/PRNewswire-USNewswire/ -- Northwestern Medicine Central DuPage Hospitals (CDH) Advanced Comprehensive Stroke Center has been re-certified by The Joint...
Background- Previous Stroke Therapy Academic Industry Roundtable (STAIR) meetings focused on preclinical evidence of drug efficacy and enhancing acute stroke trial design and performance. A fourth (STAIR-IV) was held to discuss relevant issues related to acute stroke drug development and regulatory approval.. Summary of Review- The STAIR-IV meeting had 3 main focus areas. The first topic was novel approaches to statistical design of acute stroke trials and appropriate outcome measures. The second focus was the need for better cooperation among participants in stroke therapy development that may be addressed through a national consortium of stroke trial centers in the United States and elsewhere. Lastly, regulatory issues related to the approval of novel mono and multiple acute stroke therapies were discussed.. Conclusions- The development of additional acute stroke therapies represents a large unmet need with many remaining challenges and also opportunities to incorporate novel approaches to ...
EXECUTIVE SUMMARY Stroke Types and Incidence Endovascular Stroke Management Techniques and Tools Procedures and Markets. Procedures and Markets by Geography Suppliers Summary Exhibit 1: Global Incidence of Stroke by Major Type, 2013-2019 Summary Exhibit 2: Global Endovascular Interventions for Acute Stroke Management by Major Type, 2013-2019 Summary Exhibit 3 Global Market for Acute Stroke Therapy Products by Major Type, 2013-2019 Summary Exhibit 4: Endovascular Interventions for Acute Stroke Management by Major Geography, 2013-2019. Summary Exhibit 5: Global Endovascular Acute Stroke Therapies Market by Major Geography, 2013-2019. Summary Exhibit 6: Global Endovascular Acute Stroke TherapiesMarket, Estimated Supplier Shares, 2014 1.0 ETIOLOGY & EPIDEMIOLOGY OF ACUTE STROKE. 1.1 Overview of the Brain. 1.1.1 Cerebral Arterial Blood Supply 1.1.2 Sites of Plaque and Emboli Formation 1.2 Etiology of Stroke 1.2.1 Ischemic Stroke. 1.2.1.1 Major Types. 1.2.1.1.1 Thrombotic Stroke 1.2.1.1.2 Embolic ...
An ultrafast computed tomography (CT) scan is an imaging test that uses X-rays and a computer to look at your childs heart. The scan takes pictures very quickly. It gives the healthcare provider many details about your childs heart that other imaging tests cant. Standard X-rays use a small amount of radiation to create images of bones and organs. These X-rays are useful to help diagnose illness. But many details about internal organs and other structures cant be seen. With a CT scan, the X-rays move around the body. This gives many views of the same organ or structure in much greater detail. The X-ray information is sent to a computer. The computer makes a 2-D image that your healthcare provider can look at. IV contrast dye may also be used to make details show up better in the scan. An ultrafast CT scan shows the healthcare provider even more details about the hearts structure and how well it is working. It also can be done in much less time than a regular CT scan.. ...
Get up slowly from the scanner table. This will help prevent dizziness. If you took sedatives for the procedure, you will need to rest until the sedatives wear off. You will need to have someone drive you home. Your healthcare provider will talk with you about the results in a follow-up visit.. If contrast dye was used during your procedure, you may be watched for any side effects or reactions to the dye. These may include itching, swelling, rash, or trouble breathing. If you are nursing, do not breastfeed for 36 to 48 hours after a breast MRI with contrast dye.. Call your healthcare provider right away if you have any of these:. ...
The WS-Addressing core and WS-Addressing SOAP binding specifications have reached full Recommendation status at W3C. WS-Addressing describes how to encode addressing information independently from the
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Stanford Health Care (formerly Stanford Hospital & Clinics) employee with over 30 years of Critical Care & Trauma clinical experience. To contact Stroke Services. Breast Cancer Patient Navigator 925.580.1310. A higher percentage of the MRI group was transferred from an outside hospital (P=0.02), and therefore, the time from stroke onset to randomization was longer in the MRI group (P=0.003). San Jose, CA - Fewer than 60 hospitals in the nation, less than 1 percent, are designated as advanced comprehensive stroke centers, but now a third Bay Area hospital has been given that distinction. Access your health information from any device with MyHealth. Additional research interests include stroke prevention, TIA triage, eliminating disparities in health care, and neurology education. Point of Contact: Vee Vo Phone: 650-736-0262 Email: [email protected] Website. SPECIALTIES. Thrombectomy-capable stroke center. New Lucile Packard Childrens Hospital Stanford - … , Doctors, Clinics & ...
