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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
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.
Interviews were conducted with providers at spoke sites of a hub-and-spoke inpatient telestroke program. The Integrated-Promoting Action on Research Implementation in Health Services (i-PARIHS) framework guided data analysis, focusing on the innovation, recipients, context, and facilitation aspects of implementation.
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.
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.
Introduction:A major challenge in the implementation of clinical trials is the lack of integration of research into the clinical practice of frontline staff. Interest in research was noted 77 times in the comments and research was ranked 3rd “most interesting” topic presented in 2019.
We examined such variations by analyzing procedural complications and in-hospital outcomes among patients undergoing AF ablation utilizing the National Inpatient Sample (NIS), a collaborative effort between federal, state, and industry stakeholders sponsored by the Agency for Healthcare Research and Quality (AHRQ), captures hospital data from over (..)
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.
Researchers analyze primary and secondary cardiovascular outcomes in 132,784 inpatients with COVID-19 (October 8, 2020 to September 30, 2021) and 31,173 inpatients with non-COVID-19 pneumonia (January 1, 2019 to December 31, 2019) in Korea. The results indicate a lower risk of cardiovascular disease in COVID-19 patients.
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.
Reporting this month in the Journal of the American College of Cardiology , the researchers found that dapagliflozin also benefits patients after admission to the hospital for acute heart failure. The study was designed by VUMC’s JoAnn Lindenfeld , MD, and Sean Collins , MD, MSc, and by Cox, a member of VUMC’s heart failure research team.
Background:Cerebral venous thrombosis (CVT) is associated with significant risk of death and disability. Adult patients in 2018 (n=6,051,974) were compared to those in 2020 (n=5,470,813), the first year of the COVID-19 pandemic. To prevent potential confounding by undiagnosed COVID-19, patients in 2019 were not utilized in the analysis.
Here we use the National Inpatient Sample (NIS) to evaluate the characteristics of patients admitted to the hospital for IS with a diagnosis of APLS.Methods:Adult patients in the NIS from 2016-20 with non-elective admissions and a primary discharge diagnosis of IS (ICD-10 I63*) were included.
While hypoglycemia has been established as a risk factor for cardiovascular events such as acute ischemic stroke (AIS), there is limited research demonstrating hypoglycemic events as stroke triggers. More research is needed to assess the link between the severity of hypoglycemia and stroke occurrence, as well as the severity of the stroke.
In this retrospective study, a total of 103 patients with lung cancer who received outpatient or inpatient treatment from December 2020 to May 2022 were selected and divided into the lobectomy group (n = 48) and the segmentectomy group (n = 55) according to different surgical methods.
We identified 25 617 inpatient PVIs from January 2017 to December 2021, of which 18 165 (71%) were linked to Medicare Provider Analysis and Review. We performed the reverse for commonly matchedICD10PCScodes, to identify corresponding CPTbilled procedures.
Methods This study included patients enrolled into the German InGef Research Database. Eligible patients had at least one inpatient coronary angiogram for suspected coronary artery disease between January 2014 and December 2015.
Background:The Addressing Sleep Apnea Post-Stroke/TIA (ASAP) clinical trial aimed to enhance OSA management at six VA medical centers through a hybrid implementation trial, requiring coordination across hospital medicine, sleep medicine, nursing, and neurology in both inpatient and outpatient settings. Field staff (e.g., Field staff (e.g.,
Methods and ResultsIn this retrospective study using complete, deidentified inpatient Medicare data (20162019), we identified incident acute ischemic stroke admissions, demographics, and hospitallevel variables.
Diagrammatic illustration of trends of incident heart failure diagnosis and diagnostic testing in the US from 2016 to 2019 stratified by inpatient and outpatient setting. Conclusions We found low rates of echocardiography and NP testing in those with HF, with more of such testing performed amongst inpatient diagnoses.
The costs were direct total health care expenditures (out-of-pocket payments and payments by private insurance, Medicaid, Medicare, and other sources) from various sources (office-based visits, hospital outpatient, emergency room, inpatient hospital, pharmacy, home health care, and other medical expenditures).
Black people were more frequently discharged home compared to White people (p=0.029), and Asian people more often went to hospice, especially inpatient (p<0.001). Hispanic people had higher inpatient rehabilitation rates than non-Hispanic people (p=0.007).Conclusions:Our
We assessed associations between patient- and hospital-level variables and contemporary NIHSS reporting using Medicare datasets.Methods:Retrospective cross-sectional analysis of acute ischemic stroke (AIS) admissions from October 1, 2016-December 31, 2019 using de-identified, national 100% inpatient Medicare datasets.
