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Hospital partnership and patient outcomes among postacute patients with stroke
CONCLUSIONS: A greater number of shared patients and a more concentrated referral linkage between acute and PAC providers may reduce potential adverse outcomes in PAC patients. Instead of attaining more partners, PAC policies should encourage providers to strengthen their patient-sharing relationship with their existing PAC partners.PMID:37523454 | DOI:10.37765/ajmc.2023.89401
Source: The American Journal of Managed Care - July 31, 2023 Category: Health Management Authors: Yu-Chin Chen Yiing-Jenq Chou Chiu-Mei Yeh Nicole Huang Source Type: research

Trends in the Longitudinal Utilization of Oral Anticoagulants Among Newly Diagnosed Atrial Fibrillation Patients With Commercial, Medicare, and Medicaid Insurance
Long-term oral anticoagulation (OAC) is recommended for stroke prevention for most patients with atrial fibrillation (AF) and elevated stroke risk.1 While trends in initiation of OAC have been described,2,3 long-term trends in utilization of OAC in patients continuously followed for AF have not been adequately explored. Some healthcare systems adapted anticoagulation services to respond to disruptions during the COVID-19 pandemic.4 We thus investigated how OACs were utilized in patients with newly diagnosed AF from 2018 to 2021 across 3 insurance types: Medicare, Medicaid, and commercial.
Source: The American Journal of Cardiology - July 28, 2023 Category: Cardiology Authors: Jun Soo Lee, Sola Han, Nicole L. Therrien, Chanhyun Park, Feijun Luo, Utibe R. Essien Tags: Brief report Source Type: research

Association between COVID-19 and incidence of cardiovascular disease and all-cause mortality among patients with diabetes
ConclusionsThis study showed that patients with diabetes hospitalized due to COVID-19 had an increased risk of CVD, coronary heart disease, stroke incidence, and mortality than those who were not COVID-19 infected, suggesting more careful prevention and management among patients with COVID-19.
Source: Frontiers in Endocrinology - July 27, 2023 Category: Endocrinology Source Type: research

Long Term Outcomes After Invasive Treatment of Carotid Artery Stenosis: a Longitudinal Study of German Health Insurance Claims
CONCLUSION: The current study revealed striking differences between previous landmark trials and real world practice. It further suggested excess mortality of invasively treated asymptomatic patients.PMID:37490978 | DOI:10.1016/j.ejvs.2023.07.030
Source: PubMed: Eur J Vasc Endovasc ... - July 25, 2023 Category: Surgery Authors: Matthias Zimmermann Axel Larena-Avellaneda Ulrich Rother Fabien Lareyre Mette S øgaard Riikka Tulamo Maarit Venermo Christian-Alexander Behrendt Source Type: research

A marginal structural model to estimate the effect of antidepressant medication treatment on major cardiovascular events among people with post-traumatic stress disorder
CONCLUSIONS: In a national cohort of people with PTSD, exposure to antidepressant medications increased the risk of MACE in a dose-response fashion.PMID:37485701 | DOI:10.1017/S0033291723001873
Source: Psychological Medicine - July 24, 2023 Category: Psychiatry Authors: Kwanghyun Kim Sunghyuk Kang Chung Mo Nam Robert Stewart Alexander C Tsai Sun Jae Jung Source Type: research

How John Fetterman Came Out of the Darkness
When he looks back on the past year—a year in which he nearly died, became a U.S. Senator, and nearly died again—it is the debate that John Fetterman identifies as the ­breaking point. “The debate lit the mitch,” he says, then shakes his head in frustration and tries again. The right word is there in his brain, but he struggles to get it out. “Excuse me, that should be lit the mitch—” He stops and tries again. “Lit the match,” he says finally. Oct. 25, 2022: the date is lodged in his mind. “I knew I had to do it,” he tells me. “I knew that the vote...
Source: TIME: Health - July 20, 2023 Category: Consumer Health News Authors: Molly Ball Tags: Uncategorized Congress Cover Story Exclusive feature uspoliticspolicy Source Type: news

Sleep Duration Is Associated With Subclinical Carotid Plaque Burden
CONCLUSIONS: The association between long sleep and subclinical carotid atherosclerosis may explain prior associations between long sleep and stroke.PMID:37470161 | DOI:10.1161/STROKEAHA.122.041967
Source: Atherosclerosis - July 20, 2023 Category: Cardiology Authors: Christian Agudelo Alberto R Ramos Hannah Gardener Ken Cheung Mitchell S V Elkind Ralph L Sacco Tatjana Rundek Source Type: research