Michael Moussouttas

Johnson University

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Mitchell Maltenfort

Children's Hospital of Philadelphia

Fred Rincón

Cooper University Hospital

Rodney Bell

Thomas Jefferson University

Nikolaos Papamitsakis

SUNY Downstate Health Sciences University

Jacqueline Urtecho

Thomas Jefferson University

Jack Jallo

Neurological Surgery

William McBride

Philadelphia University

Thanh Huynh

Dalat University

Ali Seifi

The University of Texas Health Science Center at San Antonio

Keith Dombrowski

University of South Florida

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Thomas Jefferson University

Thomas Jefferson University Hospital

Neurological Surgery

Universitat Autònoma de Barcelona

Neurology, Inc

Yale University

Vall d'Hebron Hospital Universitari

Heidelberg University

Inserm

University Hospital of Bern

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Author Index Vol. 19, 2005

Cerebrovascular Diseases (2005)

Nikolaos Papamitsakis Joseph Giacino E. Morandi Gian Paolo Anzola Michael Moussouttas

10.1159/000086793

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Citations (0)

Determinants of Central Sympathetic Activation in Spontaneous Primary Subarachnoid Hemorrhage

Neurocritical Care (2012)

Michael Moussouttas Edwin W. Lai John Khoury Thanh Huynh Keith Dombrowski

Univariate analysis

10.1007/s12028-012-9673-5

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Citations (32)

Abstract 3550: Temporal Trends, Risk Factors, and Hospital Costs of the Adult Respiratory Distress Syndrome (ARDS) after Acute Ischemic Stroke in the United States

Stroke (2012)

Fred Rincón Mitchell Maltenfort Matthew Vibbert Jacqueline Urtecho William McBride

Background. We sought to determine the prevalence and risk factors of ARDS, and its impact on hospital length of stay (LOS) and cost, after acute ischemic stroke (AIS) in the U.S. Methods. Data were derived from the National Inpatient Sample from 1998-2008. We searched for admissions of patients >18 years, with a diagnosis of AIS and ARDS. Definitions were based on ICD9-CM codes. Prevalence proportions, and hospital LOS and cost were calculated. Multivariate logistic regression models were then fitted to determine odds ratios (OR) and 95% confidence intervals (CI) for determinants of ARDS and to assess for its impact on hospital LOS and cost. Results. Over the 10-year period, we identified 4,066,043 admissions that corresponded to a primary diagnosis of AIS of which 157,464 had ARDS for a cumulative prevalence of 4%. Cases of ARDS after AIS increased from 13,395 (3.6%) in 1998 to 17,222 (4%) in 2008. ARDS was more common among old (OR 0.9; 95%CI 0.9-0.98), men (OR 1.2; 95%CI 1.2-1.21), blacks (OR 1.2; 95%CI 1.1-1.2), urban-academic centers (OR 1.4; 95%CI 1.3-1.5); and in sepsis (OR 8.0; 95%CI 7.6-8.4), cardiovascular dysfunction (OR 3.5; 95%CI 3.3-3.7), respiratory dysfunction(OR 2.3; 95%CI, 2.2-2.4), hepatic dysfunction (OR 2.9; 95%CI 2.4-3.4), hematological dysfunction (OR 1.9; 95%CI, 1.8-2.1), and after thrombolysis (OR 3.8; 95%CI, 3.6-4.0). The median hospital LOS for ARDS was 8 days Inter-Quartile range [IQR] 14-23 vs. 3 days IQR 5-7, p<0.001. Median hospital cost for ARDS was $56,990 IQR $29,360-$111,900 vs. $17,240 IQR $10,760-$28,620, p<0.001. ARDS independently predicted higher hospital LOS (OR 2.4, 95% CI, 2.4-2.5) and higher costs (OR 2.6, 95% CI 2.5-2.6). Conclusion. Our analysis demonstrates an increase in the prevalence of ARDS after AIS in U.S. ARDS is associated with significant increase in hospital LOS and overall costs.

Stroke

10.1161/str.43.suppl_1.a3550

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Citations (1)

Restless legs syndrome (RLS) shows increased post-mortem microvascular disease in cortex compared to controls

Sleep Medicine (2019)

Arthur S. Walters Paisit Paueksakon Charles H. Adler Thomas G. Beach Gustavo Rodríguez Serrano

Restless Legs Syndrome

10.1016/j.sleep.2019.11.1136

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Incidence, risk factors, and impact on hospital mortality of status epilepticus after subdural hemorrhage in the United States

Critical Care (2011)

Ali Seifi Jacqueline Urtecho Mitchell Maltenfort Matthew Vibbert William McBride

Patients with intracranial hemorrhages are at risk of seizure activity. Small cohort studies have shown that patients with subdural hemorrhages (SDH) may be at risk of developing status epilepticus (SE). In this study, we sought to determine the epidemiology of SE, the prevalence of risk factors, and the impact on hospital mortality in SDH, using a large administrative dataset.

Subdural hemorrhage

10.1186/cc9750

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The Prevalence of Cervico-Arterial Dissection in Sub-Arachnoid Hemorrhage in the United States

Ali Seifi Fred Rincón Mitchell Maltenfort Pascal Jabbour Rodney Bell

Arterial dissection

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Epidemiological Trends of Adult Respiratory Distress Syndrome (ARDS) after Traumatic Brain Injury in the United States (P02.216)

Neurology (2012)

Sunita Ghosh Saugat Dey Mitchell Maltenfort Jacqueline Urtecho William McBride

Psychological Distress

10.1212/wnl.78.1_meetingabstracts.p02.216

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Citations (3)

Improved Inter-rater Reliability for SAH CT Grading Scales through Application of a Formal Definition of Clot Thickness

William M. McBride Valerie Dechant Michael Moussouttas

Grading (engineering)

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Red Blood Cell Transfusion Increases the Risk of Thrombotic Events in Patients with Subarachnoid Hemorrhage

Neurocritical Care (2013)

Monisha A. Kumar Torrey A. Boland Mohamed Baiou Michael Moussouttas Jay H. Herman

Univariate analysis

10.1007/s12028-013-9819-0

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Citations (57)

Intravascular Lymphomatosis Presenting as Posterior Leukoencephalopathy

Archives of Neurology (2002)

Michael Moussouttas

73-YEAR-OLD woman presented with progressive confusion overa5-weekperiod, after having become increasingly apathetic for the past several months and having lost 22.5 kg over the past 1 year. On examination, the patient was normotensive and cachectic. Neurologically, there was psychomotor retardation with disorientation to place and time, complete visual loss except for a small preserved central focus, and denial for the degree of visual loss.

10.1001/archneur.59.4.640

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Citations (11)