Hemorrhage, Medicare and Strokes - Cardiovascular Update

Non-Traumatic Intracranial Hemorrhage and Risk of Incident Dementia in U.S. Medicare Beneficiaries

Stroke Journal

JANUARY 30, 2025

Stroke, Ahead of Print. The exposure was a new diagnosis of non-traumatic intracranial hemorrhage, defined as a composite of intracerebral hemorrhage (ICH), subarachnoid hemorrhage (SAH), and subdural hemorrhage (SDH). million patients, 14,775 had a diagnosis of intracranial hemorrhage. years (IQR, 3.0-9.1),

Dementia

Dementia Hemorrhage Medicare Outpatient

Abstract TP205: Alzheimer’s Disease and Risk of Intracranial Hemorrhage

Stroke Journal

JANUARY 30, 2025

Stroke, Volume 56, Issue Suppl_1 , Page ATP205-ATP205, February 1, 2025. Introduction:Alzheimers Disease (AD), characterized by extracellular deposition of amyloid beta (A) plaques in brain tissue, is often comorbid with cerebral amyloid angiopathy, which carries an elevated risk of intracranial hemorrhage. andICD-10-CMcode G30.x.

Hemorrhage

Hemorrhage Medicare Outpatient Inpatient

Abstract WP51: Non-Traumatic Intracranial Hemorrhage and Risk of Incident Dementia

Stroke Journal

JANUARY 30, 2025

Stroke, Volume 56, Issue Suppl_1 , Page AWP51-AWP51, February 1, 2025. The exposure was an incident diagnosis of non-traumatic intracranial hemorrhage, defined as a composite of intracerebral hemorrhage, subarachnoid hemorrhage, or subdural hemorrhage. 2.5), subarachnoid hemorrhage (HR, 2.0; years (IQR, 3.0-9.1),

Dementia

Dementia Hemorrhage Medicare Outpatient

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Abstract WMP40: Rehabilitation Therapy Utilization by Stroke Survivors Across US Insurance Payors

Stroke Journal

JANUARY 30, 2025

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.

Medicare

Medicare Stroke Strokes Outpatient

Abstract WP122: Readmission to Acute Care from Inpatient Rehabilitation Among Patients with Acute Ischemic Stroke

Stroke Journal

JANUARY 30, 2025

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];

Inpatient

Inpatient Stroke Strokes Atrial Fibrillation

Abstract WP27: Disparities in the surgical treatment of ruptured and unruptured brain arteriovenous malformation: a population-based study across 5 diverse US states

Stroke Journal

JANUARY 30, 2025

Stroke, Volume 56, Issue Suppl_1 , Page AWP27-AWP27, February 1, 2025. Patients with a history of primary intracerebral hemorrhage or subarachnoid hemorrhage at baseline were classified as ruptured AVM (rAVM) patients. Medicare) patients (1.82, 1.45 2.26) had higher odds of receiving surgical AVM treatment (Table 1).

Hemorrhage

Hemorrhage Medicare Inpatient Research

Abstract WP229: Cerebral Amyloid Angiopathy Prevalence and Associated Risk of Subsequent Ischemic and Hemorrhagic Stroke and Mortality in a Nationally Representative Sample

Stroke Journal

JANUARY 30, 2025

Stroke, Volume 56, Issue Suppl_1 , Page AWP229-AWP229, February 1, 2025. CAA and ischemic and hemorrhagic stroke were identified using previously validated ICD-10 codes. Mortality data was obtained from Medicare beneficiary files. 9.1), ischemic stroke (aHR, 2.5; 4.7), intracerebral hemorrhage (aHR, 32.1;

Hemorrhage

Hemorrhage Medicare 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 Nursing

Abstract TMP42: Enhancing Stroke Rehabilitation: A Quality Improvement Initiative

Stroke Journal

JANUARY 30, 2025

Stroke, Volume 56, Issue Suppl_1 , Page ATMP42-ATMP42, February 1, 2025. Background:Ischemic strokes occur due to a blood supply blockage in one of the brains blood vessels, and Hemorrhagic strokes occur when one of the brains blood vessels ruptures. Those that met their self-care goals needed less PT, OT, and ST minutes.

