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Condition: Heart Failure
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Total 111 results found since Jan 2013.

The Determining Risk of Vascular Events by Apnea Monitoring (DREAM) study: design, rationale, and methods.
CONCLUSIONS: This manuscript provides the rationale for the inclusion of veterans in a study to determine the association between physiologic sleep measures and cardiovascular outcomes and specifically the development of a corresponding outcome-based prognostic model. PMID: 26642771 [PubMed - as supplied by publisher]
Source: Sleep and Breathing - December 7, 2015 Category: Sleep Medicine Authors: Koo BB, Won C, Selim BJ, Qin L, Jeon S, Redeker NS, Bravata DM, Strohl KP, Concato J, Yaggi HK Tags: Sleep Breath Source Type: research

Depression in the Elderly: A Common Condition That's Often Overlooked
When Suzette Santos, RN, a behavioral health nurse with the Visiting Nurse Service of New York (VNSNY), was assigned to the case of Grace*, an 89-year-old resident of Nassau County on Long Island, she had some idea what to expect. Suzette had cared for Grace a year earlier, as the elderly woman struggled to cope with depression brought on by the recent loss of her husband and lifelong partner. When Suzette reconnected with her patient this time, she could immediately see that Grace's depression had gotten worse. "She had lost a lot of weight -- about 20 pounds," Suzette recalls. "She had no interest in cooking or eating, ...
Source: Healthy Living - The Huffington Post - December 23, 2015 Category: Consumer Health News Source Type: news

Novel screening metric for the identification of at-risk peripheral artery disease patients using administrative claims data
The objective of this study was to develop a screening metric to identify undiagnosed patients at high risk of developing PAD using administrative data. Commercial claims data from 2010 to 2012 were utilized to develop and internally validate a PAD screening metric. Medicare data were used for external validation. The study population included adults, aged 30 years or older, with new cases of PAD identified using the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) diagnosis/procedure codes or the Healthcare Common Procedure Coding System (HCPCS) codes. Multivariate logistic regres...
Source: Vascular Medicine - January 27, 2016 Category: Internal Medicine Authors: Bali, V., Yermilov, I., Coutts, K., Legorreta, A. P. Tags: Original Articles Source Type: research

The Relative Importance of Post‐Acute Care and Readmissions for Post‐Discharge Spending
ConclusionsThrough initiatives such as bundled payment, hospitals are financially responsible for spending in the post‐hospitalization period. The key driver of variation in post‐hospitalization spending varied greatly across conditions. For some conditions, the key driver was having a readmission, for others it was whether patients receive any post‐acute care, and for others the key driver was the type of post‐acute care. These findings may help hospitals implement strategies to reduce post‐discharge spending.
Source: Health Services Research - February 3, 2016 Category: Health Management Authors: Peter J. Huckfeldt, Ateev Mehrotra, Peter S. Hussey Tags: Research Article Source Type: research

Risk factors for cardiovascular events of antidementia drugs in Alzheimer's disease patients
Conclusion The results of this study can help clinicians identify AD patients with a higher risk of cardiovascular events who therefore should be prescribed antidementia drugs cautiously.
Source: Journal of Clinical Gerontology and Geriatrics - February 29, 2016 Category: Geriatrics Source Type: research

Decline in dementia rate offers “cautious hope”
“The number of Americans with Alzheimer’s disease and other dementias will grow each year as the size and proportion of the U.S. population age 65 and older continue to increase. The number will escalate rapidly in coming years as the baby boom generation ages.” 2015 Alzheimer’s disease Facts and Figures Despite these alarming projections, a report from a recent issue of the New England Journal of Medicine (NEJM) offered a few words of encouragement. Researchers from the longstanding Framingham study found that the rate of dementia has declined over the course of three decades. Framingham researchers had been study...
Source: New Harvard Health Information - March 9, 2016 Category: Consumer Health News Authors: Beverly Merz Tags: Alzheimer's Disease Behavioral Health Brain and cognitive health Caregiving Healthy Aging Memory Mental Health Prevention cognitive decline dementia Source Type: news

Use of the Corus ® CAD Gene Expression Test for Assessment of Obstructive Coronary Artery Disease Likelihood in Symptomatic Non-Diabetic Patients
Conclusions The Corus CAD test has been extensively evaluated since it was first derived, including with two prospective multi-center trials. Given the scope of the deleterious effects of CAD and the considerable costs involved in diagnosing obstructive CAD, a blood test that can help in this determination is certainly valuable. The Corus CAD test promises to have an important role in this regard particularly if it continues to perform this well in larger, more diverse cohorts.
Source: PLOS Currents Evidence on Genomic Tests - August 26, 2013 Category: Genetics & Stem Cells Authors: Jose Vargas Source Type: research

