Publications by authors named "E Feldstein"
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.
Central retinal artery occlusion (CRAO) is a rare and visually debilitating vascular condition characterized by sudden and severe vision loss. CRAO is a compelling target for intravenous alteplase (tPA) and endovascular mechanical thrombectomy (MT) due to pathophysiological similarities with acute ischemic stroke; however, the utility of these interventions in CRAO remains dubious due to limited sample sizes and potential risks. To assess usage and outcomes of tPA and MT in CRAO, we queried the National Inpatient Sample database using International Classification of Disease, Ninth and Tenth edition for patients with CRAO and acute ischemic stroke between 2010 and 2019.
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- - The study investigates the occurrence and effects of heparin-induced thrombocytopenia (HIT) in patients with aneurysmal subarachnoid hemorrhage (SAH), finding that 0.22% of 76,387 SAH patients developed HIT between 2010 and 2019.
- - HIT was linked to significantly longer hospital stays and worse functional outcomes, particularly in younger patients, those with higher SAH severity scores, and individuals on long-term anticoagulants.
- - The findings highlight that SAH patients with HIT face a range of complications and comorbidities, emphasizing the need for increased clinical awareness regarding HIT in this patient group.
Background: Intracerebral hemorrhage (ICH) carries significant morbidity and mortality. Previous single-center retrospective analysis suggests that end-stage renal disease (ESRD) is a risk factor for severe ICH and worse outcomes. This investigation aims to examine the impact of ESRD on ICH severity, complications, and outcomes using a multicenter national database.
View Article and Find Full Text PDFFrailty is an emerging concept in clinical practice used to predict outcomes and dictate treatment algorithms. Frail patients, especially older adults, are at higher risk for adverse outcomes. Aneurysmal subarachnoid hemorrhage (aSAH) is a neurosurgical emergency associated with high morbidity and mortality rates that have previously been shown to correlate with frailty.
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