Journal of stroke medicine最新文献_第4页

Calcifications in Cerebral Infarcts: Report of Two Cases 脑梗死的钙化:附2例报告

Journal of stroke medicine Pub Date : 2023-05-15 DOI: 10.1177/25166085231166775

Jayaram Bharath, V. N. Reddy, K. Nagarajan, Subathra Adithan, V. Pillai

引用次数: 0

Establishing Organized Stroke Care in Low- and Middle-Income Countries: From Training of Non-specialist to Implementation 在中低收入国家建立有组织的脑卒中护理:从非专业人员培训到实施

Journal of stroke medicine Pub Date : 2023-03-30 DOI: 10.1177/25166085231158425

I. Sebastian, M. Demers, N. Yeghiazaryan, Wan Asyraf WZ, A. Nasreldein, U. Gopaul, M. Charalambous, S. Thilarajah, Kwah Li Khim, Venugopalan Y Vishnu

引用次数: 1

Early Findings of Segments of Delays Model Study: Delay in Seeking Treatment During Acute Coronary Syndrome and Stroke 延迟段模型研究的早期发现:急性冠状动脉综合征和中风患者寻求治疗的延迟

Journal of stroke medicine Pub Date : 2023-03-02 DOI: 10.1177/25166085231155774

M. Muraleedharan, Alaka Omprakash Chandak

引用次数: 0

Assessment of Process Evaluations of Complex Stroke Rehabilitation and Secondary Stroke Prevention Trials—A Scoping Review 复杂脑卒中康复和二级脑卒中预防试验的过程评估——范围综述

Journal of stroke medicine Pub Date : 2023-02-12 DOI: 10.1177/25166085221150411

S. Verma, Puja Gulati, Sanjali Ratra, J. Pandian

{"title":"Assessment of Process Evaluations of Complex Stroke Rehabilitation and Secondary Stroke Prevention Trials—A Scoping Review","authors":"S. Verma, Puja Gulati, Sanjali Ratra, J. Pandian","doi":"10.1177/25166085221150411","DOIUrl":"https://doi.org/10.1177/25166085221150411","url":null,"abstract":"Background Complexity of interventions and lack of methodological clarity makes process evaluations (PEs) challenging. Assessment of PEs conducted for complex stroke rehabilitation and nonpharmacologic secondary stroke prevention interventions is lacking with only one study conducted for the latter. To address this gap, we conducted a scoping review. Methods Development and reporting of review follows Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) extension for Scoping Reviews. Research questions were identified and search phrases developed according to keywords on 3 electronic databases: PubMed, Web of Science, and Cochrane Library. All titles and available abstracts were independently reviewed by 2 authors and disagreements settled by other authors. Inclusion criteria centered on complex secondary stroke nonpharmacologic prevention or a rehabilitation trial. Results Selected studies (n = 11) were derived from (n = 24) articles reporting on PE of main trial (n = 10). Studies are from 2015 onward with 9 studies for stroke rehabilitation and 1 from secondary stroke prevention, out of these 7 are randomized clinical trials. Medical Research Council’s framework was most widely used with common data collection method being interviews, surveys and log records. More than half of the studies are mobile health based which reveals future for stroke rehabilitation and stroke prevention interventions. We identified 3 themes on qualitative analysis of articles. Conclusion Paucity of relevant research studies indicates that more research should be carried out for PEs in stroke rehabilitation and prevention. Researchers in future may find guidance from this review where we support clarity on framework and its elements that helped to evaluate methodology.","PeriodicalId":93323,"journal":{"name":"Journal of stroke medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84836258","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Does Tenecteplase Before Mechanical Thrombectomy Result in a Faster Revascularization as Compared to Alteplase? Observations From a Comprehensive Stroke Care Center in Southern India 与阿替普酶相比，机械取栓前使用替普酶能更快地重建血管吗?来自印度南部一个综合中风护理中心的观察

