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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8078123 | PMC |
| http://dx.doi.org/10.1161/STROKEAHA.121.033557 | DOI Listing |
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CONNECT: Coordinating Options for Neurovascular Patients Needing Electrophysiology Consults and Treatments.
Neurohospitalist
September 2024
Department of Neurosciences, University of California, San Diego, CA, USA.
Background And Purpose: Though Event Monitors (EM) and Implantable Loop Recorders (ILR) are prevalent in stroke workups, complex processes to obtain placement of these device might result in delays. Our aim was to determine if the CONNECT (Coordinating Options for Neurovascular patients Needing Electrophysiology Consults and Treatments) pathway could improve Stroke-to-Electrophysiology (EP) communications, increase EM and ILR device placements prior to discharge, shorten placement time, and preserve satisfaction.
Methods: We assessed device placements when an EP consult was obtained [Pre-CONNECT (5/1/21-4/30/22), CONNECT (5/1/22-4/30/23)] for patients with stroke.
The In-Hospital Code Stroke: A Look Back and the Road Ahead.
Neurohospitalist
October 2024
Division of Neurology, Department of Medicine, University of Toronto, Toronto, ON, Canada.
With increased patient volumes and complexity, stroke occurrence in hospitalized patients has become relatively more common. The process of activating a code stroke in-hospital differs in many institutions. An emergency team-based response to inpatient acute code stroke is warranted, with many protocols modeled similarly to the cardiac arrest response.
View Article and Find Full Text PDFDifferences in Interfacility Transfer from Emergency Department and Inpatient Services for Inpatient Neurologic Care.
Neurohospitalist
October 2024
Department of Neurology, Weill Institute for Neurosciences, University of California, San Francisco, CA, USA.
Introduction: Interhospital transfer is an important mechanism for improving access to specialized neurologic care but there are large gaps in our understanding of interhospital transfer for the management of non-stroke-related neurologic disease.
Methods: This observational study included consecutive patients admitted to an adult academic general neurology service via interhospital transfer from July 1, 2015 to July 1, 2017. Characteristics of the referring hospital and transferred patients were obtained through the American Hospital Association Directory, a hospital transfer database maintained by the accepting hospital, and the electronic medical record.
Diagnostic Challenges of Lyme Neuroborreliosis in Inpatient Neurology: A Case Series.
Neurohospitalist
July 2024
Mellen Center for Multiple Sclerosis Treatment and Research, Cleveland Clinic, Cleveland, OH, USA.
Lyme disease is a multisystem disorder transmitted through the Ixodes tick and is most commonly diagnosed in northeastern and mid-Atlantic states, Wisconsin, and Minnesota, though its disease borders are expanding in the setting of climate change. Approximately 10%-15% of untreated Lyme disease cases will develop neurologic manifestations of Lyme neuroborreliosis (LNB). Due to varying presentations, LNB presents diagnostic challenges and is associated with a delay to treatment.
View Article and Find Full Text PDFCharacteristics and Outcomes of 7620 Multiple Sclerosis Patients Admitted With COVID-19 in the United States.
Neurohospitalist
July 2024
Department of Anesthesia, 37 Military Hospital, Accra, Ghana.
Background: At the start of the COVID-19 pandemic, several experts raised concerns about its impact on Multiple Sclerosis (MS) patients. This study aims to provide a perspective using the biggest inpatient database from the United States.
Method: We screened for COVID-19 cases between April to December 2020, via the 2020 National Inpatient Sample (NIS).
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