Inpatient, Medicare and Stroke - Cardiovascular Update

Abstract TP80: Differences in Access to Post Acute Care Services Between Traditional Medicare and Medicare Advantage Beneficiaries in Michigan

Stroke Journal

FEBRUARY 1, 2024

Stroke, Volume 55, Issue Suppl_1 , Page ATP80-ATP80, February 1, 2024. Introduction:In recent years, Medicare Advantage (MA) enrollment in the US has increased dramatically relative to traditional Medicare (TM). of the 16,231 stroke discharges, respectively. Compared with TM, MA beneficiaries were older (77.4

Medicare

Medicare COVID-19 Inpatient Nursing

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 Stroke

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

Stroke, Volume 55, Issue Suppl_1 , Page A13-A13, February 1, 2024. Elderly obese stroke survivors (> 65 years) having a recurrent acute ischemic stroke (AIS), with or without prior bariatric surgery (PBS), were identified using ICD-10 codes. vs. 83.8%), and covered by Medicare (91.7% vs. 90.7%).

Obesity

Obesity Inpatient Stroke Strokes

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

Stroke, Volume 55, Issue Suppl_1 , Page A5-A5, February 1, 2024. Background:Since 2016, hospitals have been able to document International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) codes for National Institutes of Health Stroke Scale (NIHSS). of Medicare cases even though it was documented in 93.1%

Medicare

Medicare Document Stroke Strokes

Hypoglycemic Events May Trigger Acute Ischemic Stroke Within 30 Days in Those With Diabetes: A Case-Crossover Study

Stroke Journal

NOVEMBER 22, 2024

Stroke, Ahead of Print. BACKGROUND:Stroke triggers are factors that may precipitate a stroke within a given time interval and can predict the timing of a stroke. More research is needed to assess the link between the severity of hypoglycemia and stroke occurrence, as well as the severity of the stroke.

Diabetes

Diabetes Stroke Strokes Medicare

Abstract TP118: Development and Integration of a Dedicated Neurorehabilitation Space Within a Hospital-Based Stroke Unit

Stroke Journal

FEBRUARY 1, 2024

Stroke, Volume 55, Issue Suppl_1 , Page ATP118-ATP118, February 1, 2024. Background:It is well documented that rehabilitation post-stroke is associated with better functional outcomes, however, in the United States access to post-acute care rehabilitation is becoming increasingly limited.

Hospital

Hospital Medicare Stroke Strokes

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

Stroke Journal

APRIL 3, 2024

Stroke, Ahead of Print. BACKGROUND:Poststroke depression (PSD) is a treatable and common complication of stroke that is underdiagnosed and undertreated in minority populations.

Stroke

Stroke Strokes Medicare Outpatient

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

Stroke: Vascular and Interventional Neurology, Ahead of Print. 1.85) as compared with Medicare beneficiary; having a National Institutes of Health Stroke Scale 10–19 (OR 1.89, 95% CI 1.39–2.50) versus 16.1%;P=0.41). 2.50) or >19 (OR 1.67, 95% CI 1.25–2.26) P=0.06).

Inpatient

Inpatient Medicare Stroke Strokes

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

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. BackgroundReasons for racial disparities in the use and outcomes of endovascular treatment (ET) are not known.

Hospital

Hospital Outcomes Inpatient Stroke

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% female; 43.2% Patients with lobar ICH (vs. Blacks (vs.

Hemorrhage

Hemorrhage Myocardial Infarction Atrial Fibrillation Medicare

Abstract 280: Risk Factors in 90day Ischemic Stroke Readmissions

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Stroke: Vascular and Interventional Neurology, Volume 3, Issue S2 , November 1, 2023. Study Population includes all patients with an ischemic stroke inpatient admission in 2018 and were continuously enrolled with Medicare FFS for 1 year prior to and following their initial 2018 stroke admission.

Risk Factors

Risk Factors Stroke Strokes Medicare

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. Conclusions:In a nationally representative cohort of Medicare beneficiaries, CAA was associated with an increased risk of seizures. The study exposure was a diagnosis of CAA identified using ICD-10-CM code I68.0.

Medicare

Medicare Outpatient Inpatient Hemorrhage

Abstract 129: Endovascular Therapy in Cerebral Venous Thrombosis: Nationwide Insights and Implications for Mortality

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Stroke: Vascular and Interventional Neurology, Volume 3, Issue S2 , November 1, 2023. Model two additionally adjusted for female sex, NIH Stroke Scale (NIHSS), and Elixhauser mortality index.ResultsWe identified 48,835 individuals with CVT, of whom 1,275 (2.6%) underwent EVT. Individuals with Medicare (OR: 0.39, 95% CI: 0.26‐0.59,

Thrombosis

Thrombosis Cancer Inpatient Hospital

Abstract 49: 15-Year Trends in Age and Sex-Specific Utilization of Carotid Revascularization Procedures in the United States

Stroke Journal

FEBRUARY 1, 2024

Stroke, Volume 55, Issue Suppl_1 , Page A49-A49, February 1, 2024. We calculated the age and sex-specific proportions of revascularizations that were CAS and combined annual CAS/CEA counts with census data to determine annual utilization rate per 100,000 population.

CMS

CMS Medicaid Medicare Inpatient

Abstract TP80: Differences in Access to Post Acute Care Services Between Traditional Medicare and Medicare Advantage Beneficiaries in Michigan

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 13: Prior Bariatric Surgery is Associated With Reduced Risk of Recurrent Stroke Among Elderly Obese Stroke Survivors: A National Inpatient Sample Study (2016-2019)

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

Hypoglycemic Events May Trigger Acute Ischemic Stroke Within 30 Days in Those With Diabetes: A Case-Crossover Study

Abstract TP118: Development and Integration of a Dedicated Neurorehabilitation Space Within a Hospital-Based Stroke Unit

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

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

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

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

Abstract 280: Risk Factors in 90day Ischemic Stroke Readmissions

Abstract WP286: Cerebral Amyloid Angiopathy and Risk of Seizures

Abstract 129: Endovascular Therapy in Cerebral Venous Thrombosis: Nationwide Insights and Implications for Mortality

Abstract 49: 15-Year Trends in Age and Sex-Specific Utilization of Carotid Revascularization Procedures in the United States

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