A5046154511- Acute Ischemic Stroke Management
- Cerebrovascular and Carotid Artery Diseases
- Stroke Rehabilitation and Recovery
- Intracerebral and Subarachnoid Hemorrhage Research
- Cardiovascular Health and Disease Prevention
- Venous Thromboembolism Diagnosis and Management
- Neuroinflammation and Neurodegeneration Mechanisms
- Intracranial Aneurysms: Treatment and Complications
- Pelvic floor disorders treatments
- Infectious Encephalopathies and Encephalitis
- Urinary Tract Infections Management
- Dialysis and Renal Disease Management
- Blood Pressure and Hypertension Studies
- Urinary Bladder and Prostate Research
- Inflammatory Biomarkers in Disease Prognosis
- Moyamoya disease diagnosis and treatment
- Nutritional Studies and Diet
- Muscle and Compartmental Disorders
- Chronic Kidney Disease and Diabetes
- Body Contouring and Surgery
- Diabetes, Cardiovascular Risks, and Lipoproteins
- Oral and gingival health research
- Spinal Fractures and Fixation Techniques
- Restraint-Related Deaths
- Lipoproteins and Cardiovascular Health
Tzu Chi University
2016-2024
Taipei Tzu Chi Hospital
2014-2024
Buddhist Tzu Chi Medical Foundation
2018-2020
Creative Commons
2018
Buddhist Tzu Chi General Hospital
2011
Chang Gung Memorial Hospital
1994
The triglyceride-glucose (TyG) index has recently been proposed as a reliable marker of insulin resistance. There is insufficient evidence to verify that the TyG correlated with functional outcomes and hemorrhagic transformation in patients stroke treated intravenous thrombolysis (IVT).We designed multicenter cohort study, which enrolled acute ischemic IVT between December 2004 2016. was divided into tertiles calculated on continuous scale. Unfavorable were defined by modified Rankin Scale...
Immune-inflammatory processes are involved in all the stages of stroke. This study investigated association neutrophil-to-lymphocyte ratio (NLR) with hyperdense artery sign (HAS) observed on brain computed tomography (CT) and clinical features patients acute ischemic stroke.We retrospectively enrolled 2903 inpatients stroke from May 2010 to 2019. Data collected included imaging studies, risk factors, laboratory parameters, during hospitalization.The HAS was identified 6% 66% 236 middle...
We investigated the seasonal variations in stroke 4040 retrospectively enrolled patients with acute ischemic (AIS) admitted between January 2011 and December 2022, particularly those cardioembolic (CE) stroke, compared predictors of unfavorable outcomes AIS CE patients. The classification subtypes was based on Trial ORG 10172 Acute Stroke Treatment. occurrence stratified by seasons weekdays or holidays. Of all cases, 18% were stroke. five subtypes, oldest; received most thrombolysis...
Urinary tract infection (UTI) during acute ischemic stroke is associated with a longer hospital length of stay and unfavorable functional outcomes.We investigated the benefits portable bladder ultrasound (PBU) scanning stroke.We retrospectively reviewed patients from January 2011 to February 2017. Patients were divided into group 1 (PBU not available) 2 available), before or after split date, April 9, 2014. Portable was conducted by nurses measure postvoid residual urine volume in impaired...
Although a lower level of non-high-density lipoprotein cholesterol (HDL-C) was reported to be inversely associated with spontaneous intracranial hemorrhage (ICH), no enough evidence has verified whether lipid profiles modify hemorrhagic transformation and functional outcomes in patients acute ischemic treated thrombolysis.This multicenter cohort study included 2373 stroke intravenous thrombolysis between December 2004 2016. Of these, 1845 were categorized into either the hyperlipidemia or...
We investigated the differences of clinical features, four immune-inflammatory markers, namely neutrophil counts, platelet-to-lymphocyte ratio, neutrophil-to-lymphocyte ratio (NLR), and systemic immune-inflammation index (SII), as well outcomes between patients with in-hospital ischemic stroke (IHIS) out-of-hospital (OHIS).We retrospectively enrolled 72 IHIS 3330 OHIS.IHIS accounted for 2% all occurred more often in cardiology orthopedic surgery wards. Infection, cardiac disease, pulmonary...
Cytotoxic lesions of corpus callosum (CLOCCs) are associated with many disease entities. Serious neurological complications after coronavirus 2019 (COVID-19) vaccination rare.A 20-year-old man presented severe headache for 2 days. He had received the first dose ChAdOx1nCoV-19 COVID-19 vaccine 5 days ago. Persistent dull occurred on third day and intensified gradually to awaken him from sleep at night. No neck stiffness was observed. Brain magnetic resonance angiography (MRA) 9 revealed an...