Electronic medical records (EMR) have become the standard of care for documentation in todays health care settings. The EMR system allows for standardization of care and widespread access to information with ability to subsequently evaluate that care. Additionally, trends are more easily documented and monitored. Development of a stroke specific EMR system for a comprehensive stroke center (CSC) was the goal from the initiation of our multidisciplinary steering committee. Our center enlisted the stroke nursing and physician teams, administration, health services researcher, quality and clinical informatics teams to develop an EMR navigator tool based on guidelines from the American Heart/Stroke Association (AHA/ASA) in anticipation of being an early CSC. It was designed to be used for all patients with a diagnosis of stroke during hospitalization. The informatics team developed a method to capture proposed CSC metrics and quality indicators. Progress notes were developed to auto populate ...
Advanced Disease-Specific Care Certification Requirements for Comprehensive Stroke Center () Contents Page Program Background...-1 Certification Participation Requirements (CPR)...-5 Program Management
TY - JOUR. T1 - State of Acute Endovascular Therapy. T2 - Report from the 12th Thrombolysis, Thrombectomy, and Acute Stroke Therapy Conference. AU - Khatri, Pooja. AU - Hacke, Werner. AU - Fiehler, Jens. AU - Saver, Jeffrey L.. AU - Diener, Hans Christoph. AU - Bendszus, Martin. AU - Bracard, Serge. AU - Broderick, Joseph. AU - Campbell, Bruce. AU - Ciccone, Alfonso. AU - Dávalos, Antoni. AU - Davis, Stephen. AU - Demchuk, Andrew M.. AU - Dippel, Diederik. AU - Donnan, Geoffrey. AU - Fiorella, David. AU - Goyal, Mayank. AU - Hill, Michael D.. AU - Jauch, Edward C.. AU - Jovin, Tudor G.. AU - Kidwell, Chelsea S.. AU - Majoie, Charles. AU - Martins, Sheila Cristina Ouriques. AU - Mitchell, Peter. AU - Mocco, J.. AU - Muir, Keith. AU - Nogueira, Raul G.. AU - Schonewille, Wouter J.. AU - Siddiqui, Adnan H.. AU - Thomalla, Götz. AU - Tomsick, Thomas A.. AU - Turk, Aquilla S.. AU - White, Philip M.. AU - Zaidat, Osama O.. AU - Liebeskind, David S.. AU - Fulton, Rachel. AU - Lees, Kennedy R.. PY - ...
Monday, January 31, 2011. A study published today shows that African Americans have a better survival rate compared to whites after being hospitalized for a stroke. This conclusion contradicts prevailing wisdom and is one piece in a growing body of evidence that points to the important role that patients - and the decision they and their families make in terms of treatment - may play on mortality rates.. The study found that - after adjusting data for variables such as age, socioeconomic status, and risk factors - that African Americans who were hospitalized for acute ischemic stroke had a significantly lower mortality rate than whites. The survival advantage was most pronounced early after the stroke but persisted for up to one year. The study also found that African Americans were also more likely during their hospitalization to have received more aggressive treatment measures, such as kidney dialysis, a tracheostomy, or cardiopulmonary resuscitation. They were also less likely to use hospice ...
As stroke care becomes more and more specialized, a stroke treatment center should be able to offer the best in endovascular treatment in select patients.
Behind every number is a patient, which is why we strive to provide the best possible stroke care in the region. Heres how the UC Comprehensive Stoke Center
MultiCare Tacoma General Hospital is state-designated as a Level One Stroke Center, able to provide the highest level of care for patients with stroke. Tacoma General is also the first hospital in the South Sound to be designated as a Comprehensive Stroke Center by DNV GL - Healthcare, reflecting the highest level of competence for treating serious stroke events.. MultiCare Good Samaritan Hospital and MultiCare Auburn Medical Center are state-designated Level Two stroke centers, and MultiCare Allenmore Hospital is designated as a Level Three center for stroke care.. MultiCares overall stroke program in the Puget Sound region was awarded a Five Star ranking from Health Grades.. ...
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Always state research observations separately from your design recommendations. By starting with the facts, you add structure to the discussion.
