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  1. Article ; Online: Migration of Iophendylate Myelography Contrast to the Brain With Successful Thrombectomy.

    Tu, Long / Hegde, Rahul G / Prust, Morgan / Mageid, Razaz / Hebert, Ryan / Jasne, Adam S

    Neurology

    2024  Volume 102, Issue 8, Page(s) e209314

    MeSH term(s) Humans ; Iophendylate ; Myelography ; Contrast Media ; Brain/diagnostic imaging ; Head
    Chemical Substances Iophendylate (99-79-6) ; Contrast Media
    Language English
    Publishing date 2024-03-28
    Publishing country United States
    Document type Journal Article
    ZDB-ID 207147-2
    ISSN 1526-632X ; 0028-3878
    ISSN (online) 1526-632X
    ISSN 0028-3878
    DOI 10.1212/WNL.0000000000209314
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  2. Article ; Online: Vein of Labbe thrombosis, a near-miss.

    Mageid, Razaz / Ding, Yuchuan / Fu, Paul

    Brain circulation

    2018  Volume 4, Issue 4, Page(s) 188–190

    Abstract: Emergency department visits for a headache are relatively common, and in most cases, the etiologies of the headache are typically benign. We present a case of a patient who presented to the emergency room for new onset of unremitting unilateral headache. ...

    Abstract Emergency department visits for a headache are relatively common, and in most cases, the etiologies of the headache are typically benign. We present a case of a patient who presented to the emergency room for new onset of unremitting unilateral headache. She subsequently had two hospital visits and three separate imaging modalities to identify vein of Labbe thrombosis. The vein of Labbe is a relatively smaller vein which runs superficially and laterally. In our patient, a cerebral venous thrombosis (CTV) was unable to identify vein of Labbe thrombosis, requiring eventually a magnetic resonance imaging (MRI) with and without contrast to identify the culprit etiology. CTV is frequently used in the acute setting due to its speed of acquisition and shorter wait times in the hospital. For patients that fit criteria for venous sinus thrombosis, we caution the use of CTV in identifying the causative etiology, and would consider the MRI as a better imaging modality for these patients.
    Language English
    Publishing date 2018-12-31
    Publishing country India
    Document type Case Reports
    ZDB-ID 2950273-1
    ISSN 2455-4626 ; 2394-8108
    ISSN (online) 2455-4626
    ISSN 2394-8108
    DOI 10.4103/bc.bc_34_18
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Association of Neighborhood-Level Socioeconomic Factors With Delay to Hospital Arrival in Patients With Acute Stroke.

    Forman, Rachel / Okumu, Rita / Mageid, Razaz / Baker, Anna / Neu, Dalton / Parker, Ranisha / Peyravi, Reza / Schindler, Joseph L / Sansing, Lauren H / Sheth, Kevin N / de Havenon, Adam / Jasne, Adam / Narula, Reshma / Wira, Charles / Warren, Joshua / Sharma, Richa

    Neurology

    2023  Volume 102, Issue 1, Page(s) e207764

    Abstract: Background and objectives: Delivery of acute ischemic stroke (AIS) therapies is contingent on the duration from last known well (LKW) to emergency department arrival time (EDAT). One reason for treatment ineligibility is delay in presentation to the ... ...

    Abstract Background and objectives: Delivery of acute ischemic stroke (AIS) therapies is contingent on the duration from last known well (LKW) to emergency department arrival time (EDAT). One reason for treatment ineligibility is delay in presentation to the hospital. We evaluate patient and neighborhood characteristics associated with time from LKW to EDAT.
    Methods: This was a retrospective observational study of patients presenting to the Yale New Haven Hospital in the AIS code pathway from 2010 to 2020. Patients presenting within 4.5 hours from LKW who were recorded in the institutional Get With the Guidelines Stroke registry were classified as early while those presenting beyond 4.5 hours were designated as late. Temporal trends in late presentation were explored by univariate logistic regression. Using variables significant in univariate analysis at
    Results: A total of 2,643 patients with AIS from 2010 to 2020 were included (63.4% presented late and 36.6% presented early). The frequency of late presentation increased significantly from 68% in 2010 to 71% in 2020 (
    Discussion: In addition to patient-level factors, socioeconomic deprivation of neighborhood of residence contributes to delays in hospital presentation for AIS. These findings may provide opportunities for targeted interventions to improve presentation times in at-risk communities.
    MeSH term(s) United States ; Humans ; Ischemic Stroke ; Stroke/epidemiology ; Stroke/therapy ; Hospitals ; Socioeconomic Factors ; Emergency Medical Services
    Language English
    Publishing date 2023-12-13
    Publishing country United States
    Document type Observational Study ; Journal Article
    ZDB-ID 207147-2
    ISSN 1526-632X ; 0028-3878
    ISSN (online) 1526-632X
    ISSN 0028-3878
    DOI 10.1212/WNL.0000000000207764
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Carotid-Cavernous Fistula Presenting With Bilateral Abducens Palsy.

