2016, Medicare and Outcomes - Cardiovascular Update

Intensive Versus Traditional Cardiac Rehabilitation: Mortality and Cardiovascular Outcomes in a 2016–2020 Retrospective Medicare Cohort

Circulation: Cardiovascular Quality & Outcomes

DECEMBER 1, 2023

Circulation: Cardiovascular Quality and Outcomes, Ahead of Print. Background:Traditional cardiac rehabilitation (CR) improves cardiovascular outcomes and reduces mortality, but less is known about the relative benefit of intensive CR (ICR) which incorporates greater lifestyle education through 72 sessions (versus 36 in CR).

Cardiac Rehabilitation

Cardiac Rehabilitation Medicare Outcomes Hospital

Abstract 13: Prior Bariatric Surgery is Associated With Reduced Risk of Recurrent Stroke Among Elderly Obese Stroke Survivors: A National Inpatient Sample Study (2016-2019)

Stroke Journal

FEBRUARY 1, 2024

Introduction:The paucity of large-scale data exploring the effect of prior bariatric surgery on recurrent stroke outcomes in elderly obese stroke survivors led us to address the gap, with an emphasis on the risk of recurrent stroke and its trends.Methods:A retrospective study was conducted using National Inpatient Sample data from 2016-2019.

Obesity

Obesity Inpatient Stroke Strokes

Abstract WP109: Framework for Evaluating Sequential Patterns in Post-Acute Transitions of Care Among Ischemic and Hemorrhagic Stroke Survivors: Analysis of Medicare Beneficiaries in the State of Texas

Stroke Journal

FEBRUARY 1, 2024

Methods:Data were retrieved from a CMS Qualified Entity housing healthcare utilization data for ≥80% of the Texas state population (100% of Medicare Fee-for-Service). Analytical sample included all Medicare enrollees with a primary discharge diagnosis (AIS or ICH) from 2016 to 2020. and 82.3% (Panel D).Conclusion:Post

Medicare

Medicare Hemorrhage Inpatient Stroke

Abstract 5: National Institutes of Health Stroke Scale Reporting in Administrative Claims Data: Incomplete and Biased Reporting in the First Three Years

Stroke Journal

FEBRUARY 1, 2024

Background:Since 2016, hospitals have been able to document International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) codes for National Institutes of Health Stroke Scale (NIHSS). As of 2023, Center for Medicare & Medicaid Services uses NIHSS as a risk adjustment variable.

Medicare

Medicare Document Stroke Strokes

Provider Care Segregation and Hospital?Region Racial Disparities in the United States for Acute Ischemic Stroke and Endovascular Therapy Outcomes

Journal of the American Heart Association

JANUARY 12, 2024

BackgroundReasons for racial disparities in the use and outcomes of endovascular treatment (ET) are not known. Using unadjusted and adjusted multilevel logistic models, we examined associations between measures of segregation and outcomes of discharge home, inpatient mortality, and 30‐day mortality.

Hospital

Hospital Outcomes Inpatient Stroke

Effectiveness, utilisation and cost associated with implantable loop recorders versus external monitors after ischaemic or cryptogenic stroke

Open Heart

MAY 8, 2024

Objective Implantable loop recorders (ILRs) are increasingly used for long-term rhythm monitoring after ischaemic and cryptogenic stroke, with the goal of detecting atrial fibrillation (AF) and subsequent initiation of oral anticoagulation to reduce risk of adverse clinical outcomes.

Stroke

Stroke Strokes Atrial Fibrillation Medicare

Abstract WP246: CHA2DS2-VASC Score Predicts Outcomes After a Stroke or Transient Ischemic Attack

Stroke Journal

FEBRUARY 1, 2024

We determined the utility of this score for predicting outcomes within one-year post-stroke/TIA.Methods:Analysis of adults with acute stroke/TIA (2012-2016) using linked data from the Australian Stroke Clinical Registry and administrative datasets (pharmaceutical, hospital, Medicare), as part of the PRECISE study.

