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Condition: Hemorrhagic Stroke
Management: Medicare

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Total 103 results found since Jan 2013.

Clipping and Coiling of Unruptured Intracranial Aneurysms Among Medicare Beneficiaries, 2000 to 2010 Clinical Sciences
Conclusions— Although outcomes tended to improve over time, increased preventative treatment of unruptured intracranial aneurysms among Medicare beneficiaries did not result in a population-level decrease in SAH rates.
Source: Stroke - August 24, 2015 Category: Neurology Authors: Jalbert, J. J., Isaacs, A. J., Kamel, H., Sedrakyan, A. Tags: Cerebral Aneurysm, AVM, & Subarachnoid hemorrhage, Aneurysm, AVM, hematoma Clinical Sciences Source Type: research

Current Practices and Variability in Feeding Tube Placement for Inpatients with Intracerebral Hemorrhage in US Hospitals (I2.001)
Conclusions: Variation in feeding tube insertion rates across hospitals was large and may reflect practice cultures within individual hospitals.Disclosure: Dr. Hwang has received research support from the American Brain Foundation Practice Research Training Fellowship. Dr. George has nothing to disclose. Dr. Kelly has nothing to disclose. Dr. Schneider has nothing to disclose. Dr. Sheth has nothing to disclose. Dr. Holloway has received personal compensation for activities with Milliman Guideline, Inc. as a consultant. Dr. Holloway has received personal compensation in an editorial capacity for Neurology Today.
Source: Neurology - April 3, 2016 Category: Neurology Authors: Hwang, D., George, B., Kelly, A., Schneider, E., Sheth, K., Holloway, R. Tags: Stroke in the Elderly and Young: Challenges for the Next Decade Data Blitz Presentations Source Type: research

Current Practices and Variability in Feeding Tube Placement for Inpatients with Intracerebral Hemorrhage in US Hospitals (S16.007)
Conclusions: Variation in feeding tube insertion rates across hospitals was large and may reflect practice cultures within individual hospitals.Disclosure: Dr. Hwang has received research support from the American Brain Foundation Practice Research Training Fellowship. Dr. George has nothing to disclose. Dr. Kelly has nothing to disclose. Dr. Schneider has nothing to disclose. Dr. Sheth has nothing to disclose. Dr. Holloway has received personal compensation for activities with Milliman Guideline, Inc. as a consultant. Dr. Holloway has received personal compensation in an editorial capacity for Neurology Today.
Source: Neurology - April 3, 2016 Category: Neurology Authors: Hwang, D., George, B., Kelly, A., Schneider, E., Sheth, K., Holloway, R. Tags: Prehospital/Emergency Room Stroke Care and Intracerebral Hemorrhage Source Type: research

Use of the Corus ® CAD Gene Expression Test for Assessment of Obstructive Coronary Artery Disease Likelihood in Symptomatic Non-Diabetic Patients
Conclusions The Corus CAD test has been extensively evaluated since it was first derived, including with two prospective multi-center trials. Given the scope of the deleterious effects of CAD and the considerable costs involved in diagnosing obstructive CAD, a blood test that can help in this determination is certainly valuable. The Corus CAD test promises to have an important role in this regard particularly if it continues to perform this well in larger, more diverse cohorts.
Source: PLOS Currents Evidence on Genomic Tests - August 26, 2013 Category: Genetics & Stem Cells Authors: Jose Vargas Source Type: research

Surgical clipping versus endovascular coiling for elderly patients presenting with subarachnoid hemorrhage
Conclusions In a cohort of Medicare patients, we did not demonstrate a difference in mortality, rate of discharge to rehabilitation, and readmissions between clipping and coiling of ruptured cerebral aneurysms. Clipping was associated with a slightly longer LOS.
Source: Journal of NeuroInterventional Surgery - August 11, 2016 Category: Neurosurgery Authors: Bekelis, K., Gottlieb, D., Su, Y., O'Malley, A. J., Labropoulos, N., Goodney, P., MacKenzie, T. A. Tags: Hemorrhagic stroke Source Type: research

Characteristics of Accredited Transcranial Doppler Ultrasound Laboratories in the United States
CONCLUSIONSThe results suggest that there are significant differences between IAC applicant laboratories and laboratories represented by Centers for Medicaid and Medicare Services (CMS) claims data. In addition, accurate study reporting, physician training, and ongoing quality improvement activities may not be optimized in laboratories applying for accreditation. With the information learned from this study, educational strategies by professional organizations, including the IAC, can be tailored to help improve TCD practice.
Source: Journal of Neuroimaging - October 31, 2016 Category: Radiology Authors: Mary Beth Farrell, John Y. Choi, Endrit Ziu, Kevin M. Cockroft Tags: Technology Update Source Type: research

