LAVADOS GERMAIN, PABLO MANUEL
Preferred name
LAVADOS GERMAIN, PABLO MANUEL
Main Affiliation
Email
p.lavados@udd.cl
ORCID
0000-0002-9118-9093
Scopus Author ID
57188955599
153 results
Now showing 1 - 10 of 153
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Item type:Publication, Abstract P84: Covid-19 and Stroke in the Latin American Stroke Registry (LASE)(2021) ;Virginia Pujol-Lereis ;Alan F Flores ;Antonio Arauz ;Carlos AbantoPablo Amaya<jats:p> <jats:bold>Background:</jats:bold> Ischemic stroke has been reported to occur in approximately 5% of COVID-19 patients, although some reports are contradictory. Proposed mechanisms of this association are hypercoagulable state, vasculitis and cardiomyopathy, together with traditional vascular risk factors. We analyzed the frequency and clinical characteristics of COVID-19 positive stroke cases during the first months of the pandemic in Latin America. </jats:p> <jats:p> <jats:bold>Methods:</jats:bold> A multinational study (7 countries, 18 centers) of patients admitted during the pandemic outbreak (March - June 2020). We assessed acute stroke cases associated to COVID-19 infection. Clinical characteristics, stroke etiology and severity, acute care and functional outcomes, were compared between non-COVID-19 and COVID-19 cases. </jats:p> <jats:p> <jats:bold>Results:</jats:bold> There were a total of 1037 stroke cases; sixty-two of them (6.0%) were diagnosed with COVID-19 infection. This group consisted of 38 men [61.3%], with a median age of 68 years [IQR 59-79 years]. From these cases, 80.6% were ischemic stroke, 16.1% hemorrhagic stroke, and 1.6% transient ischemic attack and cerebral venous thrombosis respectively. The most common etiology reported for ischemic cases was atherosclerotic large vessel occlusion (30.6% vs. 12.7% in non-COVID cases, p<0.001), and undetermined etiology for hemorrhagic stroke (55.6%). Median NIHSS for COVID-stroke patients was higher (7 IQR 2-16 vs. 5 IQR 2-11, p=0.05). Five (8.1%) patients received acute reperfusion therapy, with no differences in door-to-CT, door-to-needle and door-to-groin times, compared to non-COVID cases. Most characteristics did not differ from those of COVID-19 negative patients. Mortality was higher in COVID-stroke cases (20.9% vs. 9.6%, p<0.001). </jats:p> <jats:p> <jats:bold>Conclusions:</jats:bold> COVID-19 infection frequency in stroke patients in Latin America is similar to that reported in several series worldwide, with a higher frequency of atherosclerotic ischemic strokes and mortality compared to non COVID-19 strokes </jats:p>2 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, REGIONAL DIFFERENCES IN EARLY BP MANAGEMENT AFTER ACUTE STROKE IN INTERNATIONAL RANDOMIZED CONTROLLED TRIALS OF 5000 PATIENTS 1 of 1 REGIONAL DIFFERENCES IN EARLY BP MANAGEMENT AFTER ACUTE STROKE IN INTERNATIONAL RANDOMIZED CONTROLLED TRIALS OF 5000 PATIENTS(2020); ;Song, L. ;Wang, X. ;Moullaali, T.Sun, L.12 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Stroke in Latin America: A systematic review of the incidence, prevalence and case-fatality between 1997-2021(2022); ;DELFINO, CARLOS; ;GONZÁLEZ MC CAWLEY, FRANCISCAAmy Riviotta6 - Some of the metrics are blocked by yourconsent settings
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Item type:Publication, Epidemiology and risk factors of stroke in the Americas: a comprehensive narrative literature review(Elsevier BV, 2026-06) ;Silva, Gisele Sampaio ;Diestro, Jose Danilo ;Tarzi, Christopher ;Kishibe, TerukoBernabé-Ortiz, Antonio3Scopus© Citations 1 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Optimal achieved blood pressure in acute intracerebral hemorrhage INTERACT2(2015) ;H. Arima ;E. Heeley ;C. Delcourt ;Y. HirakawaX. Wang13Scopus© Citations 89 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Scopus© Citations 2410 1 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, WHY DO CHINESE PATIENTS HAVE BETTER OUTCOME AFTER ICH? INTERACT2 RESULTS(2021); ;Wang, X ;Gordon, P. ;Sandset, E. C.Lindley, R.1 - Some of the metrics are blocked by yourconsent settings
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, Patient centered outcomes in stroke: utility-weighted modified Rankin Scale results in a community-based study(Frontiers Media SA, 2025-03-21) ;Carlos Delfino ;Gabriel Cavada; ; Background and aims</jats:title><jats:p>The transformation of modified Rankin Scale (mRS) scores based on the corresponding utilities of health-related quality of life questionnaires can facilitate the capture of Patient-Centered Outcomes (PCO) in stroke. We aimed to derive utility-weighted modified Rankin Scale (UW-mRS) values by mapping mRS functional status to EQ-5D-3L scores in a population-based cohort of stroke patients.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>The UW-mRS was obtained by analyzing the EQ5-D-3 L and mRS scores at 180 days after any stroke in the ÑANDU study, a large prospective community-based study in Chile. The mRS prediction was estimated using a linear regression adjusted by the EQ-5D-3L value. Generalized linear and binary logistic regression models were constructed to determine influencing factors of the UW-mRS, using STATA software (version 18.0).</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>We included 773 patients presenting with any stroke during 2015–2016: 48% were female, with a mean age of 71 years (SD 13.8), and 85% had an acute ischemic stroke (AIS). 82% of patients had a low socioeconomic status, 50% had less than 12 years of formal education, and only 32% lived in urban areas. UW-mRS values for mRS categories 0–6 at 180 days were 0.913, 0.694, 0.425, 0.249, −0.102, −0.347 and 0, respectively. Multivariable analysis identified age &gt; 70 years (Coefficient <jats:italic>β</jats:italic> [β] -0.038 [Standard error SE 0.018], <jats:italic>p</jats:italic> = 0.032), prior mRS score 3–5 (<jats:italic>β</jats:italic> −0.556 [SE 0.197], <jats:italic>p</jats:italic> &lt; 0.001), ischemic stroke (β −0.066 [SE 0.025], <jats:italic>p</jats:italic> = 0.010), and National Institutes of Health Stroke Scale (NIHSS) at admission&gt;5 (<jats:italic>β</jats:italic> −0.015 [SE 0.002], <jats:italic>p</jats:italic> &lt; 0.001) as significant predictors of worse UW-mRS scores (R<jats:sup>2</jats:sup> = 70%) in the overall group. Sex-disaggregated analysis showed that age &gt; 70 years was a significant predictor in males (β −0.069 [SE 0.024], <jats:italic>p</jats:italic> = 0.006), while presenting an AIS had a greater impact on female’s worse UW-mRS score (β −0.087 [SE 0.033], <jats:italic>p</jats:italic> = 0.010).</jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p>These results present UW-mRS values derived from a population-based stroke study. Key determinants of health-related quality of life in post-stroke patients included age, prior disability, and stroke severity. Sex-disaggregated analysis revealed age being significant for males and AIS for females. Incorporating PCO as UW-mRS in stroke research can provide a more nuanced understanding of the impact of stroke on survivors, offering valuable insights for clinical decision-making and rehabilitation strategies across diverse healthcare contexts.<Scopus© Citations 1 6