A5009666948- Acute Ischemic Stroke Management
- Cerebrovascular and Carotid Artery Diseases
- Cardiac Arrest and Resuscitation
- Venous Thromboembolism Diagnosis and Management
- Peripheral Artery Disease Management
- Stroke Rehabilitation and Recovery
- COVID-19 and healthcare impacts
- Blood Pressure and Hypertension Studies
- Respiratory Support and Mechanisms
- Intracerebral and Subarachnoid Hemorrhage Research
- Maternal and fetal healthcare
- Maternal and Perinatal Health Interventions
- Neurological Disorders and Treatments
- Poisoning and overdose treatments
- Cardiovascular Health and Risk Factors
- Airway Management and Intubation Techniques
- Neurological and metabolic disorders
- Traumatic Ocular and Foreign Body Injuries
- Ocular and Laser Science Research
- Ectopic Pregnancy Diagnosis and Management
- Neurological Complications and Syndromes
- Schizophrenia research and treatment
- Antiplatelet Therapy and Cardiovascular Diseases
- Retinal and Optic Conditions
- Neurosurgical Procedures and Complications
University of South Florida
2023-2025
University of Miami
2023-2025
American Heart Association
2023
Baptist Health South Florida
2023
Florida International University
2023
Jameson Memorial Hospital
2022-2023
Tampa General Hospital
2022
University of Pittsburgh Medical Center
2009
University of Pittsburgh
2009
Background: The impact of time to treatment on outcomes endovascular thrombectomy (EVT) especially in patients presenting after 6 hours from symptom onset is not well characterized. We studied the differences characteristics and timelines EVT-treated participating Florida Stroke Registry aimed characterize extent which impacts EVT early late windows. Methods: Prospectively collected data Get With Guidelines–Stroke hospitals January 2010 April 2020 were reviewed. Participants with...
Endovascular thrombectomy outcomes are impacted by changes in stroke systems of care. During the pandemic, SARS-CoV2 positive status had major implications on hospital arrival and treatment models non-COVID related admissions. Using Florida Stroke Registry, we compared rates in-hospital death discharge patients treated with endovascular who tested for infection during their hospitalization. Data from Get Guidelines-Stroke hospitals participating Registry COVID pandemic March 2020 to December...
Introduction: The evolving landscape of acute ischemic stroke (AIS) demands knowledge the changing demographics, treatment status and outcomes. Methods: Temporal trends in characteristics, presentation, guideline recommended therapies (defect free care-DFC), in-hospital mortality, functional outcomes AIS patients enrolled GWTG-S, Florida Stroke Registry (FSR) were evaluated from 2012 to 2023 using multinomial temporal model adjusting for age, sex, race, severity, pre-morbid disability, time...
Introduction: The initial intent of the intracerebral hemorrhage (ICH) score was to improve communication and consistency among providers, rather than be used as a precise predictor outcome. We aimed investigate time trends in rates mortality withdrawal life-sustaining treatment (WLST) by category ICH severity score. Methods: Patients with recorded clinical diagnosis were identified using data from Florida Stroke Registry (FSR) hospitals participating American Heart Association (AHA) Get...
Background: Reducing the time between ischemic stroke onset and intravenous thrombolysis (IVT) is crucial for treatment effectiveness. Through a grassroots effort, Florida Stroke Registry (FSR) developed regional dashboards (RDs) displaying reperfusion metrics from hospitals participating voluntarily in local Coalitions with goal of improving quality acute care. We sought to evaluate whether RD utilization associated faster IVT times, as well improved hospitalization outcomes. Methods:...
ABSTRACT Background and Purpose The intracerebral hemorrhage (ICH) score was created as a tool improve communication consistency among providers, authors initially cautioned against its use predictor of outcomes. We aimed to investigate the association ICH with mortality withdrawal life-sustaining treatment (WLST). Methods Patients diagnosis were identified using data from Florida Stroke Registry (FSR) hospitals participating in American Heart Association (AHA) Get Guidelines-Stroke (GWTG-S)...
Although ischemic stroke (IS) in young patients (aged 18-55) is believed to have different etiologies than older patients, a rise vascular risk factors (VRFs) among adults may translate an IS profile similar the population. We aimed examine prevalence of VRFs and temporal trends VRF burden presenting with IS. Data were prospectively collected by Get With Guidelines-Stroke hospitals participating Florida Stroke Registry between January 2014 December 2022. Patients aged 18-55 diagnosis...