Based on the effect size in the aforementioned studies, nationwide research may provide a more complete assessment of outcomes and relationships and help fill knowledge gaps.
Such patients have significant disruptions that leave them at high risk for poor outcomes, but unfortunately, current strategies to treat these patients inadequately address the underlying pathophysiology," said Dr. Sitaramesh Emani , Research Director for Advanced Heart Failure Trials at the Christ Hospital Health Network in Cincinnati, Ohio. "By
Increased documentation compliance improve evaluation of inpatient care and post-discharge follow-up to more comprehensively evaluate outcomes of stroke care. Initial documentation by nursing began August 2021, and initial documentation compliance of pre-stroke and discharge mRS had not risen above 82%.Methods:A
Further research is to identify potential ex-specific risk factors that predispose to worse cardiovascular outcomes among patients with hemophilia. The overall study population was compared to the general population, non-hemophilia.
The participation of 47 facilities shows a need for more organized initiatives that help health care professionals incorporate research proven standards for stroke rehab. Sites received education on the PAC Stroke Program standards and individualized quality improvement support. Data submissions and review are ongoing through 2025.Conclusions:Future
Methods:Data from the National Inpatient Sample (2016-2019) was analyzed to identify young MHO and MH-NW AIS patients using ICD-10 codes. This underscores the complex MHO-stroke relationship in young adults, signaling a need for in-depth research and tailored interventions.
to identify patients with a diagnosis of AVM from the statewide inpatient and emergency department databases of Florida, Georgia, Maryland, New York, and Washington (2016-2019). Further research is warranted to address these inequities and improve outcomes.
We sought to assess predictors of ED mode of arrival and its effects on acute stroke care and inpatient outcomes in a large racial-ethnically diverse cohort.Methods:In 2016, we launched a system-wide standardized telestroke program for 21 certified stroke centers. 0.34; p=<0.001).Conclusions:In
Further research may focus on additional barriers to prescription filling. The rate of prescriptions filled was evaluated pre (n= 98, 33%) and post modification (n=52, 56%) and was statistically significant (U= 1959, z=-2.73, p=0.006).Conclusion:Addressing
In this study, we aim to analyze the MHO trends and outcomes with respect to Stroke.Methods:We queried the National Inpatient Sample (2016-2019) to identify Stroke hospitalizations in the elderly population (%E2%89%A565 years) with vs without MHO by using ICD-10 codes after excluding patients with Hypertension, analyze, and Diabetes Mellitus.
Shorter length of stay (LOS) on inpatient units made delayed echo orders impractical; admission orders were modified to exclude bubble studies for patients over 65, except in cases of cryptogenic stroke. Changes were finalized in September 2023.
We defined an ED-hospital dyad to be vertically integrated if the ED and hospital shared the same health system ID in the Agency for Healthcare Research and Quality's Compendium of US Health Systems.
Methods The National Inpatient Sample database (2009–2020) was used to study trends in admissions and outcomes of post-STEMI VSR over time. Background Despite improvements in outcomes of ST elevation myocardial infarction (STEMI), ventricular septal rupture (VSR) remains a known complication, carrying high mortality.
Further research and attention to this area are crucial for improving patient outcomes and guiding clinical interventions in this challenging condition.MethodsICD‐10‐CM codes were used to query the National Inpatient Sample (NIS) for patients with AIS between 2010 and 2019.
Patients with multiple comorbidities were older, more likely female, inpatients, with HFpEF, worse NYHA class and higher NT-proBNP levels. All comorbidities, except for coronary artery disease (CAD), were more frequent in HF with preserved EF (HFpEF).
NYU Langone Health has long been heralded as a patient-centered, integrated academic medical center, known for its excellence in clinical care, research, and education.
Methods The current study was a retrospective analysis of data from the US National (Nationwide) Inpatient Sample from 2020. In this study, we attempted to identify and assess the effects of CVD on COVID-19 hospitalizations in the USA using a large national database.
Limited research has explored the impact of aphasia when it intersects with cultural or linguistic differences on receiving stroke care and patient outcomes. CONCLUSIONS:Some processes of care and outcomes differed in inpatient rehabilitation for people with poststroke aphasia who required an interpreter compared with those who did not.
The NIS is part of the Healthcare Cost and Utilization Project (HCUP) and is maintained the Agency for Healthcare Research and Quality. IntroductionCerebral venous thrombosis (CVT) is an uncommon form of stroke with relatively low mortality but higher incidence in younger adults.1–3
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