Journal of stroke medicine Pub Date : 2023-02-07 DOI: 10.1177/25166085231153237

G. Kuruttukulam, K. Sundar, Lomesh B Bhirud, Ajay Panwar, Paul J. Alapatt

{"title":"Does Tenecteplase Before Mechanical Thrombectomy Result in a Faster Revascularization as Compared to Alteplase? Observations From a Comprehensive Stroke Care Center in Southern India","authors":"G. Kuruttukulam, K. Sundar, Lomesh B Bhirud, Ajay Panwar, Paul J. Alapatt","doi":"10.1177/25166085231153237","DOIUrl":"https://doi.org/10.1177/25166085231153237","url":null,"abstract":"Background The Indian data concerning the endovascular mechanical thrombectomy (MT) in acute ischemic strokes (AIS) with large vessel occlusion (LVO) is still scarce and evolving. Tenecteplase (TNK) has been recently approved for intravenous stroke thrombolysis prior to the MT. Methods This study is a single-center retrospective study. We performed data analysis of the AIS patients who consecutively presented during the study period with LVO and underwent thrombectomy. Procedural success was defined by the post-thrombectomy angiographic picture of grades 2b and 3 on modified Thrombolysis in Cerebral Infarction (mTICI) scale. Primary efficacy outcome was defined as an improvement of ≥4 points in National Institute of Health Stroke Scale (NIHSS) score at 24 h. Secondary efficacy outcome was based on modified Rankin Scale (mRS) score at 90 days. We also performed a comparative analysis of TNK and alteplase subgroups. Results Successful recanalization (mTICI 2b/3) was achieved in 65 (86.67%) patients. There was a significant mean difference between the NIHSS scores on admission and at 24 h (P < .001). Likewise, mRS score at 3 months also showed a significant mean difference as compared to baseline (P < .001). A faster recanalization was observed in those who were thrombolyzed with TNK, needed fewer number of passes, and if the procedure was performed under conscious sedation. Conclusion This study further strengthens the Indian data on efficacy and safety of MT in LVO ischemic strokes. Besides, whether the observation of TNK resulting in a faster revascularization is due to some factors unaccounted in our study, or an actual effect on thrombus due to a high fibrin specificity, needs to be tested further in larger randomized studies with matched sample sizes.","PeriodicalId":93323,"journal":{"name":"Journal of stroke medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78493956","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Quiescent Bilateral Internal Carotid Artery Dissection Following Strangulation 窒息后静息性双侧颈内动脉夹层

Journal of stroke medicine Pub Date : 2022-11-14 DOI: 10.1177/25166085221129024

Bryan Dalton, Mark Coyle, Paul Tansey, Clare Fallon, Vivek Raman, U. Healy

{"title":"Quiescent Bilateral Internal Carotid Artery Dissection Following Strangulation","authors":"Bryan Dalton, Mark Coyle, Paul Tansey, Clare Fallon, Vivek Raman, U. Healy","doi":"10.1177/25166085221129024","DOIUrl":"https://doi.org/10.1177/25166085221129024","url":null,"abstract":"Bilateral internal carotid artery dissection is uncommon and suicide attempts by hanging represent a potential mechanism of direct vascular trauma. Previous reports have documented similar events and awareness is important as internal carotid artery dissection is an extensively recognized cause of acute cerebrovascular events. Our case is of a patient presenting with symptoms suggestive of an acute stroke. Significantly, there was a past medical history of an attempted suicide by hanging 4 years before this admission. Imaging demonstrated bilateral internal carotid artery dissection, an acute ischemic infarct and an incidental well-established infarct. Further investigations to assess an underlying aetiology of the bilateral internal carotid artery dissection were unsuccessful in identifying a secondary cause. Acute intracranial episodes related to traumatic internal carotid artery dissection following suicide attempts by hanging have previously been documented. However, such reports have frequently been temporally related to the period of trauma with patients developing neurological symptoms within a short timeframe after the hanging attempt. We hypothesize a delayed manifestation of underlying vascular damage caused by the inciting neck trauma by prior hanging attempt. The potential for internal carotid artery dissection and vascular distortion secondary to attempted hanging are suggestive of a high-risk cohort, and consideration of selective vascular imaging investigations of this group may be useful in acute stroke prevention.","PeriodicalId":93323,"journal":{"name":"Journal of stroke medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82434489","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Stroke Survivor Adherence to the Mediterranean Diet 中风幸存者坚持地中海饮食

