2024
Stroke Care in the Intensive Care Unit
Robinson A, Al-Dulaimi M, Beekman R. Stroke Care in the Intensive Care Unit. 2024, 167-185. DOI: 10.1007/978-3-031-66289-8_16.Peer-Reviewed Original ResearchNeurological intensive care unitStroke careIntensive care unitCare unitCritical care specialistsHealthcare professionalsCare specialistsChance of recoveryExpertise of neurologistsCareNeurological conditionsManagement of patientsNeurological injurySpecial careLife-threatening neurological conditionHealthcareProfessionalsPatientsPrimary goalVariability in temperature control practices amongst the Influence of Cooling duration on Efficacy in Cardiac Arrest Patients (ICECAP) trial
Beekman R, Perman S, Nguyen C, Kline P, Clevenger R, Yeatts S, Ramakrishnan R, Geocadin R, Silbergleit R, Meurer W, Gilmore E. Variability in temperature control practices amongst the Influence of Cooling duration on Efficacy in Cardiac Arrest Patients (ICECAP) trial. Resuscitation 2024, 203: 110397. PMID: 39278393, PMCID: PMC11466710, DOI: 10.1016/j.resuscitation.2024.110397.Peer-Reviewed Original ResearchA practical magnetic-resonance imaging score for outcome prediction in comatose cardiac arrest survivors
Chan W, Nguyen C, Kim N, Tripodis Y, Gilmore E, Greer D, Beekman R. A practical magnetic-resonance imaging score for outcome prediction in comatose cardiac arrest survivors. Resuscitation 2024, 202: 110370. PMID: 39178939, DOI: 10.1016/j.resuscitation.2024.110370.Peer-Reviewed Original ResearchHypoxic-ischemic brain injuryDeep gray nucleiArea under the receiver operating curveMagnetic resonance imagingMagnetic Resonance Imaging ScorePoor neurological outcomeCerebral Performance CategoryIntra-class correlationNeurological outcomeMRI scoreCardiac arrestComatose CA survivorsCA survivorsComatose cardiac arrest survivorsPredicting neurologic outcomeCardiac arrest survivorsInter-rater reliabilityReceiver operating curveAcademic medical centerMedian timePoor outcomePrognostic toolGray nucleiArrest survivorsScore groupTemperature Control Parameters Are Important: Earlier Preinduction Is Associated With Improved Outcomes Following Out-of-Hospital Cardiac Arrest
Beekman R, Kim N, Nguyen C, McGinniss G, Deng Y, Kitlen E, Garcia G, Wira C, Khosla A, Johnson J, Miller P, Perman S, Sheth K, Greer D, Gilmore E. Temperature Control Parameters Are Important: Earlier Preinduction Is Associated With Improved Outcomes Following Out-of-Hospital Cardiac Arrest. Annals Of Emergency Medicine 2024, 84: 549-559. PMID: 39033449, DOI: 10.1016/j.annemergmed.2024.06.007.Peer-Reviewed Original ResearchOut-of-hospital cardiac arrestNeurological outcomeDevice cohortCardiac arrestOut-of-hospital cardiac arrest patientsConsecutive out-of-hospital cardiac arrestPreinduction timeInterquartile rangeAssociated with improved outcomesCardiac arrest patientsProportion of patientsMultivariate logistic regression modelInverse probability of treatmentDevice timeInverse probability treatment weightsProbability of treatmentProspective trialsOHCA patientsArrest patientsClinical outcomesLogistic regression modelsCenter studyEarly initiationSecondary outcomesTreatment weightingCerebral edema following cardiac arrest: Are all shades of gray equal?