Seizures should be diagnosed and treated to ensure optimal health outcomes in critically ill patients admitted the medical intensive care unit (MICU). Continuous electroencephalography is still infrequently used MICU. We investigated effectiveness of routine EEG (rEEG) detecting seizures A total 560 MICU between October 2018 March 2023 who underwent rEEG were reviewed. Seizure-related constituted 47% all studies. Totally, 39% experienced clinical during hospitalization; among them, 48%...
We performed carotid duplex and transcranial color-coded sonography in three patients with traumatic one patient spontaneous carotid-cavernous fistulas. High flow low resistance were detected by Doppler imaging the extracranial internal artery cases external case. The fistula could be demonstrated directly as heterogenous color flashes turbulent through orbital or temporal window. transorbital approach showed that ophthalmic venous was normal to-and-fro bidirectional without proptosis...
Background Insufficient evidence is available for patients with acute ischemic stroke atrial fibrillation (AF) to determine the efficacy and safety of different dosages intravenous thrombolysis treatment. This study examined clinical outcomes in Chinese without AF after treatment doses. Methods Results multicenter, prospective cohort recruited 2351 (1371 980 AF) treated using alteplase. The Totaled Health Risks Vascular Events score a validated risk‐scoring tool used assessing AF. We...
(1) Background: The role of uric acid in stroke outcomes remains inconclusive. (2) Methods: We retrospectively enrolled 3370 patients with acute ischemic stroke. (3) Results: Uric level was higher men than women. Univariate analyses revealed that the rates hyperuricemia were all and women for unfavorable outcomes. For death, including women, levels also A J-shaped curve observed between discharge-modified Rankin Scale score. Patients within Quartiles 1 (<4.1 mg/dL) 4 (>6.5 had death 2...
The authors describe 2 patients with multiple cerebral infarcts and hemorrhagic trans formation caused by artery-to-artery emboli. Ulcerated plaques free-floating thrombus adherent to the plaque were detected at carotid bifurcation duplex sonography. No other embolic source could be found. One patient developed an occipital infarction due emboli passing through a fetal-type posterior communicating artery. Both recovered well without recurrence of stroke or transient ischemic attack...
Background: Stroke and dementia represent frequent causes of psychophysical socioeconomic burdens. We conducted a vascular, cognitive, psychomental survey involving elderly volunteers at community-based recycling stations in Northern Taiwan. Methods: Recycling aged ≥60 years were surveyed. recorded seven parameters, namely (1) body mass index (BMI), (2) fasting glucose, (3) cholesterol, (4) ankle-brachial (ABI), (5) carotid duplex sonography, (6) five-item Brief Symptom Rating Scale (BSRS-5)...
Efficacy of thrombolytic therapy decreases with time elapsed from symptom onset. We sought to identify the impact code stroke on therapy.Code is activated by emergency physician when a patient eligible for therapy. retrospectively reviewed patients acute ischemic between January 2011 and December 2014.In total, 1809 were enrolled. Code was in 233 351 arriving at room (ER) within 3 h onset, 21 >3 h. The sensitivity, specificity, positive negative predictive values 76%, 46%, 72%, 51%,...
Objectives The prevalence of carotid disease in stroke patients has been underestimated because most who receive sonography have already survived the acute event. Little is known about extracranial arteries with need intensive care. This study reviewed color‐coded duplex sonographic examinations critical hemispheric ischemic stroke. Methods We retrospectively 30 consecutive had and received care unit. presence occlusive artery was correlated clinical features, vascular risk factors,...
Carotid atherosclerosis is associated with cardiovascular and cerebrovascular events. We explored an appropriate method for selecting participants without ischemic disease but various comorbidities eligible a carotid ultrasound. This was retrospective subgroup analysis of the plaque burden from previous study involving vascular cognitive survey 956 elderly recycling volunteers (778 women 178 men; mean age: 70.8 years). used ultrasound to detect computed score (CPS). A moderate or high degree...
The National Health Insurance Bureau of Taiwan has established a postacute care model stroke (PAC-stroke). Patients with acute occurring within the preceding 30 days and modified Rankin scale (mRS) scores 2-4 can be transferred to PAC hospitals for 6-12 weeks rehabilitation. We conducted retrospective review explore results PAC-stroke.