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9 results on '"Gorchs, Montse"'

1. Efficacy and Safety of Mechanical Thrombectomy in Acute Ischemic Stroke Secondary to Infective Endocarditis

Author

Miró, Jose M., Hernández-Meneses, Marta, Cuervo, Guillermo, Téllez, Adrian, Pericàs, Juan M., Dahl, Anders, García, Delia, Moreno, Asuncion, Ambrosioni, Juan, García de la Mària, Cristina, Cañas, María Alexandra, García-González, Javier, Marco, Francesc, Casals, Climent, Vila, Jordi, Quintana, Eduard, Sandoval, Elena, Falces, Carlos, Pereda, Daniel, Sitges, Marta, Vidal, Barbara, Castella, Manuel, Ortiz, José, Tolosana, José M., Rovira, Irene, Fuster, David, Perissinotti, Andres, Ramírez, Jose, Brunet, Mercè, Soy, Dolors, Castro, Pedro, Llopis, Jaume, Fernández-Hidalgo, Nuria, Escolà-Vergé, Laura, Maisterra, Olga, Fernández, Rubén, Gonzàlez-Alujas, Maria Teresa, Pizzi, María Nazarena, Rello, Pau, Soriano, Toni, Pijuan, Antònia, Sambola, Antonia, Ríos, Remedios, Vigil, Carlota, Roque, Albert, Escrihuela-Vidal, Francesc, Carratalà, Jordi, Grau, Inmaculada, Ardanuy, Carmen, Berbel, Dámaris, Sánchez Salado, Jose Carlos, Alegre, Oriol, Majoral, Alejandro Ruiz, Sbraga, Fabrizio, Blasco, Arnau, Sánchez, Laura Gràcia, Sánchez-Rodríguez, Iván, Pedro-Botet, María Luisa, Sopena, Nieves, Prats-Sánchez, Luis, de Benito, Natividad, Horcajada, Juan Pablo, Roquer, Jaume, Sáez, Carmen, Sanz, Marta, Ramos, Carmen, Ximénez-Carrillo, Álvaro, Vega, Juan, Vilacosta, Isidre, Cardona, Pere, Quesada, Helena, Lara, Blanca, Paipa, Andrés, Nuñez Guillen, Ana, Barranco, Roger, Aja, Lucia, Mora, Paloma, Chirife, Oscar, Aixut, Sonia, Angeles de Miquel, Maria, Martínez-Yelamos, Toni, Molina, Carlos, Rubiera, Marta, Pagola, Jorge, Rodríguez-Luna, David, Boned, Sandra, Muchada, Marian, Tomasello, Alejandro, Ribó, Marc, Piñana, Carlos, Requena, Manuel, Deck, Matías, Garcia-Tornel, Alvaro, Olivé, Marta, Rodriguez, Noelia, Juega, Jesus, Chamorro, Ángel, Amaro, Sergio, Urra, Xabier, Llull, Laura, Renú, Arturo, Rudiloso, Salvatore, Macho, Juan M., Blasco, Jordi, Manzanera, Luis San Roman, López, Antonio, Zarco, Federico, Torné, Ramón, Valero, Ricard, Obach, Víctor, Vera, Víctor, Rodriguez, Alejandro, Vargas, Martha, Laredo, Carlos, Millán, Mònica, Ossa, Natalia Pérez de la, Gomis, Meritxell, Dorado, Laura, Hernández-Pérez, María, Ramos, Anna, Bustamante, Alejandro, Remollo, Sebastià, Castaño, Carlos, Werner, Mariano, Martí-Fàbregas, Joan, Pachón, Anna Ramos, Martínez-Domeño, Alejandro, Camps-Renom, Pol, Lambea, Álvaro, Ezcurra, Garbiñe, Guasch-Jiménez, Marina, Bueno, Rebeca Marín, Pujol, Jordi Branera, Martínez, José Pablo, Dinia, Lavinia, Pellisé, Anna, Ustrell, Xavier, Flores, Alan, Seró, Laia, Serena, Joaquín, Silva, Yolanda, Terceño, Mikel, Bashir, Saima, Murillo, Alan, Krupinski, Jerzy, Huertas, Sonia, Molina, Jessica, Figueras, Georgina, Besora, Sarah, Rodríguez-Campello, Ana, Ois, Ángel, Giralt-Steinhauer, Eva, Cuadrado-Godia, Elisa, Jiménez-Conde, Jordi, Vivas, Elio, Guimaraens, Polo, Cánovas, David, Garcia, Maria del Carmen, Estela, Jordi, Perendreu, Joan, Romero, Nicolas, Correa, Roberto Eduardo, Barrachina, Oriol, Gómez-Choco, Manuel, García, Sonia M., Font Padrós, Maria Àngels, Mengual Chirife, Juan José, Romo, Luis Mena, Palomeras, Ernest, Casado, Virginia, Guanyabens, Nicolau, Álvarez, Marta, Catena, Esther, Camacho Velásquez, José Luis, Purroy, Francisco, Capdevila, Gerard Mauri, Garcia, Cristina, Alhama, Jessica García, Trigo, Irene Bragado, Monedero, Jordi, Perecaula, Mònica, Casanovas, Luis Guillermo, Colom, Carla, Cocho, Dolores, González, Adela Rios, Baiges, Juanjo, Zaragoza, Josep, Escalante, Sonia, Esteve, Patricia, Aragonés, Josep Maria, Saura, Júlia, Soler-Insa, Josep Maria, Mas, Natalia, Diaz, Glòria, Vergés, Margarida, Costa, Xavier, Molina, Liseth, Alemendros, M Cruz, Pérez, Marc, Cabanelas, Ana, Belchi, Olga, Rybyeba, Maria, Barceló, Miquel, Carrión, Dolors, Repullo, Carmen, Sanjurjo, Eduard, Salvat-Plana, Mercè, Roig, Josep, Hidalgo, Verònica, Fagúndez, Olga, Sala, Victòria, Alonso, Anabel, Querol, Marisol, Gorchs, Montse, Jiménez, Xavier, Mora, Maria Àngels, Lapeña, Pau, Olmos, Carmen, Hernández-Fernández, Francisco, Pérez de la Ossa, Natalia, Moreno, Asunción, and Chamorro, Angel