Beekman R, Gilmore E. Cerebral edema following cardiac arrest: Are all shades of gray equal? Resuscitation 2024, 198: 110213. PMID: 38636600, DOI: 10.1016/j.resuscitation.2024.110213.Peer-Reviewed Original ResearchExploring the Relationship Between Cerebrospinal Fluid Interleukin-6 and Cerebral Autoregulation After Subarachnoid Hemorrhage (S23.004)
Olexa M, Begunova Y, Gilmore E, Kim J, Herman A, Beekman R, Magid-Bernstein J, Matouk C, Sheth K, Miller E, Gutierrez S, De Havenon A, Sansing L, Petersen N. Exploring the Relationship Between Cerebrospinal Fluid Interleukin-6 and Cerebral Autoregulation After Subarachnoid Hemorrhage (S23.004). Neurology 2024, 102 DOI: 10.1212/wnl.0000000000205692.Peer-Reviewed Original ResearchAssessing Effects of Intrathecal Nicardipine on Cerebral Autoregulation and Cortical Activity in Aneurysmal Subarachnoid Hemorrhage (P10-5.019)
Jayasundara S, Kim J, Choi R, Rapuano A, Barnes E, Parasram M, Moura M, Uppal P, Chen Y, Top I, Olexa M, Maarek R, Yan J, Beekman R, Magid-Bernstein J, Hebert R, Bahrassa F, Matouk C, Sheth K, Gilmore E, Petersen N. Assessing Effects of Intrathecal Nicardipine on Cerebral Autoregulation and Cortical Activity in Aneurysmal Subarachnoid Hemorrhage (P10-5.019). Neurology 2024, 102 DOI: 10.1212/wnl.0000000000206285.Peer-Reviewed Original ResearchCan Clinical Scores Predict the Presence of Hypoxic Ischemic Brain Injury on Early Head Computed Tomography After Cardiac Arrest? (P6-2.001)
Nguyen C, Molligoda B, Kim N, Kitlen E, Wira C, Perman S, Khosla A, Miller P, Greer D, Gilmore E, Beekman R. Can Clinical Scores Predict the Presence of Hypoxic Ischemic Brain Injury on Early Head Computed Tomography After Cardiac Arrest? (P6-2.001). Neurology 2024, 102 DOI: 10.1212/wnl.0000000000206255.Peer-Reviewed Original ResearchThe Impact of Socioeconomic Status on Risk for Brain Death Following Out-of-Hospital Cardiac Arrest (P1-4.014)
Fung C, Kitlen E, Nguyen C, Kim N, Wira C, Perman S, Khosla A, Miller P, Greer D, Gilmore E, Beekman R. The Impact of Socioeconomic Status on Risk for Brain Death Following Out-of-Hospital Cardiac Arrest (P1-4.014). Neurology 2024, 102 DOI: 10.1212/wnl.0000000000206574.Peer-Reviewed Original ResearchFirst Reported Case of Tenecteplase for Pediatric Acute Ischemic Stroke (P7-5.021)
Elmashad A, Fung C, Chakravartty A, Mehta A, Hebert R, Beekman R, Sunmonu N. First Reported Case of Tenecteplase for Pediatric Acute Ischemic Stroke (P7-5.021). Neurology 2024, 102 DOI: 10.1212/wnl.0000000000205076.Peer-Reviewed Original ResearchVariability in Brain Death Education Across US Neurology Residency Programs (P6-7.008)
Doobay G, Barnes E, Moeller J, Gilmore E, Beekman R. Variability in Brain Death Education Across US Neurology Residency Programs (P6-7.008). Neurology 2024, 102 DOI: 10.1212/wnl.0000000000206169.Peer-Reviewed Original Research
2023
Impact of Therapeutic Interventions on Cerebral Autoregulatory Function Following Severe Traumatic Brain Injury: A Secondary Analysis of the BOOST-II Study
Prasad A, Gilmore E, Kim J, Begunova L, Olexa M, Beekman R, Falcone G, Matouk C, Ortega-Gutierrez S, Temkin N, Barber J, Diaz-Arrastia R, de Havenon A, Petersen N. Impact of Therapeutic Interventions on Cerebral Autoregulatory Function Following Severe Traumatic Brain Injury: A Secondary Analysis of the BOOST-II Study. Neurocritical Care 2023, 41: 91-99. PMID: 38158481, PMCID: PMC11285118, DOI: 10.1007/s12028-023-01896-x.Peer-Reviewed Original ResearchCerebral perfusion pressureBrain tissue hypoxiaSevere traumatic brain injuryTissue hypoxiaTraumatic brain injuryBlood pressureCerebral hypoperfusionBrain injuryAutoregulatory functionMean cerebral perfusion pressureSecondary analysisOptimal cerebral perfusion pressurePercent timeCerebral autoregulatory functionLimits of autoregulationPhase II trialArterial blood pressureBrain tissue oxygenIntracranial pressure monitoringCPP augmentationHemodynamic augmentationAutoregulatory indexII trialBP managementPerfusion pressureAbstract 145: Deploying Early Cooling at ICECAP Sites: A Barrier Assessment
Beekman R, Kline P, Yeatts S, Geocadin R, Silbergleit R, Meurer W. Abstract 145: Deploying Early Cooling at ICECAP Sites: A Barrier Assessment. Circulation 2023, 148: a145-a145. DOI: 10.1161/circ.148.suppl_1.145.Peer-Reviewed Original ResearchBarriers to early initiationIntensive care unit transferCardiac arrest patientsNurse availabilityProvider educationControl practicesIdentified barriersElectronic surveyBarrier assessmentQuality improvementArrest patientsEducational initiativesInstitutional protocolUnit transferPrincipal investigatorCardiac arrestSurvivors of cardiac arrestBoarding timeStandard sedationBest practicesAverage boarding timeEarly initiationComatose survivors of cardiac arrestEarly coolingDevelopment of sedativesDetection of Intracerebral Hemorrhage Using Low-Field, Portable Magnetic Resonance Imaging in Patients With Stroke
