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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).
Differenceindifferences analyses were used to compare differences in outcomes before (20142015) and after (20182019; 2year CR period=20162017) the CR period between participants and nonparticipants.ResultsWe identified 57 668 CReligible beneficiaries after matching, with equal numbers of participants and nonparticipants.
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.
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.
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.
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.
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.
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.
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.
The study outcome was a new speech pathology (SLT), occupational therapy (OT), or physical therapy (PT) encounter during the first year after discharge.Results:57,647 total cases were identified with 30% Medicare FFS, 33% Truven (Commercial) Medicare Advantage plan (65 years and older), and 37% Truven commercial (less than 65 years old).
Home time is a valid measure of functional recovery in stroke patients that is often used in outcome studies. Introduction:There has been an ongoing debate regarding the effectiveness of inpatient rehabilitation facility (IRF) and skilled nursing facility (SNF) in promoting functional recovery.
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.
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.
to identify patients with a diagnosis of AVM from the statewide inpatient and emergency department databases of Florida, Georgia, Maryland, New York, and Washington (2016-2019). Medicare) patients (1.82, 1.45 2.26) had higher odds of receiving surgical AVM treatment (Table 1).
total 1-year home time of <30 days), was evaluated by precision (positive predictive value), recall (sensitivity), and F1 score.Results:Between 2016 and 2020, 75,478 statewide AIS admissions were captured, while 2,889 AIS admissions were analyzed for the matched hospital system subgroup. Cluster models with k = 2 centers (vs.
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.
Utilization trends were stratified by region, urbanicity, distressed communities index, community versus academic center, Medicare versus dual enrollment status, indication, urgency, and presence of dissection with malperfusion.
In separate models, we estimated the odds ratio (OR) and 95% confidence intervals (CI) of three outcomes (inpatient mortality, 30-day mortality, and discharge home) using multilevel logistic models for clustered data, with data clustered at the county level. For each unit increase in structural racism, Black individuals had 4.5%
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
We longitudinally followed the patients by linking the registry data to the Center for Medicare&Medicaid Service (CMS) claims data. We longitudinally followed the patients by linking the registry data to the Center for Medicare&Medicaid Service (CMS) claims data.
Methods:This retrospective analysis utilized complete, de-identified inpatient Medicare data from January 1, 2016, to December 31, 2019. We included Medicare beneficiaries aged 65 years with incident AIS admissions in large metropolitan and non-urban settings.
We evaluated the influence of early (30-day) post-acute care (PAC) pathways on 1-year HT.Methods:We analyzed a cohort of Medicare AIS patients at a 7-hospital stroke certified health system (2016 to 2020). Random forest (RF) classification and regression models were built to evaluate predictors of 1-YR outcomes (HR, death, and HT).
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.
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.
BackgroundTransport by mobile stroke units (MSUs), which provide access to computed tomography scanning and intravenous blood pressure medications and thrombolytics, reduces time to treatment and may improve shortterm functional outcomes for patients with acute stroke.
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])
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