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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).
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).
To improve outcomes and be in compliance with new regulations, it's crucial to better identify and address these issues during the recovery period. In 2020, she received the AHA/ASA David Sherman award for her lifetime contributions to post acute stroke care, research, training, innovation, and advocacy ([link] ).
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.
Participating Get With The Guidelines® (GWTG)-Stroke hospitals track EBG data to improve outcomes. 1, 2020-Dec. Payer sources were identified as: self-pay, Medicaid, Medicare, and Private/HMO. Differences in compliance rates were 10% for Medicare, 13.5% 21, 2022, from 51 Wisconsin Coverdell Stroke hospitals.
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.
BACKGROUND:Despite reported racial disparities between Black and White adults in short-term outcomes after abdominal aortic aneurysmal intervention, there is a paucity of literature aimed at understanding long-term disparities. The cumulative incidence of the primary outcome was 72.9% (95% CI, 71.8%73.9%)
Methods:We analyzed data on Medicare fee-for-service beneficiaries aged ≥65 years hospitalized with AIS from April 1, 2020, to December 31, 2021. We used US Centers for Disease Control and Prevention’s 2020 Social Vulnerability Index (SVI) and compared demographic and clinical features by SVI tertiles (low 0-0.33, moderate 0.34-0.66,
However, the association of socioeconomic vulnerability and outcomes after hospitalization is uncertain.Methods and ResultsAmerican Heart Association COVID19 Cardiovascular Disease Registry hospitalizations between March 1, 2020, and June 30, 2022, linked with Medicare feeforservice claims, were analyzed.
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
CONCLUSIONS:Bariatric surgery and pharmacotherapies with weight loss effects are associated with a lower risk of adverse outcomes among older patients with HF and obesity; however, overall utilization remains low. In propensity-matched analysis over a median follow-up of 2.8 0.99];P=0.04).CONCLUSIONS:Bariatric
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.
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).
Circulation: Cardiovascular Quality and Outcomes, Ahead of Print. In 2020, patients had higher odds of initiating LAAO use than in 2015 (0.52 Patient characteristics, measured 365 days before the first LAAO or OAC use date, were compared using logistic regression.RESULTS:There were 30 058 LAAO recipients (mean age, 77.74
Cureus 2020, 12, 9349. [2] Bundle-Branch Block Morphology and Other Predictors of Outcome After Cardiac Resynchronization Therapy in Medicare Patients. 2020, 22, 2349–2369. [8] Get in touch with our clinical team. Bibliography [1] Khan, M.A.; 2] McDonagh,T.A.; 2021, 42, 3599–3726. [3] 3] Liang, Y.; Heart Fail.
The Times also briefly touches on some other patients of Mustapha who had bad outcomes. In 2020, the state medical board investigated Dr. Mustapha and referred him to the Michigan attorney general. Jeffery Dormu was a double board certified vascular surgeon who was paid $13 million dollars by Medicare alone between 2013 and 2017.
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])
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 (..)
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 (..)
We examined the demographic and clinical correlates of EVT use in CVT and assessed its impact on patient outcomes utilizing a national database.MethodsWe identified CVT cases from 2015 to 2020 in the National Inpatient Sample, with EVT as the primary exposure. Individuals with Medicare (OR: 0.39, 95% CI: 0.26‐0.59,
Outpatient intravenous (OP IV) diuresis in clinic or home settings may potentially improve outcomes and reduce costs, though limited data exists. These findings highlight the potential of OP IV diuresis as an enhanced alternative HF care; however, further randomized control trials are needed to evaluate long-term outcomes.
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