{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,6]],"date-time":"2026-11-06T08:26:45Z","timestamp":1793953605375,"version":"4.8.0"},"reference-count":13,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2025,5,9]],"date-time":"2025-05-09T00:00:00Z","timestamp":1746748800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>\n                    A\n                    <jats:sc>BSTRACT<\/jats:sc>\n                  <\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>We investigated the benefits of bladder point-of-care ultrasound (POCUS) during acute ischemic stroke (AIS) by applying AGN3 criteria.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>Three groups of inpatients with AIS were retrospectively enrolled. Group A (between January 2011 and March 2014) comprised 1104 patients who did not undergo bladder POCUS. Group B (between May 2014 and February 2017) comprised 824 patients for whom relaxed bladder POCUS criteria were applied. Group C (between July 2021 and October 2023) comprised 920 patients for whom AGN3 criteria were applied (i.e., age \u226575 years, female gender, National Institutes of Health Stroke Scale [NIHSS] total score \u22655, NIHSS conscious score \u22651, and NIHSS leg score \u22652).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The proportions of patients who met the AGN3 criteria were 76%, 73%, and 72% in Groups A, B, and C, respectively. Only 33% of Group B and 50% of Group C patients who met the AGN3 criteria underwent bladder POCUS. The incidence of urinary tract infection (UTI) was highest in Group A (6.9%), followed by Groups B (4%) and C (2.1%). The optimal cutoff postvoid residual urine volume for predicting UTI was \u2265100 mL. The hospital length of stay (LOS) was longer in Group A (13.6 days) than in Groups B and C (11.9 and 12.1 days, respectively). A C-statistic of 0.814 was estimated using the AGN3 criteria. AGN3 score \u22652 was the optimal cutoff value for predicting UTI.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Bladder POCUS is beneficial for reducing the incidence of UTI and shortening hospital LOS. Patients with AGN3 score \u22652 were at higher risk of UTI and required bladder POCUS studies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/tcmj.tcmj_294_24","type":"journal-article","created":{"date-parts":[[2025,5,10]],"date-time":"2025-05-10T01:00:29Z","timestamp":1746838829000},"page":"97-103","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Benefits of bladder point-of-care ultrasound for acute ischemic stroke and application of AGN3 criteria"],"prefix":"10.4103","volume":"38","author":[{"given":"Cheng-Lun","family":"Hsiao","sequence":"first","affiliation":[{"name":"Stroke Center and Department of Neurology, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, New Taipei, Taiwan"},{"name":"School of Medicine, Tzu Chi University, Hualien, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wan-Ling","family":"Chang","sequence":"additional","affiliation":[{"name":"Stroke Center and Department of Neurology, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, New Taipei, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pei-Ya","family":"Chen","sequence":"additional","affiliation":[{"name":"Stroke Center and Department of Neurology, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, New Taipei, Taiwan"},{"name":"School of Medicine, Tzu Chi University, Hualien, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shinn-Kuang","family":"Lin","sequence":"additional","affiliation":[{"name":"Stroke Center and Department of Neurology, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, New Taipei, Taiwan"},{"name":"School of Medicine, Tzu Chi University, Hualien, 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unfavorable short-term outcomes in patients with acute ischemic stroke","volume":"14","author":"Lin","year":"2021","journal-title":"J Inflamm Res"},{"key":"R11-20260116","doi-asserted-by":"crossref","first-page":"2599","DOI":"10.3390\/diagnostics13152599","article-title":"Comparative effectiveness of two models of point-of-care ultrasound for detection of post-void residual urine during acute ischemic stroke: Preliminary findings of real-world clinical application","volume":"13","author":"Chang","year":"2023","journal-title":"Diagnostics (Basel)"},{"key":"R12-20260116","doi-asserted-by":"crossref","first-page":"136","DOI":"10.3389\/fphar.2010.00136","article-title":"Bladder dysfunction in diabetes mellitus","volume":"1","author":"Golbidi","year":"2010","journal-title":"Front Pharmacol"},{"key":"R13-20260116","doi-asserted-by":"crossref","first-page":"260","DOI":"10.4103\/tcmj.tcmj_95_18","article-title":"Postacute care model of stroke in one 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