Association of Hospital Telestroke Adoption With Changes in Initial Hospital Presentation and Transfers Among Patients With Stroke and Transient Ischemic Attacks

Background: Assessment of suicide attempters in a general hospital may be influenced by the condition of the patient and the unfavorable circumstances of the hospital environment. Aims: To determine whether the results of a reassessment at home shortly after discharge from hospital differ from the initial assessment in the hospital. Methods: In this prospective study, systematic assessment of 52 suicide attempters in a general hospital was compared with reassessment at home, shortly after discharge. Results: Reassessments at home concerning suicide intent, motives for suicide attempt, and dimensions of psychopathology did not differ significantly from the initial hospital assessment. However, patients’ motives for the suicide attempt had changed to being less impulsive and more suicidal, worrying was significantly higher, and self-esteem was significantly lower. A third of the patients had forgotten their aftercare arrangements and most patients who initially felt no need for additional help had changed their mind at reassessment. Conclusions: Results from this group of suicide attempters suggest that a brief reassessment at home shortly after discharge from hospital should be considered.

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Repeated Transient Ischemic Attacks Due to Cavernous Sinus Meningiomas and Associated A1 Radiation-Induced Vasculopathy: Report of a Case

Skull Base ◽

10.1055/s-2007-984297 ◽

2007 ◽

Vol 17 (S 1) ◽

Author(s):

Sebastien Froelich ◽

Patrick Boyer ◽

Pierre Kehrli ◽

Daniel Maitrot

Keyword(s):

Cavernous Sinus ◽

Transient Ischemic Attacks ◽

Radiation Induced

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Right frontotemporal craniotomy for ECA-to-MCA direct and indirect bypass and occipital artery indirect bypass to the posterior circulation: case report

Journal of Neurosurgery Pediatrics ◽

10.3171/2020.7.peds20181 ◽

2020 ◽

pp. 1-5

Author(s):

Mitchell W. Couldwell ◽

Samuel Cheshier ◽

Philipp Taussky ◽

Vance Mortimer ◽

William T. Couldwell

Keyword(s):

Case Report ◽

Pediatric Patients ◽

Posterior Circulation ◽

Occipital Artery ◽

Transient Ischemic Attacks ◽

Collateral Vessel ◽

Suboccipital Craniotomy ◽

Uncommon Disease ◽

Indirect Revascularization ◽

The Brain

Moyamoya is an uncommon disease that presents with stenoocclusion of the major vasculature at the base of the brain and associated collateral vessel formation. Many pediatric patients with moyamoya present with transient ischemic attacks or complete occlusions. The authors report the case of a 9-year-old girl who presented with posterior fossa hemorrhage and was treated with an emergency suboccipital craniotomy for evacuation. After emergency surgery, an angiogram was performed, and the patient was diagnosed with moyamoya disease. Six months later, the patient was treated for moyamoya using direct and indirect revascularization; after surgery there was excellent vascularization in both regions of the bypass and no further progression of moyamoya changes. This case illustrates a rare example of intracerebral hemorrhage associated with moyamoya changes in the posterior vascularization in a pediatric patient and subsequent use of direct and indirect revascularization to reduce the risk of future hemorrhage and moyamoya progression.

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Increase in plasma adenosine during brain ischemia in man: A study during transient ischemic attacks, and stroke

Brain Research Bulletin ◽

10.1016/s0361-9230(99)00240-3 ◽

2000 ◽

Vol 51 (4) ◽

pp. 327-330 ◽

Cited By ~ 36

Author(s):

Franco Laghi Pasini ◽

Francesca Guideri ◽

Eugenio Picano ◽

Giuliano Parenti ◽

Christina Petersen ◽

...

Keyword(s):

Brain Ischemia ◽

Transient Ischemic Attacks ◽

Plasma Adenosine

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Prevalence, knowledge, and treatment of transient ischemic attacks in China

Neurology ◽

10.1212/wnl.0000000000001665 ◽

2015 ◽

Vol 84 (23) ◽

pp. 2354-2361 ◽

Cited By ~ 20

Author(s):

Y. Wang ◽

X. Zhao ◽

Y. Jiang ◽

H. Li ◽

L. Wang ◽

...

