Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia
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Post-stroke discharge planning may be aided by accurate early prognostication. Machine learning may be able to assist with such prognostication. The study's primary aim was to evaluate the performance of machine learning models using admission data to predict the likely length of stay (LOS) for patients admitted with stroke. ⋯ Logistic regression was also the best performing model for predicting home vs non-home discharge destination (AUC 0.81). This study indicates that machine learning may aid in the prognostication of factors relevant to post-stroke discharge planning. Further prospective and external validation is required, as well as assessment of the impact of subsequent implementation.
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Case Reports
Vasculitis-related stroke in young as a presenting feature of novel coronavirus disease (COVID19) - Case report.
COVID-19 is the disease caused by Novel Coronavirus (SARS-CoV-2) infection and world current main public health problem, due to its easy transmissibility and multiple clinical presentations. The main symptoms reported worldwide are dry cough, dyspnea, and fever, as well as anosmia and ageusia. COVID-19 diagnosis is made with RT-PCR, but many other complementary exams may be used to guide clinical practice, such as Chest Computerized Tomography (CT), showing ground glass opacities; increase in inflammatory markers, as C-Reactive Protein and Erythrocyte Sedimentation Rate; hemogram might show hypoalbuminemia, thrombocytopenia. ⋯ Underwent brain MRI and serum serological analysis. SARS-CoV-2 capacity of affecting brain homeostasis by breaking blood-brain barrier, makes it easier to develop ischemic or inflammatory damage, and invading central nervous system. Neurological symptoms and syndromes are the main consequences of COVID-19 pandemic and must be prevented through adequate clinical management.
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COVID-19 is caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), which was first reported in Wuhan, China in December 2019, and is ongoing pandemic. While a majority of patients with SARS-CoV-2 infection shows asymptomatic or mild disease, hospitalized patients can develop critical condition, such as pneumonia, sepsis, and respiratory failure. Some cases deteriorate into sever systemic disease and multiorgan failure. ⋯ Brain CT and MRI showed typical images of CVT in the left transvers sinus and CT pulmonary angiography showed PE. Administration of unfractionated heparin followed by edoxaban treatment reduced the levels of D-dimer and improved his clinical presentation and thrombosis. Monitoring coagulopathy is important in COVID-19 patients and in case of venous thromboembolism, including cerebral venous system, appropriate anticoagulant therapy should be initiated.