    Peng, Teng J / Stretz, Christoph / Mageid, Razaz / Mac Grory, Brian / Yaghi, Shadi / Matouk, Charles / Schindler, Joseph

    Stroke

    2020  Volume 51, Issue 6, Page(s) e107–e110

    MeSH term(s) Abducens Nerve Diseases/diagnostic imaging ; Abducens Nerve Diseases/therapy ; Aged ; Carotid-Cavernous Sinus Fistula/diagnostic imaging ; Carotid-Cavernous Sinus Fistula/therapy ; Embolization, Therapeutic ; Female ; Humans ; Magnetic Resonance Imaging
    Language English
    Publishing date 2020-04-16
    Publishing country United States
    Document type Journal Article
    ZDB-ID 80381-9
    ISSN 1524-4628 ; 0039-2499 ; 0749-7954
    ISSN (online) 1524-4628
    ISSN 0039-2499 ; 0749-7954
    DOI 10.1161/STROKEAHA.120.029306
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Stroke Code Presentations, Interventions, and Outcomes Before and During the COVID-19 Pandemic.

    Jasne, Adam S / Chojecka, Pola / Maran, Ilavarasy / Mageid, Razaz / Eldokmak, Mohamed / Zhang, Qiang / Nystrom, Karin / Vlieks, Kelsey / Askenase, Michael / Petersen, Nils / Falcone, Guido J / Wira, Charles R / Lleva, Paul / Zeevi, Neer / Narula, Reshma / Amin, Hardik / Navaratnam, Dhasakumar / Loomis, Caitlin / Hwang, David Y /
    Schindler, Joseph / Hebert, Ryan / Matouk, Charles / Krumholz, Harlan M / Spudich, Serena / Sheth, Kevin N / Sansing, Lauren H / Sharma, Richa

    Stroke

    2020  Volume 51, Issue 9, Page(s) 2664–2673

    Abstract: Background: Anecdotal reports suggest fewer patients with stroke symptoms are presenting to hospitals during the coronavirus disease 2019 (COVID-19) pandemic. We quantify trends in stroke code calls and treatments at 3 Connecticut hospitals during the ... ...

