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Management: Electronic Health Records (EHR)

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Total 477 results found since Jan 2013.

Door-to-Imaging Time for Acute Stroke Patients Is Adversely Affected by Emergency Department Crowding Clinical Sciences
Conclusions—ED crowding is associated with reduced odds of meeting DIT goals for acute stroke. In addition to improving stroke-specific processes of care, efforts to reduce ED overcrowding should be considered central to optimizing the timeliness of acute stroke care.
Source: Stroke - December 22, 2016 Category: Neurology Authors: Martin A. Reznek, Evangelia Murray, Marguerite N. Youngren, Natassia T. Durham, Sean S. Michael Tags: Quality and Outcomes, Cerebrovascular Disease/Stroke Original Contributions Source Type: research

Point-of-Care Cluster Randomized Trial in Stroke Secondary Prevention Using Electronic Health Records Clinical Sciences
Conclusions— Large pragmatic intervention studies may be implemented at low cost by using electronic health records. The intervention used in this trial was not found to be effective, and further research is needed to develop more effective intervention strategies. Clinical Trial Registration— URL: http://www.controlled-trials.com. Current Controlled Trials identifier: ISRCTN35701810.
Source: Stroke - June 23, 2014 Category: Neurology Authors: Dregan, A., van Staa, T. P., McDermott, L., McCann, G., Ashworth, M., Charlton, J., Wolfe, C. D. A., Rudd, A., Yardley, L., Gulliford, M. C., Meredith, Kerry, Murray, Mant, Robson, Haywood, Pursani Tags: Other Stroke Treatment - Medical Clinical Sciences Source Type: research

Automated Software System to Promote Anticoagulation and Reduce Stroke Risk Brief Report
Conclusions—No significant change in OAC prescribing occurred. A greater rate of diagnosis of transient ischemic attack (possibly because of improved detection or overdiagnosis) was associated with a reduction (of borderline significance) in stroke and hemorrhage over 12 months.Clinical Trial Registration—URL: http://www.isrctn.com. Unique Identifier: ISRCTN55722437.
Source: Stroke - February 26, 2017 Category: Neurology Authors: Tim A. Holt, Andrew Dalton, Tom Marshall, Matthew Fay, Nadeem Qureshi, Susan Kirkpatrick, Jenny Hislop, Daniel Lasserson, Karen Kearley, Jill Mollison, Ly-Mee Yu, F.D. Richard Hobbs, David Fitzmaurice Tags: Atrial Fibrillation, Anticoagulants, Health Services, Ischemic Stroke Brief Reports Source Type: research

Incorporating Stroke Severity Into Hospital Measures of 30-Day Mortality After Ischemic Stroke Hospitalization Clinical Sciences
Conclusions—We developed 3 quality measures that demonstrate better discrimination than the Centers for Medicare & Medicaid Services’ existing stroke mortality measure, adjust for stroke severity, and could be implemented in a variety of settings.
Source: Stroke - October 23, 2017 Category: Neurology Authors: Jennifer Schwartz, Yongfei Wang, Li Qin, Lee H. Schwamm, Gregg C. Fonarow, Nicole Cormier, Karen Dorsey, Robert L. McNamara, Lisa G. Suter, Harlan M. Krumholz, Susannah M. Bernheim Tags: Health Services, Mortality/Survival, Quality and Outcomes, Ischemic Stroke Original Contributions Source Type: research

An EHR Template and Housestaff Incentive Program to Improve the Frequency of NIHSS Documentation for Code Stroke (P6.047)
Conclusions: At an academic center with housestaff-led Code Stroke teams, the proportion of Code Stroke activations with a documented NIHSS was higher after implementing an EHR note template and housestaff financial incentive.Disclosure: Dr. Jia has nothing to disclose. Dr. Brown has nothing to disclose. Dr. Hessler has nothing to disclose. Dr. Deleon has nothing to disclose. Dr. Parsons has nothing to disclose. Dr. Ching has nothing to disclose. Dr. Smith has received personal compensation for activities with Stryker Neurovascular and Covidien as a consultant. Dr. Josephson has received personal compensation in an editori...
Source: Neurology - April 3, 2016 Category: Neurology Authors: Jia, X., Brown, E., Hessler, C., Deleon, J., Parsons, T., Ching, K., Smith, W., Josephson, S., Kim, A. Tags: Prehospital Stroke Care and Uses of NIHSS Source Type: research

