2019, 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

STS Announces Late-breaker Research to Be Presented at the 2024 Annual Meeting

DAIC

JANUARY 29, 2024

The analysis included 4,798 patients from 207 STS sites who underwent esophagectomy between 2012-2019. The researchers found that Medicare patients undergoing esophagectomy for cancer exhibit identifiable predictors for long-term survival and readmission.

Research

Research TAVR Aortic valve Atrial Fibrillation

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

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

As of 2023, Center for Medicare & Medicaid Services uses NIHSS as a risk adjustment variable. Medicare and Mount Sinai Health System registry data were linked using a matching algorithm. of Medicare cases even though it was documented in 93.1% Index AIS admissions were identified using the ICD-10-CM code of I63.x.

Medicare

Medicare Document Stroke Strokes

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

Thrombectomy Use in the United States for Basilar Artery Occlusion in the Era of Neutral Clinical Trials: 2018 to 2020 Analysis of the National Inpatient Sample

Stroke: Vascular and Interventional Neurology

AUGUST 8, 2023

BACKGROUNDIn 2019 and 2020, 2 randomized trials of basilar artery occlusion (BAO) thrombectomy reported no improvement in functional outcomes with thrombectomy, despite observational evidence and weak guidelines recommending thrombectomy. Stroke: Vascular and Interventional Neurology, Ahead of Print. versus 16.1%;P=0.41). versus 16.1%;P=0.41).

Inpatient

Inpatient Medicare Stroke Strokes

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

Abstract WMP51: Patient-Related Factors and Social Determinants of Health Associated With Discharge to Home Following Acute Ischemic Stroke: Findings From the Get With the Guidelines Stroke Registry

Stroke Journal

FEBRUARY 1, 2024

Background:Medical comorbidities and stroke risk factors explain only a proportion of stroke incidence and outcomes in different populations. The primary outcome measure was discharge to home. Our findings can be used to develop interventions that reduce inequity in AIS outcomes.

Stroke

Stroke Strokes Education Medicare

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 WMP106: The Impact of Social Determinants of Health on Ambulatory Status at Discharge Following Acute Ischemic Stroke: Findings From the Get With the Guidelines-Stroke Registry

Stroke Journal

FEBRUARY 1, 2024

Background:Medical comorbidities and stroke risk factors only explain a proportion of stroke incidence and outcomes in different populations. The primary outcome measure was ambulatory status at discharge, defined as ability to ambulate with or without the assistance of a device or person. 0.96],p=0.001).Patients 1.18];P=0.001).

Stroke

Stroke Strokes Education Medicaid

Abstract WP261: Healthcare Utilization Patterns and Disparities in High Intensity Statin Use in Stroke Patients

Stroke Journal

FEBRUARY 1, 2024

Objective:Physician adherence to evidence-based clinical guidelines improves outcomes in acute ischemic stroke (AIS) and transient ischemic attack (TIA) patients. Medicare beneficiaries age≥67 with Part A/B/D coverage, ≥1 ICD code for AIS/TIA in 2015-2018, and no prior AIS/TIA or high intensity statin use (N=76,707).

Stroke

Stroke Strokes Medicare Outcomes

Abstract TMP19: Need for Enhancing Mental Health Care in Stroke Patients: Insights Into Post-Stroke Anxiety and Depression From the National Health Interview Survey (NHIS) Data

Stroke Journal

FEBRUARY 1, 2024

Background:Stroke is a leading cause of chronic disability, with neuropsychiatric presentations being increasingly recognized as complications that hinder rehabilitation and patient outcomes. while patients with medicare/medicaid were more likely to have anxiety (OR=2.9, 95%CI (0.2,0.9). 95%CI (0.4,0.9) 95% CI (1.1,7.7)

Stroke

Stroke Strokes Medicaid Medicare

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

Published Research

Society of Thoracic Surgeons - Research

APRIL 20, 2023

Program Designations Access and Publications (A&P) 1 Participant User File (PUF) 2 Task Force on Funded Research (TFR) 3 Special Projects 4 Adult Cardiac Surgery Database Lead Author Title Publication Date William Keeling 2 National Trends in Emergency Coronary Artery Bypass Grafting European Journal of Cardiothoracic Surgery October 2023 Jake (..)

Research

Research Coronary Artery Bypass Graft Aortic valve Congenital

Published Research

Society of Thoracic Surgeons - Research

APRIL 20, 2023

Adult Cardiac Surgery Database Lead Author Title Publication Date Jacob Raphael Red Blood Cell Transfusion and Pulmonary Complications: The Society of Thoracic Surgeons Adult Cardiac Surgery Database Analysis The Annals of Thoracic Surgery January 2024 Joseph Sabik Multi-Arterial versus Single-Arterial Coronary Surgery: Ten Year Follow-up of One Million (..)

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)

STS Announces Late-breaker Research to Be Presented at the 2024 Annual Meeting

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

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

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

Thrombectomy Use in the United States for Basilar Artery Occlusion in the Era of Neutral Clinical Trials: 2018 to 2020 Analysis of the National Inpatient Sample

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

Abstract WMP51: Patient-Related Factors and Social Determinants of Health Associated With Discharge to Home Following Acute Ischemic Stroke: Findings From the Get With the Guidelines Stroke Registry

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

Abstract WMP106: The Impact of Social Determinants of Health on Ambulatory Status at Discharge Following Acute Ischemic Stroke: Findings From the Get With the Guidelines-Stroke Registry

Abstract WP261: Healthcare Utilization Patterns and Disparities in High Intensity Statin Use in Stroke Patients

Abstract TMP19: Need for Enhancing Mental Health Care in Stroke Patients: Insights Into Post-Stroke Anxiety and Depression From the National Health Interview Survey (NHIS) Data

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

Published Research

Published Research

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