Journal of stroke medicine Pub Date : 2022-11-03 DOI: 10.1177/25166085221131221

R. Bailey

{"title":"Stroke Survivor Adherence to the Mediterranean Diet","authors":"R. Bailey","doi":"10.1177/25166085221131221","DOIUrl":"https://doi.org/10.1177/25166085221131221","url":null,"abstract":"Objective: To estimate adherence to the Mediterranean diet in a sample of chronic community-dwelling stroke survivors. Design: Cross-sectional survey. Participants: Convenience sample of 63 chronic (≥6 months) community-dwelling stroke survivors. Main Outcome Measure: MedDiet Score, a self-report screening tool that measures adherence to the Mediterranean diet based on consumption of 11 dietary components (ie, whole grains, potatoes, fruits, vegetables, legumes and nuts, fish and shellfish, red meat products and processed meat, poultry, full fat dairy, olive oil, and alcohol beverages), measured using a 6-point Likert scale (0 = low adherence, 5 = high adherence, max score = 55). Results: The mean MedDiet score was 27.2 ± 4.7; males scored higher than females (28.5 ± 4.9 vs 26.0 ± 4.2, P = .031). Participants reported more adherence for red meat products and processed meat, poultry, and full fat dairy and less adherence for whole grains, potatoes, fruits, vegetables, fish and shellfish, and alcoholic beverages. Conclusions: Adherence to the Mediterranean diet, a healthy dietary pattern recommended for secondary stroke prevention, was moderate in this sample of stroke survivors, and results were consistent with previous research on quality of dietary intake. Findings indicate the need for effective dietary interventions for stroke survivors to improve cardiometabolic health and reduce recurrent stroke risk.","PeriodicalId":93323,"journal":{"name":"Journal of stroke medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90628909","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

DWI-FLAIR Mismatch in Stroke: “P.S.” (Partial Strategic Concept) for Clinical Practice 笔画中的DWI-FLAIR不匹配:“P.S.(部分战略概念)临床实践

Journal of stroke medicine Pub Date : 2022-10-20 DOI: 10.1177/25166085221122393

M. Nedunchelian, S. Varadharajan, Parvathy G, R. Iyer, M. Cherian, P. Mehta, Santosh Poyyamoli, Karthikeyan Ma, H. R. Nikhil

引用次数: 0

Mineralizing Microangiopathy of Lenticulostriate Arteries with Basal Ganglia Infarct in an Infant Following Trivial Trauma: A Case Report 矿化微血管病的透镜状纹状动脉与基底节区梗死的婴儿在轻微的创伤:1例报告

Journal of stroke medicine Pub Date : 2022-10-19 DOI: 10.1177/25166085221126273

E. A., Satyam A., Sanchit Gupta, Prince Das, G. Krishna

引用次数: 0

Development of an Artificial Intelligence-Based Machine Tool to Predict Outcome in Intracerebral Hemorrhage 基于人工智能的脑出血预后预测机床的开发

Journal of stroke medicine Pub Date : 2022-10-17 DOI: 10.1177/25166085221127861

Girish Menon, Hareesha Ks, Karthik Gajula, Sampath Kumar, Ajay Hegde

{"title":"Development of an Artificial Intelligence-Based Machine Tool to Predict Outcome in Intracerebral Hemorrhage","authors":"Girish Menon, Hareesha Ks, Karthik Gajula, Sampath Kumar, Ajay Hegde","doi":"10.1177/25166085221127861","DOIUrl":"https://doi.org/10.1177/25166085221127861","url":null,"abstract":"Introduction: Spontaneous intracerebral hemorrhage is the second most common type of stroke with high morbidity and mortality. Outcome prediction is very important in this disease, to enable us tailor treatment strategies especially in a low- and middle-income countries. Today, prediction is predominantly limited to few clinical factors and may not be very accurate. We explore the application of an artificial intelligence-based platform for outcome prediction with a combination of clinical, radiological, and biochemical parameters. Methods: Data from our prospectively maintained stroke register was cleaned and processed using the XGBoost machine learning (ML) algorithm to predict outcome at discharge and 90 days using the modified Rankin scale. A total of 1,000 patients were included in the study, 129 variables were pruned to 19 significant features during the phase of preprocessing. Results: The data set was split 9:1 with 900 cases being used for training and the remaining 100 for validation. The models were evaluated based on the mean absolute error (MAE). Model-1 trained for predicting “mRS_Discharge” had a MAE of 0.34 and model-2 trained for predicting “mRS_3months” had a MAE of 0.63. Conclusion: ML algorithms can be successfully applied for the prediction of outcome in intracerebral hemorrhage.","PeriodicalId":93323,"journal":{"name":"Journal of stroke medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88432712","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0