2016, Medicare and Stroke - Cardiovascular Update

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. Mean age was 69.9 (SD years and 53.5% were female.

Stroke

Stroke Strokes Atrial Fibrillation Medicare

Abstract TP80: Differences in Access to Post Acute Care Services Between Traditional Medicare and Medicare Advantage Beneficiaries in Michigan

Stroke Journal

FEBRUARY 1, 2024

Stroke, Volume 55, Issue Suppl_1 , Page ATP80-ATP80, February 1, 2024. Introduction:In recent years, Medicare Advantage (MA) enrollment in the US has increased dramatically relative to traditional Medicare (TM). of the 16,231 stroke discharges, respectively. in 2016 to 32.4% P<0.001).

Medicare

Medicare COVID-19 Inpatient Nursing

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

Stroke, Volume 55, Issue Suppl_1 , Page A13-A13, February 1, 2024. Elderly obese stroke survivors (> 65 years) having a recurrent acute ischemic stroke (AIS), with or without prior bariatric surgery (PBS), were identified using ICD-10 codes. vs. 83.8%), and covered by Medicare (91.7% vs. 90.7%). to 4.2%, p=0.064).

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

Stroke, Volume 55, Issue Suppl_1 , Page AWP109-AWP109, February 1, 2024. Background:Utilizing medical claims derived information, we evaluated temporal trends in post-acute care utilization pathways among patients with acute ischemic stroke (AIS) or intracerebral hemorrhage (ICH).Methods:Data 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

Stroke, Volume 55, Issue Suppl_1 , Page A5-A5, 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). NIHSS was documented for 52.9%

Medicare

Medicare Document Stroke Strokes

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

Stroke Journal

APRIL 3, 2024

Stroke, Ahead of Print. BACKGROUND:Poststroke depression (PSD) is a treatable and common complication of stroke that is underdiagnosed and undertreated in minority populations.

Stroke

Stroke Strokes Medicare Outpatient

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

Stroke Journal

FEBRUARY 1, 2024

Stroke, Volume 55, Issue Suppl_1 , Page A14-A14, February 1, 2024. While socioeconomic factors explain some of the racial disparity in stroke incidence at an individual level, little is known about the association between societal-level structural racism and the incidence of acute ischemic stroke (AIS).Methods:We

Stroke

Stroke Strokes Medicare Education

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

Stroke Journal

FEBRUARY 1, 2024

Stroke, Volume 55, Issue Suppl_1 , Page AWP246-AWP246, February 1, 2024. Introduction:The CHA2DS2-VASC score is used to predict stroke in people with atrial fibrillation (AF). CHA2DS2-VASC score (ranging from 0-9) was estimated based on comorbidities documented in hospital data as of the time of acute stroke/TIA.

Stroke

Stroke Strokes Outcomes Quality of Life

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

Stroke, Volume 55, Issue Suppl_1 , Page ATMP15-ATMP15, 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

Hypoglycemic Events May Trigger Acute Ischemic Stroke Within 30 Days in Those With Diabetes: A Case-Crossover Study

Stroke Journal

NOVEMBER 22, 2024

Stroke, Ahead of Print. BACKGROUND:Stroke triggers are factors that may precipitate a stroke within a given time interval and can predict the timing of a stroke. More research is needed to assess the link between the severity of hypoglycemia and stroke occurrence, as well as the severity of the stroke.

Diabetes

Diabetes Stroke Strokes Medicare

Abstract WP108: Predictive Accuracy of Multivariable Models for 30-day and 1-year All Cause Readmission After Stroke Using Different Combinations of Registry, Hospital and Claims Based Data Sources

Stroke Journal

FEBRUARY 1, 2024

Stroke, Volume 55, Issue Suppl_1 , Page AWP108-AWP108, February 1, 2024. However, identifying patients at risk of readmission after stroke is challenging and predictive models have historically not performed well, in part because they often rely on single data sources.

Hospital

Hospital Stroke Strokes Medicare

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.

Hospital

Hospital Outcomes Inpatient Stroke

Abstract TMP78: Disparities in Experiencing Major Adverse Cardiovascular Events Among Survivors of Spontaneous Intracerebral Hemorrhage by Hematoma Location

Stroke Journal

FEBRUARY 1, 2024

Stroke, Volume 55, Issue Suppl_1 , Page ATMP78-ATMP78, February 1, 2024. Medicare) have a lower risk of r-ICH (0.45, 0.31 - 0.67), AIS (0.71, 0.53 - 0.95), and MACE (0.58, 0.47 - 0.71). Results:Among 10,652 ICH patients (median age [IQR]: 70 [58 - 80] years; 47.7% female; 43.2% female; 43.2% Patients with lobar ICH (vs. Blacks (vs.

Hemorrhage

Hemorrhage Myocardial Infarction Atrial Fibrillation Medicare

Abstract WP286: Cerebral Amyloid Angiopathy and Risk of Seizures

Stroke Journal

FEBRUARY 1, 2024

Stroke, Volume 55, Issue Suppl_1 , Page AWP286-AWP286, February 1, 2024. Conclusions:In a nationally representative cohort of Medicare beneficiaries, CAA was associated with an increased risk of seizures. The study exposure was a diagnosis of CAA identified using ICD-10-CM code I68.0.

Medicare

Medicare Outpatient Inpatient Hemorrhage

Abstract 49: 15-Year Trends in Age and Sex-Specific Utilization of Carotid Revascularization Procedures in the United States

Stroke Journal

FEBRUARY 1, 2024

Stroke, Volume 55, Issue Suppl_1 , Page A49-A49, February 1, 2024. to -4.8), while CAS use declined from 2006-2016 but increased significantly over 2016-2020 in both men (APC 16.5%, 95%CI 10.0 Annual usage of CEA declined from 51.6 cases/100,000 population in both sexes combined (APC -5.4%, 95%CI -6.0 to 20.4) (Figure 1).Conclusion:Despite

CMS

CMS Medicaid Medicare Inpatient

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

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

Abstract TP80: Differences in Access to Post Acute Care Services Between Traditional Medicare and Medicare Advantage Beneficiaries in Michigan

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

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

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

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

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

Hypoglycemic Events May Trigger Acute Ischemic Stroke Within 30 Days in Those With Diabetes: A Case-Crossover Study

Abstract WP108: Predictive Accuracy of Multivariable Models for 30-day and 1-year All Cause Readmission After Stroke Using Different Combinations of Registry, Hospital and Claims Based Data Sources

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

Abstract TMP78: Disparities in Experiencing Major Adverse Cardiovascular Events Among Survivors of Spontaneous Intracerebral Hemorrhage by Hematoma Location

Abstract WP286: Cerebral Amyloid Angiopathy and Risk of Seizures

Abstract 49: 15-Year Trends in Age and Sex-Specific Utilization of Carotid Revascularization Procedures in the United States

Published Research

Published Research

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