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Risk Factor Prevalence in a Young Stroke Population: Get with the Guidelines (P03.155)
CONCLUSIONS: Our data suggest a high prevalence of stroke risk factors in a young population. More importantly, we observed a significantly increased prevalence of HTN, DM and dyslipidemia in patients 40-50years of age. Our findings suggest a need for more aggressive screening for primary stroke prevention at younger ages than previously recommended.Disclosure: Dr. Pikula has nothing to disclose. Dr. Un Candan has nothing to disclose. Dr. Lau has nothing to disclose. Dr. Romero has nothing to disclose. Dr. Nguyen has nothing to disclose. Dr. Babikian has nothing to disclose. Dr. Kase has nothing to disclose.
Source: Neurology - February 14, 2013 Category: Neurology Authors: Pikula, A., Un Candan, F., Lau, H., Romero, J., Nguyen, T., Babikian, V., Kase, C. Tags: P03 Cerebrovascular Disease III Source Type: research

Identifying Barriers in Acute Stroke Therapy in Argentina. ARENAS Registry (P2.014)
CONCLUSIONS: Only 47% of patients were admitted to an Intensive Care Unit, rt-PA was underused and initial evaluation was not performed by a neurologist in most of cases. The gap between clinical practice guidelines and real world is wide in Argentina and interventions to improve acute stroke care are mandatory.Disclosure: Dr. Atallah has nothing to disclose. Dr. Fustinoni has nothing to disclose. Dr. Zurru has nothing to disclose. Dr. Beigelman has nothing to disclose. Dr. Cirio has nothing to disclose. Dr. Ameriso has nothing to disclose. Dr. Burry has nothing to disclose.
Source: Neurology - April 9, 2014 Category: Neurology Authors: Atallah, A., Fustinoni, O., Zurru, M., Beigelman, R., Cirio, J., Ameriso, S., Burry, G. Tags: Cerebrovascular Disease and Interventional Neurology I Source Type: research

The Impact of Professional Medical Interpreter Involvement on the Care of Acute Ischemic Stroke Patients at an Academic Medical Center (S8.001)
Conclusions: In this small, single-site study, PMI were inconsistently involved in the treatment of AIS patients who preferred a language other than English, and this lack of involvement reduced the odds of defect free-care dramatically. Prospective studies are needed to determine the cause of the disparities in access to PMI, and if efforts to improve availability of linguistically-appropriate stroke care to an increasingly diverse population can improve health outcomes.Disclosure: Dr. Luan Erfe has nothing to disclose. Dr. Siddiqui has nothing to disclose. Dr. Schwamm holds stock and/or stock options in LifeImage. Dr. Me...
Source: Neurology - April 3, 2016 Category: Neurology Authors: Luan Erfe, B., Siddiqui, K., Schwamm, L., Mejia, N. Tags: Practice and Policy Source Type: research

Racial And Ethnic Disparities In Stroke. Declining Age At Time Of Stroke. Analysis Of The Nationwide Inpatient Sample 1988-2010 (S12.002)
CONCLUSIONS: In this longitudinal national sample age at time of stroke became younger for blacks and Hispanics, but not Caucasians. This has increased the disparity of age of onset between blacks and Caucasians. Over time the number of comorbidities have increased, perhaps due to upcoding by hospitals rather than worsening health status of the population.Disclosure: Dr. Costa has nothing to disclose. Dr. Dubinsky has received personal compensation for activities with Allergan Inc. Dr. Dubinsky has received research support from Allergan Inc., Medevation Pharmaceuticals, and from the National Institutes of Health.
Source: Neurology - April 9, 2014 Category: Neurology Authors: Costa, C., Dubinsky, R. Tags: Cerebrovascular Disease and Interventional Neurology: Epidemiology and Risk Factors Source Type: research

Rate and Risk Factors of Recurrent 30-Day Readmissions following Hospitalization for Ischemic Stroke (S47.003)
CONCLUSIONS: Patients with 30-day readmissions after index hospitalization for ischemic stroke remain at further risk for recurrent 30-day readmissions. Characterization of magnitude and risk factors of recurrent 30-day readmissions may provide framework for reducing such preventable readmissions.Disclosure: Dr. Moradiya has nothing to disclose. Dr. Murthy has nothing to disclose. Dr. Modi has nothing to disclose. Dr. Naval has nothing to disclose.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Moradiya, Y., Murthy, S., Modi, S., Naval, N. Tags: Cerebrovascular Disease and Interventional Neurology Source Type: research