Mazurek M, Parasuram N, Peng T, Beekman R, Yadlapalli V, Sorby-Adams A, Lalwani D, Zabinska J, Gilmore E, Petersen N, Falcone G, Sujijantarat N, Matouk C, Payabvash S, Sze G, Schiff S, Iglesias J, Rosen M, de Havenon A, Kimberly W, Sheth K. Detection of Intracerebral Hemorrhage Using Low-Field, Portable Magnetic Resonance Imaging in Patients With Stroke. Stroke 2023, 54: 2832-2841. PMID: 37795593, PMCID: PMC11103256, DOI: 10.1161/strokeaha.123.043146.Peer-Reviewed Original ResearchTemperature Control in the Era of Personalized Medicine: Knowledge Gaps, Research Priorities, and Future Directions
Beekman R, Khosla A, Buckley R, Honiden S, Gilmore E. Temperature Control in the Era of Personalized Medicine: Knowledge Gaps, Research Priorities, and Future Directions. Journal Of Intensive Care Medicine 2023, 39: 611-622. PMID: 37787185, DOI: 10.1177/08850666231203596.Peer-Reviewed Original ResearchHypoxic-ischemic brain injuryCardiac arrestPopulation-based thresholdsDuration of therapyCardiac arrest survivorsCause of deathRobust preclinical evidencePatient-centered careCritical future stepNeurologic outcomeNeuroprotective therapiesPreclinical evidenceArrest survivorsClinical equipoiseBrain injuryCurrent guidelinesFever preventionIndividualized targetOnly interventionTherapeutic windowInsufficient evidenceResearch prioritiesPersonalized approachMetabolic demandsCore temperatureDevelopment and validation of a novel score to predict brain death after out-of-hospital cardiac arrest
Kitlen E, Kim N, Rubenstein A, Keenan C, Garcia G, Khosla A, Johnson J, Miller P, Wira C, Greer D, Gilmore E, Beekman R. Development and validation of a novel score to predict brain death after out-of-hospital cardiac arrest. Resuscitation 2023, 192: 109955. PMID: 37661012, DOI: 10.1016/j.resuscitation.2023.109955.Peer-Reviewed Original ResearchConceptsHospital cardiac arrestBrain deathCardiac arrestOptimal cutEtiology of arrestDeath risk scoreNon-shockable rhythmOperator characteristic curveHours of arrestCenter cohortIndependent predictorsSulcal effacementUnResponsiveness (FOUR) scoreValidation cohortDevelopment cohortMAIN OUTCOMEHigh riskRisk scoreAcademic centersNovel scoreOHCACohortInternal validationRadiology reportsCharacteristic curvePublisher Correction: Brain imaging with portable low-field MRI
Kimberly W, Sorby-Adams A, Webb A, Wu E, Beekman R, Bowry R, Schiff S, de Havenon A, Shen F, Sze G, Schaefer P, Iglesias J, Rosen M, Sheth K. Publisher Correction: Brain imaging with portable low-field MRI. Nature Reviews Bioengineering 2023, 1: 680-680. DOI: 10.1038/s44222-023-00100-1.Peer-Reviewed Original ResearchBrain imaging with portable low-field MRI
Kimberly W, Sorby-Adams A, Webb A, Wu E, Beekman R, Bowry R, Schiff S, de Havenon A, Shen F, Sze G, Schaefer P, Iglesias J, Rosen M, Sheth K. Brain imaging with portable low-field MRI. Nature Reviews Bioengineering 2023, 1: 617-630. PMID: 37705717, PMCID: PMC10497072, DOI: 10.1038/s44222-023-00086-w.Peer-Reviewed Original ResearchSparse k-space dataK-space dataImage reconstructionUseful diagnostic imagesReconstruction algorithmLow power requirementsNew applicationsLF-MRIDiagnostic imagesNew approachNew opportunitiesHardwareConventional systemMachineOngoing developmentPower requirementsAlgorithmImagesTechnological innovationFurther innovationNoise cancellationNoise ratioTechnologyRequirementsInformationDissecting the Complex Association Between Age and Sex in Cardiac Arrest Outcomes—Age Disparity, Sex Disparity, or All of the Above?
Perman S, Beekman R. Dissecting the Complex Association Between Age and Sex in Cardiac Arrest Outcomes—Age Disparity, Sex Disparity, or All of the Above? JAMA Network Open 2023, 6: e2321751. PMID: 37405778, DOI: 10.1001/jamanetworkopen.2023.21751.Commentaries, Editorials and LettersValidation of the rCAST score and comparison to the PCAC and FOUR scores for prognostication after out-of-hospital cardiac arrest
Kim N, Kitlen E, Garcia G, Khosla A, Miller P, Johnson J, Wira C, Greer D, Gilmore E, Beekman R. Validation of the rCAST score and comparison to the PCAC and FOUR scores for prognostication after out-of-hospital cardiac arrest. Resuscitation 2023, 188: 109832. PMID: 37178901, DOI: 10.1016/j.resuscitation.2023.109832.Peer-Reviewed Original ResearchConceptsPoor neurologic outcomeUnited States cohortHospital cardiac arrestOHCA patientsNeurologic outcomeCardiac arrestPost-cardiac arrest syndromePoor neurological outcomeScore predictive abilityHospital mortalityNeurological outcomeUnResponsiveness (FOUR) scorePoor outcomeRetrospective studyAccurate outcome predictionPrognostic performanceFull OutlineDeLong testOutcome predictionPatientsMortalityOutcomesScoresCohortPredictive ability