Publications by authors named "Jose Zaragoza-Brunet"
Article Synopsis
- The study investigates the impact of vascular imaging (VI) on patient workflows at local stroke centers (LSCs) in managing large vessel occlusion (LVO) strokes, using data from the RACECAT Trial.
- It compares outcomes for patients with and without VI upon arrival at LSCs, focusing on transfer rates, thrombectomy candidacy, and workflow times.
- Results indicate that VI acquisition leads to fewer unnecessary transfers and improved outcomes in thrombectomy procedures, suggesting its potential benefits need further research across different settings.
Background: The distribution of vascular risk factors (VRFs) and stroke management vary by geographic area. Our aim was to examine the percentage of the VRFs according to age and sex in ischemic stroke survivors in a geographical area on the Mediterranean coast of Southern Catalonia, Spain. Methods: This was a multicenter, observational, retrospective, community-based study of a cohort, the data of which we obtained from digital clinical records of the Catalan Institute of Health.
View Article and Find Full Text PDFThe 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.
Background: The evolution of the symptomatic intracranial occlusion during transfers from primary stroke centers (PSCs) to comprehensive stroke centers (CSCs) for endovascular treatment (EVT) is not widely known. Our aim was to identify factors related to partial or complete recanalization (REC) at CSC arrival in patients with a documented large vessel occlusion (LVO) in PSC transferred for EVT evaluation to better define the workflow at CSC of this group of patients.
Methods: We conducted an observational, multicenter study from a prospective, government-mandated, population-based registry of stroke patients with documented LVO at PSC transferred to CSC for EVT from January 2017 to June 2019.