Intracranial hemorrhage type and same-admission mortality in patients with left ventricular assist devices. (Record no. 5179)

MARC details
000 -LEADER
fixed length control field 03388nam a22004937a 4500
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 200709s20202020 xxu||||| |||| 00| 0 eng d
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER
International Standard Serial Number 0303-8467
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code 10.1016/j.clineuro.2020.105790 [doi]
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code S0303-8467(20)30133-5 [pii]
040 ## - CATALOGING SOURCE
Original cataloging agency Ovid MEDLINE(R)
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC)
PMID 32200214
245 ## - TITLE STATEMENT
Title Intracranial hemorrhage type and same-admission mortality in patients with left ventricular assist devices.
251 ## - Source
Source Clinical Neurology & Neurosurgery. 193:105790, 2020 Mar 16.
252 ## - Abbreviated Source
Abbreviated source Clin Neurol Neurosurg. 193:105790, 2020 Mar 16.
253 ## - Journal Name
Journal name Clinical neurology and neurosurgery
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Year 2020
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Manufacturer FY2020
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE]
Publication status aheadofprint
266 ## - Date added to catalog
Date added to catalog 2020-07-09
520 ## - SUMMARY, ETC.
Abstract CONCLUSIONS: Patients with a LVAD and ICH have a high rate of same-admission mortality (48 %). Hemorrhage location, intra-axial or extra-axial, resulted in patients being a risk for death secondary to either the hemorrhage itself or pump thrombosis, respectively. Copyright (c) 2020. Published by Elsevier B.V.
520 ## - SUMMARY, ETC.
Abstract OBJECTIVES: Left ventricular assist devices (LVAD) provide mechanical circulatory support for patients with advanced heart failure. Intracranial hemorrhage in this population represent a significant management challenge. The objective of this study is to report our initial experience on same-admission outcomes with LVAD patients that presented with various types of intracranial hemorrhage (ICH).
520 ## - SUMMARY, ETC.
Abstract PATIENTS AND METHODS: A retrospective review of a large volume center over a two-year period was performed. LVAD patients with ICH requiring a neurosurgical consultation were identified. Hemorrhage type, interventions, discharge disposition and cause of death were recorded.
520 ## - SUMMARY, ETC.
Abstract RESULTS: 27 LVAD patients with ICH received a neurosurgical consultation. The average INR at the time of ICH was 2.7 (1.0-8.8). Hemorrhage types seen were lobar (10/27, 37 %), SAH (5/27, 19 %), SDH (4/27, 15 %), cerebellar ICH (3/27, 11 %), multiple ICH (3/27, 11 %), and hemorrhagic conversion (2/27, 7 %). The overall mortality rate was 48.2 % (13/27), with the highest mortality being in those patients who had multiple ICH at the time of presentation (3/3, 100 %). The majority of patients with ICH (85.2 %) were non-operative. Lobar IPH was <3cm in 80 % (8/10) of these, and 6/8 (75 %) ultimately died. 11 %(3/27) received surgical intervention. Of these, 67 % ultimately withdrew care. 77 % (10/13) of patients died as a result of the ICH. 80 % of patients with SAH were ultimately discharged home.
546 ## - LANGUAGE NOTE
Language note English
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Topical term or geographic name entry element IN PROCESS -- NOT YET INDEXED
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME
Institution MedStar Washington Hospital Center
656 ## - INDEX TERM--OCCUPATION
Department Neurosurgery
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Department Radiology
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Department Surgical Critical Care
657 ## - INDEX TERM--FUNCTION
Medline publication type Journal Article
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Armonda, Rocco A
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Local Authors Aulisi, Edward
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Chang, Jason
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Dowlati, Ehsan
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Felbaum, Daniel R
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Hockstein, Michael
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Mai, Jeffery
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Mason, Bryan
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Mueller, Kyle
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Zhao, David
790 ## - Authors
All authors Armonda R, Aulisi E, Chang J, D'Antuono M, Dowlati E, Felbaum D, Hockstein M, Mai J, Mason B, Mueller KB, Zhao D
856 ## - ELECTRONIC LOCATION AND ACCESS
DOI <a href="https://dx.doi.org/10.1016/j.clineuro.2020.105790">https://dx.doi.org/10.1016/j.clineuro.2020.105790</a>
Public note https://dx.doi.org/10.1016/j.clineuro.2020.105790
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Journal Article
Item type description Article
Holdings
Withdrawn status Lost status Damaged status Not for loan Collection Home library Current library Date acquired Total Checkouts Full call number Barcode Date last seen Price effective from Koha item type
          MedStar Authors Catalog MedStar Authors Catalog 07/09/2020   32200214 32200214 07/09/2020 07/09/2020 Journal Article

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