A Comparative Analysis of Stroke in Haitian and Non-Haitian Populations of South Florida (P1.259)
Conclusions: Multiple factors may play a role in these significant differences, including healthcare disparities and differences in socioeconomic status. Policies aimed at improving access to healthcare, patient education, and health care provider cultural/language comprehension should benefit Haitian stroke patient outcomes. Study Supported by: N/ADisclosure: Dr. Barratt has nothing to disclose. Dr. Brown has nothing to disclose. Dr. Lopez has nothing to disclose. Dr. Sirutis has nothing to disclose. Dr. Lozano has nothing to disclose. Dr. Starosciak has nothing to disclose.
Source: Neurology - April 3, 2016 Category: Neurology Authors: Barratt, D., Brown, C., Lopez, J., Sirutis, B., Lozano, J., Starosciak, A. Tags: Cerebrovascular Disease: Health Disparities Source Type: research

Stroke Patient Length of Stay Benchmarking and Analysis (P2.129)
CONCLUSIONS: At our facility, severity of illness and medical complications were the primary issues causing increased LOS in stroke patients. Analysis of expected and observed length of stay, complications, outliers, and payer can provide insights into issues increasing LOS. Disclosure: Dr. Diebolt has nothing to disclose. Dr. Sims has nothing to disclose. Dr. Conners has nothing to disclose. Dr. Lee has nothing to disclose.
Source: Neurology - April 9, 2014 Category: Neurology Authors: Diebolt, E., Sims, S., Conners, J., Lee, V. Tags: Cerebrovascular Disease and Interventional Neurology: Evaluation, Cost, and Quality Source Type: research

Show or No-Show - That Is the Question: Lack of Outpatient Follow-up a After Acute Stroke. (P2.131)
CONCLUSION: Poor follow up rates were seen overall. Medicare, Medicaid, and self-pay patients were least likely to follow up. Patients discharged to inpatient rehabilitation or nursing facilities had a low follow-up rate, as did those patients living at a geographic distance from our facilities. Better education of the importance of follow-up prior to discharge is needed.Disclosure: Dr. Chaudhary has nothing to disclose. Dr. Lee has nothing to disclose.
Source: Neurology - April 9, 2014 Category: Neurology Authors: Chaudhary, G., Lee, J. Tags: Cerebrovascular Disease and Interventional Neurology: Evaluation, Cost, and Quality Source Type: research

Uninsured Patients May Lack Diagnoses for Chronic Diseases That Are Known Stroke Risk Predictors (P2.140)
CONCLUSIONS:In our population, uninsured patients were significantly less likely to have risk factors for stroke based on past medical history. However, the same population had the higher prevalence of systolic hypertension and elevated LDL on admission and were not taking medications at home. Together, this suggests that uninsured patients may lack access to resources needed to diagnose and treat known chronic risk factors for stroke.Disclosure: Dr. Baranwal has nothing to disclose. Dr. Monlezun, Jr has nothing to disclose. Dr. Lanceta has nothing to disclose. Dr. Shaban has nothing to disclose. Dr. George has received re...
Source: Neurology - April 9, 2014 Category: Neurology Authors: Baranwal, P., Monlezun, D., Lanceta, J., Shaban, A., George, A., Martin-Schild, S., El Khoury, R. Tags: Cerebrovascular Disease and Interventional Neurology: Disparity Source Type: research

Evaluating the impact of insurance precertification on discharge of stroke patients to skilled nursing facility or inpatient rehabilitation center. (S5.004)
CONCLUSIONS: The results of this study supports the central hypothesis that the process of insurance precertification leads to delay in discharges and ultimately increases the cost to the hospital systems caring for stroke patients.Disclosure: Dr. Smith has nothing to disclose. Dr. Kulhari has nothing to disclose. Dr. Wolfram has nothing to disclose. Dr. Furlan has received personal compensation for activities with NMT Medical Boston, Forest Laboratories, Inc., Bristol-Meyers Squibb Company, Stryker, and Sanofi-Aventis Pharmaceuticals as a consultant and/or speaker.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Smith, A., Kulhari, A., Wolfram, J., Furlan, A. Tags: Cerebrovascular Disease and Interventional Neurology: Recovery and Outcome Source Type: research

