Publications by authors named "Jude P Savarraj"

Article Synopsis
  • The INSPIRE trial showed that a high protein diet combined with neuromuscular electrical stimulation can reduce muscle loss and improve function after aSAH (aneurysmal subarachnoid hemorrhage).
  • Researchers used untargeted metabolomics to analyze blood samples and identify specific metabolites associated with the benefits of this treatment.
  • They found 18 unique metabolites, including several that correlated positively with protein intake and are linked to maintaining muscle volume, with N-acetylleucine showing particularly strong associations.
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Article Synopsis
  • Mild traumatic brain injury (mTBI) is common, making up 70-90% of all traumatic brain injuries, and this study investigates changes in lipid metabolites in patients after mTBI.
  • Researchers analyzed plasma samples from 84 patients within 24 hours of injury, some of whom returned for follow-up, to explore the connection between these lipid changes and patient outcomes as assessed by the Glasgow Outcomes Scale-Extended (GOSE).
  • The study found that 31 lipid metabolites were linked to recovery outcomes, with certain lysophospholipids associated with better functional outcomes, indicating the potential of lipid profiles as biomarkers for mTBI recovery.
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Background: Cerebral edema (CE) at admission is a surrogate marker of 'early brain injury' (EBI) after subarachnoid hemorrhage (SAH). Only recently has the focus on the changes in CE after SAH such as delayed resolution or newly developed CE been examined. Among several factors, an early systemic inflammatory response has been shown to be associated with CE.

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Background: Spontaneous intracerebral hemorrhage (ICH) is the second most prevalent subtype of stroke and has high mortality and morbidity. The utility of radiographic features to predict secondary brain injury related to hematoma expansion (HE) or increased intracranial pressure has been highlighted in patients with ICH, including the computed tomographic angiography (CTA) spot sign and intraventricular hemorrhage (IVH). Understanding the pathophysiology of spot sign and IVH may help identify optimal therapeutic strategies.

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Stroke is the fifth leading cause of death in the United States. Subarachnoid hemorrhage (SAH) is a type of stroke often caused by the spontaneous rupture of a cerebral aneurysm. About 30% of the SAH patients develop delayed cerebral ischemia (DCI) a serious secondary complication with devastating impact.

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The prodromal stages of some neurological diseases have a distinct electrical profile which can potentially be leveraged for early diagnosis, predicting disease recurrence, monitoring of disease progression, and better understanding of the disease pathology. Gliomas are tumors that originate from glial cells present in the brain and spinal cord. Healthy glial cells support normal neuronal function and play an important role in modulating the regular electrical activity of neurons.

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Background: Unregulated inflammatory and thrombotic responses have been proposed to be important causes of early brain injury and worse clinical outcomes after subarachnoid hemorrhage (SAH).

Objective: We hypothesize that SAH is characterized by an increased inflammatory and thrombotic state and disruption of associations between these states.

Methods: This is a retrospective cohort study of 60 patients with SAH.

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Background: Early brain injury (EBI) after subarachnoid hemorrhage (SAH) is an important determinant of clinical outcomes. However, a major hindrance to studies of EBI is the lack of radiographic surrogate marker.

Objective: To propose a scoring system based on early changes in clinically obtained computed tomography (CT), called the Subarachnoid hemorrhage Early Brain Edema Score (SEBES).

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Study Objective: To assess whether a positive linear association exists between body mass index (BMI) and incidence of venous thromboembolism (VTE) in overweight and obese hospitalized patients.

Design: Single-center retrospective observational cohort study.

Setting: Large academic tertiary care medical center.

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Publications regarding early initiating venous thromboembolism (VTE) prophylaxis have been available since the early 1990s. These recommendations became available in current guidelines on and after 2012. The purpose of this study is to review the practice change in reducing the incidence of VTE in brain injury patients from 2008 to 2014.

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Background: Global cerebral edema (GCE) is a manifestation of early brain injury (EBI) after subarachnoid hemorrhage (SAH) and is an independent risk factor for poor outcome. The lack of a quantitative method to measure GCE limits the study of its pathophysiology. The goal of this study is to develop a quantitative surrogate marker that represents GCE after SAH.

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