Abstract 241: Health Resource Utilization and Healthcare Expenditure Among Myocardial Infarction Patients With Depression [Session Title: Poster Session PM]
Conclusion: Depression among MI patients is associated with a significant increase in annual healthcare expenditure and health resource utilization. As a quality improvement measure to increase healthcare efficiency, routine depression screening at follow up visits may be appropriate especially among these high risk population. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Okunrintemi, V., Tibuakuu, M., Valero-Elizondo, J., Salami, J., Nasir, K., Michos, E. D. Tags: Session Title: Poster Session PM Source Type: research

Abstract 240: Association of Depression Risk With Patient Experience, Healthcare Expenditure and Health Resource Utilization Among Adults With Atherosclerotic Cardiovascular Disease [Session Title: Poster Session PM]
Conclusion: Among ASCVD patients without a diagnosis of depression, individuals with a greater risk for depression were more likely to report worse healthcare experience, increased resource utilization and higher healthcare spending. To enhance health outcomes and increase healthcare efficiency, more aggressive screening for depression risk to promote improved recognition and intervention are needed among this vulnerable population. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Okunrintemi, V., Valero-Elizondo, J., Michos, E., Salami, J., Ogunmoroti, O., Osondu, C., Tibuakuu, M., Benson, E.-M., Pawlik, T., Nasir, K. Tags: Session Title: Poster Session PM Source Type: research

Abstract 239: The Effect of an Interdisciplinary Simulation Training Program on Translational Outcomes for In-Hospital Cardiopulmonary Arrests [Session Title: Poster Session PM]
Conclusions: After the initiation of a CTT course that targets key code team member personnel, CPR quality significantly improved, which was associated with an increase in ROSC and a trend towards increased survival for in-hospital cardiac arrest patients. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Hunninghake, J., Reis, J., Delaney, H., Borgman, M., Trevino, R., Matos, R. Tags: Session Title: Poster Session PM Source Type: research

Abstract 237: Patient and Center Level Characteristics for Critically Ill Cardiac Encounters Across 2 Care Settings [Session Title: Poster Session PM]
Conclusion: Critically ill patients with cardiac diagnoses demonstrated equivalent baseline severity of illness, in-hospital mortality and lengths of stay when admitted to hospitals with single of multiple ICU care settings. However, hospitals with a multi-ICU setting tended to be teaching hospitals. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Galiatsatos, P., Powell-Wiley, T., Li, X., Kadri, S., McAreavey, D., Solomon, M. Tags: Session Title: Poster Session PM Source Type: research

Abstract 235: Revascularization Patterns of Systolic Heart Failure in a Large Urban County Hospital [Session Title: Poster Session PM]
Conclusion: Patients presenting with symptomatic HFrEF referred for cardiac catheterization have a high prevalence of obstructive CAD. Most patients with evidence of either surgical or non-surgical CAD during coronary angiography underwent revascularization, with PCI being the dominant revascularization method. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Scoma, C., Berger, K., Vigen, R., Das, S. Tags: Session Title: Poster Session PM Source Type: research

Abstract 234: Informal (Family) Caregiver Outcomes From a Symptom and Psychosocial Collaborative Care Intervention in Patients With Heart Failure: A Randomized Clinical Trial [Session Title: Poster Session PM]
Conclusion: The CASA intervention did not improve caregiver outcomes. Besides addressing challenges to caregiver recruitment and participation, future studies should consider the diverse issues faced by caregivers of patients with HF. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Flint, K., Johnson, R. A., Bekelman, D. Tags: Session Title: Poster Session PM Source Type: research

Abstract 233: Blood Pressure and Pulse Pressure Differences in Elderly versus Young Patients [Session Title: Poster Session PM]
Conclusion: Elderly patients remain at very elevated risk for atherosclerotic cardiovascular events, with mounting healthcare costs. Efforts to improve cardiac risk factors in this vulnerable group are of paramount importance. Higher SBP and PP in the elderly compared to young patients likely reflects increased arterial stiffness, resulting in a wider pulse pressures. Lack of compliance with medications is unlikely since these patients had insurance and their total cholesterol and LDL levels were adequately controlled with medications, not significantly different compared to young patients. White-coat-hypertension is anoth...
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Shofu, A., Hujier, F., Omar, B. A., Awan, G. M., Malozzi, C. Tags: Session Title: Poster Session PM Source Type: research

Abstract 232: Medication Cost Savings Using an On-line Drug Discount Program [Session Title: Poster Session PM]
Conclusion: Use of a drug discount program resulted in cost savings on HF prescription medications (approximately $9 in savings per prescription) compared to the original cost charged by pharmacies. While these drug assistance programs may reduce financial burden, continued efforts should be made to improve adherence to medications and for better outcomes. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Munigala, S., Brandon, M., Goff, Z. D., Sagall, R., Hauptman, P. J. Tags: Session Title: Poster Session PM Source Type: research

