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Source: Circulation: Cardiovascular Quality and Outcomes

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Total 429 results found since Jan 2013.

Association Between Early Outpatient Visits and Readmissions After Ischemic Stroke Original Articles
Conclusions: Thirty-day outpatient follow-up was associated with a small reduction in hospital readmission among elderly patients with stroke discharged home. Further work should assess how outpatient care may be improved to further reduce readmissions.
Source: Circulation: Cardiovascular Quality and Outcomes - April 13, 2018 Category: Cardiology Authors: Terman, S. W., Reeves, M. J., Skolarus, L. E., Burke, J. F. Tags: Health Services, Quality and Outcomes, Ischemic Stroke Original Articles Source Type: research

Abstract 10: Contraindications to Oral Anticoagulation in the Outcomes Registry for Better Informed Treatment of Atrial Fibrillation (ORBIT-AF) Concurrent I Session B: Oral Abstract Presentations on Stroke Topics
Conclusions. Contraindications to OAC therapy among AF patients are common and often due to high bleeding risk. Furthermore, many patients with reported contraindications are taking warfarin, suggesting that many contraindications to warfarin therapy are minor, relative, or temporary.
Source: Circulation: Cardiovascular Quality and Outcomes - May 15, 2013 Category: Cardiology Authors: O'Brien, E. C., Holmes, D., Koller, C. R., Singer, D. E., Ansell, J., Allen, L. A., Hylek, E. M., Kowey, P., Gersh, B., Fonarow, G. C., Mahaffey, K. W., Chang, P., Ezekowitz, M. D., Peterson, E. D., Piccini, J. P. Tags: Concurrent I Session B: Oral Abstract Presentations on Stroke Topics Source Type: research

Abstract 267: Improving Inpatient Stroke Care by Implementing Stroke Units Across Health Systems Using an Improvement Collaborative Approach Session Title: Poster Session II
Conclusions: This inter-provincial Quality Improvement Collaborative was successful in implementing and improving stroke units, and in improving best practice care of inpatient stroke patients. Critical success factors include the engagement of faculty from high-performing centers even if they exist outside the jurisdiction where improvement is sought, and the use of the 7-step framework for implementing stroke units.
Source: Circulation: Cardiovascular Quality and Outcomes - June 2, 2014 Category: Cardiology Authors: Kamal, N., Aikman, P., Teal, P., Suddes, M., Collier, T., Hill, M. D., Dawson, A., Veldhoen, R., Harris, D. Tags: Session Title: Poster Session II Source Type: research

Abstract 17: Association Between Pre-stroke Depression and Patient Reported Outcomes After Acute Ischemic Stroke Session Title: Poster Session Reception: Young Investigator Award Semi-Finalists
Conclusions: Pre-stroke depression is associated with worse patient reported outcomes and greater odds of functional decline after ischemic stroke discharge. Strategies to more effectively manage comorbid depression and improve outcomes in these patients are needed.
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Shah, S., Xu, H., Xian, Y., Maisch, L., Hannah, D., Lindholm, B., Lytle, B. L., Pencina, M. J., Olson, D. M., Smith, E. E., Fonarow, G. C., Schwamm, L. H., Bhatt, D. L., Hernandez, A. F., OBrien, E. C. Tags: Session Title: Poster Session Reception: Young Investigator Award Semi-Finalists Source Type: research

Abstract 107: Differential Ischemic Stroke Risk Among Women Veterans Across Age Strata Session Title: Poster Session AM
Conclusions: Nearly half of all women Veterans were found to be at high risk of ischemic stroke within the next 10-years. Furthermore, sex differences were noted across age strata, with women having a lower risk of stroke then men at younger ages and a higher risk at older ages. Given that women tend to have more severe strokes, higher mortality, and delayed diagnosis compared to men, further work is required to understand reasons for the differential stroke risk across sexes. Based on these study findings, implementing primary prevention programs for women Veterans would help to mitigate future ischemic stroke risk.
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Comer, A. R., Sico, J., Haggstrom, D. Tags: Session Title: Poster Session AM Source Type: research

Abstract 208: A Literature Review Of Indirect Cost Of Stroke Poster Session II
Conclusions: While the literature indicated that the indirect cost accounted for a significant portion of the economic burden of stroke, there is a clear need to develop improved methods to study costs and to better use or establish relevant data sources for such studies. With the aging population and increasing survival rate of stroke, both direct and indirect costs of stroke are likely to increase greatly. Interventions for stroke prevention as well as for improving quality of life among stroke patients are needed to contain both direct and indirect costs associated with stroke. More research investigating the indirect c...
Source: Circulation: Cardiovascular Quality and Outcomes - May 15, 2013 Category: Cardiology Authors: Joo, H., George, M. G., Fang, J., Wang, G. Tags: Poster Session II Source Type: research

