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Total 74 results found since Jan 2013.
Collaborative Interventions Reduce Time-to-Thrombolysis for Acute Ischemic Stroke in an Urban, Public Hospital (P4.270)
Conclusions:Targeted, multidisciplinary, collaborative interventions are associated with substantial and significant reductions in time to thrombolysis. Such targeted interventions are effective and feasible in the unique setting of a public safety net hospital.Disclosure: Dr. Threlkeld has nothing to disclose. Dr. Kozak has nothing to disclose. Dr. Cole has nothing to disclose. Dr. Martin has nothing to disclose. Dr. Singh has nothing to disclose.
Source: Neurology - April 17, 2017 Category: Neurology Authors: Threlkeld, Z., Kozak, B., Cole, S., Martin, C., Singh, V. Tags: Thrombolysis and Acute Evaluation in Ischemic Stroke Source Type: research
Disparities in Delivery of Endovascular Therapy: The Florida Puerto Rico Collaboration to Reduce Stroke Disparities Study (CReSD) (S19.003)
Conclusions:There are significant race, regional and hospital disparities in delivery of endovascular care. Efforts should be made to improve access to endovascular treatment to all eligible patients.Disclosure: Dr. Asdaghi has nothing to disclose. Dr. Granzoti Cintra has nothing to disclose. Dr. Wang has nothing to disclose. Dr. Dong has nothing to disclose. Dr. Ciliberti-Vargas has nothing to disclose. Dr. Gutierrez has nothing to disclose. Dr. Koch has nothing to disclose. Dr. Gardener has nothing to disclose. Dr. Marulanda-Londoño has nothing to disclose. Dr. Mueller has nothing to disclose. Dr. Yavagal has rece...
Source: Neurology - April 17, 2017 Category: Neurology Authors: Asdaghi, N., Cintra, L. G., Wang, K., Dong, C., Ciliberti-Vargas, M. A., Gutierrez, C. M., Koch, S., Gardener, H., Marulanda-Londono, E., Mueller, N., Yavagal, D., Mehta, B., Hanel, R., Rose, D. Z., Waddy, S. P., Robichaux, M., Foster, D., Zevallos, J. C. Tags: Best Of: Cerbrovascular Disease and Interventional Neurology Source Type: research
Recent Nationwide Trends in Transcranial Doppler Utilization During Acute Ischemic Stroke Hospitalizations (P4.296)
Conclusions:Over the last decade there has been a slight but steady decrease in the use of TCD during AIS hospitalizations in the US. Future studies should examine the cost-utility of TCD, especially with the advent of endovascular stroke treatment systems.Disclosure: Dr. Liu has nothing to disclose. Dr. Lunagariya has nothing to disclose. Dr. Patel has nothing to disclose. Dr. Patel has nothing to disclose. Dr. Feng has nothing to disclose. Dr. Ovbiagele has nothing to disclose.
Source: Neurology - April 17, 2017 Category: Neurology Authors: Liu, Y., Lunagariya, A., Patel, U., Patel, A., Feng, W., Ovbiagele, B. Tags: In-Hospital Stroke Care Source Type: research
Intermediate-term rates of stroke following cardiac procedures: the Nationwide Readmissions Database (P4.305)
Conclusions:Using a large, nationally representative database of inpatient admissions from 2013, we found that 90-day stroke rates are higher after cardiac procedures compared to non-cardiac procedures and non-surgical admissions. However, these rates are likely lower than previously reported.Disclosure: Dr. Stein has nothing to disclose. Dr. Thaler has nothing to disclose. Dr. Liang has nothing to disclose. Dr. Tuhrim has nothing to disclose. Dr. Dhamoon has nothing to disclose. Dr. Dhamoon has nothing to disclose.
Source: Neurology - April 17, 2017 Category: Neurology Authors: Stein, L., Thaler, A., Liang, J., Tuhrim, S., Dhamoon, A., Dhamoon, M. Tags: Neuroepidemiology: Cerebrovascular Disease I 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
Assessment of Economic Aspects of Stroke in Different Clinical Management Settings: Academic vs. Non-academic (P3.055)
Conclusions:The academic status of healthcare facilities plays a key role in cost and charge of the management of stroke patients. Despite more employment of laboratory, imaging and resources in academic setting, comparison of prognosis, patient safety and clinical outcome in two groups remains unclear. Significant decrease in the cost-to-charge ratio may cause higher patients’ copay which reflects more in academic settings and uninsured individuals. Further studies to investigate effects of alterations in the cost-to-charge ratio on patients’ beneficiary is necessary.Disclosure: Dr. Fahimi has nothing to discl...
Source: Neurology - April 17, 2017 Category: Neurology Authors: Fahimi, G., Elliott, R.-J., Seifi, A. Tags: Practice, Policy, and Ethics III Source Type: research
Abstract 043: Health Insurance and the Risk of Incident Cardiovascular Disease in the Multi-Ethnic Study of Atherosclerosis Session Title: Poster Session I
Conclusions: The association of health insurance with CVD incidence varied by insurance group, and private insurance was associated with a lower risk of incident CVD. Further exploration of the features of health insurance coverage that impact CVD incidence may facilitate improvements in the primary prevention of CVD.
Source: Circulation: Cardiovascular Quality and Outcomes - March 31, 2017 Category: Cardiology Authors: Crim, M. T., Xie, J. X., Ko, Y.-A., Blumenthal, R. S., Blaha, M. J., Nasir, K., Budoff, M. J., Shaw, L. J. Tags: Session Title: Poster Session I Source Type: research
Insurance, self-reported medication adherence and LDL cholesterol: The REasons for Geographic and Racial Differences in Stroke study
Despite efforts to increase health insurance coverage in the US, in 2015 29 million American adults were uninsured [1]. A majority of these individuals are under 64years old, racial minorities or have lower socioeconomic status [1]. Lack of health insurance is associated with greater barriers to preventive services [2] and treatment of both acute and chronic illnesses [3] resulting in worse reported health status [4]. Being uninsured also adversely impacts medication adherence [5] and the control of cardiovascular risk factors [6].
