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Validity of the NIHSS in predicting arterial occlusion in cerebral infarction is time-dependent

2010 , V. V. Olavarria , DELGADO BECERRA, OROZIMBA IRIS , HOPPE WIEGERING, ARNOLD JOHANNES GOTTLIEB , BRUNSER, ALEJANDRO , D. Carcamo , DIAZ TAPIA, VIOLETA DEL CARMEN , LAVADOS GERMAIN, PABLO MANUEL

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Fighting Against Stroke in Latin America: A Joint Effort of Medical Professional Societies and Governments

2021 , Sheila Cristina Ouriques Martins , LAVADOS GERMAIN, PABLO MANUEL , Thaís Leite Secchi , Michael Brainin , Sebastian Ameriso , Fernando Gongora-Rivera , Claudio Sacks , Carlos Cantú-Brito , Tony Fabian Alvarez Guzman , Germán Enrique Pérez-Romero , Mario Muñoz Collazos , Miguel A. Barboza , Antonio Arauz , Carlos Abanto Argomedo , Nelson Novarro-Escudero , Hector Ignacio Amorin Costabile , Roberto Crosa , Claudia Camejo , Ricardo Mernes , Nelson Maldonado , Daissy Liliana Mora Cuervo , Octávio Marques Pontes Neto , Gisele Sampaio Silva , Leonardo Augusto Carbonera , Ana Claudia de Souza , Eduardo David Gomes de Sousa , Alan Flores , Donoban Melgarejo , Irving R. Santos Carquin , Arnold Hoppe , João José Freitas de Carvalho , Francisco Mont'Alverne , Pablo Amaya , Hernan Bayona , Victor Hugo Navia González , Juan Carlos Duran , Victor C. Urrutia , Denizar Vianna Araujo , Valery L. Feigin , Raul G. Nogueira

Introduction: Stroke is one of the leading causes of death in Latin America, a region with countless gaps to be addressed to decrease its burden. In 2018, at the first Latin American Stroke Ministerial Meeting, stroke physician and healthcare manager representatives from 13 countries signed the Declaration of Gramado with the priorities to improve the region, with the commitment to implement all evidence-based strategies for stroke care. The second meeting in March 2020 reviewed the achievements in 2 years and discussed new objectives. This paper will review the 2-year advances and future plans of the Latin American alliance for stroke.Method: In March 2020, a survey based on the Declaration of Gramado items was sent to the neurologists participants of the Stroke Ministerial Meetings. The results were confirmed with representatives of the Ministries of Health and leaders from the countries at the second Latin American Stroke Ministerial Meeting.Results: In 2 years, public stroke awareness initiatives increased from 25 to 75% of countries. All countries have started programs to encourage physical activity, and there has been an increase in the number of countries that implement, at least partially, strategies to identify and treat hypertension, diabetes, and lifestyle risk factors. Programs to identify and treat dyslipidemia and atrial fibrillation still remained poor. The number of stroke centers increased from 322 to 448, all of them providing intravenous thrombolysis, with an increase in countries with stroke units. All countries have mechanical thrombectomy, but mostly restricted to a few private hospitals. Pre-hospital organization remains limited. The utilization of telemedicine has increased but is restricted to a few hospitals and is not widely available throughout the country. Patients have late, if any, access to rehabilitation after hospital discharge.Conclusion: The initiative to collaborate, exchange experiences, and unite societies and governments to improve stroke care in Latin America has yielded good results. Important advances have been made in the region in terms of increasing the number of acute stroke care services, implementing reperfusion treatments and creating programs for the detection and treatment of risk factors. We hope that this approach can reduce inequalities in stroke care in Latin America and serves as a model for other under-resourced environments.

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Nasolaryngoscopic Validation of a Set of Clinical Predictors of Aspiration in a Critical Care Setting

2010 , CAVIEDES SOTO, IVAN RICARDO , LAVADOS GERMAIN, PABLO MANUEL , HOPPE WIEGERING, ARNOLD JOHANNES GOTTLIEB , López, María A.

