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, 5Scopus© Citations 52 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Additional Information Given to a Multimodal Imaging Stroke Protocol by Transcranial Doppler Ultrasound in the Emergency Room: A Prospective Observational Study(2010); ; ;Daniel A. Cárcamo; <jats:p><i>Background:</i> Transcranial Doppler (TCD) ultrasound can demonstrate dynamic information. We aimed to evaluate whether TCD generates useful additional information in the emergency room after a multimodal stroke imaging protocol and also whether this modified the management of patients with cerebral infarction. <i>Methods:</i> Patients admitted between April 2006 and June 2007 with ischemic stroke of less than 24 h were subjected to a protocol consisting of noncontrast brain CT, computed tomography angiography, diffusion-weighted magnetic resonance imaging and then TCD within the following 6 h by an observer blinded to the results of imaging studies. <i>Results:</i> Seventy-nine patients were included. The imaging protocol was performed 457 (±346) min after stroke symptoms and TCD after 572 (±376) min. TCD provided additional information in 28 cases (35.4%, 95% CI 25.7–46.4). More that one piece of additional information was obtained in 6 patients. The most frequent additional information was collateral pathways. Multivariate analysis demonstrated that intracranial vessel occlusion was the variable most associated with additional information. In 7 patients (8.8%, 95% CI 4.3–17.1), additional information changed management: in 4 an additional angiography was performed, in 2 patients angiography was suspended and in 1 aggressive neurocritical care was indicated. Patients with NIHSS >10 were significantly more likely to have their initial treatment changed (p = 0.004). <i>Conclusions:</i> TCD can provide additional information to a multimodal acute ischemic stroke imaging protocol in a third of patients. This can result in changes in the management in some of these patients.</jats:p>2Scopus© Citations 17 - 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) ;MarĂa 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, 2Scopus© Citations 26 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Scopus© Citations 1 2 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Pandemic influenza A (H1N1) 2009 with neurological manifestations, a case series(2010) ;Luis Miguel Noriega ;Renato J. Verdugo; ; 34Scopus© Citations 22 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Stroke epidemiology, prevention, and management strategies at a regional level: Latin America and the Caribbean(2007-04-01); ;Hennis, Anselm JM ;Fernandes, Jefferson G. ;Medina, Marco T.Legetic, BrancaStroke is a major health problem in Latin American and Caribbean countries. In this paper, we review the epidemiology, aetiology, and management of stroke in the region based on a systematic search of articles published in Spanish, Portuguese, and English. Stroke mortality is higher than in developed countries but rates are declining. Population-based studies show variations in incidence of strokes: lower rates of ischaemic stroke and similar rates of intracranial haemorrhages, compared with other regions. A significant proportion of strokes in these populations can be attributed to a few preventable risk factors. Some countries have published national clinical guidelines, although much needs to be done in the organisation of care and rehabilitation. Even though the burden of stroke is high, there is a paucity of information for implementing evidence-based management. The Global Stroke Initiative, the WHO STEPS Stroke surveillance, and WHO-PREMISE projects provide opportunities for surveillance at institutional and community levels. © 2007 Elsevier Ltd. All rights reserved.Scopus© Citations 195 2 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Determination of Brain Death/Death by Neurologic Criteria(2020) ;David M. Greer ;Sam D. Shemie ;Ariane Lewis ;Sylvia TorrancePanayiotis VarelasScopus© Citations 328 3 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, 3Scopus© Citations 9