Published
2025
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4. Revalidation of the RACE scale after its regional implementation in Catalonia: a triage tool for large vessel occlusion

Author

Carrera, David, primary, Gorchs, Montse, additional, Querol, Marisol, additional, Abilleira, Sònia, additional, Ribó, Marc, additional, Millán, Mònica, additional, Ramos, Anna, additional, Cardona, Pedro, additional, Urra, Xabier, additional, Rodríguez-Campello, Ana, additional, Prats-Sánchez, Luis, additional, Purroy, Francisco, additional, Serena, Joaquín, additional, Cánovas, David, additional, Zaragoza-Brunet, Josep, additional, Krupinski, Jerzy A, additional, Ustrell, Xavier, additional, Saura, Júlia, additional, García, Sonia, additional, Mora, Maria Àngela, additional, Jiménez, Xavier, additional, Dávalos, Antoni, additional, and Pérez de la Ossa, Natalia, additional

Published
2018
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5. IMPROVING THE RACE SCALE BY ADDING PRE HOSPITAL CLINICAL FACTORS TO DISTINGUISH BETWEEN LARGE VESSEL OCCLUSION AND HEMORRHAGIC STROKE PATIENTS

Author

Gorchs, Montse

Abstract

Objective:As 25-30% of patients with a RACE scale> 4 at pre-hospital level have hemorrhagic stroke, we aimed to improve the predictive value of the RACE scale by adding clinical factors to distinguish between acute ischemic stroke (AIS) with large vessel occlusion (LVO) and intracranial hemorrhage (ICH).Methods:From a government-mandated, prospective registry of Stroke Code activations in Catalonia (CICAT), we studied patients with suspicion of LVO (RACE score >4). Additional clinical factors were evaluated at the pre-hospital setting were age, blood pressure, glycemia levels, history of atrial fibrillation, anticoagulants intake, vomiting and level of consciousness (LOC). Factors independently associated with LVO were determined by a logistic regression analysis. Proportion of patients with LVO or ICH were determined for different combinations of pre-hospital clinical factors.Results:A total of 668 patients were included (46% AIS with LVO, 25% AIS without LVO, 23% hemorrhage and 6% mimic). Factors independently associated to LVO were systolic blood pressure 160 (36%/37%).Conclusions:We identify some pre-hospital clinical factors that may increase the predictive value of the RACE scale to distinguish LVO and hemorrhagic stroke patients. They should be considered when designing pre-hospital transfer triage tools.

Published
2017

6. Revalidation of the RACE scale after its regional implementation in Catalonia: a triage tool for large vessel occlusion.

Author

Carrera, David, Gorchs, Montse, Querol, Marisol, Abilleira, Sònia, Ribó, Marc, Millán, Mònica, Ramos, Anna, Cardona, Pedro, Urra, Xabier, Rodríguez-Campello, Ana, Prats-Sánchez, Luis, Purroy, Francisco, Serena, Joaquín, Cánovas, David, Zaragoza-Brunet, Josep, Krupinski, Jerzy A., Ustrell, Xavier, Saura, Júlia, García, Sonia, and Mora, Maria Àngela

Subjects
STROKE diagnosis, ENDOVASCULAR surgery, CEREBRAL ischemia, CEREBRAL revascularization, CONFIDENCE intervals, EMERGENCY medical services, EMERGENCY medicine, HEALTH services accessibility, HOSPITAL admission & discharge, LONGITUDINAL method, MEDICAL care, MEDICAL referrals, PATIENTS, POPULATION geography, RURAL conditions, STROKE, RESEARCH methodology evaluation, TREATMENT duration, ODDS ratio, NIH Stroke Scale
Abstract