Abstract 223: National and Regional Trends in Hospitalizations for Hemorrhagic Stroke after Acute Myocardial Infarction in the United States: 1999-2010 Poster Session II
Conclusions: From 1999 to 2010, the overall hospitalization rates of hemorrhagic stroke after AMI were relatively stable without significant changes across all subgroups. Thirty-day mortality rates remained largely unchanged over time. Stroke risk in the stroke belt was not found significantly higher comparing with non-stroke belt states.
Source: Circulation: Cardiovascular Quality and Outcomes - May 15, 2013 Category: Cardiology Authors: Shi, R., Wang, Y., Lichtman, J. H., Dharmarajan, K., Masoudi, F. A., Dodson, J. A., Chen, J., Chaudhry, S. I., Spertus, J. A., Nallamothu, B. K., Krumholz, H. M. Tags: Poster Session II Source Type: research

Abstract 228: Assessing Knowledge, Perceptions, and Cultural Attitudes Towards Stroke in Elderly Korean-Americans: The Strengthening Our Korean Elders Through Community-Partnered Education (STROKE-COPE) Project Poster Session II
Conclusions: Elderly Korean-Americans have substantial risk for stroke, but possess both language and belief barriers that may interfere with stroke prevention and response. A stroke education curriculum tailored for elderly Korean-Americans must address these culturally specific beliefs to be effective.
Source: Circulation: Cardiovascular Quality and Outcomes - May 15, 2013 Category: Cardiology Authors: Song, S., Son, J. B., Park, H., Park, H., Community Advisory Panel, T. S.-C., Ryan, G., Vickrey, B. Tags: Poster Session II Source Type: research

Abstract 236: Poor Recurrent Stroke Prevention Knowledge in High Risk Stroke Survivors Poster Session II
Stroke is highly prevalent. Control of hypertension, hyperlipidemia and appropriate antithrombotic use are important in preventing recurrent stroke. Inadequate control of cardiovascular (CV) risk factors and poor stroke knowledge among transient ischemic attack (TIA) and stroke survivors impact stroke recurrence.We used a community-based participatory approach to recruit TIA/stroke survivors from community and clinical sites into a randomized controlled stroke prevention educational intervention trial. We conducted a cross-sectional analysis of baseline survey responses describing demographics, clinical characteristics, an...
Source: Circulation: Cardiovascular Quality and Outcomes - May 15, 2013 Category: Cardiology Authors: Scobie, J. V., Fei, K., Negron, R., Turhim, S., Boden-Albala, B., Horowitz, C. R. Tags: Poster Session II 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 116: Relationship of Stroke Unit Status With Quality of Care and Outcome for Acute Stroke Patients: Results From China National Stroke Registry II Session Title: Poster Session I
Conclusions: Our study showed that processes of care of AIS were better in patients in hospitals with stroke units. However, patients in hospitals with stroke units didn’t performance differences in clinical outcomes after discharge.
Source: Circulation: Cardiovascular Quality and Outcomes - March 31, 2017 Category: Cardiology Authors: Zhang, X., Li, Z., Wang, C., Wang, C., Yang, X., Gu, H., Pan, Y., Liu, L., Zhao, X., Wang, Y., Wang, Y. Tags: Session Title: Poster Session I Source Type: research

Abstract 109: Neurologists versus Hospitalists: The Effect of Physician Specialty on Stroke Care and Outcomes After Ischemic Stroke and TIA Session Title: Poster Session AM
Conclusions: There is no evidence that patients received dissimilar stroke related care or experienced different outcomes regardless of the physician specialty serving as the primary service. However, stroke patients with hospitalists as their primary team had shorter hospital stay. This difference may be due to hospitalists’ expertise in managing patients with multiple co-morbidities, including stroke patients with underlying diabetes, atrial fibrillation, and hypertension. Based on these findings, utilizing neurology as a consult service for stroke related care will not affect provision of stroke care or patient outcomes.
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Comer, A. R., Comer, A. D., Dethoff, A., Templeton, E. J., Slaven, J. J. Tags: Session Title: Poster Session AM Source Type: research

Abstract 145: Illinois Acute Stroke Ready Hospital Designation is Associated With Improved Door-to-Needle Best Practices Session Title: Poster Session AM
Conclusions: Since Illinois introduced ASRH designation in 2009, a steady improvement in meeting acute stroke benchmarks has been observed for hospitals providing care at the entry point of care. Statewide stroke legislation should be considered as a strategy for supporting system-wide implementation of acute stroke best practices.
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Richards, C. T., Jones, P., Sednew, R. M., Mirostaw, J., ONeill, K., Prabhakaran, S. Tags: Session Title: Poster Session AM 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 206: Expansion Of Emergency Medical Services Routing For Stroke In The United States Poster Session II
Conclusions: In 2010 a majority of stroke patients in the United States were hospitalized in an area with established or transitioning to EMS diversion. This milestone coverage of half the US population is a major advance in systematic stroke care, and emphasizes the need for novel approaches, such as telemedicine, to further extend access to stroke center care to all patients.
Source: Circulation: Cardiovascular Quality and Outcomes - May 15, 2013 Category: Cardiology Authors: Sanossian, N., Hanks, N., He, S., Wen, G., Krug, A. M., Kim-Tenser, M., Cen, S., Song, S., Saver, J. L., Adamczyk, P., Mack, W. J. Tags: Poster Session II Source Type: research