A5051148456- Acute Ischemic Stroke Management
- Stroke Rehabilitation and Recovery
- Traumatic Brain Injury and Neurovascular Disturbances
- Venous Thromboembolism Diagnosis and Management
- Healthcare Systems and Practices
- Inflammatory Myopathies and Dermatomyositis
- Global Health and Surgery
- Long-Term Effects of COVID-19
- Systemic Sclerosis and Related Diseases
- Trauma and Emergency Care Studies
- COVID-19 and healthcare impacts
- Eosinophilic Disorders and Syndromes
- Radiation Dose and Imaging
- Healthcare Systems and Public Health
- Peripheral Artery Disease Management
- Surgical Simulation and Training
University of Rochester Medical Center
2021-2025
University of Rochester
2020-2024
Diana Princess of Wales Hospital
2020
St James's University Hospital
1995
COVID-19 is an independent risk factor for ischemic stroke. Studies from early in the pandemic show increased rates of unfavorable recanalization, poor outcomes, and mortality patients who were positive at time mechanical thrombectomy. However, there are currently no studies examining these parameters during later when circulating variants less virulent. We performed a retrospective review thrombectomies 12/2020 to 3/2023. Patients thrombectomy included. Demographic, procedural, 90-day...
BACKGROUND AND OBJECTIVES: Strokes disproportionately affect underprivileged populations. Mobile stroke units (MSUs) bring diagnostic and treatment tools for directly to patients. This study assessed how MSUs in Rochester, New York, address disparities care. METHODS: observational compared demographics ZIP code socioeconomic status (zSES) of patients transported by our relative who arrived at institution traditional emergency medical service private means. RESULTS: Between October 2018...
The available literature on mobile stroke units (MSU) has focused clinical outcomes, rather than operational performance. Our objective was to establish normalized metrics and conduct a meta-analysis of the current MSU performance.Our in upstate New York serves 741,000 people. We present prospectively collected, retrospectively analyzed data from inception our October 2018, through March 2021. Rates transportation/dispatch utilization were reported. also performed using MEDLINE, SCOPUS,...
Introduction: Acute ischemic stroke (AIS) disproportionately affects minority populations with evidence showing black and Hispanic patients utilize traditional EMS less, have greater delay in arrival to the emergency department, are less likely receive thrombolysis, lower odds for good functional outcomes. 1–3 Mobile Stroke Units (MSUs) bring diagnostic treatment tools AIS directly patients, achieving faster thrombolytic administration better 4,5 Objective: This study compared demographic...
Background: Treatment on Mobile Stroke Units (MSU) improves outcome for patients with acute ischemic stroke, however MSU effectiveness relies accuracy of field dispatch. We aimed at collecting representative data dispatch infrastructure, methods stroke identification the dispatcher level, operation rules and impression relevant to operations worldwide. Methods: A survey PREhospital Organization (PRESTO) was conducted in 2020 include all operational clinical services Twenty 23 (87%) four...
Rahmani, Redi MD; Bhalla, Tarun; Susa, Stephen; Proper, Diana; Boulos, Alan S Shannon, Larry R Adamson, David C MD, PhD, MPH, MHS; Bidros, Dani Knoop, Henry; Winther, Mark; LeRoux, Peter D MD Author Information
Background Hospitals have improved stroke thrombolysis times through rigorous assessment of care delays. However, this same rigor has not yet been applied to the novel setting mobile units (MSUs). Methods We reviewed all cases intravenous tPA (tissue‐type plasminogen activator) administration onboard our MSU in Rochester, NY, since its first complete year operation 2019. The dispatch timeline was divided into 6 intervals: (1) response time, (2) onboarding (3) head computed tomography...
<h3>Background</h3> COVID-19 is now well documented as a contributor to stroke. In single center and multicenter series for mechanical thrombectomy, there are conflicting results about outcomes. general, it appears that thrombectomy in has significantly higher mortality. However, most data from 2020-2021, very little available on 90day We present COVID positive patients 2021-2023 evaluate how outcomes evolved the pandemic progressed. <h3>Methods</h3> performed retrospective review of...
Introduction: Mechanical thrombectomy (MT) is effective for select acute ischemic strokes due to large vessel occlusion (LVO-AIS). Systems of care need expeditiously identify, transfer, and treat qualifying LVO-AIS. Data are needed define which ingredients most when engineering LVO-AIS regional systems care. Methods: Strong Memorial Hospital (SMH) a Comprehensive Stroke Center in Rochester, NY serving twenty-two New York State designed stroke centers (NYS-DSC). Arnot Ogden Medical (AOMC),...
Introduction: Hospitals have improved stroke thrombolysis times through rigorous assessment of care delays. While mobile units (MSU) expedite intravenous for acute ischemic stroke, the same rigor has not been applied to this novel setting. Methods: We reviewed all cases tissue plasminogen activator (tPA) administration onboard our unit in Rochester, NY since its inception 2019. The dispatch timeline was divided into six intervals: (1) drive time, (2) onboarding (3) HCT collection, (4)...
Introduction: Mobile stroke units (MSU) have become increasingly common and now span a diverse range of communities. Reporting has previously focused on clinical outcomes, metrics reporting the operational performance MSUs not been standardized. The aim this study was to establish normalized evaluate complete meta-analysis current literature MSU performance. Methods: Our serves population 741,000 people in upstate New York. Data prospectively collected retrospectively analyzed from its...