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After suffering a documented stroke, Lazzell died on June 1.
Cerebrovascular accidents (CVA): Past history of documented stroke (computed tomography, magnetic resonance imaging, or cerebral angiography).
The main study cohort comprised patients admitted to one of the four study hospitals with a B70 AR-DRG code in the year to June 30 , 2006 excluding patients with a documented stroke diagnosis in the year prior to this date.
The following subjects were excluded: 1) subjects with invalid demographic status at the index date (resulting as not resident or emigrated); 2) subjects who were not present in the database of hospital records (invalid database linkage); 3) subjects aged < 18 years; 4) subjects with previous documented stroke; 4) subjects not potentially observable for 1 year (index date after January 1 , 2007.
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Possible physician factors contributing to missing or inaccurate data include lack of physician recognition of the importance of documenting stroke onset, busy/chaotic ED environment, patients' inability to recall events, presentation within/outside window driving clinical action, and lack of clear evidence of diagnosis at the time of charting.
The study concept did not require to always examine the complete circle of Willis in all patients, leading to two missed >80% ICA stenosis with cross-filling phenomena documented in stroke unit TCCS.
What about the claim, also made in the book, that a survey -- in which yoga teachers reported on yoga injuries they had witnessed -- documented the stroke threat?
Up to now, changes in the excitability of such pathways have not been documented after stroke.
Most patients in our study (60%) had no information documenting stroke type; despite the large sample size, this reduced the power of our study to assess the effect of zoster on stroke type, although the majority of strokes in adults are likely to be ischemic in nature.
During the next 10 years, the investigators documented 233 strokes among the study participants.
A sensitive and specific measure of early reductions in central blood volume is stroke volume (Cooke et al. 2004) and documenting that stroke volume increases with volume loading is taken to imply that a patient is preload-responsive (Pinsky 2002).
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com