Keyword(s):

Transient Ischemic Attacks

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Risk Factors for Undernutrition at Admission Among Adult Hospitalized Patients at a Referral Hospital in Indonesia

SAGE Open ◽

10.1177/2158244020983310 ◽

2021 ◽

Vol 11 (5) ◽

pp. 215824402098331

Author(s):

Nur Chandra Bunawan ◽

Dwi Suseno ◽

Drupadi H. S. Dillon ◽

Ikhwan Rinaldi ◽

Dyah Purnamasari

Keyword(s):

Associated Factors ◽

Multivariate Analyses ◽

Gastrointestinal Disease ◽

Cross Sectional Study ◽

Hospitalized Patients ◽

Bivariate Analysis ◽

Cross Sectional ◽

Neutrophil Lymphocyte Ratio ◽

Initial Hospital ◽

Comorbidity Index

Patients with undernutrition at admission have higher risks to worsen their nutritional status, which is linked to an increase in morbidity and mortality. This study investigated the prevalence of undernutrition at admission and its associated factors. A cross-sectional study was conducted on patients aged 18 to 59 years old in Internal Medicine ward at Dr. Cipto Mangunkusumo National General Hospital, Jakarta, Indonesia, between July and September 2019. Factors that might be associated with undernutrition at admission, such as age, sex, marital status, Charlson Comorbidity Index (CCI) and type of comorbidity, depression, and neutrophil–lymphocyte ratio (NLR), were assessed. Bivariate and multivariate analyses were used to determine the associated factors. Sixty hospitalized patients with median age of 42 years and 76.7% with married status joined the study. The most common reason for hospitalization was acute gastrointestinal disease with gallstones as the most common comorbidity. Undernutrition exists in 26.7% of subjects. High CCI score was observed among 11.7% subjects and half of subjects had NLR category ≥5. Bivariate analysis revealed that unmarried status, age ≥40 years, and malignancy were associated with undernutrition at admission. Logistic regression analysis showed malignancy as an independent predictor of undernutrition during the initial hospital admission (odds ratio [OR] = 11.8; 95% confidence interval [CI]: [1.1, 125.7]). The prevalence of undernutrition at admission was 26.7%. Factors associated with an increased prevalence of undernutrition at admission were age <40 years, unmarried status, and malignancy. Malignancy was an independent factor of the prevalence of undernutrition at admission.

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Post-stroke fatigue: an exploratory study with patients and health professionals to develop a patient-reported outcome measure

Journal of Patient-Reported Outcomes ◽

10.1186/s41687-021-00307-z ◽

2021 ◽

Vol 5 (1) ◽

Author(s):

Ingrid Johansen Skogestad ◽

Marit Kirkevold ◽

Petra Larsson ◽

Christine Råheim Borge ◽

Bent Indredavik ◽

...

Keyword(s):

Future Development ◽

Health Professionals ◽

Outcome Measure ◽

Patient Reported Outcome ◽

Stroke Survivors ◽

Structured Interviews ◽

Post Stroke ◽

Patient Reported Outcome Measure ◽

Patient Reported ◽

Initial Hospital

Abstract Background Post-stroke fatigue (PSF) is commonly reported and described as disabling by patients recovering from stroke. However, a major challenge is how to accurately diagnose and assess PSF. Therefore, the aim of this study was to explore PSF as it is experienced by stroke survivors and described by health professionals to guide future development of a PSF-specific PROM. Methods Individual semi-structured interviews were conducted with stroke survivors experiencing PSF (n = 9) and three focus groups were conducted with health professionals (n = 16). Data were analyzed through inductive content analysis. Results The analysis revealed four themes illustrating the experience and descriptions of PSF: 1) PSF characteristics, 2) interfering and aggravating factors, 3) management, and 4) PSF awareness, which refers to stroke survivors first becoming aware of PSF after their initial hospital admission. Conclusion This study highlights the complexity and multidimensionality of PSF. The results from this study will guide future development of a PSF-PROM and support its content validity.

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