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Source: Circulation: Cardiovascular Quality and Outcomes
Procedure: CT Scan

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Total 7 results found since Jan 2013.

Abstract 192: Trends in Carotid Imaging in the VA Health System Following Choosing Wisely: An Interrupted Time Series Analysis Session Title: Poster Session AM
Conclusions: The release of 3 Choosing Wisely guidelines targeting carotid imaging did not reduce overall or indication specific rates of asymptomatic carotid imaging in the VA Health System.
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Anderson, T., Madden, E., Zhang, S. J., Mowery, D., Chapman, W., Keyhani, S. Tags: Session Title: Poster Session AM Source Type: research

Abstract 219: Interdisciplinary Education and Relationship Building Improve Communication and Coordination in Stroke Care Session Title: Poster Session II
Conclusion: Through providing education to EMS providers and building relationships between EMS and hospitals, there has been a significant increase in pre-notification by EMS therefore improving timeliness of CT scans in acute stroke patients.
Source: Circulation: Cardiovascular Quality and Outcomes - March 31, 2017 Category: Cardiology Authors: Thorson, S., Sather, J., Alexander, J., Cook, M. Tags: Session Title: Poster Session II Source Type: research

Improving Door-to-Needle Times for Acute Ischemic Stroke: Effect of Rapid Patient Registration, Moving Directly to Computed Tomography, and Giving Alteplase at the Computed Tomography Scanner Original Articles
Conclusions— Taking the patient to CT on the emergency medical services stretcher, registering the patient as unknown, STAT stroke protocol, and administering alteplase in CT are associated with lower DTN time.
Source: Circulation: Cardiovascular Quality and Outcomes - January 16, 2017 Category: Cardiology Authors: Kamal, N., Holodinsky, J. K., Stephenson, C., Kashayp, D., Demchuk, A. M., Hill, M. D., Vilneff, R. L., Bugbee, E., Zerna, C., Newcommon, N., Lang, E., Knox, D., Smith, E. E. Tags: Quality and Outcomes, Ischemic Stroke Original Articles Source Type: research

Abstract 205: Improving Door to Needle Time for IV Thrombolysis in Stroke Session Title: Poster Session II
Conclusions: Efforts to reduce DNT are effective and create incremental improvement over time. The organization required to lower door to needle time, results in an increase of the number of patients treated. This may be a result of the greater efficiency needed to achieve fast administration of IV tPA, which in turn, improves recognition of stroke patients and efficiency of decision making.Our experience demonstrates that these gains are sustainable.
Source: Circulation: Cardiovascular Quality and Outcomes - April 29, 2015 Category: Cardiology Authors: Johnson, B., Butler, J., Bojang, B., Ortmann, M., Murtaza, U., Lindauer, C., Tolson, T., Saheed, M., Hill, P., Urrutia, V. C. Tags: Session Title: Poster Session II Source Type: research

Abstract 102: Adding Computed Tomography Angiography (CTA) to the Acute Stroke Evaluation: A Single-center Experience Session Title: Poster Session I
Conclusions: Overall, CTA during acute stroke evaluations were safe and may offer clinical utility, without delaying evaluation or therapy delivery. Additional cost of acute CTA acquisition is negligible given it replaces MRA typically performed later, following admission, as standard vessel imaging. Further prospective study is required.
Source: Circulation: Cardiovascular Quality and Outcomes - April 29, 2015 Category: Cardiology Authors: Ehrlich, M. E., Turner, H. L., Currie, L. J., Wintermark, M., Worrall, B. B., Southerland, A. M. Tags: Session Title: Poster Session I Source Type: research

Long-Term Effect of Fee-For-Service-Based Reimbursement Cuts on Processes and Outcomes of Care for Stroke: Interrupted Time-Series Study From Taiwan Original Articles
Conclusions— There are improvement trends in processes and outcomes of care over time. However, the reimbursement cuts from the FFS-based global budget cap are associated with trend changes in processes and outcomes of care for stroke. The FFS-based reimbursement cuts may have long-term positive and negative associations with stroke care.
Source: Circulation: Cardiovascular Quality and Outcomes - January 20, 2015 Category: Cardiology Authors: Tung, Y.-C., Chang, G.-M., Cheng, S.-H. Tags: Health policy and outcome research Original Articles Source Type: research

Fragmentation of Care and the Use of Head Computed Tomography in Patients With Ischemic Stroke Original Articles
Conclusions— Rates of high-intensity CT use for patients with ischemic stroke reflect wide practice patterns across regions and races. Medicare expenditures parallel these disparities. Fragmentation of care is associated with high-intensity CT use.
Source: Circulation: Cardiovascular Quality and Outcomes - May 20, 2014 Category: Cardiology Authors: Bekelis, K., Roberts, D. W., Zhou, W., Skinner, J. S. Tags: Acute Cerebral Infarction, Computerized tomography and Magnetic Resonance Imaging, Pathology of Stroke Original Articles Source Type: research