    Abstract Background: Anecdotal reports suggest fewer patients with stroke symptoms are presenting to hospitals during the coronavirus disease 2019 (COVID-19) pandemic. We quantify trends in stroke code calls and treatments at 3 Connecticut hospitals during the local emergence of COVID-19 and examine patient characteristics and stroke process measures at a Comprehensive Stroke Center (CSC) before and during the pandemic.
    Methods: Stroke code activity was analyzed from January 1 to April 28, 2020, and corresponding dates in 2019. Piecewise linear regression and spline models identified when stroke codes in 2020 began to decline and when they fell below 2019 levels. Patient-level data were analyzed in February versus March and April 2020 at the CSC to identify differences in patient characteristics during the pandemic.
    Results: A total of 822 stroke codes were activated at 3 hospitals from January 1 to April 28, 2020. The number of stroke codes/wk decreased by 12.8/wk from February 18 to March 16 (
    Conclusions: Hospital presentation for stroke-like symptoms decreased during the COVID-19 pandemic, without differences in stroke severity or early outcomes. Individuals living outside of the CSC city were less likely to present for stroke codes at the CSC during the pandemic. Public health initiatives to increase awareness of presenting for non-COVID-19 medical emergencies such as stroke during the pandemic are critical.
    MeSH term(s) Aged ; Aged, 80 and over ; Betacoronavirus ; Brain Ischemia/diagnosis ; Brain Ischemia/epidemiology ; Brain Ischemia/physiopathology ; Brain Ischemia/therapy ; COVID-19 ; Cohort Studies ; Comorbidity ; Connecticut/epidemiology ; Coronary Artery Disease/epidemiology ; Coronavirus Infections/epidemiology ; Dyslipidemias/epidemiology ; Emergency Medical Services ; Ethnic Groups ; Female ; Humans ; Hypertension/epidemiology ; Income ; Insurance, Health ; Intracranial Hemorrhages/diagnosis ; Intracranial Hemorrhages/epidemiology ; Intracranial Hemorrhages/physiopathology ; Intracranial Hemorrhages/therapy ; Male ; Medically Uninsured ; Middle Aged ; Outcome and Process Assessment, Health Care ; Pandemics ; Pneumonia, Viral/epidemiology ; Retrospective Studies ; SARS-CoV-2 ; Severity of Illness Index ; Stroke/diagnosis ; Stroke/epidemiology ; Stroke/physiopathology ; Stroke/therapy ; Substance-Related Disorders/epidemiology ; Telemedicine ; Thrombectomy ; Thrombolytic Therapy ; Time-to-Treatment/statistics & numerical data
    Keywords covid19
    Language English
    Publishing date 2020-07-31
    Publishing country United States
    Document type Journal Article
    ZDB-ID 80381-9
    ISSN 1524-4628 ; 0039-2499 ; 0749-7954
    ISSN (online) 1524-4628
    ISSN 0039-2499 ; 0749-7954
    DOI 10.1161/STR.0000000000000347
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Stroke Code Presentations, Interventions, and Outcomes Before and During the COVID-19 Pandemic

    Jasne, Adam S / Chojecka, Pola / Maran, Ilavarasy / Mageid, Razaz / Eldokmak, Mohamed / Zhang, Qiang / Nystrom, Karin / Vlieks, Kelsey / Askenase, Michael / Petersen, Nils / Falcone, Guido J / Wira, Charles R / Lleva, Paul / Zeevi, Neer / Narula, Reshma / Amin, Hardik / Navaratnam, Dhasakumar / Loomis, Caitlin / Hwang, David Y /
    Schindler, Joseph / Hebert, Ryan / Matouk, Charles / Krumholz, Harlan M / Spudich, Serena / Sheth, Kevin N / Sansing, Lauren H / Sharma, Richa

    Stroke

    Abstract: BACKGROUND: Anecdotal reports suggest fewer patients with stroke symptoms are presenting to hospitals during the coronavirus disease 2019 (COVID-19) pandemic. We quantify trends in stroke code calls and treatments at 3 Connecticut hospitals during the ... ...

    Abstract BACKGROUND: Anecdotal reports suggest fewer patients with stroke symptoms are presenting to hospitals during the coronavirus disease 2019 (COVID-19) pandemic. We quantify trends in stroke code calls and treatments at 3 Connecticut hospitals during the local emergence of COVID-19 and examine patient characteristics and stroke process measures at a Comprehensive Stroke Center (CSC) before and during the pandemic. METHODS: Stroke code activity was analyzed from January 1 to April 28, 2020, and corresponding dates in 2019. Piecewise linear regression and spline models identified when stroke codes in 2020 began to decline and when they fell below 2019 levels. Patient-level data were analyzed in February versus March and April 2020 at the CSC to identify differences in patient characteristics during the pandemic. RESULTS: A total of 822 stroke codes were activated at 3 hospitals from January 1 to April 28, 2020. The number of stroke codes/wk decreased by 12.8/wk from February 18 to March 16 (P=0.0360) with nadir of 39.6% of expected stroke codes called from March 10 to 16 (30% decrease in total stroke codes during the pandemic weeks in 2020 versus 2019). There was no commensurate increase in within-network telestroke utilization. Compared with before the pandemic (n=167), pandemic-epoch stroke code patients at the CSC (n=211) were more likely to have histories of hypertension, dyslipidemia, coronary artery disease, and substance abuse; no or public health insurance; lower median household income; and to live in the CSC city (P<0.05). There was no difference in age, sex, race/ethnicity, stroke severity, time to presentation, door-to-needle/door-to-reperfusion times, or discharge modified Rankin Scale. CONCLUSIONS: Hospital presentation for stroke-like symptoms decreased during the COVID-19 pandemic, without differences in stroke severity or early outcomes. Individuals living outside of the CSC city were less likely to present for stroke codes at the CSC during the pandemic. Public health initiatives to increase awareness of presenting for non-COVID-19 medical emergencies such as stroke during the pandemic are critical.
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #695899
    Database COVID19

