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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, 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.
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).
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).
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
Stroke, Volume 56, Issue Suppl_1 , Page AWMP40-AWMP40, February 1, 2025. Introduction:Rehabilitation is essential to stroke recovery; however, access to rehabilitation varies in the US. We report recent national utilization rates of different rehabilitation disciplines in stroke survivors covered by different payors in the US.
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%
Stroke, Ahead of Print. BACKGROUND:Poststroke depression (PSD) is a treatable and common complication of stroke that is underdiagnosed and undertreated in minority populations.
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. women) transported by an MSU for suspected acute stroke, 61.1%
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, Volume 56, Issue Suppl_1 , Page ATP121-ATP121, February 1, 2025. The effect that vertical integration has on emergency stroke care is unclear. In 2016, 29% of VI stroke transfer network dyads had 1 transfer with EVT compared to only 17% of non-VI dyads. There was no substantial change in 2017 or 2018.Conclusion:From
Stroke, Volume 56, Issue Suppl_1 , Page AWP140-AWP140, February 1, 2025. Background:Maximizing long-term home time (HT) for acute ischemic stroke (AIS) patients has patient-centered and health-system benefits. All claims within 1 year of hospitalization were collated and grouped into corresponding care pathways. 0.76) (Figure 3).
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, Volume 56, Issue Suppl_1 , Page AWMP45-AWMP45, February 1, 2025. Home time is a valid measure of functional recovery in stroke patients that is often used in outcome studies. Compared to SNF patients, IRF patients were younger, more likely to be male, had minor strokes (NIHSS 1-4), and were able to ambulate at discharge.
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, Volume 56, Issue Suppl_1 , Page AWP114-AWP114, February 1, 2025. Introduction:Two-thirds of US stroke patients undergo rehabilitation post-discharge with about 20% and 25% receiving care at an inpatient rehabilitation facility (IRF) and skilled nursing facility (SNF), respectively.
Stroke, Volume 56, Issue Suppl_1 , Page AWP122-AWP122, February 1, 2025. Introduction:Inpatient rehabilitation (IR) for patients with Acute Ischemic Stroke (AIS) offers improved functional recovery and quality of life. Medicare, 1.17 [1.08-1.26]; Across both IR discharge models, patients who were male (aORs: 1.17 [1.08-1.26];
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.
Stroke, Volume 56, Issue Suppl_1 , Page AWMP44-AWMP44, February 1, 2025. Background:The post-acute journey for stroke patients is highly variable. Clinical information on a matched sub-population was linked from the EMR of a 7-hospital certified stroke health system. Cluster models with k = 2 centers (vs. vs. 28.5%) (Fig.
Stroke, Volume 56, Issue Suppl_1 , Page ATP328-ATP328, February 1, 2025. We longitudinally followed the patients by linking the registry data to the Center for Medicare&Medicaid Service (CMS) claims data. Objective:The role of statins in the management of intracerebral hemorrhage (ICH) remains controversial. 72-86] years; 57.0%
Stroke, Volume 56, Issue Suppl_1 , Page AWP27-AWP27, February 1, 2025. 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). ICD-10 procedure codes were used to identify surgically treated AVM patients (Table 1).
Stroke, Volume 56, Issue Suppl_1 , Page AWP152-AWP152, February 1, 2025. Background:Structural racism and disparities between rural and urban healthcare systems significantly impact stroke care delivery in the United States. vs. 88.6%), stroke certification (5.3% vs. 38.4%), and lower rates of TPA (1.6% for TPA, 1.27
Stroke, Volume 56, Issue Suppl_1 , Page AWP295-AWP295, February 1, 2025. Background:Structural inequity, including structural racism, is increasingly linked to stroke measures. Prior work has shown that ecosocial models quantifying constituent domains of structural racism correlate with acute ischemic stroke (AIS) incidence.
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.
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
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