Circulation: Cardiovascular Quality and Outcomes This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

Abstract 17: Association Between Pre-stroke Depression and Patient Reported Outcomes After Acute Ischemic Stroke [Session Title: Poster Session Reception: Young Investigator Award Semi-Finalists]
Conclusions: Pre-stroke depression is associated with worse patient reported outcomes and greater odds of functional decline after ischemic stroke discharge. Strategies to more effectively manage comorbid depression and improve outcomes in these patients are needed. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Shah, S., Xu, H., Xian, Y., Maisch, L., Hannah, D., Lindholm, B., Lytle, B. L., Pencina, M. J., Olson, D. M., Smith, E. E., Fonarow, G. C., Schwamm, L. H., Bhatt, D. L., Hernandez, A. F., OBrien, E. C. Tags: Session Title: Poster Session Reception: Young Investigator Award Semi-Finalists Source Type: research

Abstract 16: Home Care Workers Who Care for Adults With Heart Failure: A Community-Partnered Qualitative Study [Session Title: Poster Session Reception: Young Investigator Award Semi-Finalists]
Conclusions and Implications: Our findings suggest that while HCWs are frequently involved in their clients’ HF management, most have not received formal HF training or resources. Additionally, despite spending so much time caring for their clients, they often feel invisible to healthcare providers. HF-specific training, as well as interventions that aim to integrate HCWs into the healthcare team, may improve HCWs’ HF knowledge and the quality of care delivered to adults with HF. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Sterling, M. R., Silva, A. F., Shaw, A. L., Leung, P. B., Tsui, E. K., Jones, C. D., Robbins, L., Lee, A., Escamilla, Y., Sadler, F., Wiggins, F., Safford, M. M. Tags: Session Title: Poster Session Reception: Young Investigator Award Semi-Finalists Source Type: research

Abstract 15: The Use of Handheld Focused Cardiac Ultrasound (FoCUS) for EF Assessment at Parkland Memorial Hospital: A Quality Improvement Initiative With Novel Applications for Clinical Outcomes [Session Title: Poster Session Reception: Young Investigator Award Semi-Finalists]
Conclusions: There was good correlation between cardiologists with respect to EF analysis. There was also good correlation between APP and cardiologists for EF analysis. Image quality from FCU was found to be good and acceptable for interpretation. This study demonstrates it is feasible to train an APP on obtaining images for EF analysis and they can be trained on EF interpretation with good correlation with experienced echocardiographers. We will evaluate outcomes associated with its use including delays to chemotherapy imposed by traditional echocardiography, cost to the health care system and patient-reported outcomes. ...
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Raza, S., Vigen, R., Matulevicius, S. Tags: Session Title: Poster Session Reception: Young Investigator Award Semi-Finalists Source Type: research

Abstract 14: The Influence of Provider Specialty on Anticoagulation Prescription Fills and Stroke Risk in Atrial Fibrillation Patients With History of Cancer [Session Title: Poster Session Reception: Young Investigator Award Semi-Finalists]
Conclusion: AF patients with cancer were less likely to see a cardiologist, and less likely to fill an anticoagulant prescription than AF patients without cancer. However, cardiology involvement was associated with increased anticoagulant prescription fills and reduced risk of stroke, suggesting a beneficial role for cardiology providers to improve outcomes in AF patients with history of cancer. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: ONeal, W. T., Claxton, J., MacLehose, R., Chen, L., Bengtson, L. G., Chamberlain, A. M., Norby, F., Lutsey, P., Alonso, A. Tags: Session Title: Poster Session Reception: Young Investigator Award Semi-Finalists Source Type: research

Abstract 13: Consistent Remote Monitoring of Patients With Heart Failure Using Epxheartfailure: A Telemedicine Tool [Session Title: Poster Session Reception: Young Investigator Award Semi-Finalists]
Discussion: The results demonstrate the ability of the system to engage patients, track their symptomatology and improve quality of life. EpxHF is a cost-effective tool that uses basic texting technology to help providers monitor HF patient’s fluctuating symptoms, with the goal of enabling medical intervention before a HF exacerbation occurs. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Banna, S., Landon, M. L., Shivakumar, N., Xu, C., Patel, K., Sink, E., Peters, R., Javaherian, K., Blanchard, M., Ross, W., Ewald, G., Aung, W. Y. Tags: Session Title: Poster Session Reception: Young Investigator Award Semi-Finalists Source Type: research

Abstract 12: Gender Trends in Authorship of Cardiology Academic Literature - A 40-Year Perspective [Session Title: Poster Session Reception: Young Investigator Award Semi-Finalists]
Conclusions: Using a large database of published manuscripts, we found that female representation in cardiology research has increased over the last four decades. However there is still disproportionate underrepresentation in first authorship, senior authorship and in authors with the most publications. In addition to recruiting more women into cardiology, further efforts should be made to identify and address barriers in advancement for female physician-scientists. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Ouyang, D., Sing, D., Shah, S., Harrington, R., Rodriguez, F. Tags: Session Title: Poster Session Reception: Young Investigator Award Semi-Finalists Source Type: research

Abstract 11: Development and Comparison of Two Natural Language Processing Methods for Identifying Bleeding Events in Clinical Text [Session Title: Poster Session Reception: Young Investigator Award Semi-Finalists]
Discussion: A RB NLP approach, compared to ML, has the best overall performance in independently identifying bleeding events among critically ill patients. The current models have high NPV, so could be used to reduce the chart review burden. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Taggart, M., Chapman, W. W., Steinberg, B. A., Ruckel, S., Pregenzer-Wenzler, A., Du, Y., Ferraro, J., Bucher, B. T., Lloyd-Jones, D. M., Rondina, M. T., Shah, R. U. Tags: Session Title: Poster Session Reception: Young Investigator Award Semi-Finalists Source Type: research

