MARC details
| 000 -LEADER |
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| fixed length control field |
03837nam a22005297a 4500 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION |
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| fixed length control field |
220124s20212021 xxu||||| |||| 00| 0 eng d |
| 022 ## - INTERNATIONAL STANDARD SERIAL NUMBER |
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| International Standard Serial Number |
1541-6933 |
| 024 ## - OTHER STANDARD IDENTIFIER |
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| Standard number or code |
10.1007/s12028-021-01399-7 [doi] |
| 024 ## - OTHER STANDARD IDENTIFIER |
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| Standard number or code |
10.1007/s12028-021-01399-7 [pii] |
| 040 ## - CATALOGING SOURCE |
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| Original cataloging agency |
Ovid MEDLINE(R) |
| 099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC) |
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| PMID |
34850332 |
| 245 ## - TITLE STATEMENT |
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| Title |
Early Fevers and Elevated Neutrophil-to-Lymphocyte Ratio are Associated with Repeat Endovascular Interventions for Cerebral Vasospasm in Patients with Aneurysmal Subarachnoid Hemorrhage. |
| 251 ## - Source |
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| Source |
Neurocritical Care. 2021 Nov 30 |
| 252 ## - Abbreviated Source |
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| Abbreviated source |
Neurocrit Care. 2021 Nov 30 |
| 253 ## - Journal Name |
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| Journal name |
Neurocritical care |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. |
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| Year |
2021 |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. |
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| Manufacturer |
FY2022 |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. |
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| Publication date |
2021 Nov 30 |
| 265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE] |
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| Publication status |
aheadofprint |
| 266 ## - Date added to catalog |
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| Date added to catalog |
2022-01-25 |
| 501 ## - WITH NOTE |
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| Local holdings |
Available online from MWHC library: 1997 - present |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
BACKGROUND: Patients with aneurysmal subarachnoid hemorrhage (aSAH) may develop refractory arterial cerebral vasospasm requiring multiple endovascular interventions. The aim of our study is to evaluate variables associated with need for repeat endovascular treatments in refractory vasospasm and to identify differences in outcomes following one versus multiple treatments. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
CONCLUSIONS: A Hunt-Hess score > 2, a neutrophil-to-lymphocyte ratio > 8.0, and early fevers may be predictive of need for multiple endovascular interventions in refractory cerebral vasospasm after aSAH. These patients have poorer functional outcomes at discharge and higher rates of in-hospital complications. Copyright (c) 2021. Springer Science+Business Media, LLC, part of Springer Nature and Neurocritical Care Society. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
METHODS: We retrospectively reviewed patients treated for aSAH between 2017 and 2020 at two tertiary care centers. We included patients who underwent treatment (intraarterial infusion of vasodilatory agents or mechanical angioplasty) for radiographically diagnosed vasospasm in our analysis. Patients were divided into those who underwent single treatment versus those who underwent multiple endovascular treatments for vasospasm. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
RESULTS: Of the total 418 patients with aSAH, 151 (45.9%) underwent endovascular intervention for vasospasm. Of 151 patients, 95 (62.9%) underwent a single treatment and 56 (37.1%) underwent two or more treatments. Patients were more likely to undergo multiple endovascular treatments if they had a Hunt-Hess score > 2 (odds ratio [OR] 5.10 [95% confidence interval (CI) 1.82-15.84]; p = 0.003), a neutrophil-to-lymphocyte ratio > 8.0 (OR 3.19 [95% CI 1.40-7.62]; p = 0.028), and more than two fevers within the first 5 days of admission (OR 7.03 [95% CI 2.68-20.94]; p < 0.001). Patients with multiple treatments had poorer outcomes, including increased length of stay, delayed cerebral ischemia, in-hospital complications, and higher modified Rankin scores at discharge. |
| 546 ## - LANGUAGE NOTE |
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| Language note |
English |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
IN PROCESS -- NOT YET INDEXED |
| 651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME |
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| Institution |
MedStar Medical Group |
| 651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME |
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| Institution |
MedStar Washington Hospital Center |
| 656 ## - INDEX TERM--OCCUPATION |
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| Department |
MedStar Georgetown University Hospital |
| 656 ## - INDEX TERM--OCCUPATION |
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| Department |
Neurosurgery |
| 656 ## - INDEX TERM--OCCUPATION |
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| Department |
Neurosurgery Residency |
| 656 ## - INDEX TERM--OCCUPATION |
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| Department |
Radiology |
| 656 ## - INDEX TERM--OCCUPATION |
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| Department |
Surgery/Surgical Critical Care |
| 657 ## - INDEX TERM--FUNCTION |
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| Medline publication type |
Journal Article |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Armonda, Rocco A |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Chang, Jason J |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Dowlati, Ehsan |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Felbaum, Daniel R |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Liu, Ai-Hsi |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Mai, Jeffrey C |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Sur, Samir |
| 790 ## - Authors |
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| All authors |
Armonda RA, Carpenter A, Chang JJ, Dowlati E, Felbaum DR, Liu AH, Mai JC, Mualem W, Sur S |
| 856 ## - ELECTRONIC LOCATION AND ACCESS |
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| DOI |
<a href="https://dx.doi.org/10.1007/s12028-021-01399-7">https://dx.doi.org/10.1007/s12028-021-01399-7</a> |
| Public note |
https://dx.doi.org/10.1007/s12028-021-01399-7 |
| 858 ## - ORCID |
|---|
| ORCID text |
Dowlati, Ehsan |
| Orcid |
<a href="http://orcid.org/0000-0001-6739-0793">http://orcid.org/0000-0001-6739-0793</a> |
| Name |
http://orcid.org/0000-0001-6739-0793 |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) |
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| Koha item type |
Journal Article |
| Item type description |
Article |
