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This study, Precision in Stroke Care: A Novel Model for Predicting Functional Independence in Urgent Carotid Intervention Patients, is now available in the Journal of the American College of Surgeons. Stroke care presents distinct challenges that require swift action and informed decisions. tim.hodson Thu, 01/30/2025 - 15:31 Jan.
Stroke recovery is a challenging process that extends for months after hospital discharge. To improve outcomes and be in compliance with new regulations, it's crucial to better identify and address these issues during the recovery period. After the stroke, I had new prescriptions, and this was the first obstacle for me.
Stroke, Volume 56, Issue Suppl_1 , Page A63-A63, February 1, 2025. Introduction:Stroke prevalence is highest in adults ages>65 years, the majority of whom are Medicare beneficiaries. Fee-for-Service (FFS) Medicare incentivizes utilization by paying for each service. Improvements in functional outcomes were greater.
Objective Implantable loop recorders (ILRs) are increasingly used for long-term rhythm monitoring after ischaemic and cryptogenic stroke, with the goal of detecting atrial fibrillation (AF) and subsequent initiation of oral anticoagulation to reduce risk of adverse clinical outcomes.
The researchers found that Medicare patients undergoing esophagectomy for cancer exhibit identifiable predictors for long-term survival and readmission. These findings suggest opportunities to enhance clinical practice and improve outcomes for Medicare patients undergoing esophagectomy for cancer.
BackgroundStructural racism and rural/urban differences in stroke care affect care delivery and outcomes. Methods and ResultsIn this retrospective study using complete, deidentified inpatient Medicare data (20162019), we identified incident acute ischemic stroke admissions, demographics, and hospitallevel variables.
Stroke, Ahead of Print. The outcome was a first-ever diagnosis of dementia. The exposure and outcomes were identified using validated ICD-9 and ICD-10-CM diagnosis codes. We excluded patients who had prevalent intracranial hemorrhage or dementia, to ensure that only incident cases were counted in our analyses.
Stroke, Volume 55, Issue Suppl_1 , Page AWP246-AWP246, February 1, 2024. Introduction:The CHA2DS2-VASC score is used to predict stroke in people with atrial fibrillation (AF). CHA2DS2-VASC score (ranging from 0-9) was estimated based on comorbidities documented in hospital data as of the time of acute stroke/TIA.
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.
Stroke, Volume 55, Issue Suppl_1 , Page AWP105-AWP105, February 1, 2024. Introduction:This study evaluates the outcomes of a survivor-centric, navigator-driven, technology-enabled platform supporting survivors (SS) and care partners(CP) in post-stroke recovery. 12.5%, and 90-day readmissions ranging from 18.9%
Stroke, Volume 56, Issue Suppl_1 , Page AWMP45-AWMP45, February 1, 2025. Home time is a valid measure of functional recovery in stroke patients that is often used in outcome studies. Home time is a valid measure of functional recovery in stroke patients that is often used in outcome studies.
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%
BackgroundReasons for racial disparities in the use and outcomes of endovascular treatment (ET) are not known. 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.
Stroke, Ahead of Print. Implantable vagus nerve stimulation, paired with high-dose occupational therapy, has been shown to be effective in improving upper limb function among patients with stroke and received regulatory approval from the US Food and Drug Administration and the Centers for Medicare & Medicaid Services.
Stroke, Volume 55, Issue Suppl_1 , Page AWMP51-AWMP51, February 1, 2024. Background:Medical comorbidities and stroke risk factors explain only a proportion of stroke incidence and outcomes in different populations. The primary outcome measure was discharge to home.
Stroke, Volume 55, Issue Suppl_1 , Page AWMP106-AWMP106, February 1, 2024. Background:Medical comorbidities and stroke risk factors only explain a proportion of stroke incidence and outcomes in different populations. Social determinants of health(SDOH)have been associated with incident stroke. 0.96],p=0.001).Patients
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.
Stroke, Volume 55, Issue Suppl_1 , Page AWP48-AWP48, February 1, 2024. Background:Mortality doubles in stroke patients when Diabetes Mellitus (DM) is present. Participating Get With The Guidelines® (GWTG)-Stroke hospitals track EBG data to improve outcomes. 21, 2022, from 51 Wisconsin Coverdell Stroke hospitals.
Stroke, Volume 55, Issue Suppl_1 , Page A14-A14, February 1, 2024. While socioeconomic factors explain some of the racial disparity in stroke incidence at an individual level, little is known about the association between societal-level structural racism and the incidence of acute ischemic stroke (AIS).Methods:We
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%).
Stroke, Volume 55, Issue Suppl_1 , Page ATMP19-ATMP19, February 1, 2024. Background:Stroke is a leading cause of chronic disability, with neuropsychiatric presentations being increasingly recognized as complications that hinder rehabilitation and patient outcomes. 95%CI (0.2,0.9). 95%CI (0.4,0.9) 95% CI (1.1,7.7) 95%CI (0.4,0.9)
Stroke, Volume 56, Issue Suppl_1 , Page ATP120-ATP120, February 1, 2025. Introduction:AI-based Stroke Care Coordination Platforms (AI-SCCP) have been shown to improve patient transfer decisions and provide access to the highest quality standards of care for all patients. For financially strained PCSs, the retained revenue is critical.