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This study suggests better outcomes, on average, in hospitals with a Comprehensive Stroke Center designation, in contrast with earlier studies of myocardial infarctions (heart attacks) that found the weekend effect to be significant at all non-federal, acute care hospitals in New Jersey. We are very encouraged by the data we uncovered, said James S. McKinney, MD, assistant professor of neurology at Robert Wood Johnson Medical School, and medical director of the Comprehensive Stroke Center at Robert Wood Johnson University Hospital, who led the study. We determined that comprehensive stroke centers in New Jersey overcome the weekend effect, and that they do so through appropriate hospital staffing and organization of acute stroke care thereby saving patients lives. In previous myocardial infarction studies, CVI researchers at Robert Wood Johnson Medical School had found higher mortality rates among patients admitted on Saturdays, Sundays and holidays, outcomes they associated with ...
A comprehensive stroke center is typically the largest and best-equipped hospital in a given geographical area that can treat patients with any kind of stroke or stroke complication. Upstate University Hospital was the first hospital in the Central New York region to be certified as a DNV Comprehensive Stroke Center, encompassing the full spectrum of…
A medicine called tPA can quickly dissolve blood clots. It will restore blood flow and increase the chance of a full recovery. The treatment needs to be given within 3 to 4 hours of the start of stroke symptoms. This is why it is important to get medical care as soon as symptoms start. Medicine called blood thinners may also be given. It can stop new clots and slow or stop the growth of clots that are already there. ...
OBJECTIVE To develop evidence-based recommendations on how to investigate and follow-up undifferentiated peripheral inflammatory arthritis (UPIA). METHODS 697 rheumatologists from 17 countries participated in the 3E (Evidence, Expertise, Exchange) Initiative of 2008-9 consisting of three separate rounds of discussions and modified Delphi votes. In the first round 10 clinical questions were selected. A bibliographic team systematically searched Medline, Embase, the Cochrane Library and ACR/EULAR 2007-2008 meeting abstracts. Relevant articles were reviewed for quality assessment, data extraction and synthesis. In the second round each country elaborated a set of national recommendations. Finally, multinational recommendations were formulated and agreement among the participants and the potential impact on their clinical practice was assessed. RESULTS A total of 39,756 references were identified, of which 250 were systematically reviewed. Ten multinational key recommendations about the investigation
GAOs recommendations database contains report recommendations that still need to be addressed.. GAOs recommendations help congressional and agency leaders prepare for appropriations and oversight activities, as well as help improve government operations. Recommendations remain open until they are designated as Closed-implemented or Closed-not implemented. You can explore open recommendations by searching or browsing. GAOs priority recommendations are those that we believe warrant priority attention. We sent letters to the heads of key departments and agencies, urging them to continue focusing on these issues. These recommendations are labeled as such. You can find priority recommendations by searching or browsing our open recommendations below, or through our mobile app.. ...
GAOs recommendations database contains report recommendations that still need to be addressed.. GAOs recommendations help congressional and agency leaders prepare for appropriations and oversight activities, as well as help improve government operations. Recommendations remain open until they are designated as Closed-implemented or Closed-not implemented. You can explore open recommendations by searching or browsing. GAOs priority recommendations are those that we believe warrant priority attention. We sent letters to the heads of key departments and agencies, urging them to continue focusing on these issues. These recommendations are labeled as such. You can find priority recommendations by searching or browsing our open recommendations below, or through our mobile app.. ...
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Strategies are described for generating recommendations. The strategies generate a set of original recommendations based on a source of information. The strategies then transform the set of original recommendations into a set of similarity-spaced recommendations based on
MHAUS Recommendations: The MHAUS Recommendation Development Process Research and review of a topic by an MH expert; Preparation of a summary document, which includes the proposed
Revcontent is the worlds fastest growing content recommendation network, powering over 250 billion content recommendations per month.
This document aims to provide insight into the logic of the generic hard-filtering recommendations that we provide as a substitute for VQSR.
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Endovascular Neurosurgery (also known as Neuroendovascular Surgery or Neurointerventional Surgery) is a cornerstone in the Comprehensive Stroke Center model of care. At TMH we have two board-certified neurosurgeons, Drs. Lawson and Oliver, who are also certified in Neuroendovascular Surgery by the Society of Neurological Surgeons (CAST Certification). TMH is the only facility in the region with such highly trained and experienced neurosurgeons. The CAST Neuroendovascular Certification is generally accepted as the highest level of certification for Neuroendovascular Surgery, and the Society of Neurointerventional Surgery endorses this CAST certification. No other physicians in the area have this certification, including those in Pensacola, FL, and Dothan, AL.. Drs. Lawson and Oliver are partners at Tallahassee Neurological Clinic, a multispecialty group practice of neurosurgeons, neurologists, and pain management physicians. Dr. Lawson has been in practice in Tallahassee since 2012, and he was ...