Abstract 231: Does the Implementation of Pneumonia Prevention Practices Reduce Risk of Pneumonia Following Cardiac Surgery? [Session Title: Poster Session PM]
Conclusion: In this statewide study, we identified components of a bundle associated with reduced odds of pneumonia. Broader adoption of this bundle may serve as an effective strategy for improving value for cardiac surgical patients. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Strobel, R. J., Harrington, S. D., Hill, C., Thompson, M. P., Cabrera, L., Wilton, P., Gandhi, D., DeLucia, A., Paone, G., Zhang, M., Prager, R. L., Likosky, D. S. Tags: Session Title: Poster Session PM Source Type: research

Abstract 228: National Prevalence of Substance Use Disorders Among Hospitalized Heart Failure Patients [Session Title: Poster Session PM]
Conclusions: Comorbid SUD disproportionately affects certain HF populations, including men, younger age groups, lower SES patients, and race/ethnic minorities. Further research on interventions to improve prevention and treatment of SUD among hospitalized HF patients are needed given the high rates of SUD in this population. Systematically screening hospitalized HF patients for SUD may reveal opportunities for treatment and secondary prevention. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Snow, S. C., Fonarow, G. C., Ladapo, J. A., Washington, D. L., Hoggatt, K., Ziaeian, B. Tags: Session Title: Poster Session PM Source Type: research

Abstract 227: Inter-hospital Variation in Costs of Pediatric Cardiac Catheterization: An Analysis of the PHIS Database [Session Title: Poster Session PM]
Conclusion: There is significant inter-hospital variation in costs of transcatheter procedures after case-mix adjustment. Exploring the etiology of these differences is an opportunity to improve care of children with heart disease. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: OByrne, M. L., Shinohara, R. T., Mi, L., Dori, Y., Gillespie, M. J., Rome, J. J., Kawut, S. M., Glatz, A. C., Groeneveld, P. W. Tags: Session Title: Poster Session PM Source Type: research

Abstract 226: Effect of Ezetimibe Added to High-intensity Statin Therapy in Patients With Hypercholesterolemia: A Meta-Analysis [Session Title: Poster Session PM]
Conclusion: Among patients with hypercholesterolemia, adding ezetimibe to high-intensity statin led to a mild but significant additional reduction in LDL-C levels compared to high-intensity statin monotherapy. Whether this mild further lowering of LDL-C levels achieved with the addition of ezetimibe to high-intensity statin would lead to a benefit in clinical outcomes needs further investigation. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Ling, H., Lee, J., Cooley, M., Ayoung-Chee, R., Hernandez, J. Tags: Session Title: Poster Session PM Source Type: research

Abstract 225: LVEF Over Time: Trends and Analysis of a National VA Database [Session Title: Poster Session PM]
Conclusion: In this multiyear study of a national cohort, LVEF varied substantially over time, with a recovered LVEF (<40% to >=50%) noted at some point in 20-30% depending on initial LVEF. However, when the last LVEF is used, recovery occurred in only 8-13%. Thus, approximately half of patients with a recovered LVEF at some point will revert to depressed LVEF. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Patel, J. M., Heidenreich, P. A. Tags: Session Title: Poster Session PM Source Type: research

Abstract 224: Why Do Patients Decline to Participate in Heart Failure Trials? [Session Title: Poster Session PM]
Conclusion: Slow participant enrollment in clinical trials threatens our ability to produce timely data necessary to guide clinical practice, while increasing cost of conducting them. The most common suggestion to improve participation made by patients who declined enrollment in a clinical trial was engaging physicians known to the patient in the process of recruitment while making participation less burdensome. Accordingly, educating potential participants regarding clinical trials, clarifying study risks and benefits with incorporation of design features that reduce burden such as frequency of invasive testing and follow...
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Shore, S., Speight, C., Kelkar, A., Dickert, N. Tags: Session Title: Poster Session PM Source Type: research

Abstract 223: Rapid Response Teams at Top-performing Hospitals for In-hospital Cardiac Arrest: A Qualitative Study [Session Title: Poster Session PM]
Conclusions: The design and implementation of RRTs differ markedly between top and bottom performing hospitals with regard to IHCA survival. Our findings provide unique insights into RRTs at hospitals with better IHCA outcomes. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Girotra, S., Dukes, K., Bunch, J., Guetterman, T., Harrod, M., Krein, S., Kellenberg, J., Lehrich, J., Reisinger, H., Kronick, S. L., Chan, P. S., Nallamothu, B. K. Tags: Session Title: Poster Session PM Source Type: research