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 207: Assessing the Clinical Value of Frailty as a Prognostic Indicator to Aid Decision-Making in Cardiac Surgery [Session Title: Poster Session PM]
Conclusions: Certain aspects of frailty, as measured by the FACT, have clinical value as prognostic indicators. These models are the first, to our knowledge, to investigate the relationship between the EuroSCORE II and MACE +/- all-cause mortality using the FACT. Traditional risk assessment scores such as the EuroSCORE II will benefit from having frailty included as a risk factor.Implications: This study will assist in educating future heart surgery patients about their possible risks by predicting adverse outcomes with better predictive ability. It is hoped that patients who possess more knowledge about their personal ris...
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Wilson-Pease, E., Kephart, G., Gainer, R., Moorhouse, P., Hassan, A., Hirsch, G. Tags: Session Title: Poster Session PM Source Type: research

Abstract 205: Stroke Risk and Symptom Recognition Post Cardiac Catheterization [Session Title: Poster Session PM]
Over 1.4 million cardiac catheterization procedures (CCPs) take place yearly. CPP related stroke incidence in 1973 was reported as 0.23%. CCPs are invasive in nature with complications occurring due to unintentional trauma to preexisting atherosclerotic aortic plaques or thrombus formation at catheter/guidewire tips. Less common causes of ischemic stroke are air, left ventricular clot, hypotension, arterial dissection, fractured guidewire. Transient neurological deficits have been reported following high-osmolar contrast injection into carotid/vertebral arteries. With improved practice, current stroke incidence is 0.06%. P...
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Rivet, C., Schaefer, K., Strom, C. Tags: Session Title: Poster Session PM Source Type: research

Abstract 204: Cardiovascular Mortality and Non-fatal Cardiovascular Events After Diagnosis of Acute Aortic Syndrome [Session Title: Poster Session PM]
Conclusions: AAS is associated with a higher overall mortality and an increased risk of any first time CV event, first time MI and HF that persists beyond the acute phase. These data highlight the risk of CV events among those with AAS and implicate the need for long-term cardiovascular management in these patients. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Weiss, S., Sen, I., Huang, Y., Killian, J. M., Harmsen, W. S., Mandrekar, J., Chamberlain, A. M., Goodney, P. P., Roger, V. L., DeMartino, R. R. Tags: Session Title: Poster Session PM Source Type: research

Abstract 203: Health Status Variations Across Practices in Outpatients With Heart Failure: Health Status Variations Across Practices in Outpatients With Heart Failure: Insights From the CHAMP-HF Registry [Session Title: Poster Session PM]
Conclusion: In this first large, contemporary assessment of health status in outpatients with HFrEF, we found marked variation by site in patients having excellent health status. Proposed efforts to use patient-reported outcomes as a quality measure may support improved attention to patients’ health status in clinical care. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Khariton, Y., Nassif, M., Thomas, L., Fonarow, G., Mi, X., DeVore, A., Duffy, C., Sharma, P., Albert, N., Patterson, J., Butler, J., Hernandez, A., Williams, F., McCague, K., Spertus, J. Tags: Session Title: Poster Session PM Source Type: research

Abstract 202: Outcomes of Region-Wide Cardiac Rehabilitation [Session Title: Poster Session PM]
Conclusions: In a universal health-care system, patients who completed a regionally coordinated, locally delivered, standardized CR program close to home, experienced lower mortality or re-hospitalization rates compared to matched patients not referred to CR. This association was not likely due to a referral bias as patients who were referred to CR but did not enroll in CR faired worse, not better, compared to matched non-CR referred patients. Health care system decision makers (e.g. provincial governments in Canada) should strongly consider funding regional CR strategies. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Suskin, N., Frisbee, S., Stranges, S., Pierce, A., Ricci, J. Tags: Session Title: Poster Session PM Source Type: research

Abstract 201: Travel Distance Among Publicly Insured Infants With Operable Congenital Heart Disease [Session Title: Poster Session PM]
Conclusion: Regionalization of CHD care could increase travel distances and impose access barriers. Our study informs the regionalization debate by estimating the prevalence and characteristics of infant CHD patients who may have high travel distances. Future research should use quasi-experimental approaches to ascertain the relationship between travel distance, access, and outcomes among CHD patients. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Woo, J., Anderson, B. R., Gruenstein, D., Chua, K.-P. Tags: Session Title: Poster Session PM Source Type: research

Abstract 194: Real-time Outcomes Analysis Dashboard: ROAD Map [Session Title: Poster Session AM]
Conclusion: A continuously updated dashboard permits real-time adverse outcome reporting, potentially allowing earliest identification of areas of concern or focus. Proof of the value of this approach will require replication in additional centers of various size. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Hancock Friesen, C. L., Unberhagen, K., Boswell, P., Boswell, P., Jaquiss, R. D. Tags: Session Title: Poster Session AM Source Type: research

