José G. Romano
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View article: Development of a specific stroke awareness tool for the Haitian community
Development of a specific stroke awareness tool for the Haitian community Open
While stroke awareness tools are available in English and Spanish, none specifically serve the substantial Haitian population in the United States. To fill this gap, the Florida Stroke Registry (FSR) Education Core collaborated with Haitia…
View article: Identifying determinants of readmission and death post-stroke using explainable machine learning
Identifying determinants of readmission and death post-stroke using explainable machine learning Open
Background Stroke remains a global health challenge with high rates of mortality and rehospitalization placing significant demands on healthcare systems. Identifying factors that determine outcomes of post-hospitalization improves resource…
View article: Association of the <scp>ICH</scp> Score With Withdrawal of Life‐Sustaining Treatment Over a 10‐Year Period
Association of the <span>ICH</span> Score With Withdrawal of Life‐Sustaining Treatment Over a 10‐Year Period Open
Objective The intracerebral hemorrhage (ICH) score was developed to enhance provider communication and facilitate early severity assessment. We examined the association of the ICH score with mortality and withdrawal of life‐sustaining trea…
View article: Synthesizing Explainability Across Multiple ML Models for Structured Data
Synthesizing Explainability Across Multiple ML Models for Structured Data Open
Explainable Machine Learning (XML) in high-stakes domains demands reproducible methods to aggregate feature importance across multiple models applied to the same structured dataset. We propose the Weighted Importance Score and Frequency Co…
View article: Enhancing Thrombolysis Times in Acute Ischemic Stroke With Regional Dashboards: Results From the Florida Stroke Registry
Enhancing Thrombolysis Times in Acute Ischemic Stroke With Regional Dashboards: Results From the Florida Stroke Registry Open
Background Reducing time to intravenous thrombolysis (IVT) is crucial for effective ischemic stroke treatment. Through grassroots efforts, the FSR (Florida Stroke Registry) developed regional dashboards (RDs) displaying reperfusion metrics…
View article: Neighborhood socio-demographic profile associated with adequate transitions of stroke care: The transitions of care stroke disparities study
Neighborhood socio-demographic profile associated with adequate transitions of stroke care: The transitions of care stroke disparities study Open
Neighborhood socioeconomic status directly impacts protective behaviors. This finding can inform future community-level interventions aimed at improving patients' adherence to behavioral modifications.
View article: Stroke risk prediction in symptomatic anterior circulation ICAD: Analysis of regional QMRA flow from the MYRIAD study
Stroke risk prediction in symptomatic anterior circulation ICAD: Analysis of regional QMRA flow from the MYRIAD study Open
Distal flow status assessed through QMRA regional flow measurement appears to be similarly predictive for recurrent clinical stroke in both the anterior and posterior ciruclation. Identification of high-risk patients has implications for f…
View article: Patterns and Outcomes of Endovascular Thrombectomy Among Patients Over Age 80 Years: The Florida Stroke Registry
Patterns and Outcomes of Endovascular Thrombectomy Among Patients Over Age 80 Years: The Florida Stroke Registry Open
Background Older patients (≥80 years of age) were under‐represented in randomized trials of endovascular thrombectomy (EVT). In the large Florida Stroke Registry (FSR), we aimed to evaluate the characteristics of the older patients receivi…
View article: Association of ICH Score with Withdrawal of Life-Sustaining Treatment: A Decade from the Florida Stroke Registry
Association of ICH Score with Withdrawal of Life-Sustaining Treatment: A Decade from the Florida Stroke Registry Open
Background and Purpose The intracerebral hemorrhage (ICH) score was created as a tool improve communication and consistency among providers, and authors initially cautioned against its use as a predictor of outcomes. We aimed to investigat…
View article: Effect of SARS-CoV-2 Infection on Endovascular Thrombectomy Outcomes—Data from the Florida Stroke Registry
Effect of SARS-CoV-2 Infection on Endovascular Thrombectomy Outcomes—Data from the Florida Stroke Registry Open
In this large multicenter stroke registry, despite comparable clinical presentation and treatment timelines, SARS-CoV2 positive status negatively impacted thrombectomy outcomes.