Electronic Stroke CarePath: Integrated Approach to Stroke Care Innovations in Care
We describe the development, implementation, and outcomes of the first 2 years of the Electronic Stroke CarePath, an initiative developed for management of ischemic stroke patients in an effort to improve efficiency and quality of care for patients. The CarePath consists of care pathways for ischemic stroke that are integrated within the electronic health record. Patient-reported outcomes are collected using an external software platform. Documentation tools, order sets, and clinical decision support were designed to improve efficiency, optimize process measure adherence, and produce clinical data as a byproduct of care th...
Source: Circulation: Cardiovascular Quality and Outcomes - October 29, 2015 Category: Cardiology Authors: Katzan, I. L., Fan, Y., Speck, M., Morton, J., Fromwiller, L., Urchek, J., Uchino, K., Griffith, S. D., Modic, M. Tags: Ischemic Stroke Innovations in Care Source Type: research

Risk of stroke after emergency department visits for neurologic complaints
Conclusions Among patients discharged from the ED without a diagnosis of TIA or stroke, the occurrence of a head CT and/or specific neurologic symptoms established a clinically meaningful risk gradient for subsequent stroke.
Source: Neurology Clinical Practice - April 5, 2020 Category: Neurology Authors: Rosenman, M. B., Oh, E., Richards, C. T., Mendelson, S., Lee, J., Holl, J. L., Naidech, A. M., Prabhakaran, S. Tags: CT, All Cerebrovascular disease/Stroke Research Source Type: research

Factors associated with perforator stroke after selective basilar artery angioplasty or stenting
Conclusions Diabetes, time from last symptom to procedure, and pre-procedure stenosis percentage may be factors affecting the risk of perforator stroke associated with basilar artery angioplasty and/or stenting. These factors should be considered in planning of potential basilar artery angioplasty and/or stenting and prospectively evaluated in future multicenter trials.
Source: Journal of NeuroInterventional Surgery - July 12, 2017 Category: Neurosurgery Authors: Jia, B., Liebeskind, D. S., Ma, N., Gao, F., Mo, D., Luo, G., Li, X., Sui, X., Peng, G., Miao, Z. Tags: Ischemic stroke Source Type: research

CYP2C19 Loss-of-Function Associated with First-Time Ischemic Stroke in Non-surgical Asymptomatic Carotid Artery Stenosis During Clopidogrel Therapy
This study measures effect ofCYP2C19 genotype on ischemic stroke risk during clopidogrel therapy for asymptomatic, extracranial carotid stenosis patients. Using deidentified electronic health records, patients were selected for retrospective cohort using administrative code for carotid stenosis, availability ofCYP2C19 genotype result, clopidogrel exposure, and established patient care. Patients with intracranial atherosclerosis, aneurysm, arteriovenous malformation, prior ischemic stroke, or observation time<1 month were excluded. Dual antiplatelet therapy patients were included. Patients with carotid endarterectomy or ...
Source: Translational Stroke Research - February 21, 2021 Category: Neurology Source Type: research

Palliative Care Consultation Did Not Reduce Length of Stay in a Comprehensive Stroke Center (P1.212)
Conclusion: Palliative care consultation for patients with ischemic or hemorrhagic strokes was not associated with decreased hospital costs or LoS. This is in contrast to previously reported studies. We will further analyze the effect of early palliative care on a larger sample size to validate the findings. We also propose that a standardized palliative care trigger tool be implemented for early PC consultation in patients with debilitating stroke, advanced age, and multiple comorbid conditions.Disclosure: Dr. Tversky has nothing to disclose. Dr. Cheng has nothing to disclose. Dr. Mahmud has nothing to disclose. Dr. Schlo...
Source: Neurology - April 3, 2016 Category: Neurology Authors: Tversky, S., Cheng, D., Mahmud, S., Schloss, E., Wright, P. Tags: Re-admission and Stroke Outcomes Source Type: research

