Articles: stroke.
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Mechanical thrombectomy (MT) is crucial for improving functional outcomes for acute ischemic stroke. Length of stay (LOS) is a reimbursement metric implemented to incentivize value-based care. Our study aims to identify predictors of LOS in patients undergoing MT at a high-volume center in the United States. ⋯ By identifying predictors of eLOS, we provide a foundation for targeted interventions aimed at optimizing post-thrombectomy care pathways and improving patient outcomes. The implications of our study extend beyond clinical practice, offering insights into healthcare resource utilization, reimbursement strategies, and value-based care initiatives.
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Med. Clin. North Am. · Mar 2025
ReviewSecondary Risk Reduction after Transient Ischemic Attack and Minor Stroke.
This article discusses the evolving definitions of transient ischemic attack and minor strokes, highlighting the shared risk factors and the similarities in approach and early management. It emphasizes the importance of early identification and basic workup for these patients, as well as the most effective early antithrombotic therapies to date. The article also emphasizes the significance of controlling risk factors and concludes with a discussion of treatment strategies based on specific stroke etiologies.
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Eur. J. Clin. Invest. · Mar 2025
Machine learning for stroke in heart failure with reduced ejection fraction but without atrial fibrillation: A post-hoc analysis of the WARCEF trial.
The prediction of ischaemic stroke in patients with heart failure with reduced ejection fraction (HFrEF) but without atrial fibrillation (AF) remains challenging. Our aim was to evaluate the performance of machine learning (ML) in identifying the development of ischaemic stroke in this population. ⋯ Machine-learning models can be useful in identifying incident ischaemic strokes in patients with HFrEF but without AF. CrCl, BUN and warfarin use were the key features.
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Eur. J. Clin. Invest. · Feb 2025
Does hospitalisation improve oral anticoagulant optimisation in patients with atrial fibrillation?
Hospitalisation offers an opportunity for medication review and correction, yet it has received little attention. We aimed to evaluate oral anticoagulant (OAC) use in patients with atrial fibrillation at hospital admission and discharge and determine whether hospitalisation improves care. ⋯ Hospitalisation improved OAC therapy appropriateness; however, 51.0% of patients admitted with inappropriate therapy continued without correction. An intervention that enhances the hospital care team correcting inappropriate OAC therapy is warranted.