Abstract 113: Temporal Trends in the Use of Therapeutic Hypothermia for Out-of-Hospital Cardiac Arrest: Insights From the CARES Registry [Session Title: Poster Session AM]
Conclusions: In a U.S. registry of out-of-hospital cardiac arrest, the use of therapeutic hypothermia decreased after publication of a study supporting more lenient temperature thresholds. Concurrent to this change, overall risk-adjusted survival of cardiac arrest decreased, but was not attributed to lower use of therapeutic hypothermia. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Bradley, S. M., Lui, W., McNally, B., Henry, T. D., Burke, M. N., Mooney, M. R., Brilakis, E. S., Grunwald, G. K., Adhaduk, M., Donnino, M., Girotra, S. Tags: Session Title: Poster Session AM Source Type: research

Abstract 112: 12-Month Healthcare Utilization and Expenditures in Medicare Advantage Patients With Mitral Regurgitation From the Medical Outcomes Research for Effectiveness and Economics Registry [Session Title: Poster Session AM]
Conclusions: MR in the Medicare Advantage population is associated with a substantial health care burden, with FMR patients having the highest cost and utilization patterns. This population should, therefore, have access to innovative treatment options that relieve symptoms and reduce economic burden. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Cork, D., Kottenmeier, E., Mollenkopf, S., Gunnarsson, C., Verta, P., Mehta, H. Tags: Session Title: Poster Session AM Source Type: research

Abstract 111: Depression as a Risk Factor for Incident Ischemic Stroke Among HIV-infected Veterans [Session Title: Poster Session AM]
Conclusions: In the VACS, MDD was associated with an increased risk of ischemic stroke in HIV+ veterans after adjustment for sociodemographic characteristics, traditional cerebrovascular risk factors, and HIV factors; however, this association was modestly attenuated after adjustment for cocaine and alcohol abuse/dependence. Future research is necessary to: (a) fully elucidate the relationships among MDD, cocaine/alcohol use, and stroke risk and (b) determine whether intervening on MDD reduces stroke risk in HIV+ and HIV- people. Clinical providers should be aware of the increased stroke risk among HIV+ adults with MDD. (S...
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Sico, J. J., Kundu, S., So-Armah, K., Gupta, S., Chang, J., Freiberg, M., Stewart, J. Tags: Session Title: Poster Session AM Source Type: research

Abstract 110: Prevalence of Neurological Illness, Stroke and Associated Mortality on a Ugandan Neurology Ward [Session Title: Poster Session AM]
Conclusions: Among patients admitted to a Ugandan neurology ward, stroke was the most common diagnosis and the most frequently associated with mortality. Given that such non-communicable diseases as cerebrovascular disease is becoming increasingly more important causes of death in resource-limited settings, future research should seek to understand how mortality relates to other factors during hospitalizations and whether interventions to improve delivery of care to patients at higher risk of mortality may affect patient outcomes. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Diaz, M., Hu, X., Fenton, B., Sico, J. Tags: Session Title: Poster Session AM Source Type: research

Abstract 109: Neurologists versus Hospitalists: The Effect of Physician Specialty on Stroke Care and Outcomes After Ischemic Stroke and TIA [Session Title: Poster Session AM]
Conclusions: There is no evidence that patients received dissimilar stroke related care or experienced different outcomes regardless of the physician specialty serving as the primary service. However, stroke patients with hospitalists as their primary team had shorter hospital stay. This difference may be due to hospitalists’ expertise in managing patients with multiple co-morbidities, including stroke patients with underlying diabetes, atrial fibrillation, and hypertension. Based on these findings, utilizing neurology as a consult service for stroke related care will not affect provision of stroke care or patient ou...
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Comer, A. R., Comer, A. D., Dethoff, A., Templeton, E. J., Slaven, J. J. Tags: Session Title: Poster Session AM Source Type: research

Abstract 107: Differential Ischemic Stroke Risk Among Women Veterans Across Age Strata [Session Title: Poster Session AM]
Conclusions: Nearly half of all women Veterans were found to be at high risk of ischemic stroke within the next 10-years. Furthermore, sex differences were noted across age strata, with women having a lower risk of stroke then men at younger ages and a higher risk at older ages. Given that women tend to have more severe strokes, higher mortality, and delayed diagnosis compared to men, further work is required to understand reasons for the differential stroke risk across sexes. Based on these study findings, implementing primary prevention programs for women Veterans would help to mitigate future ischemic stroke risk. (Sour...
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Comer, A. R., Sico, J., Haggstrom, D. Tags: Session Title: Poster Session AM Source Type: research

