-stroke-the-atamis-randomized-clinical-trial
#15
JOURNAL ARTICLE
Hui-Sheng Chen, Yu Cui, Xin-Hong Wang, Yu-Tong Ma, Jing Han, Ying-Jie Duan, Jiang Lu, Li-Ying Shen, Yong Liang, Wei-Zhong Wang, Hui Wang, Yong Zhao, Jin-Tao Zhang, Yu-Lin Song, Xiao-Mei He, Run-Hui Li, Ding-Bo Tao, Jing Li, Shu-Man Huang, Ni Wang, Mei Hong, Chong Meng, Wei Zhang, Duo-Lao Wang, Thanh N Nguyen
IMPORTANCE: Dual antiplatelet therapy has been demonstrated to be superior to single antiplatelet in reducing recurrent stroke among patients with transient ischemic attack or minor stroke, but robust evidence for its effect in patients with mild to moderate ischemic stroke is lacking. OBJECTIVE: To evaluate whether dual antiplatelet therapy is superior to single antiplatelet among patients with mild to moderate ischemic stroke. DESIGN, SETTING, AND PARTICIPANTS: This was a multicenter, open-label, blinded end point, randomized clinical trial conducted at 66 hospitals in China from December 20, 2016, through August 9, 2022...
March 11, 2024: JAMA Neurology
https://read.qxmd.com/read/38465591/intravenous-alteplase-versus-best-medical-therapy-for-patients-with-minor-stroke-a-systematic-review-and-meta-analysis
#16
JOURNAL ARTICLE
Yang Zhang, Tian Lv, Thanh N Nguyen, Simiao Wu, Zhi Li, Xue Bai, Dan Chen, Chuansheng Zhao, Wanyi Lin, Shiqin Chen, Yi Sui
BACKGROUND: The efficacy of thrombolysis (IVT) in minor stroke (National Institutes of Health Stroke Scale score, 0-5) remains inconclusive. The aim of this study is to compare the effectiveness and safety of IVT with best medical therapy (BMT) by means of a systematic review and meta-analysis of randomized controlled trials and observational studies. METHODS: We searched the PubMed, Embase, Cochrane Library, and Web of Science databases to obtain articles related to IVT in minor stroke from inception until August 10, 2023...
March 11, 2024: Stroke; a Journal of Cerebral Circulation
https://read.qxmd.com/read/38465589/intravenous-alteplase-in-minor-nondisabling-ischemic-stroke-a-systematic-review-and-meta-analysis
#17
JOURNAL ARTICLE
Adel Alhazzani, Fahad S Al-Ajlan, Ahmed Alkhiri, Ahmed A Almaghrabi, Aser F Alamri, Basil A Alghamdi, Hassan K Salamatullah, Abdullah R Alharbi, Maher B Almutairi, Hui-Sheng Chen, Yongjun Wang, Mohamad Abdalkader, Guillaume Turc, Pooja Khatri, Thanh N Nguyen
BACKGROUND: Minor ischemic stroke, defined as National Institute of Health Stroke Scale score of 0-5 on admission, represents half of all acute ischemic strokes. The role of intravenous alteplase (IVA) among patients with minor stroke is inconclusive; therefore, we evaluated clinical outcomes of these patients treated with or without IVA. MATERIALS AND METHODS: We searched Medline, Embase, Scopus, and the Cochrane library until August 1, 2023. Inclusion was restricted to the English literature of studies that reported on minor nondisabling stroke patients treated with or without IVA...
March 11, 2024: European Stroke Journal
https://read.qxmd.com/read/38463915/mediatory-role-of-the-serum-mineral-level-and-discharge-disability-of-stroke-survivors
#18
JOURNAL ARTICLE
Soraya Khafri, Alijan Ahmadi Ahangar, Payam Saadat, Shayan Alijanpour, Mansor Babaei, Mohammadali Bayani, Alireza Firouzjahi, Farshad Fadaee Jouybari, Sepideh Hosseini Shirvani, Zahra Frajzadeh, Nafisseh Ezamie
BACKGROUND: Possible association between minerals contributing and mortality related to stroke were seen, but prospective data on the relation of vitamin D, magnesium and calcium serum levels with stroke were inconsistent. Consideration about the potential health effects of minerals and nutrients, the current study was conducted. METHODS: This analytical cross-sectional study was conducted on 216 stroke survivors who were referred to the Ayatollah Rouhani Hospital of Babol, Iran...
2024: Caspian Journal of Internal Medicine
https://read.qxmd.com/read/38460317/the-added-value-of-frailty-assessment-as-the-premorbid-stroke-status-on-activities-of-daily-living-in-patients-with-acute-stroke-stratified-by-stroke-severity
#19
JOURNAL ARTICLE
Masafumi Nozoe, Tatsuro Inoue, Tomoyuki Ogino, Kazuki Okuda, Kenta Yamamoto
BACKGROUND: The modified Rankin scale (mRS) is extensively used for premorbid evaluation in patients with stroke; however, its limited capacity to assess functional status highlights the need for additional indicators such as frailty. AIMS: This study aimed to assess the impact of the premorbid mRS score and frailty on daily living (ADL) activities at hospital discharge, focusing on varying stroke severities. METHODS: This single-centre, prospective cohort study included patients with acute stroke aged ≥60 years...
March 8, 2024: Journal of Nutrition, Health & Aging
https://read.qxmd.com/read/38456149/higher-fibrinogen-and-neutrophil-to-lymphocyte-ratio-are-associated-with-the-early-poor-response-to-intravenous-thrombolysis-in-acute-ischemic-stroke
#20
JOURNAL ARTICLE
Mingzhu Deng, Kangping Song, Yangping Tong, Sufen Chen, Wei Xu, Guohua He, Jue Hu, Hui Xiao, Changmin Wan, Zhen Wang, Fangyi Li
BACKGROUND: Inflammation and platelet activation play pivotal roles in acute ischemic stroke (AIS) pathogenesis. Early response to thrombolysis is a vital indicator for the long-term prognosis of AIS. However, the correlation between fibrinogen or the neutrophil-to-lymphocyte ratio (NLR) and the early response to intravenous thrombolysis in patients with AIS remains unclear. METHODS: AIS patients undergoing intravenous thrombolysis were enrolled between January 2018 and May 2023...
2024: Frontiers in Neurology
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