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Positive predictive values of ICD-9 codes to identify patients with stroke or TIA.
Conclusions: Administrative ICD-9 codes 434.XX, 433.X1, and V12.54 had consistently high PPVs in identifying patients with a confirmed cerebral event. These codes could be used as part of a probabilistic approach to focus care activities on patients with the highest likelihood of a cerebral event. PMID: 24738552 [PubMed - in process]
Source: The American Journal of Managed Care - April 19, 2014 Category: Health Management Authors: Olson KL, Wood MD, Delate T, Lash LJ, Rasmussen J, Denham AM, Merenich JA Tags: Am J Manag Care Source Type: research

Thrombolysis ImPlementation in Stroke (TIPS): evaluating the effectiveness of a strategy to increase the adoption of best evidence practice - protocol for a cluster randomised controlled trial in acute stroke care
DiscussionTIPS will trial a comprehensive, multi-component and multidisciplinary collaborative approach to improving thrombolysis rates at multiple sites. The trial has the potential to identify methods for optimal care which can be implemented for stroke patients during the acute phase. Study findings will include barriers and solutions to effective thrombolysis implementation and trial outcomes will be published whether significant or not.Trial registration: Australian New Zealand Clinical Trials Registry: ACTRN12613000939796
Source: Implementation Science - March 25, 2014 Category: Health Management Authors: Christine PaulChristopher LeviCatherine D¿EsteMark ParsonsChristopher BladinRichard LindleyJohn AttiaFrans HenskensErin LalorMark LongworthSandy MiddletonAnnika RyanErin KerrRobert Sanson-Fisher Source Type: research

Marginal costing methods highlight the contributing cost of comorbid conditions in Medicare patients: a quasi-experimental case¿control study of ischemic stroke costs
Conclusions: Accurate estimates of cost of care for conditions, such as stroke, that are common in older patients with a high rate of comorbid conditions require the use of a marginal costing approach. Over estimation of cost of care for stroke may lead to prediction of larger savings than realizable from important stroke treatment and prevention programs, which may damage the credibility of program advocates, and jeopardize long term funding support. Additionally, correct cost estimates are needed as inputs for valid cost-effectiveness studies. Thus, it is important to use marginal costing for stroke, especially with the ...
Source: Cost Effectiveness and Resource Allocation - November 16, 2013 Category: Health Management Authors: Annie SimpsonHeather BonilhaAbby KazleyJames ZollerCharles Ellis Source Type: research

Marginal costing methods highlight the contributing cost of comorbid conditions in medicare patients: a quasi-experimental case--control study of ischemic stroke costs
Conclusions: Accurate estimates of cost of care for conditions, such as stroke, that are common in older patients with a high rate of comorbid conditions require the use of a marginal costing approach. Over estimation of cost of care for stroke may lead to prediction of larger savings than realizable from important stroke treatment and prevention programs, which may damage the credibility of program advocates, and jeopardize long term funding support. Additionally, correct cost estimates are needed as inputs for valid cost-effectiveness studies. Thus, it is important to use marginal costing for stroke, especially with the ...
Source: Cost Effectiveness and Resource Allocation - November 16, 2013 Category: Health Management Authors: Annie SimpsonHeather BonilhaAbby KazleyJames ZollerCharles Ellis Source Type: research

Involving patients in clinical research: the Telescot Patient Panel
ConclusionsThe Telescot Patient Panel was beneficial in supporting the development of the feasibility trial. The Panel approach was considered transferable to other clinical research contexts.
Source: Health Expectations - September 30, 2013 Category: Health Management Authors: Peter Fairbrother, Lucy McCloughan, Geraldine Adam, Richard Brand, Cecil Brown, Mary Watson, Nicola Cotter, Juliet Mackellaig, Brian McKinstry Tags: Original Article Source Type: research

Stroke Maintains High Prevalence Among Mexican Americans, Declining Among General Population
Ischemic stroke, which accounts for a full 87 percent of all cases of stroke, is caused when an artery to the brain becomes obstructed or blocked.
Source: RWJF News Digest - Quality/Equality - August 13, 2013 Category: Health Management Source Type: news

The effect of diabetes complications on health‐related quality of life: the importance of longitudinal data to address patient heterogeneity
ABSTRACT We estimate the impact of six diabetes‐related complications (myocardial infarction, ischaemic heart disease, stroke, heart failure, amputation and visual acuity) on quality of life, using seven rounds of EQ‐5D questionnaires administered between 1997 and 2007 in the UK Prospective Diabetes Study. The use of cross‐sectional data to make such estimates is widespread in the literature, being less expensive and easier to collect than repeated‐measures data. However, analysis of this dataset suggests that cross‐sectional analysis could produce biased estimates of the effect of complications on QoL. Using fix...
Source: Health Economics - July 11, 2013 Category: Health Management Authors: Maria Alva, Alastair Gray, Borislava Mihaylova, Philip Clarke Tags: Research Article Source Type: research

Health care performance comparison using a disease-based approach: The EuroHOPE project
This article describes the methodological challenges associated with disease-based international comparison of health system performance and how they have been addressed in the EuroHOPE (European Health Care Outcomes, Performance and Efficiency) project. The project uses linkable patient-level data available from national sources of Finland, Hungary, Italy, The Netherlands, Norway, Scotland and Sweden. The data allow measuring the outcome and the use of resources in uniformly-defined patient groups using standardized risk adjustment procedures in the participating countries. The project concentrates on five important disea...
Source: Health Policy - May 16, 2013 Category: Health Management Authors: Unto Häkkinen, Tor Iversen, Mikko Peltola, Timo T. Seppälä, Antti Malmivaara, Éva Belicza, Giovanni Fattore, Dino Numerato, Richard Heijink, Emma Medin, Clas Rehnberg Source Type: research

The American Heart Association/American Stroke Association (AHA/ASA) has published guidelines for the early treatment of acute ischaemic stroke.
Source: PharmacoEconomics and Outcomes News - March 2, 2013 Category: Health Management Tags: Research article Source Type: research

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