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Specialty: Neurology
Management: Medicaid

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Total 53 results found since Jan 2013.

Medicare's New Two Midnight Rule for In-patient Status Admission Applied to Transient Ischemic Attack Patients Predicted by Hypertension History and Age (P6.275)
CONCLUSIONS:In our population of TIA patients, history of hypertension and age >70 years were the only baseline variables that significantly predicted LOS >2 days or 2 midnights. Our findings suggests that consideration of age and pre-existing hypertension may facilitate accurate prediction of patients who will exceed the 2 midnight Medicare rule and require in-patient admission versus observation status for TIA patients. Our findings require validation in a larger sample in a different population to determine generalizabilty.Study Supported by: Disclosure: Dr. Chavez-Keatts has nothing to disclose. Dr. Monlezun, ...
Source: Neurology - April 9, 2014 Category: Neurology Authors: Chavez-Keatts, M., Monlezun, D., George, A., El Khoury, R., Martin-Schild, S. Tags: Cerebrovascular Disease and Interventional Neurology: Risk Factors Source Type: research

Carotid Stenting—Why Treating an Artery May Not Treat the Patient
In this issue of JAMA Neurology, Jalbert and colleagues present the results of a detailed analysis of Centers for Medicare & Medicaid Services (CMS) administrative data on patients with carotid artery stenosis treated with carotid artery stenting. Their well-written manuscript and timely study included more than 22 000 patients treated and followed up between 2000 and 2009. They analyzed periprocedural complications (defined as stroke, transient ischemic attack [TIA], myocardial infarction [MI], and death within 30 days), as well as long-term stroke and mortality. Important variables that were analyzed included the degre...
Source: JAMA Neurology - January 12, 2015 Category: Neurology Source Type: research

Association between Demographic Characteristics and Hospital Admission in Patients Presenting to the Emergency Department for Transient Neurological Attack (P6.277)
Conclusions:Among patients presenting to the ED with TNA, female sex and race are associated with decreased odds of admission, even after adjusting for socioeconomic and vascular risk factors. Further studies are warranted to determine the public health impact of our results.Disclosure: Dr. Kummer has nothing to disclose. Dr. Parikh has nothing to disclose. Dr. Merkler has nothing to disclose. Dr. Kamel has received personal compensation for activities with Genentech as a speaker. Dr. Kamel has received personal compensation in an editorial capacity for Journal Watch Neurology.
Source: Neurology - April 17, 2017 Category: Neurology Authors: Kummer, B., Parikh, N., Merkler, A., Kamel, H. Tags: Cerebrovascular Disease Health Services Research Source Type: research

Racial and Socioeconomic Disparities in Gastrostomy Tube Placement After Intracerebral Hemorrhage in the United States Clinical Sciences
Conclusions— Minority race, Medicaid enrollment, and low household income are associated with PEG placement after ICH.
Source: Stroke - March 27, 2016 Category: Neurology Authors: Faigle, R., Bahouth, M. N., Urrutia, V. C., Gottesman, R. F. Tags: Intracranial Hemorrhage 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

Psychostimulants/Atomoxetine and Serious Cardiovascular Events in Children with ADHD or Autism Spectrum Disorder
ConclusionUsing large US claims data, we found no evidence of increased SCV risk in children and adolescents with ADHD or ASD exposed to ADHD medications.
Source: CNS Drugs - November 24, 2019 Category: Neurology Source Type: research

Quality Improvement Metrics and Methods for Neurohospitalists
Measurement of clinical performance is largely driven by the requirements of the Centers for Medicare and Medicaid Services and accrediting bodies like The Joint Commission. Performance measures include length of stay, readmission rate, mortality rate, hospital-acquired complications, and stroke core measures. Hospital rankings also depend heavily on quality and patient safety indicators. Becoming facile with these measures can aid neurohospitalists in understanding their value and garnering resources to support improvement projects. Neurohospitalists can apply a structured A3-based method to define a clinical problem, per...
Source: Neurologic Clinics - November 17, 2021 Category: Neurology Authors: Kathryn A. Kvam, Eric Bernier, Carl A. Gold Source Type: research