Abstract 193: Supplement Usage and the Relationship Between Education and Socioeconomic Status: Is Counseling Intervention Needed? [Session Title: Poster Session AM]
Conclusion: There is no established data to suggest multivitamin use is directly associated with chronic illnesses such as increased cardiovascular risks, cancer and pulmonary disease. It has been established that hypovitaminosis D is associated with increased risk for hypertension and other cardiovascular diseases. Vitamin D supplementation is recommended to mitigate these risks. Those with higher education levels are more likely to take supplements possibly because of their increased health literacy. Patients with lower education levels may benefit from counseling of vitamin supplementation usage, MVI and especially in V...
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Gowda, R., Iyengar, R. L., Maceda, C., McLaughlin, M. A. Tags: Session Title: Poster Session AM Source Type: research

Abstract 192: Trends in Carotid Imaging in the VA Health System Following Choosing Wisely: An Interrupted Time Series Analysis [Session Title: Poster Session AM]
Conclusions: The release of 3 Choosing Wisely guidelines targeting carotid imaging did not reduce overall or indication specific rates of asymptomatic carotid imaging in the VA Health System. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Anderson, T., Madden, E., Zhang, S. J., Mowery, D., Chapman, W., Keyhani, S. Tags: Session Title: Poster Session AM Source Type: research

Abstract 191: Trends in Hospitalization and Readmission of Patients With Syncope: An Analysis Using State Inpatient and Emergency Department Databases [Session Title: Poster Session AM]
Conclusions: Although the incidence of ED visits for syncope increased from 2009 to 2013, hospitalization rates for declined by 25% without an adverse effect on ED revisits or hospital readmissions. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Anderson, T. S., Thombley, R. L., Lin, G. A. Tags: Session Title: Poster Session AM Source Type: research

Abstract 190: Use of Intensive Glycemic Management in Older Adults With Diabetes. An Analysis From the Diabetes Collaborative Registry [Session Title: Poster Session AM]
Conclusion: Despite greater availability of agents that do not cause hypoglycemia, a quarter of older adults with type 2 diabetes are tightly controlled with high-risk medications. These results suggest potential overtreatment of a substantial proportion of patients. Efforts are needed to provide more specific guidance on how to safely treat older adults with diabetes (both through targeting treatment with low-risk agents and through de-escalation of glucose control) and then to efficiently translate that guidance into busy clinical practice. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Arnold, S. V., Lipska, K. J., Wang, J., Seman, L., Mehta, S. N., Kosiborod, M. Tags: Session Title: Poster Session AM Source Type: research

Abstract 189: Electronic Consults and Active Referral Management for Improving Access to Specialty Care Within the Veterans Health Administration [Session Title: Poster Session AM]
Conclusions: E-consults and ARM of clinical referrals were effective at reducing wait times for outpatient VHA cardiology clinic. The majority of clinical referrals could be handled through e-consult and did not require an in-person clinic visit. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Winchester, D. E., Wokhlu, A., Vilaro, J., Bavry, A. A., Park, K., Choi, C., Panna, M., Kaufmann, M., McKillop, M., Schmalfuss, C. Tags: Session Title: Poster Session AM Source Type: research

Abstract 188: Implementation of Choosing Wisely Recommendations for Stress-First Nuclear Myocardial Perfusion Imaging [Session Title: Poster Session AM]
Conclusion: By switching from a rest-stress to a stress-first imaging protocol, we reduced the median radiation dose in our lab by 80%. We observed no change in the proportion of normal tests, suggesting no potential for harm with this strategy. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Winchester, D. E., Jeffrey, R., Schmalfuss, C., Wymer, D. C., Taasan, V., Wokhlu, A. Tags: Session Title: Poster Session AM Source Type: research

Abstract 186: Improving Identification and Assessment of Readmission Risk for Acute Myocardial Infarction and Heart Failure Patients Following Implementation of a National Quality Improvement Program [Session Title: Poster Session AM]
Conclusions: Implementation of a quality improvement campaign focused on care transition can substantially improve prospective identification of AMI and HF patients and assessment of their readmission risk. It remains to be determined whether process improvement lead to reduction in 30-day readmission and/or improvement in other clinically important outcome measures. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Gluckman, T. J., Albert, N. M., McNamara, R. L., Fonarow, G. C., Malik, A., Brindis, R. G., Lu, D., Roe, M., Tingley, J., Negi, S., Goldberg, L. R., Rogers, S., Mobayed, J., Patel, S., Pruski, B., Hewitt, K., Fanari, Z., Lucas, J. Tags: Session Title: Poster Session AM Source Type: research

Abstract 185: Outcome Differences Associated With STEMI Diagnostic Delay: Disparities on the Frontlines of STEMI Care [Session Title: Poster Session AM]
Conclusion: A significant proportion of ED patients with STEMI did not receive an ECG within 10 minutes of arrival resulting in a 2.2 fold increase in D2B time. They were more likely to be female, non-white, and with atypical chief complaints. Normalizing screening criteria for presentation diversity could improve more equitable access to timely STEMI treatment (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Yiadom, M. Y., Baugh, C. W., Jenkins, C. A., Tanski, M., Mumma, B. E., Vogus, T. J., Miller, K. F., Jackson, B. E., Lehmann, C. U., Dorner, S. C., West, J. L., Olubowale, O. O., Wang, T. J., Collins, S. P., Dittus, R. S., Bernard, G. R., Storrow, A. B., L Tags: Session Title: Poster Session AM Source Type: research