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A systematic review of 14 clinical practice guidelines found that guidance on inpatient management of elevated blood pressure (BP) without symptoms is lacking. According to the authors, this lack of guidance may contribute to variable practice patterns. The review is published in Annals of Internal Medicine.
There is an absence of definitive randomized controlled trial data to guide inpatient blood pressure (BP) treatment. Consequently, this paucity of data has resulted in clinical equipoise, in which the benefits and risks of various treatment approaches are unclear.
Patients with chronic kidney disease (CKD) and heart failure have higher rates of inpatient dialysis initiation than those without heart failure, according to a study published online Feb. 18 in Mayo Clinic Proceedings.
In conclusion, inpatient initiation of SGLT2i was safe and well tolerated in a real-world cohort of patients hospitalised with worsening HF. At discharge the proportion prescribed a beta blocker (44% to 92%), angiotensin-receptor/neprilysin inhibitor (6% to 44%) and mineralocorticoid-receptor antagonist (35% to 85%) had increased.
The National Inpatient Sample (NIS. (MedPage Today) -- The American West has seen the biggest surge of cardiomyopathy-associated hospital admissions among methamphetamine users, based on 13 years of the latest available hospital admission data.
To review the utility of cardiovascular magnetic resonance (CMR) in the management of hospital inpatients, we performed a retrospective review of all inpatient CMR scans performed over a six-month period at a tertiary referral cardiology centre.
Assessment of contemporary real-world outcomes of VT ablation requires data inclusive of both inpatient and outpatient encounters. Catheter ablation is an effective therapy for ventricular tachycardia (VT) and is increasing in use.
Shah discusses the prevalence of psychiatric illness among hospitalized patients and highlights key considerations for their management from her session at ACP.
However, it is unknown whether initiating SGLT2i during an inpatient stay for a HFrEF exacerbation results in better outcomes versus initiation post-discharge in a cohort of diabetic and non-diabetic patients. There were 148 (80.4%) individuals who received SGLT2i as an inpatient, while 36 (19.6%) individuals received SGLT2i post-discharge.
Inpatient strokes were defined as strokes that occurred while the child was hospitalized, either at our center or at an outside facility prior to transfer. A significantly higher proportion of inpatient stroke patients died compared to outpatient strokes (27.3% vs 3.7%, p<0.0001); most patients died prior to discharge (Table 3).Conclusions:In
They had more inpatient complications including ventricular fibrillation and cardiac arrest (p <0.001) with longer mean lengths of stay (7 days vs. 5 days, p <0.001) and 30-day readmissions (28% vs. 22%, p<0.001). Inpatient outcomes including mortality were also worse during first readmission (7% vs. 6%, p<0.01).
Interviews were conducted with providers at spoke sites of a hub-and-spoke inpatient telestroke program. With regards to the context (hospital and system factors), providers highlighted familiarity with telehealth technologies as a facilitator to implementing inpatient telestroke, yet highlighted resource limitations in smaller facilities.
The economic burden of MR in the United States is not known.Methods and ResultsWe analyzed inpatient hospitalization data from the 1 221 173 Maryland residents who had any in‐state admissions from October 1, 2015, to September 30, 2019.
Most inpatient ICM implants were performed by vascular and interventional neurology (n=181), and ICM use for cryptogenic stroke increased by 130%. Most inpatient ICM implants were performed by vascular and interventional neurology (n=181), and ICM use for cryptogenic stroke increased by 130%. days, with 77% in 5 days and 95.5%
National incidence was calculated, and multivariable regression was used to identify changes in incidence and outcome through time, segmented by epoch.RESULTSReview of the National Inpatient Sample identified 448 655 patients with SAH, of whom 181 590 underwent surgical aneurysm treatment.
Percentage change in stroke admission cost adjusted for healthcare inflation between 2013-14 to 2021-22 weighted for the number in each stroke DRG was included in the analysis.Results:Between 2013 and 2022, nationwide there were a total of 2,007,005 unique stroke-related inpatient hospital claims, resulting in Medicare payments totaling $21.07
Methods We analyzed the national inpatient sample database to compare the inpatient mortality rate for ACKD patients [chronic kidney disease (CKD) stage 3 and above] who underwent PCI between 2006 and 2011 to patients without ACKD. These patients are often excluded from revascularization studies.
Background To investigate the contemporary comparative inpatient prognosis among US and Chinese patients with type A aortic dissection (TAAD). Methods Data from Chinese multi-institutional TAAD registry and the US National Inpatient Sample databases were analyzed.
