Publications by authors named "J M Verge Monedero"
Background: We analyzed the main factors associated with intravenous thrombolysis (IVT) in patients with minor ischemic stroke.
Methods: Data were obtained from a prospective, government-mandated, population-based registry of stroke code patients in Catalonia (6 Comprehensive Stroke Centers, 8 Primary Stroke Centers, and 14 TeleStroke Centers). We selected patients diagnosed with ischemic stroke and National Institutes of Health Stroke Scale (NIHSS) ≤5 at hospital admission from January 2016 to December 2020.
Monedero, J, Duff, C, and Egan, B. Dietary intakes and the risk of low energy availability in male and female advanced and elite rock climbers. J Strength Cond Res 37(3): e8-e15, 2023-There is a culture among rock climbers of striving to maintain low body mass and percentage body fat to enhance performance.
View Article and Find Full Text PDFBackground: Acute ischemic stroke patients not referred directly to a comprehensive stroke center (CSC) have reduced access to endovascular treatment (EVT). The RACECAT trial is a population-based cluster-randomized trial, designed to compare mothership and drip-and-ship strategies in acute ischemic stroke patients outside the catchment area of a CSC.
Aims: To analyze the evolution of performance indicators in the regions that participated in RACECAT.
The Role of Vascular Imaging atReferral Centers in the Drip and Ship Paradigm.
J Stroke Cerebrovasc Dis
January 2022
Background: In drip-and-ship protocols, non-invasive vascular imaging (NIVI) at Referral Centers (RC), although recommended, is not consistently performed and its value is uncertain. We evaluated the role of NIVI at RC, comparing patients with (VI+) and without (VI-) vascular imaging in several outcomes.
Methods: Observational, multicenter study from a prospective government-mandated population-based registry of code stroke patients.
Article Synopsis
- The COVID-19 pandemic significantly disrupted acute stroke care in Catalonia, with a 22% decrease in stroke code activations and a 29% drop in reperfusion therapies compared to the prepandemic period.
- Delays in emergency medical services (EMS) response times increased by 42 minutes, and the time from stroke onset to hospital arrival grew by 53 minutes, suggesting a strong correlation between rising COVID-19 cases and slower emergency responses.
- As a result, there was an increase in mortality rates (with a 60% higher odds of death) and a decrease in favorable clinical outcomes within 90 days post-stroke during the pandemic.