News
Endovascular Treatment for Acute Ischemic Stroke Decreases Mortality
May 4, 2015
Clinical question: Does endovascular treatment improve outcomes for patients with acute ischemic stroke? Bottom line: For patients with acute ischemic stroke and imaging that suggests a proximal artery occlusion with evidence of good collateral circulation, the use of rapid endovascular treatment
News
What Is the Appropriate Medical and Interventional Treatment for Hyperacute Ischemic Stroke?
April 3, 2015
[caption id="attachment_8692" align="alignright" width="300"] (click for larger image)Figure 1: A: Noncontrast head CT, normal B: CT angiogram maximum intensity projection, showing occluded right middle cerebral artery C: CT perfusion, blood volume images, showing small core infarct D: CT perfusion,
News
Peri-Operative Atrial Fibrillation, Long-Term Risk of Ischemic Stroke
January 7, 2015
Clinical question: Is there an association between peri-operative AF and long-term risk of ischemic stroke in patients undergoing any type of surgery? Background: Peri-operative AF is usually viewed as a transient response to physiological stress, and the long-term risk of stroke after peri-opera
News
Inpatient Strokes Average 4.5 Hours From Recognition to Computed Tomography
December 2, 2014
Time, in hours, from recognition of stroke symptoms to computed tomography for hospitalized patients, compared with 1.3 hours for stroke patients brought to the ED, according to a study recently presented at the Canadian Stroke Congress. The report estimates 17% of strokes occur among inpatients,
News
New-Onset Perioperative Atrial Fibrillation Associated With Increased Risk of Ischemic Stroke
November 10, 2014
Clinical question For patients undergoing any inpatient surgery, is the presence of new-onset perioperative atrial fibrillation associated with a greater long-term risk of ischemic stroke? Bottom line Perioperative atrial fibrillation (AF) is associated with an increased risk of ischemic stroke
News
Single vs. Dual Antiplatelet Therapy after Stroke
October 27, 2014
Clinical question: Is dual antiplatelet therapy more beneficial or harmful than monotherapy after ischemic stroke? Background: It is recommended that patients with ischemic stroke or transient ischemic attack (TIA) receive lifelong antiplatelet therapy; however, there have been insufficient studi
News
Warfarin Initiation in Atrial Fibrillation Associated with Increased Short-Term Risk of Stroke
October 27, 2014
Clinical question: Is the initiation of warfarin associated with an increased risk of ischemic stroke in patients with atrial fibrillation (Afib)? Background: Two Afib trials of oral factor Xa inhibitors showed an increased risk of stroke when patients were transitioned to open label warfarin at
News
Fibrinolytics Increase Stroke Risk, Hemorrhage in Intermediate-Risk Pulmonary Emboli
September 2, 2014
Study finds increased risks, no mortality benefit to treatment of intermediate-risk pulmonary emboli with fibrinolytics
News
Hospitalist Reviews on Treatments for Acute Asthma, Stroke, Healthcare-Associated Pneumonia, and More
March 1, 2014
Also reviewed this month: endoscopic cystogastrostomy for pancreatic pseudocyst drainage; long-term cognitive impairment after critical illness; and short-term, dual antiplatelet in zotarolimus-eluting stents
News
Reviews of Research on Haloperidol and ICU Delirium, Proton Pump Inhibitors, Thrombolytics and Stroke
December 2, 2013
Also reviewed this month: hospital-acquired anemia, prothrombin complex concentrate and fresh frozen plasma, surgical site infections, colchine and NSAIDs for acute pericarditis