Using Radiological Data to Estimate Ischemic Stroke Severity
Risk-adjusted poststroke mortality has been proposed for use as a measure of stroke care quality. Although valid measures of stroke severity (e.g., the National Institutes of Health Stroke Scale [NIHSS]) are not typically available in administrative datasets, radiology reports are often available within electronic health records. We sought to examine whether admission head computed tomography data could be used to estimate stroke severity.
Source: Journal of Stroke and Cerebrovascular Diseases - January 13, 2016 Category: Neurology Authors: Jason J. Sico, Michael S. Phipps, John Concato, Cynthia Brandt, Carolyn K. Wells, Albert C. Lo, Stephen E. Nadeau, Linda S. Williams, Mark Gorman, John L. Boice, Dawn M. Bravata Source Type: research

The Kentucky Appalachian Stroke Registry (KApSR)
The population of rural Kentucky and West Virginia has a disproportionately high incidence of stroke and stroke risk factors. The Kentucky Appalachian Stroke Registry (KApSR) is a novel registry of stroke patients developed to collect demographic and clinical data in real time from these patients' electronic health records.
Source: Journal of Stroke and Cerebrovascular Diseases - December 18, 2017 Category: Neurology Authors: Patrick Kitzman, Marc Wolfe, Kelley Elkins, Justin F. Fraser, Stephen L. Grupke, Michael R. Dobbs Source Type: research

Development and validation of a model predicting mild stroke severity on admission using electronic health record data
Initial stroke severity is a potent modifier of stroke outcomes but this information is difficult to obtain from electronic health record (EHR) data. This limits the ability to risk-adjust for evaluations of stroke care and outcomes at a population level. The purpose of this analysis was to develop and validate a predictive model of initial stroke severity using EHR data elements.
Source: Journal of Stroke and Cerebrovascular Diseases - July 18, 2023 Category: Neurology Authors: Kimberly J. Waddell, Laura J. Myers, Anthony J. Perkins, Jason J. Sico, Ali Sexson, Laura Burrone, Stanley Taylor, Brian Koo, Joanne K. Daggy, Dawn M. Bravata Source Type: research

Comment: Does L-thyroxine prevent or cause stroke in hypothyroidism?
The association between overt hypothyroidism and atherosclerotic risk factors, especially hypertension and dyslipidemia, is clear. To date, only a few small and methodologically flawed epidemiologic studies have investigated the relationship between hypothyroidism and stroke, precluding definitive conclusions. In the current issue of Neurology®, Karch and Thomas1 present a large well-designed case-control study investigating this relationship. They compared 34,907 patients with autoimmune thyroiditis on treatment with l-thyroxine and 149,632 matched individuals without autoimmune thyroiditis from a UK primary care elec...
Source: Neurology - May 5, 2014 Category: Neurology Authors: Squizzato, A., Gerdes, V. E. A. Tags: All Cerebrovascular disease/Stroke ARTICLE Source Type: research

Recruiting Control Participants into Stroke Biomarker Studies
AbstractThe number of scientists using –omics technologies to investigate biomarkers with the potential to gauge risk and aid in the diagnosis, treatment, and prognosis of stroke continues to rise, yet there are few resources to aid investigators in recruiting control participants. In this review, we describe two major strategies to ma tch control participants to a stroke cohort-propensity score matching and one-to-one matching—including statistical approaches to gauge the balance between groups. We then explore the advantages and disadvantages of traditional recruitment methods including approaching spouses of enrolle...
Source: Translational Stroke Research - January 7, 2020 Category: Neurology Source Type: research