Publications by authors named "A Czap"
Article Synopsis
- This study assesses the cost-effectiveness of mobile stroke units (MSUs) compared to standard emergency medical services (EMS) for administering thrombolytics in ischemic stroke patients.
- The analysis used the incremental cost-effectiveness ratio (ICER) method to evaluate healthcare costs and quality-adjusted life years (QALYs), highlighting considerable variations based on patient disability status and treatment costs.
- Overall, while MSUs show borderline cost-effectiveness for all eligible patients, they are more favorable for patients without pre-existing disabilities, particularly when focusing on lifetime costs and stroke-specific expenses.
Migraine and its Association with Stroke in Pregnancy: A National Examination.
J Womens Health (Larchmt)
November 2024
Article Synopsis
- Migraine prevalence during reproductive years can be as high as 25%, yet the connection between migraines and stroke is not well understood, particularly in pregnant women.
- This study analyzed data from over 19 million pregnant patients, finding that those with migraines were more likely to experience ischemic and hemorrhagic strokes compared to those without migraines.
- Pregnant women with migraines, especially those experiencing aura, have a significantly higher risk of stroke and should consult their healthcare providers to monitor for potential neurological issues.
Intravenous thrombolysis (IVT) may be administered to stroke patients requiring immediate treatment more quickly than emergency medical services if certain conditions are met. These conditions include the presence of mobile stroke units (MSUs) with on-site treatment teams and a computed tomography scanner. We compared clinical outcomes of MSU conventional therapy by emergency medical services through a systematic review and meta-analysis.
View Article and Find Full Text PDFObjective: This study was undertaken to examine averted stroke in optimized stroke systems.
Methods: This secondary analysis of a multicenter trial from 2014 to 2020 compared patients treated by mobile stroke unit (MSU) versus standard management. The analytical cohort consisted of participants with suspected stroke treated with intravenous thrombolysis.
Article Synopsis
- This study aimed to assess how cerebral microbleeds (CMBs) affect outcomes for stroke patients undergoing endovascular thrombectomy (EVT), focusing on functional independence and safety.
- Using a systematic review approach, researchers analyzed four studies with 1,514 patients and found that the presence of CMBs significantly reduced the chances of achieving positive functional outcomes after EVT.
- However, CMBs had no effect on successful revascularization rates, mortality, or the occurrence of various hemorrhagic complications, indicating a specific impact of CMBs on functional recovery rather than overall safety.