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Abstract 8: Get With The Guidelines-Stroke Program Participation and Clinical Outcomes for Medicare Beneficiaries Concurrent I Session B: Oral Abstract Presentations on Stroke Topics
Conclusions: Hospitals joining the GWTG-Stroke quality improvement program between 2004-2008 achieved significantly greater improvement in stroke patient outcomes than matched hospitals not joining the program, with lower all-cause mortality at 30 days and 1 year and higher rates of discharge directly to home.
Source: Circulation: Cardiovascular Quality and Outcomes - May 15, 2013 Category: Cardiology Authors: Song, S., Fonarow, G., Pan, W., Olson, D., Hernandez, A. F., Peterson, E., Reeves, M., Smith, E., Schwamm, L., Saver, J. Tags: Concurrent I Session B: Oral Abstract Presentations on Stroke Topics Source Type: research

Hospital Variation in Functional Recovery After Stroke Original Articles
Conclusions— One third of acute ischemic stroke patients were functionally dependent or dead 3 months postacute stroke; functional recovery rates varied considerably among hospitals, supporting the need to better determine which care processes can maximize functional outcomes.
Source: Circulation: Cardiovascular Quality and Outcomes - January 16, 2017 Category: Cardiology Authors: Bettger, J. P., Thomas, L., Liang, L., Xian, Y., Bushnell, C. D., Saver, J. L., Fonarow, G. C., Peterson, E. D. Tags: Health Services, Quality and Outcomes, Ischemic Stroke Original Articles Source Type: research

Assessment of the Completeness and Accuracy of Case Ascertainment in the Michigan Stroke Registry Original Articles
Conclusions— Among registry hospitals, these results revealed relatively high levels of completeness and accuracy. Matching registry data to hospital discharge data identified hospitals that changed their case ascertainment method to a case sampling approach. This study illustrates the value of monitoring case ascertainment in stroke registries using external data sources.
Source: Circulation: Cardiovascular Quality and Outcomes - September 16, 2014 Category: Cardiology Authors: Reeves, M. J., Nickles, A. V., Roberts, S., Hurst, R., Lyon-Callo, S. Tags: Health policy and outcome research, Acute Cerebral Infarction, Other Stroke Treatment - Medical Original Articles Source Type: research

Abstract 269: Does Functional Recovery After Stroke Vary by Hospital Type? Session Title: Poster Session II
Conclusions: A third of acute ischemic stroke patients had moderate-severe disability three months after hospital discharge and these rates varied considerably among U.S. hospitals. Receiving stroke care at a teaching or primary stroke center hospital was associated with significantly better post discharge functional status.
Source: Circulation: Cardiovascular Quality and Outcomes - June 2, 2014 Category: Cardiology Authors: Prvu Bettger, J., Liang, L., Thomas, L., Bushnell, C., Xian, Y., Wu, J., Peterson, E. D. Tags: Session Title: Poster Session II Source Type: research

Abstract 230: The Impact of Hospital Closures on Outcomes for Myocardial Infarction and Stroke Poster Session II
Conclusions: We found no evidence that hospital closure was associated with worse clinical outcomes for AMI or stroke for patients. Though there were increased travel times for both conditions, this was likely offset by an increase in hospital quality in the alternative hospitals. These findings should provide some reassurance to those concerned that hospital closures will lead to significantly worse patient outcomes, even for conditions for which timely receipt of treatment is critical.
Source: Circulation: Cardiovascular Quality and Outcomes - May 15, 2013 Category: Cardiology Authors: Joynt, K. E., Orav, E. J., Jha, A. K. Tags: Poster Session II Source Type: research

Lack of Impact of Electronic Health Records on Quality of Care and Outcomes for Ischemic Stroke
ConclusionsIn our sample of GWTG-Stroke hospitals, EHRs were not associated with higher-quality care or better clinical outcomes for stroke care. Although EHRs may be necessary for an increasingly high-tech, transparent healthcare system, as currently implemented, they do not appear to be sufficient to improve outcomes for this important disease.
Source: Journal of the American College of Cardiology: Cardiovascular Interventions - May 4, 2015 Category: Cardiology Source Type: research

Abstract 245: Assessing Patient Knowledge and Satisfaction Following Stroke Video Education Session Title: Poster Session PM
Conclusions: Based on this preliminary data, stroke patients enjoy video education in clinic. However, as patients in both groups were highly satisfied, it remains unclear whether video education increases overall satisfaction. Highly educated patients may bennefit from video education, but further enrollment will clarify this. A positive correlation between post-visit test score and satisfaction indicates that clinics should prioritize patient education.
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Tisel, S., Rieman, A., Hodges, M., Gwathmey, K. Tags: Session Title: Poster Session PM Source Type: research

