Search results for "Stroke"
Pinpointing patients for PT
Research has shown that physical therapy (PT) consults are often ordered unnecessarily, yet many patients who could benefit from an inpatient PT consult don't receive one. Experts offered their advice to hospitalists on optimizing use.
https://acphospitalist.acponline.org/archives/2022/01/26/pinpointing-patients-for-pt.htm
26 Jan 2022
Meta-analysis supports use of direct mechanical thrombectomy without IV thrombolysis
Patients who had an acute ischemic stroke had similar rates of functional independence and mortality three months afterward regardless of whether their mechanical thrombectomy was preceded by IV thrombolysis, but those who didn't get thrombolysis had lower odds of intracranial hemorrhage.
https://acphospitalist.acponline.org/weekly/archives/2021/11/24/4.htm
24 Nov 2021
Nontraumatic myocardial injury
Myocardial injury is a relatively new term, necessary to know for documentation.
https://acphospitalist.acponline.org/archives/2021/11/coding-corner-myocardial-injury.htm
15 Nov 2021
Surging methamphetamine-related hospitalizations
Methamphetamine's effects on the heart are hitting hospitals, and physicians' help is needed to tackle the rise of this addictive drug.
https://acphospitalist.acponline.org/archives/2021/11/surging-methamphetamine-related-hospitalizations.htm
15 Nov 2021
Catheters, antibiotics recalled
Recalls, warnings, and approvals.
https://acphospitalist.acponline.org/archives/2021/11/fda-update-catheters-antibiotics-recalled.htm
15 Nov 2021
Latest studies look at pneumonia scores and stroke rates in inpatients with COVID-19
The PSI and CURB-65 work in patients with pneumonia from SARS-CoV-2, one study found, while another estimated stroke rates in COVID-19 inpatients. Research on breakthrough infections showed that full vaccination provided more protection than previous infection, among other findings.
https://acphospitalist.acponline.org/weekly/archives/2021/11/10/1.htm
10 Nov 2021
Greater SBP reduction linked to better outcomes after thrombolysis for stroke
Analyses of the ENCHANTED trial found that in the day after stroke symptom onset, every 10-mm Hg drop in systolic blood pressure (SBP) (down to as low as 110 to 120 mm Hg) was associated with a 20% decrease in the odds of unfavorable functional status.
https://acphospitalist.acponline.org/weekly/archives/2021/11/03/3.htm
3 Nov 2021
COVID-19 and stroke, racial disparities; vaccine regulatory updates
Recent studies found that stroke risk in COVID-19 was highest in middle-aged patients, that higher death rates among Hispanic patients were linked to lower health care access, and that mild COVID-19 didn't lead to cardiac abnormalities. The FDA, NIH, and CDC updated their vaccine guidance.
https://acphospitalist.acponline.org/weekly/archives/2021/11/03/1.htm
3 Nov 2021
Early cardioversion for newly diagnosed nonvalvular afib may lower mortality
Only 14.9% of patients received early cardioversion in the international registry study, which also found no major difference in outcomes by whether patients received direct-current cardioversion or pharmacological cardioversion.
https://acphospitalist.acponline.org/weekly/archives/2021/11/03/2.htm
3 Nov 2021
Mobile stroke units led to better outcomes in patients eligible for tPA
A prospective, observational, multicenter study found that median time from stroke onset to administration of tissue plasminogen activator (tPA) was 72 minutes in patients treated by mobile stroke units and 108 minutes for those receiving standard emergency medical services.
https://acphospitalist.acponline.org/weekly/archives/2021/09/15/3.htm
15 Sep 2021