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  7. Article ; Online: Stroke Code Presentations, Interventions, and Outcomes Before and During the COVID-19 Pandemic

    Jasne, Adam S. / Chojecka, Pola / Maran, Ilavarasy / Mageid, Razaz / Eldokmak, Mohamed / Zhang, Qiang / Nystrom, Karin / Vlieks, Kelsey / Askenase, Michael / Petersen, Nils / Falcone, Guido J. / Wira, Charles R. / Lleva, Paul / Zeevi, Neer / Narula, Reshma / Amin, Hardik / Navaratnam, Dhasakumar / Loomis, Caitlin / Hwang, David Y. /
    Schindler, Joseph / Hebert, Ryan / Matouk, Charles / Krumholz, Harlan M. / Spudich, Serena / Sheth, Kevin N. / Sansing, Lauren H. / Sharma, Richa

    Stroke

    2020  Volume 51, Issue 9, Page(s) 2664–2673

    Abstract: Background: Anecdotal reports suggest fewer patients with stroke symptoms are presenting to hospitals during the coronavirus disease 2019 (COVID-19) pandemic. We quantify trends in stroke code calls and treatments at 3 Connecticut hospitals during the ... ...

    Abstract Background: Anecdotal reports suggest fewer patients with stroke symptoms are presenting to hospitals during the coronavirus disease 2019 (COVID-19) pandemic. We quantify trends in stroke code calls and treatments at 3 Connecticut hospitals during the local emergence of COVID-19 and examine patient characteristics and stroke process measures at a Comprehensive Stroke Center (CSC) before and during the pandemic. Methods: Stroke code activity was analyzed from January 1 to April 28, 2020, and corresponding dates in 2019. Piecewise linear regression and spline models identified when stroke codes in 2020 began to decline and when they fell below 2019 levels. Patient-level data were analyzed in February versus March and April 2020 at the CSC to identify differences in patient characteristics during the pandemic. Results: A total of 822 stroke codes were activated at 3 hospitals from January 1 to April 28, 2020. The number of stroke codes/wk decreased by 12.8/wk from February 18 to March 16 ( P =0.0360) with nadir of 39.6% of expected stroke codes called from March 10 to 16 (30% decrease in total stroke codes during the pandemic weeks in 2020 versus 2019). There was no commensurate increase in within-network telestroke utilization. Compared with before the pandemic (n=167), pandemic-epoch stroke code patients at the CSC (n=211) were more likely to have histories of hypertension, dyslipidemia, coronary artery disease, and substance abuse; no or public health insurance; lower median household income; and to live in the CSC city ( P <0.05). There was no difference in age, sex, race/ethnicity, stroke severity, time to presentation, door-to-needle/door-to-reperfusion times, or discharge modified Rankin Scale. Conclusions: Hospital presentation for stroke-like symptoms decreased during the COVID-19 pandemic, without differences in stroke severity or early outcomes. Individuals living outside of the CSC city were less likely to present for stroke codes at the CSC during the pandemic. Public health initiatives to increase awareness of presenting for non-COVID-19 medical emergencies such as stroke during the pandemic are critical.
    Keywords Advanced and Specialised Nursing ; Clinical Neurology ; Cardiology and Cardiovascular Medicine ; covid19
    Language English
    Publisher Ovid Technologies (Wolters Kluwer Health)
    Publishing country us
    Document type Article ; Online
    ZDB-ID 80381-9
    ISSN 1524-4628 ; 0039-2499 ; 0749-7954
    ISSN (online) 1524-4628
    ISSN 0039-2499 ; 0749-7954
    DOI 10.1161/str.0000000000000347
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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