Stroke

Stroke Strokes Outcomes Quality of Life

Relationship Between Community-Level Distress and Cardiac Rehabilitation Participation, Facility Access, and Clinical Outcomes After Inpatient Coronary Revascularization

Circulation: Cardiovascular Quality & Outcomes

OCTOBER 19, 2023

Circulation: Cardiovascular Quality and Outcomes, Volume 16, Issue 11 , Page e010148, November 1, 2023. BACKGROUND:Although disparities in cardiac rehabilitation (CR) participation are well documented, the role of community-level distress is poorly understood.

Cardiac Rehabilitation

Cardiac Rehabilitation Inpatient Myocardial Infarction Outcomes

Impact of Intensity of Vascular Care Preceding Major Amputation Among Patients With Chronic Limb-Threatening Ischemia

Circulation: Cardiovascular Interventions

DECEMBER 28, 2023

Secondary objectives evaluated all-cause mortality and adverse events following amputation.RESULTS:Of 33 036 total Medicare beneficiaries undergoing major amputation, 7885 (23.9%) were due to chronic limb-threatening ischemia; of these, 4988 (63.3%) received low-intensity and 2897 (36.7%) received high-intensity vascular care.

Vascular Care

Vascular Care Ischemia Medicare Hospital

Abstract 14: Associations Between Measures of Structural Racism and Acute Ischemic Stroke Incidence in the US

Stroke Journal

FEBRUARY 1, 2024

Methods:We conducted a national cross-sectional analysis of 71,078,619 adults aged >65 years enrolled in Medicare from January 1, 2016 to December 31, 2019. The primary outcome was AIS incidence.Results:The composite structural racism score identified significant geographic variation in structural racism across the U.S.

Stroke

Stroke Strokes Medicare Education

Risk of Recurrent Stroke and Mortality Among Black and White Patients With Poststroke Depression

Stroke Journal

APRIL 3, 2024

Our findings support that black race is an independent predictor of recurrent stroke in patients with PSD and highlight the need to address social determinants of health and systemic racism that impact poststroke outcomes among racial minorities.

Stroke

Stroke Strokes Medicare Outpatient

Abstract TMP15: Rurality is Associated With Negative Social Determinants of Health and Worse Acute Stroke Metrics, for Patients With Large Vessel Occlusion

Stroke Journal

FEBRUARY 1, 2024

Large vessel occlusion (LVO), a quarter of ischemic strokes, portends poor outcomes. They were more likely insured by Medicare, less by Medicaid, and less likely baseline ambulatory, have a Bachelor’s degree, or own a home, with lower median income.

Stroke

Stroke Strokes Medicaid Medicare

Abstract WP286: Cerebral Amyloid Angiopathy and Risk of Seizures

Stroke Journal

FEBRUARY 1, 2024

However, there are limited population-based data regarding the risk of seizures associated with clinically diagnosed CAA.Methods:We performed a retrospective cohort study using inpatient and outpatient claims from 2016 to 2018 from a nationally representative 5% sample of Medicare beneficiaries.

Medicare

Medicare Outpatient Inpatient Hemorrhage

HeartFlow Achieves Landmark Milestone of 250,000 Patients Assessed for Coronary Artery Disease (CAD) with FFRCT Analysis

DAIC

JANUARY 3, 2024

With more than 500 peer-reviewed publications, the HeartFlow FFR CT Analysis remains unparalleled in precision coronary care, as supported by the ACC/AHA Chest Pain Guidelines, to improve treatment plans and outcomes. 3 HeartFlow’s FFR CT Analysis is covered by Medicare and for >99% of commercially insured lives. Yokota, et al.

Coronary Artery Disease

Coronary Artery Disease Chest Pain Plaque Technology

Hospital Variation in Skilled Nursing Facility Use After Coronary Artery Bypass Graft Surgery

Journal of the American Heart Association

JANUARY 9, 2024

A total of 17 328 (24.6%) were discharged to a SNF, ranging from 0% to 88% across 871 hospitals.

