Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

1) This study aims to examine the evolving trends of intravenous thrombolysis (IVT), endovascular thrombectomy (EVT), and their combination in low NIHSS acute ischemic stroke (AIS) management in the United States from 2016 to 2020.MethodsWe MethodsWe accessed the national inpatient sample database from 2016 through 2020.

Thrombolysis 40

Thrombolysis Inpatient Stroke Strokes 40

Stroke Journal

JANUARY 30, 2025

This study examined trends in their use from 2016 to 2021, the relationship between them, and associated patient demographics and outcomes.Methods:National inpatient Sample (NIS) (n=798,712) was analyzed. Background:Decompressive hemicraniectomy (DHC) and mechanical thrombectomy (MT) are critical interventions for acute ischemic stroke.

Inpatient 40

Inpatient Stroke Strokes Hospital 40

Frontiers in Cardiovascular Medicine

JULY 2, 2024

This study aims to present our institutional experience and the outcomes of pulmonary endarterectomy for PAS.MethodsWe gathered clinical characteristics, intraoperative data, postoperative outcomes, and prognosis information from PAS patients who underwent surgical treatment at our institution between December 2016 and September 2023.ResultsA

Pulmonary 52

Pulmonary Outcomes 52

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 40

Obesity Inpatient Stroke Strokes 40

Stroke Journal

MARCH 20, 2025

BACKGROUND:Although lower hemoglobin levels associate with worse intracerebral hemorrhage (ICH) outcomes, causal drivers for this relationship remain unclear. Similar relationships were seen with poor 6- and 12-month outcomes. Additional studies are required to clarify whether correcting anemia can improve these outcomes.

Hemorrhage 40

Hemorrhage Outcomes Stroke Strokes 40

Journal of the American Heart Association

JANUARY 19, 2024

Methods and ResultsData were collected from the 2016 to 2018 National Inpatient Sample. The primary outcome of interest was variability in CLTI treatment, as characterized by the median odds ratio. BackgroundLittle is known about treatment variability across US hospitals for patients with chronic limb‐threatening ischemia (CLTI).Methods

Inpatient 40

Inpatient Ischemia Hospital Outcomes 40

Cardiology Update

DECEMBER 11, 2023

This unique setting allowed investigators to examine the relationship between obesity and hemodynamic indices of right ventricular function, as well as how right ventricular function correlates with future clinical outcomes. Original article: Circ Heart Fail. 2023;16:e010524.

Obesity 52

Obesity Hospital Outcomes Heart Failure 52

The British Journal of Cardiology

MARCH 7, 2024

We assessed outcomes following mitral valvular surgery in a tertiary referral centre with a dedicated mitral multi-disciplinary team (MDT). Between 2016 and 2020, 395 patients with mitral valvular disease were discussed at MDT. International guidelines recommend ‘heart teams’ as the preferred method for decision-making.

Bicuspid/Mitral 52

Bicuspid/Mitral Outcomes Stenosis Hospital 52

Open Heart

APRIL 27, 2023

This study used data from Ontario, Canada to compare mid-term and long-term clinical outcomes in a representative real-world cohort of patients who underwent TAVR and SAVR from 2007 to 2016. Primary outcomes were all-cause, cardiovascular and non-cardiovascular mortality either in-hospital or at 1, 3 and 5 years postdischarge.

Aortic valve 52

Aortic valve TAVR Aortic Outcomes 52

Stroke Journal

JANUARY 30, 2025

Objective:Socioeconomic disparities significantly affect the treatment and outcomes of cardiovascular and cerebrovascular diseases, including acute ischemic stroke. SES was assessed by matching patient ZIP codes to median household income data from the Census for the years 2016-2022.

Outcomes 40

Outcomes Stroke Strokes Hospital 40

Open Heart

DECEMBER 9, 2023

Methods Adult patients with TAAD from China 5A study were included if surgically repaired between 2016 and 2022. Primary outcome was operative mortality according to Society of Thoracic Surgeons criterion.

Aortic 52

Aortic Outcomes 52

Cardiovascular Diabetology

AUGUST 6, 2024

Cox proportional survival analysis was used to assess outcomes where cardioprotective GLD (any of Sodium Glucose Lowering Transport 2 receptor inhibitors [SGLT2i] and Glucagon Like Peptide Receptor Agonists [GLP-1 RA]) served as a reference. Mean age was 69 years, 67% were male, and 81% were on GLD. vs. 67.1%) than other GLD. vs. 5.2%).

Coronary Artery Disease 98

Coronary Artery Disease Diabetes Myocardial Infarction Heart Failure 98

Open Heart

JANUARY 31, 2022

Objectives To understand the patient and hospital level drivers of the variation in surgical versus trascatheter aortic valve replacement (SAVR vs TAVR) for patients with aortic stenosis (AS) and to explore whether this variation translates into differences in clinical outcomes. Background Adoption of TAVR has grown exponentially worldwide.

