HOPPE WIEGERING, ARNOLD JOHANNES GOTTLIEB
Preferred name
HOPPE WIEGERING, ARNOLD JOHANNES GOTTLIEB
Main Affiliation
Email
ahoppe@udd.cl
ORCID
0000-0002-4236-0173
Scopus Author ID
24340003800
26 results
Now showing 1 - 10 of 26
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Item type:Publication, Validation of transcranial Doppler in the diagnosis of brain death(2010-04); ; ;Cárcamo, Daniel A.; Roldán, Andrés1 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Priorities to reduce the burden of stroke in Latin American countries(2019) ;Sheila C Ouriques Martins ;Claudio Sacks ;Werner Hacke ;Michael BraininFrancisco de Assis FigueiredoScopus© Citations 107 7 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Scopus© Citations 3 1 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Telestroke in Chile: 1 year experience at 7 hospitals(2019) ;Eloy Mansilla; ;Daniel Cárcamo ;Felipe JuradoLorena LaraScopus© Citations 6 1 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, 5Scopus© Citations 52 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Stroke Care and Application of Thrombolysis in Ibero-America Report From the SITS-SIECV Ibero-American Stroke Register(2019) ;María Alonso de Leciñana ;Michael V. Mazya ;Nikolaos Kostulas ;Oscar H. Del BruttoCarlos Abanto<jats:sec> <jats:title>Background and Purpose—</jats:title> <jats:p>Standardized registries may provide valuable data to further improve stroke care. Our aim was to obtain updated information about characteristics of stroke patients and management of stroke across the Ibero-American countries, using a common in-hospital registry (Safe Implementation of Treatments in Stroke–Sociedad Iberoamericana de Enfermedades Cerebrovasculares) as a basis for further quality improvement.</jats:p> </jats:sec> <jats:sec> <jats:title>Methods—</jats:title> <jats:p>Data for this study were entered into the Safe Implementation of Treatments in Stroke registry from September 2009 to December 2013 by 58 centers in 14 countries. Data included demographics, risk factors, onset-to-door time, National Institutes of Health Stroke Scale score, stroke subtype, ischemic stroke etiology, treatments, 3-month mortality, and modified Rankin Scale score. Time to treatment was also recorded for patients treated with thrombolysis.</jats:p> </jats:sec> <jats:sec> <jats:title>Results—</jats:title> <jats:p>Five thousand four hundred one patients were registered; median age, 65 years; 46% women; 3915 (72.5%) ischemic strokes; 686 (13.7%) hemorrhagic strokes; 213 (4.3%) subarachnoid hemorrhages; 414 (8.3%) transient ischemic attacks; and 31 (0.6%) cerebral vein thrombosis. The most prevalent risk factors were hypertension (71.3%), dyslipidemia (35.2%), and diabetes mellitus (23.6%). Atrial fibrillation was present in 15.1%. Three hundred one ischemic strokes were treated with intravenous thrombolysis (IVT; 7.7%). Patients undergoing IVT were more severely affected (median baseline National Institutes of Health Stroke Scale score, 11 versus 6). The rate of symptomatic intracerebral hemorrhages after IVT was 5.7%. At 3 months, 60.3% of IVT-treated patients and 59.1% of untreated patients were independent (modified Rankin Scale score, 0–2). Mortality was 11.4% in treated and 12.8% in untreated patients.</jats:p> </jats:sec> <jats:sec> <jats:title>Conclusions—</jats:title> <jats:p>Safe Implementation of Treatments in Stroke–Sociedad Iberoamericana de Enfermedades Cerebrovasculares is the largest registry of a general stroke population and the first study to evaluate the level of IVT use in Ibero-America. It provides valuable information that may help to improve the quality of stroke care in the Ibero-American region.</jats:p> </jats:sec>Scopus© Citations 15 3 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Accuracy of Diffusion-Weighted Imaging in the Diagnosis of Stroke in Patients With Suspected Cerebral Infarct(2013); ; ;Sergio Illanes; <jats:sec> <jats:title>Background and Purpose—</jats:title> <jats:p>The accuracy of diffusion-weighted imaging (DWI) for the diagnosis of acute cerebral ischemia among patients with suspected ischemic stroke arriving to an emergency room has not been studied in depth.</jats:p> </jats:sec> <jats:sec> <jats:title>Methods—</jats:title> <jats:p>DWI was performed in 712 patients with acute or subacute focal symptoms that suggested an acute ischemic stroke (AIS), 609 of them with AIS.</jats:p> </jats:sec> <jats:sec> <jats:title>Results—</jats:title> <jats:p>DWI demonstrated a sensitivity of 90% and specificity of 97%, a positive likelihood ratio of 31 and a negative likelihood ratio of 0.1 for detecting AIS. The overall accuracy was 95%. Of those patients who demonstrated abnormal DWI studies, 99.5% were AIS patients, and of those patients with normal DWI studies 63% were stroke mimics.</jats:p> </jats:sec> <jats:sec> <jats:title>Conclusions—</jats:title> <jats:p>DWI is accurate in detecting AIS in unselected patients with suspected AIS; a negative study should alert for nonischemic conditions.</jats:p> </jats:sec>1Scopus© Citations 44 1 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Scopus© Citations 13 1 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Scopus© Citations 21 2 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Clinical prediction of aspiration in acute neurological patients(2005-12-01); ; ; López O., AngélicaGlottic dysfunction is a frequent condition in patients with acute neurological diseases: the incidence in stroke patients is between 45-51% increasing mortality three times. The principal complication is aspiration, which demands the involvement of pulmonary physicians and neurologists. The purpose of this study is to evaluate wet voice, water swallow test and cervical auscultation as clinical predictors of aspiration using endoscopical observation as a gold standard. During a period of one year we have prospectively evaluated these tests in acute neurological patients hospitalized in an intensive care unit. Wet voice, 3 oz water swallow test and cervical auscultation demonstrated sensibilities of 66.7, 88.9 and 77.8%, with a respective specificity of 85.2, 59.3 and 77.8%. Positive predictive values were 60, 42.1 and 53.8%, with negative predictive values of 88.5, 94.1 and 91.3% respectively. These results support the utility of clinical aspiration screening as a simple and valuable technique that can be done at the bedside.4
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