Abstract 10: Cigarette Smoking and the Risk of Adverse Events in Patients With Heart Failure With Preserved Ejection Fraction [Session Title: Assessing Care to Change Outcomes]
Conclusion: Current smoking is associated an increased risk for adverse outcomes in HFpEF, including hospitalization for heart failure. Smoking cessation possibly has role to reduce the risk for hospital admission and death in these high-risk patients. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Sandesara, P., ONeal, W., Venkatesh, S., Sperling, L. Tags: Session Title: Assessing Care to Change Outcomes Source Type: research

Abstract 9: Alirocumab Prior Authorization Approval and Prescription Fill Rates Among Medicare Advantage Patients in a Large US Managed Care Plan [Session Title: Assessing Care to Change Outcomes]
Conclusion: Although a high percentage of MAPD patients had evidence of an approved PA, there were notable differences in clinical and demographic characteristics between those with and without LIS/ DE status. Further, the proportion of patients with an approved PA and a paid prescription claim differed markedly amongst MAPD patients with and without LIS/DE status, suggesting further research is needed to understand potential barriers to obtaining PCSK9i therapy. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Dacus, K. C., Horter, L., Hayden, J., Harvey, R. A., Thompson, S., Gervasio, J. Tags: Session Title: Assessing Care to Change Outcomes Source Type: research

Abstract 8: Association Between Abnormalities in Myocardial Perfusion and Patient-reported Angina Among Patients With Known Coronary Artery Disease: PET vs. SPECT Comparison [Session Title: Assessing Care to Change Outcomes]
Conclusion: We found no association between patient-reported angina and the burden of ischemia, regardless of the modality used. These findings suggest that other complex, multi-system pathways likely impact perception of pain and description of angina in patients with CAD, and that direct measurement of patient-reported symptoms needs to supplement physiologic assessment of ischemia. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Al Badarin, F., Patel, K., Spertus, J., Arnold, S., Bateman, T., Kennedy, K. Tags: Session Title: Assessing Care to Change Outcomes Source Type: research

Abstract 7: Health Care System Re-Design to Achieve Universal Access to Cardiac Rehabilitation Services: Implications for Population Health and Health Policy [Session Title: Assessing Care to Change Outcomes]
Conclusions: The adoption of a HCS-I-CRP was extremely successful: referrals actually exceeded the capacity of LCB-CRPs and enrollment, unfortunately, had to be capped. Despite this, statistically significant, population level health benefits were observed. We anticipate that adoption of a province-wide HCS-I-CRP, initiated and buttressed by provincial policy, would achieve near universal access to CRP and population health benefits similar to or greater than those reported here. (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: Assessing Care to Change Outcomes Source Type: research

Abstract 6: Characteristics and Outcomes of Ischemic Heart Failure Patients With Improved Ejection Fraction After Coronary Revascularization [Session Title: Assessing Care to Change Outcomes]
Conclusions: Patients with ischemic HFiEF have distinct clinical characteristics and favorable outcomes. Our data support HFiEF as a distinct HF category in ischemic HF patients after revascularization therapy. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Wang, S., Peng, D., Dunlay, S. M., Chamberlain, A. M., Liu, J., Borah, B. J. Tags: Session Title: Assessing Care to Change Outcomes Source Type: research

Abstract 5: Optimizing Emergency Room Throughput for Cardiac Telemetry Patients: A Queuing Theory Approach [Session Title: QCOR 2018 Young Investigator Award Finalists]
Conclusions: Queuing theory allows for modeling of healthcare system behavior to predict needed clinical capacity for achieving system goals. Our simplified model demonstrates that a modest increase in capacity can drive significant system improvements. Utilizing queuing theory and understanding the behavior of the healthcare system can improve the predicted impact of interventions on cost-effectiveness and quality of care. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Rosenblatt, A., Gravenor, S., Gurvich, I., Van Mieghem, J., Mutharasan, R. K. Tags: Session Title: QCOR 2018 Young Investigator Award Finalists Source Type: research

Abstract 4: Variation in Published Stroke Rates Results in Wide Variation in the Net Clinical Benefit of Anticoagulation for Atrial Fibrillation [Session Title: QCOR 2018 Young Investigator Award Finalists]
Conclusion: Using current guidelines, variation in published off-anticoagulation stroke rates results in tenfold variation in the estimated net clinical benefit of anticoagulation. Guidelines should better reflect the uncertainty of the current approach that uses a CHA2DS2-VASc threshold to recommend anticoagulation. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Shah, S. J., Eckman, M. H., Aspberg, S., Go, A. S., Singer, D. E. Tags: Session Title: QCOR 2018 Young Investigator Award Finalists Source Type: research

Abstract 3: Association of Video- vs. Text-Based Informed Consent With Multicenter Registry Enrollment [Session Title: QCOR 2018 Young Investigator Award Finalists]
Conclusions: In this early experience with video consent in a multicenter registry, availability of video informed consent was associated with greater enrollment of older and non-white patients, faster speed to first patient enrolled, and numerically but not significantly more rapid enrollment compared with text informed consent. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Fanaroff, A. C., Li, S., Miller, V., Webb, L., Navar, A. M., Peterson, E. D., Wang, T. Y. Tags: Session Title: QCOR 2018 Young Investigator Award Finalists Source Type: research