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Related Concept Videos

Transient Ischemic Attack l: Introduction01:26

Transient Ischemic Attack l: Introduction

A transient ischemic attack (TIA) is a brief episode of neurological dysfunction caused by a temporary, focal reduction in cerebral blood flow. Although symptoms resemble those of an ischemic stroke, the interruption in perfusion is short-lived and does not cause permanent infarction. TIAs are clinically important because they often serve as early warning events for future stroke.Mechanisms of Transient Cerebral IschemiaTransient cerebral ischemia may arise through several mechanisms. One...
Ischemic Stroke ll: Pathophysiology01:15

Ischemic Stroke ll: Pathophysiology

An ischemic stroke occurs when a cerebral blood vessel becomes obstructed, most often by a thrombus or embolus, interrupting the delivery of oxygen and glucose to brain tissue. Because neurons rely on continuous aerobic metabolism, energy failure begins within minutes of reduced perfusion. The region receiving the least blood flow becomes the infarct core, an area of irreversible cellular death. Surrounding this core lies the penumbra, a zone of hypoperfused but still viable tissue that is...
Ischemic Stroke l: Introduction01:15

Ischemic Stroke l: Introduction

Ischemic stroke is an acute cerebrovascular condition in which blood flow to a brain region is suddenly interrupted, leading to tissue infarction. Neurons depend on continuous oxygen and glucose supply, so even brief reductions in perfusion cause energy failure, ionic imbalance, and irreversible injury. Ischemic strokes are classified into thrombotic and embolic types based on their underlying mechanisms.Thrombotic MechanismsThrombotic stroke develops when a clot forms within a cerebral artery.
Acute Coronary Syndrome IV: Interprofessional Care01:28

Acute Coronary Syndrome IV: Interprofessional Care

IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
Stroke: Introduction and Types01:29

Stroke: Introduction and Types

A stroke is an acute neurological event caused by the sudden disruption of cerebral blood flow, leading to rapid loss of neuronal function. Neurons depend on continuous oxygen and glucose supply, so even brief interruptions can cause irreversible injury within minutes. Strokes are classified into ischemic and hemorrhagic types.Ischemic StrokeIschemic strokes are most common and occur due to arterial occlusion, depriving brain tissue of oxygen and nutrients. This leads to energy failure, ionic...
Acute Coronary Syndrome I: Introduction01:30

Acute Coronary Syndrome I: Introduction

Acute Coronary Syndrome (ACS) encompasses a spectrum of heart conditions caused by sudden obstruction of coronary arteries, typically resulting from the rupture of an atherosclerotic plaque and subsequent thrombus (blood clot) formation. This obstruction can lead to partial or complete blockage of blood flow, causing varying degrees of myocardial ischemia or infarction.ACS includes the following clinical entities:Unstable Angina (UA)Non-ST-Elevation Myocardial Infarction (NSTEMI)ST-Elevation...

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Updated: Jun 1, 2026

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
09:21

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke

Published on: January 18, 2018

Why do ischemic stroke and transient ischemic attack patients get readmitted?

Pratik Bhattacharya1, Deependra Khanal, Ramesh Madhavan

  • 1Department of Neurology, Wayne State University/Detroit Medical Center, Detroit, MI 48201, USA. pdbhatta@med.wayne.edu

Journal of the Neurological Sciences
|June 4, 2011
PubMed
Summary
This summary is machine-generated.

Nearly 10% of urban stroke patients were readmitted within 30 days, often for preventable non-neurological reasons like infections. Improving care transitions can reduce stroke readmissions.

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Last Updated: Jun 1, 2026

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
09:21

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke

Published on: January 18, 2018

Area of Science:

  • Neurology
  • Healthcare Quality
  • Public Health

Background:

  • Hospital readmission rates are critical indicators of healthcare quality.
  • Understanding readmission drivers in stroke patients is essential for improving patient outcomes and reducing healthcare costs.

Purpose of the Study:

  • To investigate the primary reasons for 30-day readmissions among urban stroke patients.
  • To identify clinical factors associated with these readmissions.
  • To explore the consequences of readmission on patient outcomes.

Main Methods:

  • A cohort of consecutive patients admitted with ischemic stroke or transient ischemic attack (TIA) to a certified primary stroke center was analyzed.
  • Data collected included demographics, stroke mechanisms, risk factors, treatments, and discharge destinations.
  • Patient charts were reviewed for readmissions within 30 days, with reasons and outcomes meticulously documented.

Main Results:

  • Of 252 eligible patients, 9.9% were readmitted within 30 days.
  • Neurological reasons accounted for 32% of readmissions (stroke, TIA), while non-neurological causes (infections, electrolyte disturbances, falls) comprised 68%.
  • Coronary artery disease, a higher NIH Stroke Scale score (≥10), and discharge to subacute rehabilitation or nursing homes were associated with increased readmission risk.

Conclusions:

  • Disabling strokes increase the likelihood of readmission, frequently due to non-neurological and potentially preventable factors.
  • Physicians should analyze 30-day readmissions to establish best practices for prevention.
  • Optimizing discharge planning and addressing non-neurological complications are crucial for reducing stroke readmissions.