Abstract 106: Characteristics of Payments to Cardiologists From Leading Manufacturers: An Analysis of Three-Year Open Payments Data [Session Title: Poster Session AM]
Conclusion: Few major companies made a significant proportion of payments to cardiologists. Services such as speaking at dinner talks were the largest areas of spending. The impact of the OPP on the patterns of industry spending remains to be seen. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Annapureddy, A., Murugiah, K., Minges, K. E., Curtis, J., Higgins, A. Tags: Session Title: Poster Session AM Source Type: research

Abstract 105: The Relationship Between Public Reporting of Outcomes and the Use of Coronary Angiography for Patients With Cardiac Arrest [Session Title: Poster Session AM]
Conclusion: There is a trend towards risk-avoidant behavior in the performance of CA on patients with cardiac arrest, and patients with STEMI and cardiac arrest are less likely to undergo CA in states with public reporting. Overall, there is no difference in mortality for patients with cardiac arrest in states with and without public reporting, and there was no interaction with CA. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Nathan, A. S., Shah, R. M., Khatana, S., Groeneveld, P. W., Waldo, S., Yeh, R. W., Giri, J. Tags: Session Title: Poster Session AM Source Type: research

Abstract 104: (In)adequacy of the All Patient Refined-Diagnosis Related Groups for Neonatal Cardiac Benchmarking and Reimbursement [Session Title: Poster Session AM]
Conclusions: The APR-DRG system is inadequate for neonatal cardiac benchmarking, and its role in reimbursement has significant potential ramifications for the revenue of pediatric cardiac service lines paid on DRG. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Anderson, B. R. Tags: Session Title: Poster Session AM Source Type: research

Abstract 103: Women in Leadership Positions in Academic Cardiology: A Study of Program Directors and Division Chiefs [Session Title: Poster Session AM]
Conclusion: Gender disparity is present in both cardiology program director and division chief roles. However, when compared to the historical cohort, significant overrepresentation of women was seen in the program director position, while proportionate representation was seen in the division chief role. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Khan, M. S., Fatima, K., Ayub, M. T., Usman, M. S., Siddiqi, T. J., Tsao, C. W., Manning, W. J., Khosa, F., Figueredo, V. M. Tags: Session Title: Poster Session AM Source Type: research

Abstract 102: Impact of Using Older Data on the Accuracy of Cardiovascular Risk Scores [Session Title: Poster Session AM]
Conclusions: ASCVD risk prediction tools become poorly calibrated over fairly short time periods. For effective use, they must be updated regularly. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Sussman, J. B., Wiitala, W. L., Levine, D., Bentley, D., Youles, B., Hofer, T. P., Hayward, R. A. Tags: Session Title: Poster Session AM Source Type: research

Abstract 101: Cost-Effectiveness and Decision Analysis of Polygenic Risk Scores in Statin Use for Primary Prevention [Session Title: Poster Session AM]
Conclusions: Genomic testing to improve statin use is cost-effective for a very large number of Americans at current prices. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Sussman, J., Marrero, W., Burke, J., Lavieri, M., Hayward, R. A. Tags: Session Title: Poster Session AM Source Type: research

Abstract 35: Trends in Statin Use and Adherence and the Impact of the 2013 Cholesterol Guidelines [Session Title: Payments, Policy and Practice]
Conclusion: The 2013 cholesterol guidelines have not yet had a significant effect on statin use or adherence. Recently improving trends in statin use and adherence, especially among patients with diabetes, appear to predate the 2013 guideline change. A significant gender gap in statin treatment remains, especially among those in the highest risk group. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Gilstrap, L., Chernew, M., Nguyen, C., Alam, S., Bai, B., Landrum, M. B. Tags: Session Title: Payments, Policy and Practice Source Type: research

Abstract 34: Determinants of Successful Completion of Cardiac Rehabilitation When Secondary Prevention Programs Are Made Universally Accessible [Session Title: Payments, Policy and Practice]
Conclusions: Our results suggest that an HCS-I-CRP with automatic referral to a LCB-CRP within a 30-minute drive removed traditional barriers to completing CRP: there were no socioeconomic or gender differences in CRP completion, and elderly patients had higher completion rates. Sicker patients were least likely to complete CRP. Mechanisms to identify these patients earlier and / or support their completion of these programs to reduce disease morbidity should be developed. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Frisbee, S. J., Suskin, N., Stranges, S., Pierce, A., Ricci, J. Tags: Session Title: Payments, Policy and Practice Source Type: research

Abstract 33: Industry Payments to Cardiologists by Sub-specialty: An Analysis of 2016 Open Payments Data [Session Title: Payments, Policy and Practice]
Conclusion: There is variation in payments among the three cardiology specialties, with EP receiving the highest median number and value of payments. Future analyses are needed to determine if payments are associated with changes in practice patterns. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Annapureddy, A., Murugiah, K., Minges, K., Curtis, J. Tags: Session Title: Payments, Policy and Practice Source Type: research