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6 Komplikasi Akibat Stroke

6 Komplikasi Akibat Stroke
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Immediate Angiography Feasible for Large Vessel Stroke Patients

email article Bringing stroke patients straight to the angiography suite of a hospital capable of endovascular therapy reduced hospital delays and improved care for people with suspected large vessel occlusions (LVOs) who were admitted within 6 hours of symptom onset, a randomized trial indicated. Following the mantra time is brain, the strategy of skipping the emergency department and usual CT scanner brought down time from door to arterial puncture to a median 18 minutes from 42 minutes with standard management ( P 0.001); similarly, time from door to reperfusion fell to 57 minutes from 84 minutes ( P 0.001). Additionally, all of the roughly 85% of people with confirmed LVOs received endovascular therapy after direct transfer to the angiography suite versus 88% with usual care in the ANGIOCAT trial, reported Manuel Requena, MD, PhD, of Vall d Hebron University Hospital in Barcelona, Spain, during a late-breaking scientific session at the American Stroke Association Int

Multi-City Study Bolsters Case for Mobile Stroke Units

email article Evidence that mobile stroke units (MSUs) could provide better care than standard management by EMS was extended to seven U.S. metropolitan areas in the BEST-MSU study, providing greater impetus to examine their cost-effectiveness in justifying a path to reimbursement. Stroke patients transported in MSUs suffered significantly less disability measured on a utility-weighted modified Rankin Scale (mRS) at 90 days, the weighting reflecting low patient preference for disability requiring constant care over death. Moreover, patients were more likely to reach mRS 0-1, deemed complete recovery (55.0% vs 44.4%, OR 2.43, P 0.001). Fully one in three alteplase-eligible patients transported in MSUs got their tissue plasminogen activator (tPA) bolus within the golden hour from symptom onset, consistent with other studies on these specialized ambulances.

Pertolongan Pertama bagi Orang yang Terkena Serangan Stroke

Pertolongan Pertama bagi Orang yang Terkena Serangan Stroke
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