Coronary Artery Bypass Graft

Coronary Artery Bypass Graft Nursing Hospital Medicare

Sex Disparities in Longitudinal Use and Intensification of Guideline-Directed Medical Therapy Among Patients With Newly Diagnosed Heart Failure With Reduced Ejection Fraction

Circulation

JANUARY 23, 2024

The primary outcome was the use of optimal GDMT within 12 months of HFrEF diagnosis. 0.76]) compared with Medicare (HR, 0.85 [95% CI, 0.77–0.92]);Pinteractionsex×insurance 0.92]);Pinteractionsex×insurance status=0.005) and for younger patients (age <65 years: HR, 0.65 [95% CI, 0.58–0.74])

Heart Failure

Heart Failure Medicare Circulation Outcomes

Published Research

Society of Thoracic Surgeons - Research

APRIL 20, 2023

Published Research kschukar Thu, 04/20/2023 - 11:12 Recently published (2016 – present) manuscripts utilizing STS data: Adult Cardiac Surgery, General Thoracic Surgery, Congenital Heart Surgery, and Intermacs/Pedimacs.

Research

Research Coronary Artery Bypass Graft Aortic valve Congenital

Published Research

Society of Thoracic Surgeons - Research

APRIL 20, 2023

Published Research kschukar Thu, 04/20/2023 - 11:12 Recently published (2016 – present) manuscripts utilizing STS data: Adult Cardiac Surgery, General Thoracic Surgery, Congenital Heart Surgery, and Intermacs/Pedimacs.

Research

Research Coronary Artery Bypass Graft Aortic valve Congenital

Intensive Versus Traditional Cardiac Rehabilitation: Mortality and Cardiovascular Outcomes in a 2016–2020 Retrospective Medicare Cohort

Abstract 13: Prior Bariatric Surgery is Associated With Reduced Risk of Recurrent Stroke Among Elderly Obese Stroke Survivors: A National Inpatient Sample Study (2016-2019)

Abstract WP109: Framework for Evaluating Sequential Patterns in Post-Acute Transitions of Care Among Ischemic and Hemorrhagic Stroke Survivors: Analysis of Medicare Beneficiaries in the State of Texas

Abstract 5: National Institutes of Health Stroke Scale Reporting in Administrative Claims Data: Incomplete and Biased Reporting in the First Three Years

Provider Care Segregation and Hospital?Region Racial Disparities in the United States for Acute Ischemic Stroke and Endovascular Therapy Outcomes

Effectiveness, utilisation and cost associated with implantable loop recorders versus external monitors after ischaemic or cryptogenic stroke

Abstract WP246: CHA2DS2-VASC Score Predicts Outcomes After a Stroke or Transient Ischemic Attack

Relationship Between Community-Level Distress and Cardiac Rehabilitation Participation, Facility Access, and Clinical Outcomes After Inpatient Coronary Revascularization

Impact of Intensity of Vascular Care Preceding Major Amputation Among Patients With Chronic Limb-Threatening Ischemia

Abstract 14: Associations Between Measures of Structural Racism and Acute Ischemic Stroke Incidence in the US

Risk of Recurrent Stroke and Mortality Among Black and White Patients With Poststroke Depression

Abstract TMP15: Rurality is Associated With Negative Social Determinants of Health and Worse Acute Stroke Metrics, for Patients With Large Vessel Occlusion

Abstract WP286: Cerebral Amyloid Angiopathy and Risk of Seizures

HeartFlow Achieves Landmark Milestone of 250,000 Patients Assessed for Coronary Artery Disease (CAD) with FFRCT Analysis

Hospital Variation in Skilled Nursing Facility Use After Coronary Artery Bypass Graft Surgery

Sex Disparities in Longitudinal Use and Intensification of Guideline-Directed Medical Therapy Among Patients With Newly Diagnosed Heart Failure With Reduced Ejection Fraction

Published Research

Published Research

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