Decongestion remains a central goal of inpatient management, but contemporary decongestion practices and associated weight loss are not well described. In the TREAT-AHF study, the distribution of inpatient body weight change was similar to those reported from ADHERE nearly two decades ago. days (ranging from 3.7
To assess time to activation, data related to inpatient stroke code activations was analyzed pre- and post-intervention. Prior to intervention, only 50% of inpatient stroke codes were activated within 10 minutes of symptom discovery. There were 61 pre-session survey responses and 39 post-session. Before the session, 56.1%
Throughout this scientific statement, we use the terms acute care and inpatient to refer to care received in the emergency department and after admission to the hospital. However, the risk-benefit ratio of initiating or intensifying antihypertensive medications for asymptomatic elevated inpatient BP is less clear.
The majority of inpatient HF services reviewed patients with primary (96%) or secondary (89%) admission for HF with reduced ejection fraction (HFrEF), corresponding percentages for HF with preserved ejection fraction (HFpEF) were 68% and 51%, respectively. A two-week pathway and six-week pathway were present in 78.5% and 75%, respectively.
Few studies have evaluated subacute inpatient telestroke programs that focus on subsequent stroke management. Inpatient local neurology coverage led to unique implementation challenges, with historical practice patterns and differences of recommendations noted (Table 3).
We evaluated our current process and implemented action plans to enhance the current inpatient stroke code process through focused education and training of staff to improve their recognition of acute stroke, timely activation of stroke code and improved CT initiation and treatment times.
The retraction has been issued at the authors’ request.Patel et al Anterior Circulation Thrombectomy in Patients With Low National Institutes of Health Stroke Scale Score: Analysis of the National Inpatient Sample. Stroke: Vascular and Interventional Neurology. 2023, e000998.[link]
Methods We analyzed the data from National Inpatient Sample from 2016 to 2020 and assessed the impact of COVID-19 infection and the COVID-19 pandemic (year 2020) on in-hospital mortality, length of stay (LOS) and hospitalization costs.P Results There were 1 050 905 hospitalizations with STEMI, and there was an 8.2%
This study aims to evaluate the outcomes of chronic opioid therapy on HFpEF patients.Methods:Studying the National Inpatient Sample (2016-2020), we identified adult HFpEF patients using the appropriate ICD-10 codes -after excluding patients with end-stage renal disease (ESRD)- and compared outcomes between chronic opioid users and non-users.
Current guidance regarding endovascular thrombectomy (EVT) for PCA occlusion is insufficient as no randomized trials exist.MethodsA real‐world retrospective National Inpatient Sample database analysis compared medical management (MM) versus EVT for PCA strokes.
We aimed to examine differences in change of language function in two patient groups: those who did and those who did not meet the minimal clinically important difference (MCID) in motor function after inpatient rehabilitation. female, mean age 67(SD=14)] were included.
A new inpatient stroke alert process was developed to improve assessment and treatment of stroke. Introduction:Inpatient stroke alerts requiring an in-person neurologist to assess and evaluate patients for thrombolytic therapy may contribute to delays in evaluation and treatment.
The total number of subjects enrolled in acute, inpatient, and outpatient stroke trials in MHFV were compiled.Results:The comprehensive stroke class was attended by MHFV nurses 1,667 times. The number of attendees for each session from 2019-June 2023 were recorded along with anonymous comments about the presentation.
Patients with cirrhosis had greater health care costs than matched controls, attributed mostly to cirrhosis complications and high inpatient utilization in the first year after diagnosis.
Objectives:The aim of this study was to assess the risk of stroke for temporary mechanical circulatory support (tMCS) device treated acute myocardial infarction (AMI).Background:Data Background:Data are limited regarding risk of stroke for temporary mechanical circulatory support (tMCS) device treated acute myocardial infarction (AMI).Methods:The
Purpose:Evaluate NNN-P impact on the Inpatient & Outpatient Post Stroke Continuum.Method:A retrospective review of 1,493 SP was conducted w/402 in the NNN-P. Contact information was verified with post DC calls at 3, 7, 30, & 90 days [d] w/Modified Rankin Score assessment [mRS-A] at 90d.
A new study, “ Fasting Versus a Heart-Healthy Diet Before Cardiac Catheterization: A Randomized Controlled Trial ,” compared consumption of a heart-healthy, low-acid diet with standard fasting guidelines for patients in an inpatient cardiac unit undergoing elective coronary artery catheterization.
We utilized a multi-state database to examine myocardial infarction (MI) risk post stroke or CAD to estimate cardiovascular complication risk.Method:We analyzed State Inpatient Database from New York (2011-2017) and Florida (2011-2019). Introduction:Cervical artery dissection (CAD) and acute ischemic stroke (AIS) are key health challenges.
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