Neuroimaging of Acute Ischemic Stroke: Current State

Алдатов, Р. Х.; Труфанов, Г. Е.; Фокин, В. А.

doi:10.18705/2311-4495-2019-6-2-12-17

Cited by 2 publications

(1 citation statement)

References 41 publications

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“…It is believed that when discussing the consequences of acute cerebrovascular accident (death, disability, complicated and severe course) is often determined by age, time since the onset of the disease, level of consciousness, severity of stroke, tactics and organization of treatment and diagnostic process [2,3,9,10,12,15]. Of fundamental importance for the organization of care for patients with ACA have works in which it was found that neuroimaging and primary neuroprotective therapy should begin within the "therapeutic window" and that their implementation during this period reduces mortality and disability due to stroke [1,5,8]. At the same time, a number of authors point to the leading role of the nature, location and extent of brain damage [11].…”

Section: Discussionmentioning

confidence: 99%

Correlations of medical and demographic indicators with unmodified factors of stroke, tactics of its management and condition of the patient at hospitalization

Фікс

2020

Biomed. and Biosoc. Anthrop.

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Determining importance in discussing the consequences of acute cerebrovascular accident (death, disability, complicated and severe course) is given to age, time since the onset of the disease, level of consciousness, severity of stroke, tactics and organization of medical and diagnostic process. The purpose of the work is to establish the dependence of medical and demographic indicators with risk factors for stroke and the organization of treatment and diagnostic process in patients of hospitals in Vinnytsia for the period 2017-2019, participating in the international program of the European Stroke Organization. The stroke register was created on the basis of the RES-Q report form of Vinnytsia hospitals, which are the most typical for the Podillia region of Ukraine. Estimation of correlations of medical and demographic indicators with unmodified factors of stroke, tactics of its management and condition of the patient at hospitalization was carried out by means of a statistical package "Statistica 5.5" with use of Pearson's statistics. The main features of the studied correlations are: with unmodified stroke factors - regardless of sex, patients of both hospitals have inverse weak correlations age of patients with the ability to pass 10 m and direct weak correlations with mortality; with patient status on admission - regardless of sex, patients in both hospitals have reversed mean strength correlations of ability to pass 10 m with level of consciousness, NIHSS stroke severity and NIHSS stroke scores, and direct, mostly medium-strength correlations with scores on the Glasgow scale, and with a mortality rate established a symmetrically opposite picture of correlations, in addition, with the duration of treatment established multidirectional reliable weak strength correlations; with indicators of quality of medical care - regardless of sex, patients of both hospitals have weak correlations, the ability to walk 10 m with an indicator or hospitalized patient to stroke block and the appointment of antithrombolytics and direct weak force correlations with statins, with an indicator of treatment duration regardless from sex in patients of both hospitals established weak direct correlations with the appointment of antithrombolytic drugs, and with the mortality rate in both hospitals, more pronounced in men, established direct weak and medium strength correlations with the appointment of antithrombolytic drugs and inverse weak and medium strength correlations with the appointment of statins and antihypertensive drugs. Thus, numerous direct and inverse, mainly weak strength correlations of age, season, admission status and specifics of treatment and diagnostic measures with duration of treatment, functional outcome and stroke mortality for each hospital in general and individually in men and women of relevant medical institutions.

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Section: Discussionmentioning

confidence: 99%

Correlations of medical and demographic indicators with unmodified factors of stroke, tactics of its management and condition of the patient at hospitalization

Фікс

2020

Biomed. and Biosoc. Anthrop.

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Computed tomography-based mathematical modeling of ischemic stroke outcomes based on the focus characteristics

Ершов

Chirkov

Gumalatova

et al. 2021

RJTAO

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Objective: to identify the prognostic aspects of the ischemic stroke (IS) focus characteristics according to the data of computed tomography of the brain.Patients and methods. We examined 80 patients with hemispheric IS up to 1-day old (50 patients for constructing mathematical models of disease outcomes and 30 patients for subsequent testing of the obtained models) aged 30-84 years.Results and discussion. The analysis of the association between mortality probability and brain midline shift size shown that a brain midline shift of 4.5-5 mm did not increase mortality probability much, which indicates the synergistic stability of this system. System destabilization began after an increase of the brain midline shift for more than 5-5.5 mm. After a mild change in the initial indicator (6-8 mm), mortality probability increased from 25% to 90% and higher. When the brain midline shift was more than 8.5 mm, the system, from the synergistic viewpoint, became stable again but with an unfavorable prognosis. This analysis helps to identify the critical decision-making point when analyzing the IS focus neuroimaging characteristics. Thus, the point for the focus volume is 145 cm3, and for the brain midline shift - 5.0 mm.Conclusion. The results of our study about the prognostic value of the IS focus characteristics according to CT data may have additional value for decision-making in the management of patients with a poor prognosis.

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Neuroimaging of Acute Ischemic Stroke: Current State

Cited by 2 publications

References 41 publications

Correlations of medical and demographic indicators with unmodified factors of stroke, tactics of its management and condition of the patient at hospitalization

Correlations of medical and demographic indicators with unmodified factors of stroke, tactics of its management and condition of the patient at hospitalization

Computed tomography-based mathematical modeling of ischemic stroke outcomes based on the focus characteristics

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