Source: International Journal of Cardiology - February 22, 2017 Category: Cardiology Authors: Matt Mefford, Monika M Safford, Paul Muntner, Raegan W Durant, Todd M Brown, Emily B Levitan Tags: Correspondence Source Type: research
Differences in Use of High-quality and Low-quality Hospitals Among Working-age Individuals by Insurance Type
Background: Research suggests that individuals with Medicaid or no insurance receive fewer evidence-based treatments and have worse outcomes than those with private insurance for a broad range of conditions. These differences may be due to patients’ receiving care in hospitals of different quality.
Research Design: We used the Healthcare Cost and Utilization Project State Inpatient Databases 2009–2010 data to identify patients aged 18–64 years with private insurance, Medicaid, or no insurance who were hospitalized with acute myocardial infarction, heart failure, pneumonia, stroke, or gastrointestinal hemorrhage. Mul...
Source: Medical Care - January 16, 2017 Category: Health Management Tags: Original Articles Source Type: research
In Times of Uncertainty, Keep Calm and Get Covered
It's no secret that the Affordable Care Act, President Obama's signature healthcare legislation, is facing an uncertain future. The incoming administration has pledged to repeal the law and offer an alternative in its place. But this uncertain future should not keep you from taking advantage of what is available to you and your loved ones today.
Thursday is the deadline to ensure coverage under the ACA when the calendar turns to 2017. This goes for both uninsured Americans seeking coverage and those who need to re-enroll. Missing the deadline doesn't mean you're out; it just means you won't have coverage Jan. 1. The final...
Source: Healthy Living - The Huffington Post - December 13, 2016 Category: Consumer Health News Source Type: news
Impact of Insurance Status on Outcomes and Use of Rehabilitation Services in Acute Ischemic Stroke: Findings From Get With The Guidelines-Stroke Health Services and Outcomes Research
The objective was to determine whether patients without insurance or with government‐sponsored insurance had worse quality of care or in‐hospital outcomes in acute ischemic stroke.Methods and ResultsMultivariable logistic regressions with generalized estimating equations stratified by age under or at least 65 years were adjusted for patient demographics and comorbidities, presenting factors, and hospital characteristics to determine differences in in‐hospital mortality and postdischarge destination. We included 589 320 ischemic stroke patients treated at 1604 US hospitals participating in the Get With The Guideline...
Source: JAHA:Journal of the American Heart Association - November 13, 2016 Category: Cardiology Authors: Medford-Davis, L. N., Fonarow, G. C., Bhatt, D. L., Xu, H., Smith, E. E., Suter, R., Peterson, E. D., Xian, Y., Matsouaka, R. A., Schwamm, L. H. Tags: Ischemic Stroke Original Research Source Type: research
Latin American, Caribbean health systems need more investment as populations age
The health systems of six Latin American and Caribbean countries have made substantial progress toward universal coverage — providing free or subsidized healthcare to the majority of their populations — but continue to face challenges managing more complex health needs such as those related to cardiovascular disease, cancer, stroke and depression, a new study from the UCLA Fielding School of Public Health and the Inter-American Development Bank finds.
Though the health systems in Brazil, Colombia, El Salvador, Jamaica, Mexico and Panama have considerable strengths, citizens still reported gaps in the way primary care i...
Source: UCLA Newsroom: Health Sciences - August 8, 2016 Category: Universities & Medical Training Source Type: news
Profile of the Older Population Living in Miami-Dade County, Florida: An Observational Study
This study examined cross-sectional data (demographics, health outcomes, risk factors, health assess, and utilization) collected from probability-sampled, household-based surveys conducted in 3 areas of MDC: north Miami-Dade, Little Haiti, and South Miami. The questionnaire was administered face-to-face by trained interviewers in English, Spanish, French, or Creole. Analyses were restricted to households containing at least 1 member aged 65 years or older (n = 935). One consenting adult answered the questionnaire on behalf of household members.
The mean age of the respondent (60% females) was 60 years. Overall, respon...
Source: Medicine - May 1, 2016 Category: Internal Medicine Tags: Research Article: Observational Study Source Type: research
Association of health insurance status and receipt of health care among US adults with self-reported hypertension
Hypertension is a major risk factor for heart disease and stroke; yet only half of the 70 million US adults with hypertension have it under control. Previous studies have shown that adults with hypertension and health insurance were more likely to have controlled blood pressure than those without health insurance. However, less is known about hypertension management among those classified as underinsured (i.e., those with health insurance, but with financial difficulty in paying for health care).
Source: Journal of the American Society of Hypertension - March 31, 2016 Category: Cardiology Authors: Jing Fang, Guixiang Zhao, Guijing Wang, Carma Ayala, Fleetwood Loustalot Source Type: research
Abstract 206: Impact of Inpatient Evaluation of Health Literacy on Outcomes in Post-MI Patients Session Title: Abstract Poster Session II
Conclusion: Routine hospital health literacy screening did not improve risk of MACE. Selective health literacy screening was associated with lower 1-year readmission risk compared with hospitals that never screened. Studies are needed to elicit how inpatient health literacy screening can improve patient transition of care.
Source: Circulation: Cardiovascular Quality and Outcomes - February 26, 2016 Category: Cardiology Authors: Rymer, J., McCoy, L., Anstrom, K., Fonarow, G., Peterson, E., Wang, T. Tags: Session Title: Abstract Poster Session II Source Type: research