Abstract 214: Improvement Among All Hospital Types and Reduced Hospital Level Variation in Use of Intravenous tPA for Acute Ischemic Stroke 2003-2011: Findings from Get With The Guideline-Stroke Poster Session II
Conclusion: Significant increases in IV tPA treatment among patients arriving < 2hr have occurred over the past decade, and rates of increase vary by hospital characteristics. The profile of tPA treated eligible patients also changes across the range of hospital tPA use rates, with highest performing sites reporting NIHSS in >90% of tPA patients, and treating greater numbers of patients who are non-white or with more severe strokes. Low performing sites may benefit from greater focus on NIHSS assessment and timeliness of care. .
Source: Circulation: Cardiovascular Quality and Outcomes - May 15, 2013 Category: Cardiology Authors: Schwamm, L. H., Ali, S. F., Reeves, M. J., Smith, E. E., Saver, J. L., Messe, S., Bhatt, D. L., Grau-Sepulveda, M. V., Peterson, E. D., Fonarow, G. C. Tags: Poster Session II Source Type: research

Abstract 266: No Impact of Electronic Health Records on Quality of Care and Outcomes for Ischemic Stroke Session Title: Poster Session II
Conclusions: In our sample of GWTG-Stroke hospitals, EHRs were not associated with higher-quality care or better clinical outcomes. Given that these systems often create significant added burden for clinicians, further work to ensure that they are better integrated with care and fully evidence-driven is critical.
Source: Circulation: Cardiovascular Quality and Outcomes - June 2, 2014 Category: Cardiology Authors: Joynt, K. E., Bhatt, D. L., Schwamm, L. H., Xian, Y., Heidenreich, P. A., Fonarow, G. C., Smith, E. E., Grau-Sepulveda, M. V., Hernandez, A. F. Tags: Session Title: Poster Session II Source Type: research

Impact of seasons, years El Nino/La Nina and rainfalls on stroke-related morbidity and mortality in Kinshasa.
CONCLUSION: Early warning systems should be developed to predict the impact of seasons and climate variability on stroke morbidity and mortality. PMID: 26826750 [PubMed - as supplied by publisher]
Source: Journal des Maladies Vasculaires - January 27, 2016 Category: Cardiology Authors: Kintoki Mbala F, Longo-Mbenza B, Mbungu Fuele S, Zola N, Motebang D, Nakin V, Lueme Lokotola C, Simbarashe N, Nge Okwe A Tags: J Mal Vasc Source Type: research

Vascular age and cardiovascular risk in patients suffering from stroke.
CONCLUSION: The vascular age of patients suffering from stroke at the University teaching hospital Sylvanus Olympio of Lome is 10 years higher than their real age. This condition considerably increases their risk of cardiovascular diseases. The screening and the early care about vascular risk factors appear therefore of utmost importance. PMID: 26047877 [PubMed - as supplied by publisher]
Source: Annales de Cardiologie et d'Angeiologie - June 2, 2015 Category: Cardiology Authors: Goeh Akue E, Afassinou YM, Ido BJ, Pio M, Baragou S, Pessinaba S, Kumako V, Belo M Tags: Ann Cardiol Angeiol (Paris) Source Type: research

Cost‐Effectiveness of Dabigatran Compared With Warfarin for Stroke Prevention in Patients With Atrial Fibrillation—A Real Patient Data Analysis in a Hong Kong Teaching Hospital
ConclusionsThe study favored dabigatran for stroke prophylaxis in patients with nonvalvular AF in Hong Kong under the current hospital's perspective and provided a reference for further comparisons under patient and subsidization perspectives.
Source: Clinical Cardiology - March 14, 2013 Category: Cardiology Authors: Andy M. Chang, Jason C. S. Ho, Bryan P. Yan, Cheuk Man Yu, Yat Yin Lam, Vivian W. Y. Lee Tags: Clinical Investigation Source Type: research

Pilot of a Computerised Antithrombotic Risk Assessment Tool Version 2 (CARATV2.0) for stroke prevention in atrial fibrillation.
CONCLUSIONS: This decision support tool can help optimise the use of antithrombotic therapy in patients with AF by considering risk versus benefit profiles and rationalising treatment selection. PMID: 28070883 [PubMed - as supplied by publisher]
Source: Cardiology Journal - January 9, 2017 Category: Cardiology Authors: Wang Y, Bajorek B Tags: Cardiol J Source Type: research

OCULUS study: Virtual reality-based education in daily clinical practice.
CONCLUSIONS: 3D movie is an effective tool in transferring knowledge about the consequences of AF and the pivotal role of OAC in stroke prevention. TRIAL REGISTRATION: ClinicalTrials.gov, NCT03104231. Registered on 28 March 2017. PMID: 29297178 [PubMed - as supplied by publisher]
Source: Cardiology Journal - January 3, 2018 Category: Cardiology Authors: Balsam P, Borodzicz S, Malesa K, Puchta D, Tymińska A, Ozierański K, Kołtowski Ł, Peller M, Grabowski M, Filipiak KJ, Opolski G Tags: Cardiol J Source Type: research

Abstract 009: The Impact of Participation in a Telestroke Network on In-hospital Mortality in Georgia Session Title: Abstract Oral Session: General
Conclusions: Acute ischemic stroke patients admitted in hospitals participating in a telestroke program had a more pronounced reduction in in-hospital mortality. However, telestroke coverage did not alter the effect of nighttime admission on in-hospital mortality.
Source: Circulation: Cardiovascular Quality and Outcomes - March 31, 2017 Category: Cardiology Authors: Zhang, D., Ido, M. S., Shi, L., Green, D. Tags: Session Title: Abstract Oral Session: General Source Type: research

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