Stroke Hospitalization Administration & Monitoring: Routine Or Covid-19 Care (SHAMROCC) (P7-5.006)
Notice bibliographique
Résumé
Objective: We aim to compare the incidence and timing of complications in stroke patients over the first 24 hours post-reperfusion therapies and their association to hospital unit in 2019, 2020 and 2021. Background: Monitoring stroke patients in critical-care units for 24 hours after thrombolysis or thrombectomy is considered standard of care but is not evidence-based. Due to the Covid-19 pandemic, our center modified its protocol in April 2021 with 24-hour critical-care monitoring no longer being guaranteed for stroke patients. Design/Methods: We retrospectively collected data from stroke patients treated with thrombolysis or thrombectomy at our center in 2019 (pre-Covid-19, standard of care), 2020 (during Covid-19, standard of care) and 2021 (during Covid-19, new protocol). Data extracted included demographics, the nature and timing of complications within the first 24 hours, and the unit at the time of complication. Major complications included symptomatic intracranial hemorrhage (sICH), recurrent stroke, myocardial infarction, systemic bleeding, RACE call, and death. Results: Three hundred forty-nine patients were included in our study: 156 patients in 2021, 115 patients in 2020, and 78 patients in 2019. In 2021, 54 (34.6%) patients had, at least, one complication within the first 24 hours compared to 39 (33.9%) in 2020 and 24 (30.8%) in 2019. Forty-eight (88.9%) of the complications in 2021 occurred in a critical-care unit compared to 37 (94.9%) in 2020 and 17 (70.8%) in 2019. Overall, 61.5% of complications and 50.0% of sICH occurred within 12h. In 2021, 74.1% of all complications and 100% of sICH occurred within 12h. Conclusions: Despite the change of protocol in April 2021, the incidence and timing of complications did not significantly change compared to prior years and was not associated to hospital units. Most complications occurred in the first 12 hours. Further research is required to evaluate the necessity of intensive care monitoring for 24 hours in this population. Disclosure: Mr. Langlois-Thérien has nothing to disclose. Dr. Shamy has nothing to disclose. Brian Dewar has nothing to disclose. Dr. Lun has nothing to disclose. Dr. Dowlatshahi has nothing to disclose. Dr. Blacquiere has received personal compensation in the range of $500-$4,999 for serving on a Scientific Advisory or Data Safety Monitoring board for Roche. Dr. Blacquiere has a non-compensated relationship as a Board of Directors with Canadian Stroke Consortium that is relevant to AAN interests or activities. Dr. Blacquiere has a non-compensated relationship as a Advisory Board Member with Heart and Stroke Foundationof Canada Stroke Best Practice Recommendations that is relevant to AAN interests or activities. Dr. Stotts has nothing to disclose. Dr. Fahed has received personal compensation in the range of $50,000-$99,999 for serving as a Consultant for Stryker Neurovascular. Dr. Fahed has received personal compensation in the range of $5,000-$9,999 for serving as a Consultant for Yocan Medical Systems. Dr. Ducroux has nothing to disclose.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,002 | 0,007 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,001 | 0,002 |
| Études des sciences et des technologies | 0,001 | 0,000 |
| Communication savante | 0,001 | 0,000 |
| Science ouverte | 0,000 | 0,001 |
| Intégrité de la recherche | 0,000 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,031 | 0,007 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».