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Telestroke in Chile: 1 year experience at 7 hospitals

2019 , Eloy Mansilla , Enrico Mazzon , Daniel Cárcamo , Felipe Jurado , Lorena Lara , Mirya Arévalo , Diego Rojas , Gloria Stephens , Arnold Hoppe , BRUNSER, ALEJANDRO

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The Role of TCD in the Evaluation of Acute Stroke

2016 , BRUNSER, ALEJANDRO , Eloy Mansilla , Arnold Hoppe , Verónica Olavarría , Emi Sujima , Pablo M. Lavados

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Sonothrombolysis for acute ischemic stroke

2014 , BRUNSER, ALEJANDRO , HOPPE WIEGERING, ARNOLD JOHANNES GOTTLIEB , MUÑOZ VENTURELLI, PAULA ANDREA , Daniel Cárcamo , LAVADOS GERMAIN, PABLO MANUEL , Javier Gaete , Andrés Roldán , Rodrigo Rivas

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Transcranial Doppler in a Hispanic–Mestizo population with neurological diseases: a study of sonographic window and its determinants

2012 , BRUNSER, ALEJANDRO , SILVA FUENTE ALBA, CLAUDIO SERGIO , Cárcamo, Daniel , MUÑOZ VENTURELLI, PAULA , OLAVARRIA IANISZEWSKY, VERONICA VIVIANA , Abarca, Juan , HOPPE WIEGERING, ARNOLD JOHANNES GOTTLIEB , DIAZ TAPIA, VIOLETA DEL CARMEN

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Clinical prediction of aspiration in acute neurological patients

2005-12-01 , CAVIEDES SOTO, IVAN RICARDO , LAVADOS GERMAIN, PABLO MANUEL , HOPPE WIEGERING, ARNOLD JOHANNES GOTTLIEB , López O., Angélica

Glottic 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.

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Priorities to reduce the burden of stroke in Latin American countries

2019 , Sheila C Ouriques Martins , Claudio Sacks , Werner Hacke , Michael Brainin , Francisco de Assis Figueiredo , Octávio Marques Pontes-Neto , LAVADOS GERMAIN, PABLO MANUEL , Maria F Marinho , Arnold Hoppe Wiegering , Diana Vaca McGhie , Salvador Cruz-Flores , Sebastian F Ameriso , Walter M Camargo Villareal , Juan Carlos Durán , José E Fogolin Passos , Raul Gomes Nogueira , João J Freitas de Carvalho , Gisele Sampaio Silva , Carla H Cabral Moro , Jamary Oliveira-Filho , Rubens Gagliardi , Eduardo D Gomes de Sousa , Felipe Fagundes Soares , Katia de Pinho Campos , Paulo F Piza Teixeira , Ivete Pillo Gonçalves , Irving R Santos Carquin , Mário Muñoz Collazos , Germán E Pérez Romero , Javier I Maldonado Figueredo , Miguel A Barboza , Miguel Á Celis López , Fernando Góngora-Rivera , Carlos Cantú-Brito , Nelson Novarro-Escudero , Miguel Á Velázquez Blanco , Carlos A Arbo Oze de Morvil , Aurora B Olmedo Bareiro , Gloria Meza Rojas , Alan Flores , Jorge Arturo Hancco-Saavedra , Vivian Pérez Jimenez , Carlos Abanto Argomedo , Liliana Rodriguez Kadota , Roberto Crosa , Daissy L Mora Cuervo , Ana C de Souza , Leonardo A Carbonera , Tony F Álvarez Guzmán , Nelson Maldonado , Norberto L Cabral , Craig Anderson , Patrice Lindsay , Anselm Hennis , Valery L Feigin

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Determinantes del tiempo puerta-aguja en trombolisis endovenosa en el infarto cerebral, experiencia de un centro

2020 , BRUNSER, ALEJANDRO , MAZZON AGURTO, ENRICO , MUÑOZ VENTURELLI, PAULA ANDREA , HOPPE WIEGERING, ARNOLD JOHANNES GOTTLIEB , LAVADOS GERMAIN, PABLO MANUEL , Alexis Rojo , NAVIA GONZALEZ, VICTOR HUGO , Gabriel Cavada , OLAVARRIA IANISZEWSKY, VERONICA VIVIANA , Eloy Mansilla