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(MedPage Today) -- Medicare will cover the weight-loss drug semaglutide (Wegovy) under its Part D drug program for patients with overweight or obesity who have preexisting heart disease and need the drug to prevent heart attacks or strokes, the.
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.
(MedPage Today) -- More vigilance may be needed regarding the amount of benzodiazepines being dispensed to older stroke survivors, though prescription patterns at the national level have improved in recent years. Medicare records showed that within.
For Medicare beneficiaries aged 65 years and older, there is no evidence of elevated stroke risk immediately after vaccination with either brand of the COVID-19 bivalent vaccine, according to a study published in the March 19 issue of the Journal of the American Medical Association.
Stroke recovery is a challenging process that extends for months after hospital discharge. Navigating Post-Stroke Recovery at Home: One Patient's Experience A ”mildly impaired” stroke patient with atrial fibrillation who was discharged reported, “I knew my local pharmacist, and they knew my prescriptions.
(MedPage Today) -- The Centers for Medicare & Medicaid Services will review a potential national Medicare coverage policy for renal denervation for patients with hypertension, Medtronic announced. The FDA said Philips is recalling the monitoring.
Despite thrombectomy's high success rate in saving the lives of stroke patients, Medicare is paying lower rates over time for the procedure, according to research presented today at the Society of NeuroInterventional Surgery's (SNIS) 21st Annual Meeting.
Stroke, Volume 56, Issue Suppl_1 , Page A154-A154, February 1, 2025. Background:The direct medical costs of stroke in the United States were $84.4 billion from the Medicare Services. billion from the Medicare Services. billion in 2012 and were projected to rise by 157% to $217.3 billion by 2030. 9,523.18) nationwide.
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.
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. Mean age was 69.9 (SD years and 53.5% were female.
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. One found higher LDL levels (81.5 mg/dL vs 78.9
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, 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 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
Stroke, Volume 56, Issue Suppl_1 , Page ANS8-ANS8, February 1, 2025. Background and Purpose:Patients discharged home after a stroke are particularly vulnerable during the immediate post-discharge period. Patients were seen by the outpatient stroke NP within 7 to 14 days, either in clinic or via telemedicine.
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 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%
Stroke: Vascular and Interventional Neurology, Volume 4, Issue 6 , November 1, 2024. This historical context provides an important lens for analyzing diversity proposals and their bearing on device trials in the field of stroke neurology.
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.
Stroke, Volume 56, Issue Suppl_1 , Page AWMP82-AWMP82, February 1, 2025. Our Comprehensive Stroke Center identified critical gaps in post-discharge care, including inconsistent follow-up timing and a high rate of missed appointments.
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 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. We also assessed the proportion of anxiety and depression patients undergoing therapy and/or medication.Results:There were 1204 (N=7,745,925) participants with stroke and 30,743 (N=242,831,595) without stroke. 95%CI (0.2,0.9). 95%CI (0.4,0.9) 95% CI (1.1,7.7)
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 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 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 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 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 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 AWMP45-AWMP45, February 1, 2025. Home time is a valid measure of functional recovery in stroke patients that is often used in outcome studies. Compared to SNF patients, IRF patients were younger, more likely to be male, had minor strokes (NIHSS 1-4), and were able to ambulate at discharge.
Stroke, Volume 56, Issue Suppl_1 , Page AWP114-AWP114, February 1, 2025. Introduction:Two-thirds of US stroke patients undergo rehabilitation post-discharge with about 20% and 25% receiving care at an inpatient rehabilitation facility (IRF) and skilled nursing facility (SNF), respectively.
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];
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 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 55, Issue Suppl_1 , Page AWP108-AWP108, February 1, 2024. However, identifying patients at risk of readmission after stroke is challenging and predictive models have historically not performed well, in part because they often rely on single data sources.
Stroke, Volume 55, Issue Suppl_1 , Page ATMP22-ATMP22, February 1, 2024. The insurance status of our patient population was predominantly Medicare (56.4%), followed by Commercial (26.4%), Medicaid (8.1%), and Self- Pay (2.9%). The remainder were classified as Other/Missing (6.2%). mins, p = 0.7) or Medicaid (10.8 mins, p = 0.3).Conclusions:A
Stroke, Volume 56, Issue Suppl_1 , Page ATP121-ATP121, February 1, 2025. The effect that vertical integration has on emergency stroke care is unclear. In 2016, 29% of VI stroke transfer network dyads had 1 transfer with EVT compared to only 17% of non-VI dyads. In non-VI stroke transfer networks, EDs sent stroke transfers to 1.9
Stroke, Volume 56, Issue Suppl_1 , Page ATP205-ATP205, February 1, 2025. Conclusions:In a nationally representative cohort of Medicare beneficiaries, AD was associated with an increased risk of spontaneous intracranial hemorrhage. The exposure variable was AD, defined byICD-9-CMcode 331.0 andICD-10-CMcode G30.x.
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) 2.50) or >19 (OR 1.67, 95% CI 1.25–2.26) 2.26) versus <10; but not with year of admission (OR 0.78, 95% CI 0.60–1.01;P=0.06).
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. The outcome was an incident diagnosis of dementia.
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