Stroke, Volume 55, Issue Suppl_1 , Page ATMP15-ATMP15, February 1, 2024. Large vessel occlusion (LVO), a quarter of ischemic strokes, portends poor outcomes. They were more likely insured by Medicare, less by Medicaid, and less likely baseline ambulatory, have a Bachelor’s degree, or own a home, with lower median income.
Stroke, Volume 55, Issue Suppl_1 , Page AWP261-AWP261, February 1, 2024. Objective:Physician adherence to evidence-based clinical guidelines improves outcomes in acute ischemic stroke (AIS) and transient ischemic attack (TIA) patients. 0.88) were less likely to receive a high intensity statin within 3 months of their stroke.
Stroke, Volume 56, Issue Suppl_1 , Page AWMP44-AWMP44, February 1, 2025. Background:The post-acute journey for stroke patients is highly variable. Clinical information on a matched sub-population was linked from the EMR of a 7-hospital certified stroke health system. high HT: 300 days) in both the statewide (16.2%
Stroke, Volume 56, Issue Suppl_1 , Page ATP205-ATP205, February 1, 2025. The primary outcome was non-traumatic intracranial hemorrhage, defined as a composite of intracerebral hemorrhage (ICH), subarachnoid hemorrhage (SAH), and subdural hemorrhage (SDH) using validatedICD-9-CMandICD-10-CMdiagnosis codes. andICD-10-CMcode G30.x.
Stroke, Volume 56, Issue Suppl_1 , Page AWP51-AWP51, February 1, 2025. The outcome was an incident diagnosis of dementia. The exposure and outcomes were identified using previously validatedICD-9andICD-10-CMdiagnosis codes.
Stroke: Vascular and Interventional Neurology, Ahead of Print. 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. versus 16.1%;P=0.41). P=0.06).
Stroke, Volume 56, Issue Suppl_1 , Page AWP27-AWP27, February 1, 2025. Medicare) patients (1.82, 1.45 2.26) had higher odds of receiving surgical AVM treatment (Table 1). Further research is warranted to address these inequities and improve outcomes. NHW) patients (1.76, 1.20 2.58) and privately insured (vs.
Circulation: Cardiovascular Quality and Outcomes, Ahead of Print. BACKGROUND:Although Medicare Advantage (MA) plans provide coverage to >50% of Medicare beneficiaries, it is unclear whether MA claims can be used similarly to Medicare Fee-For-Service (FFS) claims for clinical outcomes assessment.
Eighty percent of heart attacks and strokes are preventable. partially because its key risk factor, high blood pressure, is a ‘silent killer,’ and most patients have no symptoms before their first heart attack or stroke. Yet, CVD remains the leading cause of death in the U.S.,
If left untreated, certain arrhythmias can damage the heart, brain, or other organs 4 and increase the risk of stroke or death. Long-term outcome of non-sustained ventricular tachycardia in structurally normal hearts. Atrial fibrillation as an independent risk factor for stroke: The Framingham Study. 2013;112(8):1263-1270.
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.
Stroke, Volume 55, Issue Suppl_1 , Page AWMP60-AWMP60, February 1, 2024. However, limited information exists on how demographic and clinical factors are associated with social inequities among older patients hospitalized with acute ischemic stroke (AIS) during COVID-19.Methods:We All patients were followed until March 31, 2023.
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. 283 patients met at least one of their Medicare calculated discharge goals.
Stroke, Volume 56, Issue Suppl_1 , Page AWP295-AWP295, February 1, 2025. Background:Structural inequity, including structural racism, is increasingly linked to stroke measures. Prior work has shown that ecosocial models quantifying constituent domains of structural racism correlate with acute ischemic stroke (AIS) incidence.
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
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
Stroke, Volume 56, Issue Suppl_1 , Page AWP152-AWP152, February 1, 2025. Background:Structural racism and disparities between rural and urban healthcare systems significantly impact stroke care delivery in the United States. vs. 88.6%), stroke certification (5.3% vs. 38.4%), and lower rates of TPA (1.6% for TPA, 1.27
Stroke, Volume 56, Issue Suppl_1 , Page AWMP58-AWMP58, February 1, 2025. Introduction:The management of acute ischemic stroke over the last three decades has seen an expansive progression in terms of medical and surgical interventions. 4.42, p<0.02). 3.06, p<0.04). 3.82, p<0.01).
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, Volume 56, Issue Suppl_1 , Page AWP140-AWP140, February 1, 2025. Background:Maximizing long-term home time (HT) for acute ischemic stroke (AIS) patients has patient-centered and health-system benefits. 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. Background:Few studies on care transitions following acute stroke have evaluated whether referral to community-based rehabilitation occurred as part of discharge planning. 2.44]), and having Medicare insurance (1.12 [1.02–1.23]) 1.38]), non-White race (2.20 [2.01–2.44]),
Stroke, Volume 56, Issue Suppl_1 , Page ATP328-ATP328, February 1, 2025. We longitudinally followed the patients by linking the registry data to the Center for Medicare&Medicaid Service (CMS) claims data. Objective:The role of statins in the management of intracerebral hemorrhage (ICH) remains controversial. 72-86] years; 57.0%
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