A5000641779- Acute Ischemic Stroke Management
- Stroke Rehabilitation and Recovery
- Venous Thromboembolism Diagnosis and Management
- Non-Invasive Vital Sign Monitoring
- Heart Rate Variability and Autonomic Control
- Traumatic Brain Injury and Neurovascular Disturbances
- Atrial Fibrillation Management and Outcomes
- Pain Management and Treatment
- Cerebrovascular and Carotid Artery Diseases
- Traumatic Ocular and Foreign Body Injuries
- Clinical practice guidelines implementation
- Healthcare Systems and Practices
- Cerebral Venous Sinus Thrombosis
- Musculoskeletal pain and rehabilitation
- Blood Pressure and Hypertension Studies
- Telemedicine and Telehealth Implementation
- Tracheal and airway disorders
- Child Abuse and Related Trauma
- Retinal and Optic Conditions
- Intracerebral and Subarachnoid Hemorrhage Research
- Esophageal and GI Pathology
- Diabetic Foot Ulcer Assessment and Management
- Healthcare Systems and Public Health
- Neurological Disease Mechanisms and Treatments
- Dysphagia Assessment and Management
Rigshospitalet
2025
Copenhagen University Hospital
2025
Zealand University Hospital
2017-2024
University of Copenhagen
2024
Vrije Universiteit Brussel
2012-2019
Universitair Ziekenhuis Brussel
2012-2017
Center for Neurosciences
2015-2016
Neurology, Inc
2014
University Medical Center Groningen
2013
Université Libre de Bruxelles
2013
We explored the safety of intravenous thrombolysis (IVT) or intra-arterial treatment (IAT) in patients with ischemic stroke on non-vitamin K antagonist oral anticoagulants (NOACs, last intake <48 hours) comparison (1) taking vitamin antagonists (VKAs) (2) without previous anticoagulation (no-OAC).This is a multicenter cohort pilot study. Primary outcome measures were occurrence intracranial hemorrhage (ICH) 3 categories: any ICH (ICHany), symptomatic according to criteria European...
Background Telemedicine is currently mainly applied as an in-hospital service, but this technology also holds potential to improve emergency care in the prehospital arena. We report on safety, feasibility and reliability of in-ambulance teleconsultation using a telemedicine system third generation. Methods A routine ambulance was equipped with for real-time bidirectional audio-video communication, automated transmission vital parameters, glycemia electronic patient identification. All...
We evaluated the feasibility and reliability of remote stroke severity quantification in prehospital setting using Unassisted TeleStroke Scale (UTSS) via a telestroke ambulance system fourth-generation mobile network.The technical UTSS were studied healthy volunteers mimicking 41 syndromes during transportation.Except for 1 issue, high-quality assessment was feasible all scenarios. The mean examination time 3.1 minutes (SD, 0.4). showed excellent intrarater interrater variability (ρ=0.98...
Abstract Background and purpose A mobile stroke unit (MSU) reduces delays in treatment by allowing thrombolysis on board avoiding secondary transports. Due to the beneficial effect comparison conventional emergency medical services, current guidelines recommend regional evaluation of MSU implementation. Methods In a descriptive study, pathways patients requiring transport for mechanical thrombectomy were reconstructed from individual patient records within Danish ( n = 122) an adjacent...
In-ambulance telemedicine is a recently developed and promising approach to improve emergency care. We implemented the first ever 24/7 in-ambulance service for acute stroke. report on our experiences with development pilot testing of Prehospital Stroke Study at Universitair Ziekenhuis Brussel (PreSSUB) facilitate wider spread knowledge regarding this technique.Successful execution project involved validation novel stroke scale, design creation specific hardware software solutions, field...
Objective: To examine an early decannulation protocol in adult severe acquired brain injury (SABI) patients. Design: Retrospective, observational cohort study. Subjects/patients: Tracheotomized SABI patients ≥ 18 years admitted to a neurorehabilitation unit. Methods: Primary outcome measure was difference survival rate within first year of discharge. Secondary measures were respiratory infections treated with antibiotics, re-cannulation, time from admission decannulation, length stay,...
Terson syndrome (TS) is often overlooked in acute neurological settings, delaying diagnosis and negatively impacting neurorehabilitation. In cases of severe TS, management with vitrectomy can lead to immediate visual recovery, highlighting the importance timely recognition. This case report presents a diagnosed on arrival at highly specialised neurorehabilitation centre. A male patient his late 40s was admitted after left-sided basal ganglia haemorrhage. Following surgical intervention for...
Supernumerary phantom limb (SPL) is an awareness of illusory extra in addition to the existing limbs. This illusion can be disturbing if unrecognised. SPL due cerebral lesions rare but occurs various neurological disorders, mostly right hemispheric stroke. Detailed symptom examination crucial as may under-reported and overlooked during acute stroke phase. case report describes without pain after a pontine haemorrhage, absence delay identification. A female patient her mid-40s was admitted...
Quantification of stroke severity through telemedicine consultation is challenging and relies on professional support at the patient's bedside. We aimed to develop a novel scale for assessing without assistance from third party (Unassisted TeleStroke Scale [UTSS]).Stroke was assessed in 45 patients with suspicion acute by bedside examination using National Institutes Health Stroke (NIHSS) teleconsultation UTSS. reliability evaluated intrarater interrater variability, internal consistency,...
Background: Spinal cord stimulation (SCS) is a proven and effective treatment for neuropathic pain conditions such as failed back surgery syndrome (FBSS). The hypothesis that different settings SCS parameters activate unique, pain-relieving mechanisms has boosted the development of various paradigms. High density spinal (HD-SCS) one those promising, novel forms characterized by subthreshold stimulation, delivering more pulses per second higher pulse to than conventional SCS. Objectives: aim...
Background: Telemedicine is a valid alternative to face-to-face patient care in many areas. However, the opinion of all stakeholders decisive for successful adoption this technique, especially as telemedicine expands into novel domains such emergency teleconsultations during ambulance transportation and chronic at home. Objective: We evaluate viewpoints broad public, patients, professional caregivers these situations. Methods: A 10-question survey was developed obtained via interviews...
Stroke is a very time-sensitive pathology, and many new solutions target the optimization of prehospital stroke care to improve management process. In-ambulance telemedicine, defined by live bidirectional audio-video between patient neurologist in moving ambulance automated transfer vital parameters, promising approach speed up quality acute care. Currently, no evidence exists on cost effectiveness in-ambulance telemedicine.We aim develop first model for telemedicine use this estimate time...
Heart rate variability (HRV) is a parameter of autonomic nervous system function. A decrease HRV has been associated with disease severity, risk complications and prognosis in several conditions.We aim to investigate the feasibility reliability in-ambulance registration during emergency interventions, evaluate association between prehospital parameters, patient characteristics, vital parameters short-term outcome.We conducted prospective study using non-invasive 2-lead ECG device 55 patients...
Stroke is a time-critical medical emergency requiring specialized treatment. Prehospital delay contributes significantly to delayed or missed treatment opportunities. In-ambulance telemedicine can bring stroke expertise the prehospital arena and facilitate this complex diagnostic therapeutic process.This study evaluates efficacy, safety, feasibility, reliability cost-effectiveness of in-ambulance for patients with suspicion acute stroke. We hypothesize that approach will reduce in-hospital...