Background Older patients (≥80 years of age) were under‐represented in randomized trials endovascular thrombectomy (EVT). In the large Florida Stroke Registry (FSR), we aimed to evaluate characteristics older receiving EVT routine practice and study impact age on outcomes. Methods Results Data prospectively collected from Get With The Guidelines‐Stroke hospitals FSR January 2010 December 2022 analyzed for Among EVT, associated with ≥80 outcomes discharge directly home or acute inpatient...
Short-term dual antiplatelet therapy (DAPT) reduces early stroke recurrence after mild noncardioembolic ischemic (NCIS). We aim to evaluate temporal trends and determinants of DAPT prescription NCIS in the Florida Stroke Registry, a statewide registry across Get With The Guidelines-Stroke participating hospitals.
The Florida Stroke Act, signed into law in 2004, set criteria for Comprehensive Centers (CSC). For a time period, hospitals were permitted to either receive national certification (NC) or could self-attest (SA) as fulfilling CSC criteria. aim of this project was evaluate the quality ischemic stroke care NC versus SA centers Florida, using well-known, guideline-driven outcome metrics.A total 37 CSCs (74% CSCs) Registry from January 2013 through December 2018 analyzed, including 19 and 18 (13...
OBJECTIVES: Temporal trends and factors associated with the withdrawal of life-sustaining therapy (WLST) after acute stroke are not well determined. DESIGN: Observational study (2008–2021). SETTING: Florida Stroke Registry (152 hospitals). PATIENTS: Acute ischemic (AIS), intracerebral hemorrhage (ICH), subarachnoid (SAH) patients. INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: Importance plots were performed to generate most predictive WLST. Area under curve (AUC) for receiver operating...
A 53-year-old man presented with acute, severe loss of vision in both eyes. Three days earlier, he had noticed a painless deterioration his vision, which progressed until could no longer read newspaper using either eye. On examination, the patient’s best corrected visual acuity was 20/
Aripiprazole (Abilify), or 7-{4-[4-(2,3-dichlorophenyl)-1-piperazinyl]butyloxy}-3,4-dihydro-2(1H)-quinolone, is a novel atypical antipsychotic possessing long half-life. Although not Food and Drug Administration-approved indication, low-dose aripiprazole used to treat pediatric psychiatric conditions. Data regarding toxicity of ingestions in children are limited. We report the case an accidental ingestion two 5-mg tablets by 2-year-old girl with measured drug level 160 ng/mL approximately 34...
National guidelines recommend that high-performing systems process 9-1-1 calls within 60 s and deliver the first telecommunicator cardiopulmonary resuscitation compression 90 s. The inability of employing secondary public safety answering points (PSAPs) to capture call arrival timestamp at primary PSAP is a challenge in out-of-hospital cardiac arrest response time research.
Guideline-based hypertension management is integral to the prevention of stroke. We examine trends in antihypertensive medications prescribed after stroke and assess how well a prescriber's blood pressure (BP) medication choice adheres clinical practice guidelines (BP-guideline adherence).
Introduction: Short-term dual antiplatelet therapy (DAPT) lowers the risk of early stroke recurrence after mild non-cardioembolic ischemic (NCIS) and high-risk transient attack. However, DAPT benefit in moderate-to-severe NCIS is unknown. We sought to investigate time-trends determinants prescription Florida Stroke Registry (FSR). Methods: Within 168 FSR-participating hospitals, between January 2010 September 2022, we analyzed patients with NIHSS score >3, without other indication(s) for...
Introduction: The outcomes of endovascular thrombectomy (EVT) in SARS-CoV2 positive patients with acute ischemic stroke (AIS) are not well studied. In the large Florida Stroke Registry we compared hospital and discharge target vessel occlusions treated endovascularly versus without a infection status during their hospitalization. Methods: Data from Get With Guidelines-Stroke hospitals participating March 2020 to December 2022 were reviewed. EVT coding for testing stay categorized into or...
Background: The coronavirus 2019 (COVID-19) pandemic has affected all aspects of stroke care delivery and resource allocation. We sought to study this effect utilizing the Florida Stroke Registry (FSR), which collects data from hospitals in large metropolitan cities small communities, each facing peaks at different timepoints within various healthcare system organizations. Methods: From March 2021, FSR identified 82,899 patients with final diagnosis ischemic TIA. metrics were compared...
We hypothesize adherence to antihypertensive prescribing guidelines will predict 90-day stroke and hospital readmission rates. explore race-ethnic associations.