Aortic valve 52

Aortic valve TAVR Aortic Outcomes 52

Journal of the American Heart Association

JANUARY 19, 2024

Although Impella or intra‐aortic balloon pump (IABP) is frequently used for left ventricular unloading (LVU) during VA‐ECMO treatment, there are limited data on comparative outcomes. The proportion of patients receiving Impella significantly increased from 2016 to 2020 (6.5% and 16.4%, respectively. versus 25.8%;P‐trend<0.001).

Cardiogenic Shock 65

Cardiogenic Shock Aortic Hospital Outcomes 65

Journal of the American Heart Association

MARCH 27, 2025

years]) admitted to the China Chest Pain Center Database between 2016 and 2021. The primary outcome was a composite of inhospital adverse events. Associations between multimorbidity patterns and outcomes were evaluated using multivariableadjusted logistic regression models.

Myocardial Infarction 40

Myocardial Infarction Peripheral Arterial Disease Outcomes Chest Pain 40

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 73

Stroke Strokes Atrial Fibrillation Medicare 73

Journal of the American Heart Association

DECEMBER 1, 2023

We investigated the efficacy and safety of treatment with each of 4 different DOACs or warfarin after DOAC failure.Methods and ResultsWe retrospectively analyzed patients with atrial fibrillation with ischemic stroke despite DOAC treatment between January 2002 and December 2016. 0.39] for apixaban, 0.23 [95% CI, 0.14–0.37]

Atrial Fibrillation 75

Atrial Fibrillation Hemorrhage Pharmacology Stroke 75

Stroke Journal

FEBRUARY 1, 2024

Our study aims to describe the trends and outcomes of patients with Subarachnoid Hemorrhage (SAH) using a Nationwide Inpatient Sample (NIS) database.Methods:We examined the 2016-2020 NIS database, focusing on patients aged 18 years and older with a primary SAH discharge diagnosis.

COVID-19 40

COVID-19 Hemorrhage Outcomes Inpatient 40

Stroke: Vascular and Interventional Neurology

SEPTEMBER 12, 2023

We investigated long‐term trends of reperfusion therapy and outcomes according to the stroke severity.MethodsPatients with acute ischemic stroke registered in the prospective nationwide hospital‐based registry between 2000 and 2020 were examined. Secular changes were assessed per 5‐year cohorts (2000–2005, 2006–2010, 2011–2015, 2016–2020).

Stroke 40

Stroke Strokes Outcomes Thrombolysis 40

Circulation

NOVEMBER 11, 2024

CHD admissions remained stable from 2016 to 2020. Variations in cardiogenic shock, MCS usage, and cardiac transplants emphasize the need for adaptive clinical practices to optimize patient outcomes. Patients without CHD were older (mean age 71.5 years) than those with DV-CHD (mean age 59.8 years) and SV-CHD (mean age 17.9

Cardiogenic Shock 40

Cardiogenic Shock Congenital Heart Disease Heart Failure Congenital 40

Stroke Journal

FEBRUARY 1, 2024

Introduction:Previous studies have demonstrated the predictive capabilities of machine learning (ML) models using clinical, imaging, and angiographic characteristics in determining the clinical outcome of patients undergoing endovascular treatment for acute ischemic stroke. The area under the curve for predicting good outcome was 0.76

Stroke 40

Stroke Strokes Outcomes Laboratory 40

Circulation

NOVEMBER 11, 2024

This study examines the outcomes of hospitalized AF patients with thrombocytopenia.Methods:The National Inpatient Sample (NIS) from 2016-2020 was analyzed to identify adult patients with AF and thrombocytopenia (using the proper ICD-10 codes). The primary outcome was all-cause inpatient mortality.

Atrial Fibrillation 40

Atrial Fibrillation Outcomes Inpatient Hospital 40

Circulation

NOVEMBER 11, 2024

This study evaluates the outcomes in patients admitted for HF with and without hyperkalemia.Methods:We used the Nationwide Readmissions Database (NRD) from 2016-2019, extracting adult patients with a primary diagnosis of HF who were admitted between January and November of each year. vs. 2.5%, p < 0.001). 2], p<0.001).Conclusion:Hyperkalemia

Inpatient 40

Inpatient Heart Failure Outcomes Cardiac Arrest 40

Stroke Journal

FEBRUARY 1, 2024

Introduction:Atrial fibrillation (AF) and cancer are both independently associated with worse outcomes in patients with acute ischemic stroke. Few studies have evaluated the impact of AF on outcomes of cancer-related stroke. The primary outcome was in-hospital mortality. The primary exposure was a diagnosis of AF.

Cancer 40

Cancer Atrial Fibrillation Outcomes Stroke 40

Circulation

NOVEMBER 11, 2024

Introduction:While the utilization of leadless pacemakers is growing, the safety of device retrieval remains an important question that has yet to be addressed.Methods:Using the State Inpatient Database (2016 to 2021), we identified 426 cases of leadless pacemaker (Medtronic MICRA) revision or replacement using ICD-10-PCS codes 02WA3NZ and 02PA3NZ.