Stroke

Stroke Strokes Medicare BMI

Abstract WP235: Insurance Status and Intracerebral Hemorrhage Outcomes: A Post-Hoc Analysis of the ERICH Study

Stroke Journal

JANUARY 30, 2025

Stroke, Volume 56, Issue Suppl_1 , Page AWP235-AWP235, February 1, 2025. Disparities in outcomes of patients with ischemic stroke have been associated with insurance coverage. However, there are few studies investigating the impact of insurance status on outcomes in patients with intracerebral hemorrhage (ICH).Methods:We

Hemorrhage

Hemorrhage Medicare Outcomes Medicaid

Abstract WP129: Disparities in the utilization of inpatient rehabilitation facilities for stroke patients in the United States

Stroke Journal

JANUARY 30, 2025

Stroke, Volume 56, Issue Suppl_1 , Page AWP129-AWP129, February 1, 2025. Results:Overall, 335,521 stroke discharges (88.4% Results:Overall, 335,521 stroke discharges (88.4% Medicare) insured (1.73, 1.66-1.79), Stroke patients with higher comorbidity burden, as measured by Charlson Comorbidity Index (aOR, CI: 0.88, 0.87-0.89),

Inpatient

Inpatient Stroke Strokes Hemorrhage

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% Patients with lobar ICH (vs. Blacks (vs.

Hemorrhage

Hemorrhage Myocardial Infarction Atrial Fibrillation Medicare

Abstract TP328: The Association between Post-ICH Continuation of Statin Use and Major Adverse Cardiovascular Events

Stroke Journal

JANUARY 30, 2025

Stroke, Volume 56, Issue Suppl_1 , Page ATP328-ATP328, February 1, 2025. Objective:The role of statins in the management of intracerebral hemorrhage (ICH) remains controversial. We longitudinally followed the patients by linking the registry data to the Center for Medicare&Medicaid Service (CMS) claims data.

Medicare

Medicare CMS Medicaid Myocardial Infarction

Association of Mobile Stroke Unit Care and Spending, Utilization, and Death in New York City

Journal of the American Heart Association

JANUARY 16, 2025

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

Stroke Strokes Medicare Blood Pressure

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. Introduction:Cerebral amyloid angiopathy (CAA) is associated with multiple conditions that are known to have an elevated risk of seizures, including intracerebral hemorrhage, CAA-related inflammation, and Alzheimer’s disease.

Medicare

Medicare Outpatient Inpatient Hemorrhage

Non-Traumatic Intracranial Hemorrhage and Risk of Incident Dementia in U.S. Medicare Beneficiaries

Abstract TP205: Alzheimer’s Disease and Risk of Intracranial Hemorrhage

Abstract WP51: Non-Traumatic Intracranial Hemorrhage and Risk of Incident Dementia

Webinars

Abstract WMP40: Rehabilitation Therapy Utilization by Stroke Survivors Across US Insurance Payors

Abstract WP122: Readmission to Acute Care from Inpatient Rehabilitation Among Patients with Acute Ischemic Stroke

Abstract WP27: Disparities in the surgical treatment of ruptured and unruptured brain arteriovenous malformation: a population-based study across 5 diverse US states

Abstract WP229: Cerebral Amyloid Angiopathy Prevalence and Associated Risk of Subsequent Ischemic and Hemorrhagic Stroke and Mortality in a Nationally Representative Sample

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 TMP42: Enhancing Stroke Rehabilitation: A Quality Improvement Initiative

Abstract WP235: Insurance Status and Intracerebral Hemorrhage Outcomes: A Post-Hoc Analysis of the ERICH Study

Abstract WP129: Disparities in the utilization of inpatient rehabilitation facilities for stroke patients in the United States

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

Abstract TP328: The Association between Post-ICH Continuation of Statin Use and Major Adverse Cardiovascular Events

Association of Mobile Stroke Unit Care and Spending, Utilization, and Death in New York City

Abstract WP286: Cerebral Amyloid Angiopathy and Risk of Seizures

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