Hassan Soda
A5054253622- Acute Ischemic Stroke Management
- Stroke Rehabilitation and Recovery
- Atrial Fibrillation Management and Outcomes
- Cardiac Arrhythmias and Treatments
- Clinical practice guidelines implementation
- Venous Thromboembolism Diagnosis and Management
- Cerebrovascular and Carotid Artery Diseases
- Traumatic Brain Injury and Neurovascular Disturbances
- Antiplatelet Therapy and Cardiovascular Diseases
- Telemedicine and Telehealth Implementation
- Cardiac electrophysiology and arrhythmias
- Health Systems, Economic Evaluations, Quality of Life
- Neurological Disorders and Treatments
- Cardiovascular Syncope and Autonomic Disorders
- Cardiac Valve Diseases and Treatments
- Brain Metastases and Treatment
- Esophageal and GI Pathology
- Transcranial Magnetic Stimulation Studies
- Cardiac Imaging and Diagnostics
- Epilepsy research and treatment
- Patient-Provider Communication in Healthcare
- Intracranial Aneurysms: Treatment and Complications
- Dysphagia Assessment and Management
- Obstructive Sleep Apnea Research
- Ethics in Clinical Research
Rhön-Klinikum
2004-2024
Population Health Research Institute
2024
McMaster University
2024
Thales (Portugal)
2020-2021
Northwick Park Hospital
2016
University Hospital Münster
2016
Universitätsklinikum Würzburg
2016
University Hospital Heidelberg
2016
University of Würzburg
2016
Heidelberg University
2016
Dysphagia is common after stroke, associated with increased death and dependency, treatment options are limited. Pharyngeal electric stimulation (PES) a novel for poststroke dysphagia that has shown promise in 3 pilot randomized controlled trials.We randomly assigned 162 patients recent ischemic or hemorrhagic stroke dysphagia, defined as penetration aspiration score (PAS) of ≥3 on video fluoroscopy, to PES sham given consecutive days. The primary outcome was swallowing safety, assessed...
To assess whether smoking cessation after an ischemic stroke or TIA improves outcomes compared to continued smoking. We conducted a prospective observational cohort study of 3,876 nondiabetic men and women enrolled in the Insulin Resistance Intervention After Stroke (IRIS) trial who were randomized pioglitazone placebo within 180 days qualifying followed up for median 4.8 years. A tobacco use history was obtained at baseline updated during annual interviews. The primary outcome, which not...
Atrial fibrillation (AF) is one of the most frequent causes stroke. Several randomized trials have shown that prolonged monitoring increases detection AF, but effect on reducing recurrent cardioembolism, ie, ischemic stroke and systemic embolism, remains unknown. We aim to evaluate whether a risk-adapted, intensified heart rhythm with consequent guideline conform treatment, which implies initiation oral anticoagulation (OAC), leads reduction cardioembolism.Find-AF 2 randomized, controlled,...
In patients who present with acute ischemic stroke while on treatment non-vitamin K antagonist oral anticoagulants (NOACs), coagulation testing is necessary to confirm the eligibility for thrombolytic therapy. We evaluated current use of in routine clinical practice were NOAC at time stroke.Prospective multicenter observational RASUNOA registry (Registry Acute Stroke Under New Oral Anticoagulants; February 2012-2015). Results locally performed nonspecific (international normalized ratio,...
Background and Purpose— Many patients with acute ischemic stroke are not eligible for thrombolysis or mechanical reperfusion therapies due to contraindications, inaccessible vascular occlusions, late presentation, large infarct core. Sphenopalatine ganglion (SPG) stimulation enhance collateral flow stabilize the blood-brain barrier offers an alternative, potentially more widely deliverable, therapy. Methods— In a randomized, sham-controlled, double-masked trial at 41 centers in 7 countries,...
Abstract Background Telemedicine improves the quality of acute stroke care in rural regions with limited access to specialized care. We report first 2 years’ experience implementing a comprehensive telemedical network comprising all levels defined region. Methods The TRANSIT-Stroke covers mainly region north-western Bavaria (Germany). All hospitals providing this participate TRANSIT-Stroke, including four supra-regional certified unit (SU) (level III), three those teleconsultation two...
Introduction: Factor Xa (FXa) inhibitors are superior to vitamin K antagonists (VKAs) in terms of avoiding hemorrhagic complications. However, no robust data available date as whether this also applies the early phase after stroke. In prospective registry study, we aimed investigate anticoagulation with FXa acute ischemic stroke or transient attack (TIA) is associated a lower risk major bleeding events compared VKAs. Materials and methods: The Prospective Record Use Dabigatran Patients Acute...