Background and purpose Our aim was to revalidate the race scale, a prehospital tool that aims to identify patients with large vessel occlusion (lVO), after its region-wide implementation in catalonia, and to analyze geographical differences in access to endovascular treatment (EVT). Methods We used data from the prospective cicaT registry (stroke code catalan registry) that includes all stroke code activations. The race score evaluated by emergency medical services, time metrics, final diagnosis, presence of LVO, and type of revascularization treatment were registered. sensitivity, specificity, and area under the curve (AUC) for the race cut-off value ≥5 for identification of both LVO and eligibility for EVT were calculated. We compared the rate of EVT and time to EVT of patients transferred from referral centers compared with those directly presenting to comprehensive stroke centers (CSC). results The race scale was evaluated in the field in 1822 patients, showing a strong correlation with the subsequent in-hospital evaluation of the national institute of health stroke scale evaluated at hospital (r=0.74, P<0.001). a race score ≥5 detected lVO with a sensitivity 0.84 and specificity 0.60 (AUC 0.77). Patients with race ≥5 harbored a LVO and received EVT more frequently than race <5 patients (LVO 35% vs 6%; EVT 20% vs 6%; all P<0.001). Direct admission at a CSC was independently associated with higher odds of receiving EVT compared with admission at a referral center (Or 2.40; 95% CI 1.66 to 3.46), and symtoms onset to groin puncture was 133 min shorter. Conclusions This large validation study confirms race accuracy to identify stroke patients eligible for EVT, and provides evidence of geographical imbalances in the access to EVT to the detriment of patients located in remote areas. [ABSTRACT FROM AUTHOR]

Published
2019
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7. Predictive value of modifications of the prehospital rapid arterial occlusion evaluation scale for large vessel occlusion in patients with acute stroke

Author

Universitat Politècnica de Catalunya. Departament d'Estadística i Investigació Operativa, Universitat Politècnica de Catalunya. GRBIO - Grup de Recerca en Bioestadística i Bioinformàtica, Carrera, David, Campbell, Bruce, Cortés Martínez, Jordi, Gorchs, Montse, Querol, Marisol, Jiménez, Xavier, Millán, Mònica, Dávalos, Antoni, Pérez de la Ossa, Natalia, Universitat Politècnica de Catalunya. Departament d'Estadística i Investigació Operativa, Universitat Politècnica de Catalunya. GRBIO - Grup de Recerca en Bioestadística i Bioinformàtica, Carrera, David, Campbell, Bruce, Cortés Martínez, Jordi, Gorchs, Montse, Querol, Marisol, Jiménez, Xavier, Millán, Mònica, Dávalos, Antoni, and Pérez de la Ossa, Natalia

Abstract

Prehospital clinical scales to identify patients with acute stroke with a large vessel occlusion and direct them to an endovascular-capable stroke center are needed. We evaluated whether simplification of the Rapid Arterial oCclusion Evaluation (RACE) scale, a 5-item scale previously validated in the field, could maintain its high performance to identify patients with large vessel occlusion. Methods: Using the original prospective validation cohort of the RACE scale, 7 simpler versions of the RACE scale were designed and retrospectively recalculated for each patient. National Institutes of Health Stroke Scale score and proximal large vessel occlusion were evaluated in hospital. Receiver operating characteristic analysis was performed to test performance of the simplified versions to identify large vessel occlusion in patients with suspected stroke. For each version, the threshold with sensitivity closest to the original scale (85%) was used, and the variation in specificity and correct classification were assessed. Results: The study included 341 patients with suspected stroke; 20% had large vessel occlusion. The 7 simpler versions of the RACE scale had slightly lower area under the curve for detecting large vessel occlusion because of lower specificity at the chosen sensitivity level. Correct classification rate decreased 9% if facial palsy was simplified or if eye or gaze deviation was removed, and decreased 4.5% if the aphasia or agnosia cortical sign was removed. Conclusions: We recommend the original RACE scale for prehospital assessment of patients with suspected stroke for its ease of use and its high performance to predict the presence of a large vessel occlusion. The use of simplified versions would reduce its predictive value., Peer Reviewed, Postprint (author's final draft)

Published
2017

9. Abstract 18: External Validation of the RACE Scale After Its Implementation in the Stroke Code Protocol in Catalonia.

Author

Perez de la Ossa, Natalia, Abilleira, Sonia, Ribó, Marc, Monica, Millan, Cardona, Pere, Urra, Xabier, Rodríguez-Campello, Ana, Martí-Fábregas, Joan, Purroy, Francisco, Serena, Joaquín, Cánovas, David, Garcés, Moisés, Krupinski, Jurek, Ustrell, Xavier, Saura, Júlia, Gorchs, Montse, Carrera, David, Jiménez, Xavier, and Dávalos, Antoni

Published
2017
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