Time is brain, means the faster a stroke patient receives treatment, the more likely they are to recover. University of Minnesota Health stroke providers have worked hard to achieve treatment times that exceed the American Heart Association recommendations. In comparison to guideline recommendations of 60 on average stroke patients arriving at the UMMC Emergency Room in 2017 were evaluated by a neurologist, underwent complete neuroimaging and received the clot buster medication within 37 minutes of arrival.. The University of Minnesota Medical Center maintains a Comprehensive Stroke Center providing full-spectrum, world-class care-from evaluation and treatment with stroke specialists, neurocritical care, neuro-endovascular services, cerebrovascular neurosurgery, and rehabilitation support. The University of Minnesota Medical Center is one of only 153[SE1] hospitals in the country to receive Comprehensive Stroke Center status by The Joint Commission and is recognized for delivering the highest ...
There is no consensus on the pathologic conditions or severity implied by the term hippocampal sclerosis (HS). In this study, a panel of experienced neuropathologists evaluated inter-rater agreement for pathologic diagnoses in the hippocampus and proposes consensus recommendations on the use of the term HS. In a group of 251 cases of HS selected from a large autopsy cohort (1,388; 18%), a coordinating group identified 5 patterns of degenerative or vascular pathology. Four independent neuropathologists assessed a single set of hematoxylin and eosin-stained sections following descriptive definitions to classify the appearances and assign the diagnosis of HS, if appropriate. Diagnostic agreement (range, 36%-70%) was highest for vascular lesions. Subsequent joint review of all cases highlighted the need to identify neurodegenerative lesions using immunohistochemistry. Initial agreement in assigning the diagnosis of HS varied from 0% to 86%. After a joint review, the group recommended that the ...
Results showed that 81% of the US population had 60 minute access to IV-tPA capable hospitals; 66% had access to primary stroke centers and 56% had access to endovascular capable hospitals. By air, 97% had 60-minute access to IV capable hospitals, 91% had access to primary stroke centers and 85% had access to endovascular capable hospitals. Between 2008, the same group reported that 55% of the US population had ground access and 79% had air access to primary stroke centers within 60 minutes. Those numbers have increased as noted in the results above. This is likely owing to the increased number of primary stroke centers. No data remains available yet regarding comprehensive stroke center certification. While it is a practical way to evaluate the data, use of the Medicare database may not be truly reflective of the US population as a whole. Patients omitted include carriers of private insurance, those younger than 65 years of age and those without insurance. Additionally, much of the time to ...
We found that implementation of a provincial system of stroke care delivery was associated with increased rates of care at specialized stroke centres, improved processes of acute stroke care delivery and decreased rates of admission to a long-term care facility and death after stroke beyond what would be expected based on underlying temporal trends.. Stroke systems of care are designed to coordinate and optimize delivery of care across the continuum of stroke, from primary prevention to rehabilitation and reintegration.11,12,20,26 The American Stroke Association has provided detailed recommendations for the establishment of such systems, with key elements including collaboration among providers, the use of telemedicine to facilitate patient care in remote institutions and the identification of performance measures to evaluate the effectiveness of the system.11,27 In the area of acute care, the system of stroke care delivery should include the designation of comprehensive stroke centres and the ...
Debate #1: Should we bypass primary stroke centers (PSC)? Arguing in favor, Dr. Goyal points out that tPA does not work very well for proximal large vessel occlusions, the NNT is as low as 2.6 for endovascular therapy, time is brain and we lose time (and therefore brain) transferring from a PSC to a comprehensive stroke center (CSC). Dr. Johnston agreed that in some cases, i.e. if the patient does not qualify for tPA, it may be reasonable, but endovascular treatment is only proven safe and efficacious for a minority of patients. As of now, there is no way to effectively screen patients in the field, and bypassing a PSC may in these situations delay treatment with tPA.. I interpreted this as a debate between pragmatism and idealism. The ideal might be bypassing a PSC, but pragmatically, within our current system of stroke care, this may lead to saving time for a subset of patients with large vessel occlusion at the expense of delaying tPA for the majority of patients, especially within the ...
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Evidence-based recommendations on preventing, diagnosing and managing delirium in adults in hospitals, long-term residential care or nursing homes
Evidence-based recommendations on preventing, diagnosing and managing delirium in adults in hospitals, long-term residential care or nursing homes
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This article describes the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach to classifying the direction and strength of recommendations. The strength of a recommendation, separated into strong and weak, is defined as the extent to which one can be confident that t …
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