Door-to-CT scan time (DCT) and door-to-needle (DNT) are important process measures in acute ischemic stroke (AIS) patients undergoing intravenous thrombolysis (IVT). We examined the impact of a telemedical prenotification by emergency medical service (EMS) (called "Stroke Angel" program) on DCT DNT IVT rate compared to standard care.Two prospective observational studies including AIS admitted via EMS from 2011 2013 (cohort I; n = 496) January 1, 2015 May 31, 2018 II; 349) were conducted....
Zusammenfassung Ziel des digitalen Notfallmanagements ist, dass alle Akteure der Rettungskette sich bei einem Notfalleinsatz elektronisch miteinander austauschen und auf Informationen, die für optimale Versorgung Patientin relevant sind, zugreifen kommunizieren können. Für den Einsatz Digitalisierung im Notfallmanagement existieren mittlerweile zahlreiche Konzepte mit vielversprechenden Studienergebnissen Implementierungserfahrungen, in einer (über)regionalen Behandlungsstrategie...
Abstract Background Long-term support of stroke patients living at home is often delivered by family caregivers (FC). We identified characteristics being associated with receiving care a FC 3-months (3 M) after stroke, assessed positive and negative experiences individual burden caring for determined factors caregiving 3 M stroke. Methods Data were collected within TRANSIT-Stroke, regional telemedical stroke-network comprising 12 hospitals in Germany. Patients stroke/TIA providing informed...
Background Endovascular thrombectomy (EVT) for very distal vessel occlusion (DVO) stroke is increasingly performed but there insufficient evidence on the efficacy and safety of EVT techniques. We hypothesized that technique soft partial release non-aggressive stent retrievers (SPORNS) reduces friction perforating vessels during thereby bleeding complications. Methods Retrospective study including consecutive DVO patients who were treated with SPORNS between 1 January 2022 31 December at two...
Zusammenfassung Epilepsie ist eine der häufigsten neurologischen Erkrankungen im Erwachsenenalter und Diagnosen in Kliniken. Im Rettungswesen werden epileptische Anfälle oder klinisch ähnliche suspekte Ereignisse, die nicht zwingend epileptisch sein müssen, unter Meldediagnose „Krampfanfall“ geführt. Eine sichere diagnostische Einschätzung am Notfallort für Mitarbeiter Rettungsteams oft erschwert, da Patienten nach einem Anfall verwirrten Zustand können zum Ereignis Amnesie zeigen....
Improving understanding of study contents and procedures might enhance recruitment into studies retention during follow-up. However, data in stroke patients on the informed consent (IC) procedure are sparse.We conducted a cross-sectional among ischemic taking part IC an ongoing cluster-randomized secondary prevention trial. All aspects were assessed interview using standardized 20-item questionnaire. Responses collected within 72 h after analyzed quantitatively qualitatively. Participants...
Der Schlaganfall ist das häufigste neurologische Krankheitsbild bei Notarzteinsätzen und im Rettungsdienst. Jährlich erleiden in Deutschland ca. 120 000–200 000 Menschen einen mit großen sozioökonomischen Auswirkungen. Schlaganfälle sind die dritthäufigste Todesursache zählen zu den Hauptverursachern von Pflegebedürftigkeit Behinderung. Moderne Behandlungsmöglichkeiten führten einem Umdenken: weg vom schicksalhaften Erdulden hin einer aktiven Akuttherapie dieser zerebrovaskulären Erkrankung....
Ziel der Studie: Anhand dieser prospektiven Studie soll die Wertigkeit des sonografisch ermittelten intrakraniellen Cross-Flows über ipsilaterale A. cerebri anterior (ACA) und posterior (PCA) als prognostischer Faktor für einen frischen Infarkt nach operativer Intervention hochgradiger Stenosen an carotis interna beurteilt werden.
Einleitung: Anstiege von Hirndruckwerten wirken sich hämodynamisch wie ein erhöhter peripherer Widerstand aus. Ein Druckanstieg um 10mmHg führt regelmäßig zu einer Erhöhung des Pulsatilitätsindexes (PI) in der Größenordnung 25–50%.
Bei Verdacht auf Schlaganfall ist eine reibungslose Abstimmung zwischen Rettungsdienst und Stroke Unit von großer Bedeutung – gerade weil die Zeit gegen den Patienten läuft. Dieser Beitrag zeigt, wie standardisierte strukturierte Patientenversorgung mit einem telemedizinischen Notfallmanagement gelingt.
Die Schlaganfallnachsorge in Deutschland wird von verschiedenen Leistungserbringern gepragt, die teilweise komplementare und komplexe Dienstleistungen erbringen sektorenubergreifend arbeiten. In Bad Neustadt wurde Kooperation mit der Universitat Wurzburg dem Zentrum fur Telemedizin Kissingen das Stroke Manager Programm entwickelt evaluiert. Das strukturierte Nachsorgeprogramm basiert auf einer standardisierten Informations- Software Unterstutzung Akutversorgung bis drei Monate nach...