View article: DWI Positivity in Mild, Nondisabling Acute Cerebral Ischemia: Data From the PRISMS Trial
DWI Positivity in Mild, Nondisabling Acute Cerebral Ischemia: Data From the PRISMS Trial Open
Background In patients with acute cerebral ischemia (ACI) and mild deficit, acute infarction on magnetic resonance imaging (diffusion‐weighted imaging [DWI]‐positivity) is inconsistently detected. Our objective was to characterize the rate…
View article: Race and ethnic disparities in rehabilitation services and functional recovery post-stroke
Race and ethnic disparities in rehabilitation services and functional recovery post-stroke Open
Objective To identify race/ethnic disparities in rehabilitation services after stroke and characterize the independent associations of each of race/ethnicity and rehabilitation to functional recovery post-stroke. Methods The Transitions of…
View article: Discharge Communication and the Achievement of Lifestyle and Behavioral Changes Post-Stroke in the Transitions of Care Stroke Disparities Study
Discharge Communication and the Achievement of Lifestyle and Behavioral Changes Post-Stroke in the Transitions of Care Stroke Disparities Study Open
Objectives: This study identifies the association between patient perception of discharge education/resources and adequate transitions of care (ATOC) (i.e., patient achievement of at least 75% of recommended positive behaviors and activiti…
View article: The association between social networks and functional recovery after stroke
The association between social networks and functional recovery after stroke Open
Background and Purpose: Social determinants of health (SDOH), including social networks, impact disability and quality of life post-stroke, yet the direct influence of SDOH on functional change remains undetermined. We aimed to identify wh…
View article: Prevalence and Associations of Dural Arteriovenous Fistulae in Cerebral Venous Thrombosis: Analysis of ACTION-CVT
Prevalence and Associations of Dural Arteriovenous Fistulae in Cerebral Venous Thrombosis: Analysis of ACTION-CVT Open
Dural arteriovenous fistulae (DAVFs) represent approximately 10% of all intracranial vascular malformations 1 with an incidence of 0.16-1.04per 100,000 person-years. 2,3Prior studies identified an association between cerebral venous thromb…
View article: Physical and chemical soil quality and litter stock in agroforestry systems in the Eastern Amazon
Physical and chemical soil quality and litter stock in agroforestry systems in the Eastern Amazon Open
The influence of biodiversity and age of agroforestry systems (AFS) on the provision of ecosystem services, such as nutrient cycling, needs to be better understood to support management practices that promote such services. This study aime…
View article: Ten‐Year Review of Antihypertensive Prescribing Practices After Stroke and the Associated Disparities From the Florida Stroke Registry
Ten‐Year Review of Antihypertensive Prescribing Practices After Stroke and the Associated Disparities From the Florida Stroke Registry Open
Background Guideline‐based hypertension management is integral to the prevention of stroke. We examine trends in antihypertensive medications prescribed after stroke and assess how well a prescriber's blood pressure (BP) medication choice …
View article: Determinants and Temporal Trends of Dual Antiplatelet Therapy After Mild Noncardioembolic Stroke
Determinants and Temporal Trends of Dual Antiplatelet Therapy After Mild Noncardioembolic Stroke Open
BACKGROUND: Short-term dual antiplatelet therapy (DAPT) reduces early stroke recurrence after mild noncardioembolic ischemic stroke (NCIS). We aim to evaluate temporal trends and determinants of DAPT prescription after mild NCIS in the Flo…
View article: Early hospital readmission following stroke: the Florida Stroke Registry
Early hospital readmission following stroke: the Florida Stroke Registry Open
Background Hospital readmission is an important indicator of poor transition of care post-stroke. Data on characteristics of patients at highest risk for readmission is limited and necessary to inform effective interventions. The goal is t…
View article: Predictors and Temporal Trends of Withdrawal of Life-Sustaining Therapy After Acute Stroke in the Florida Stroke Registry
Predictors and Temporal Trends of Withdrawal of Life-Sustaining Therapy After Acute Stroke in the Florida Stroke Registry Open
OBJECTIVES: Temporal trends and factors associated with the withdrawal of life-sustaining therapy (WLST) after acute stroke are not well determined. DESIGN: Observational study (2008–2021). SETTING: Florida Stroke Registry (152 hospitals).…
View article: Borderzone Infarcts and Recurrent Cerebrovascular Events in Symptomatic Intracranial Arterial Stenosis: A Systematic Review and Meta-Analysis
Borderzone Infarcts and Recurrent Cerebrovascular Events in Symptomatic Intracranial Arterial Stenosis: A Systematic Review and Meta-Analysis Open
Background and Purpose Intracranial arterial stenosis (ICAS)-related stroke occurs due to three primary mechanisms with distinct infarct patterns: (1) borderzone infarcts (BZI) due to impaired distal perfusion, (2) territorial infarcts due…
View article: Transcranial Doppler After Successful Endovascular Revascularization and Hospitalization Outcomes
Transcranial Doppler After Successful Endovascular Revascularization and Hospitalization Outcomes Open
Background Almost half of large‐vessel occlusion strokes have unfavorable outcomes despite successful endovascular therapy. We aim to investigate whether postrevascularization cerebral hemodynamics, determined by transcranial Doppler (TCD)…
View article: Preexisting Depression and Ambulatory Status After Stroke: Florida–Puerto Rico Collaboration to Reduce Stroke Disparities
Preexisting Depression and Ambulatory Status After Stroke: Florida–Puerto Rico Collaboration to Reduce Stroke Disparities Open
Preexisting depression was independently associated with dependent ambulation at hospital discharge after stroke, regardless of sex and race-ethnicity. Treating depression may contribute to primary stroke prevention and could improve ambul…
View article: Impact of Time to Treatment on Endovascular Thrombectomy Outcomes in the Early Versus Late Treatment Time Windows
Impact of Time to Treatment on Endovascular Thrombectomy Outcomes in the Early Versus Late Treatment Time Windows Open
Background: The impact of time to treatment on outcomes of endovascular thrombectomy (EVT) especially in patients presenting after 6 hours from symptom onset is not well characterized. We studied the differences in characteristics and trea…