Pacemaker 40

Pacemaker Open-Heart Surgery Outcomes Inpatient 40

Stroke Journal

JANUARY 30, 2025

Patients characteristics, time course, of initial management and clinical outcome were compared in both groups. A good functional outcome was defined as modified Rankin Scale score 0-3. The rates of reperfusion therapy and good functional outcome were similar in both groups.

Cancer 40

Cancer Hospital Outcomes Stroke 40

Circulation: Heart Failure

OCTOBER 27, 2023

The role of obesity in RV dysfunction and adverse outcomes is unclear.METHODS:We examined patients undergoing right heart catheterization between 2005 and 2016 in a hospital-based cohort. BACKGROUND:Right ventricular (RV) dysfunction is associated with increased mortality across a spectrum of cardiovascular diseases.

Obesity 40

Obesity Outcomes Heart Failure Pulmonary 40

Stroke Journal

FEBRUARY 1, 2024

Background:Studies describing outcomes of subarachnoid hemorrhage (SAH) in children are sparse. Conclusion:Six of ten pediatric patients with SAH are discharged with excellent outcome with a 10% index hospitalization mortality. Stroke, Volume 55, Issue Suppl_1 , Page ATP19-ATP19, February 1, 2024.

Pediatrics 40

Pediatrics Hemorrhage Outcomes Hospital 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Whereas secondary analyses from randomized trials have demonstrated no differences in thrombectomy outcomes in transferred vs direct presentation strokes (1‐2), several registry based cohorts reported worse functional outcomes in those with transferred presentation mode (3‐4).

Hospital 40

Hospital Outcomes Stroke Strokes 40

The American Journal of Cardiology

APRIL 19, 2024

Publication date: Available online 18 April 2024 Source: The American Journal of Cardiology Author(s): Bekure B. Siraw, Parth Patel, Abdulrahim Y. Mehadi, Eli A. Zaher, Yordanos T.

Inpatient 40

Inpatient Hospital Outcomes 40

Stroke Journal

JANUARY 30, 2025

Social determinants of health may influence mental health outcomes. From 2016 to 2021, parents of children within 3.5 Further research in this area will help facilitate understanding and development of interventions to prevent these mental health outcomes.

Pediatrics 40

Pediatrics Stroke Strokes Outcomes 40

Circulation

NOVEMBER 11, 2024

As heart failure with preserved ejection fraction (HFpEF) comprises half of all heart failure cases, understanding its management and effect on outcomes is crucial. Multivariate logistic and linear regression analyses were performed, adjusting for multiple patient and hospital confounders.

Preserved Ejection Fraction 40

Preserved Ejection Fraction Inpatient Cardiogenic Shock Heart Failure 40

Stroke Journal

JANUARY 30, 2025

The characteristics and outcomes of the patients with or without safety-net features treated at SNHs vs non-SNHs were compared after adjusting for patient and hospital characteristics. 1.19, p<0.001) and composite outcome (aOR 1.17, 95% CI 1.14-1.19), Patients with safety-net features were those with Medicaid or no insurance.

Hospital 40

Hospital Outcomes Stroke Strokes 40

Stroke Journal

JANUARY 30, 2025

The characteristics and outcomes of the patients with or without safety-net features treated at SNHs vs non-SNHs were compared after adjusting for patient and hospital characteristics. 1.19, p<0.001) and composite outcome (aOR 1.17, 95% CI 1.14-1.19), Patients with safety-net features were those with Medicaid or no insurance.

Hospital 40

Hospital Outcomes Stroke Strokes 40

Frontiers in Cardiovascular Medicine

JANUARY 22, 2024

Methods Between January 2016 and December 2022, a total of 220 patients requiring surgery for infective endocarditis were included in this retrospective analysis. The secondary study endpoints included stroke onset, all-cause mortality, and a composite outcome of either re-endocarditis, stroke, or all-cause mortality during follow-up.

Stroke 69

Stroke Strokes Outcomes 69

Journal of Cardiovascular Electrophysiology

MARCH 11, 2025

Despite guideline recommendations for complete device removal, disparities in healthcare access and resource availability between urban and rural settings may influence patient outcomes. This study aims to evaluate ruralurban disparities in the management and outcomes of patients hospitalized with CIED infections.

Hospital 40

Hospital Outcomes Atrial Fibrillation Embolism 40

Coronary Artery Disease Journal

OCTOBER 31, 2023

Background It is unclear how COVID-19 pandemic affected care and outcomes among patients who are diagnosed with ST-elevation myocardial infarction (STEMI) in the USA. for patients admitted in 2016–2019 period. to 3.49, P < 0.001) were reduced in 2020 compared to 2016–2019 period. reduction in admissions in 2020. In 2020, 3.0%

COVID-19 52

COVID-19 STEMI Inpatient Hospital 52