When Non-Revascularized Transfer Patients Come A-Knocking at a Stroke Center (P1.201)
Conclusions: Despite having more severe strokes and higher frequency of adverse events, patients transferred into our CSC did not have worse short term functional outcomes. This highlights the importance of specialized inpatient care provided in NICUs and stroke units by experienced multidisciplinary teams.Disclosure: Dr. Sands has received research support from Biogen. Dr. Albright has nothing to disclose. Dr. Donnelly has nothing to disclose. Dr. Jones has nothing to disclose. Dr. Kaur has nothing to disclose. Dr. Sisson has nothing to disclose. Dr. Shiue has nothing to disclose. Dr. Lyerly has nothing to disclose. Dr. G...
Source: Neurology - April 3, 2016 Category: Neurology Authors: Sands, K., Albright, K., Donnelly, J., Jones, B., Kaur, M., Sisson, A., Shiue, H., Lyerly, M., Gropen, T. Tags: Acute Endovascular Therapy: Outcomes and Safety Source Type: research

Derivation and Validation of a Proposed Long Length of Stay (>= 7 days) Score in Patients Hospitalized for Acute Ischemic Stroke (P1.067)
Conclusions:Many factors play a role in determining the length of stay for AIS patients. Our study provides a scoring system that may help physicians predict which patients are more likely to have a prolonged hospital stay.Disclosure: Dr. Mahmood has nothing to disclose. Dr. Ali has nothing to disclose. Dr. Chauhan has nothing to disclose. Dr. Bianchi has nothing to disclose. Dr. Singhal has received personal compensation for activities with Medicolegal, ACTION Trial Stroke, Biogen, and Dock Technologies. Dr. Singhal holds stock and/or stock options in Biogen. Dr. Singhal has received research support from Boehringer Ingel...
Source: Neurology - April 17, 2017 Category: Neurology Authors: Mahmood, S., Ali, S., Chauhan, M. A., Bianchi, N., Singhal, A., Schwamm, L. Tags: Practice, Policy, and Ethics I Source Type: research

Clinical Characteristics and Healthcare Utilization of Hmong Patients Presenting with Stroke (P3.075)
Conclusions:In this study population, Hmong patients have more poorly controlled risk factors, higher incidence of ICH, small vessel and intracranial atherosclerosis, lower incidence of carotid disease and heart failure and utilized fewer resources than Whites.Disclosure: Dr. KASHYAP has nothing to disclose. Dr. Droegemueller has nothing to disclose. Dr. Erickson has nothing to disclose. Dr. Hanson has nothing to disclose. Dr. Hussein has nothing to disclose.
Source: Neurology - April 17, 2017 Category: Neurology Authors: KASHYAP, B., Droegemueller, C., Erickson, L., Hanson, L., Hussein, H. Tags: Cerebrovascular Disease and Interventional Neurology ePoster Session Source Type: research

Alzheimer disease and risk of stroke: A population-based cohort study
Conclusion: Clinical diagnosis of AD is associated with considerably increased risk of stroke development.
Source: Neurology - February 18, 2013 Category: Neurology Authors: Chi, N.-F., Chien, L.-N., Ku, H.-L., Hu, C.-J., Chiou, H.-Y. Tags: Alzheimer's disease, Infarction, Intracerebral hemorrhage ARTICLE Source Type: research

Gender Differences in Primary Stroke Center Evaluation and Utilization of rt-PA (P2.133)
CONCLUSIONS:Among women, PSCs utilize more rt-PA than non-PSCs. The increased utilization of rt-PA at PSCs is consistent between men and women and stable across racial and ethnic groups. Despite this a lower proportion of women receive rt-PA than men.Study Supported by:R01 HS018362-01A1 AHRQDisclosure: Dr. Mullen has nothing to disclose. Dr. Albright has received research support from The Agency for Healthcare Research and Quality, and the National Institute on Minority Health and Health Disparities. Dr. Boehme has nothing to disclose. Dr. Kasner has received personal compensation for activities with Pfizer Inc, Novartis, ...
Source: Neurology - April 9, 2014 Category: Neurology Authors: Mullen, M., Albright, K., Boehme, A., Kasner, S., Kallan, M., Branas, C., Carr, B. Tags: Cerebrovascular Disease and Interventional Neurology: Evaluation, Cost, and Quality Source Type: research

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