Predictive indices for functional improvement and deterioration, institutionalization, and death among elderly Medicare beneficiaries
Conclusion Predictive indices, or point and scoring systems used to predict outcomes, can identify elderly Medicare beneficiaries at risk of functional deterioration, institutionalization, and death and can aid policy makers, clinicians, and family members in improving care for older adults and supporting successful aging in the community.
Source: PMandR - April 27, 2017 Category: Rehabilitation Source Type: research

Dabigatran Compared With Rivaroxaban vs Warfarin
To the Editor In a recent issue ofJAMA Internal Medicine, Graham et al reported that rivaroxaban use increased risks of major bleeding with nonsignificant reduction in thromboembolic stroke and increased mortality compared with dabigatran in elderly Medicare beneficiaries newly treated with dabigatran or rivaroxaban for nonvalvular atrial fibrillation (November 2011-June 2014). However, dabigatran event rates were lower than reported by Graham et al in a larger group of elderly Medicare beneficiaries newly treated with dabigatran or warfarin for nonvalvular atrial fibrillation with longer follow-up during a partially overl...
Source: JAMA Internal Medicine - May 1, 2017 Category: Internal Medicine Source Type: research

Unrecognized Cardiovascular Emergencies Among Medicare Patients
This cohort study estimates the proportions of emergency department visits attributable to symptoms of imminent ruptured abdominal aortic aneurysm, acute myocardial infarction, stroke, aortic dissection, and subarachnoid hemorrhage that end in discharge without diagnosis.
Source: JAMA Internal Medicine - February 26, 2018 Category: Internal Medicine Source Type: research

Persistently low inferior vena cava filter retrieval rates in a population-based cohort
ConclusionsIVC filter placements, after a substantial increase between 2004 and 2010, have been declining since 2010. Retrieval rates in the general population are steadily improving but continue to lag behind those described in center-specific literature. Increased age and Medicare as the primary payer are the strongest risk factors for lack of filter retrieval. Widespread improvements on a national scale are needed to improve the appropriateness of filter placements and to enhance filter retrieval rates.
Source: Journal of Vascular Surgery: Venous and Lymphatic Disorders - November 14, 2018 Category: Surgery Source Type: research

Rural –Urban Disparities in Intracerebral Hemorrhage Mortality in the USA: Preliminary Findings from the National Inpatient Sample
ConclusionsDespite current efforts to reduce disparity in stroke care, ICH patients hospitalized in rural hospitals had two times the odds of dying compared to those in urban hospitals. In addition, the ICH mortality gap between rural and urban centers is increasing. Further studies are needed to identify and reverse the causes of this disparity.
Source: Neurocritical Care - May 31, 2020 Category: Neurology Source Type: research

Recurrent intracerebral hemorrhage in patients with cerebral amyloid angiopathy: a propensity-matched case –control study
The objective of our study was to compare the readmission rates for recurrent ICH, SAH, and AIS among patients admitted for ICH with and without CAA.MethodsUsing the National Readmissions Database 2016 –2018 we identified patients admitted for ICH with and without a concomitant diagnosis of CAA. Primary outcome of the study was readmission due to ICH. Secondary outcomes included readmissions due to AIS and SAH. Survival analysis was performed, and Kaplan–Meier curves were created to assess for readmissions.ResultsThe study consisted of 194,290 patients with ICH, 8247 with CAA and 186,043 without CAA as a concomitant di...
Source: Journal of Neurology - January 17, 2022 Category: Neurology Source Type: research

Background rates of adverse events of special interest for COVID-19 vaccine safety monitoring in the United States, 2019-2020
CONCLUSION: AESI background rates varied by database and demographics and fluctuated in March-December 2020, but most returned to pre-pandemic levels after May 2020. It is critical to standardize demographics and consider seasonal and other trends when comparing historical rates with post-vaccination AESI rates in the same database to evaluate COVID-19 vaccine safety.PMID:36404170 | DOI:10.1016/j.vaccine.2022.11.003
Source: Vaccine - November 20, 2022 Category: Allergy & Immunology Authors: Keran Moll Bradley Lufkin Kathryn R Fingar Cindy Ke Zhou Ellen Tworkoski Chianti Shi Shayan Hobbi Mao Hu Minya Sheng Jillian McCarty Shanlai Shangguan Timothy Burrell Yoganand Chillarige Jeff Beers Patrick Saunders-Hastings Stella Muthuri Kathryn Edwards Source Type: research