Factors Associated With Seeking Physician Care by Medicare Beneficiaries Who Receive All Their Primary Care From Nurse Practitioners.
CONCLUSIONS: About half of Medicare patients under exclusive NP primary care switched to physicians for some or all primary care over a 3-year period. Future study is needed to understand the reasons for switching. PMID: 27456894 [PubMed - as supplied by publisher]
Source: Primary Care - July 24, 2016 Category: Primary Care Authors: Raji MY, Chen NW, Raji M, Kuo YF Tags: J Prim Care Community Health Source Type: research

Predictors of 30-day mortality following hip/pelvis fractures
Discussion Several preoperative patient risk factors and postoperative complications greatly increased the odds for patient mortality following 30-days after initial surgery. Orthopaedic surgeons can utilize these predictive risk factors to better improve patient care. Level of evidence Retrospective study. Level IV.
Source: Orthopaedics and Traumatology: Surgery and Research - August 3, 2016 Category: Orthopaedics Source Type: research

The Relative Importance of Post ‐Acute Care and Readmissions for Post‐Discharge Spending
ConclusionsThrough initiatives such as bundled payment, hospitals are financially responsible for spending in the post‐hospitalization period. The key driver of variation in post‐hospitalization spending varied greatly across conditions. For some conditions, the key driver was having a readmission, for others it was whether patients receive any post‐acute care, and for others the key driver was the type of post‐acute care. These findings may help hospitals implement strategies to reduce post‐discharge spending.
Source: Health Services Research - February 2, 2016 Category: Health Management Authors: Peter J. Huckfeldt, Ateev Mehrotra, Peter S. Hussey Tags: Research Article Source Type: research

Hospital Contributions to Variability in the Use of ICUs Among Elderly Medicare Recipients
Objective: Hospitals vary widely in ICU admission rates across numerous medical diagnoses. The extent to which variability in ICU use is specific to individual diagnoses or is a function of the hospital, regardless of disease, is unknown. Design: Retrospective cohort study. Setting: A total of 1,120 acute care hospitals with ICU capabilities. Patients: Medicare beneficiaries 65 years old or older admitted for five medical diagnoses (acute myocardial infarction, congestive heart failure, stroke, pneumonia, and chronic obstructive pulmonary disease) and a surgical diagnosis (hip fracture treated with arthroplasty) in 2010...
Source: Critical Care Medicine - December 17, 2016 Category: Emergency Medicine Tags: Clinical Investigations Source Type: research

Abstract PD4-07: Are aromatase inhibitors associated with higher myocardial infarction risk in breast cancer patients? A Medicare population study
Conclusions: The occurrence of MI is very low in this cohort (4.4%), reassuring the clinicians that the older adults with comorbidities may not be at a higher risk of MI with adjuvant endocrine therapy. However, the confidence interval for the hazard ratio of AIs vs Tamoxifen is very wide, indicating that a larger sample may be needed for the power of the study to be conclusive.Citation Format: Kamaraju S, Smith E, Shi Y, Laud P, Neuner J. Are aromatase inhibitors associated with higher myocardial infarction risk in breast cancer patients? A Medicare population study [abstract]. In: Proceedings of the Thirty-Ninth Annual C...
Source: Cancer Research - February 13, 2017 Category: Cancer & Oncology Authors: S Kamaraju, E Smith, Y Shi, P Laud, J Neuner Tags: Poster Discussion Abstracts Source Type: research

Impact of Medicare’s Nonpayment Program on Hospital-acquired Conditions
Conclusions: The Program was associated with decline in incidence of selected HACs, and this decline was variably greater among hospitals with higher MUR.
Source: Medical Care - April 14, 2017 Category: Health Management Tags: Original Articles Source Type: research

Cardiovascular event incidence and cost in type 2 diabetes mellitus: a Medicare claims-based actuarial analysis.
CONCLUSIONS: Cardiovascular events in Medicare fee-for-service beneficiaries with T2DM contribute substantially to Medicare cardiovascular events, resource utilization, and cost. PMID: 28641023 [PubMed - as supplied by publisher]
Source: Current Medical Research and Opinion - June 25, 2017 Category: Research Tags: Curr Med Res Opin Source Type: research

Representativeness of Medicare Participants in the Jackson Heart Study for African American Medicare Beneficiaries
Conclusion: JHS–Medicare participants had fewer comorbid conditions, better survival, and lower Medicare costs compared with regional and national cohorts. Observed differences may reflect healthy volunteer bias and higher socioeconomic status. See video abstract at, http://links.lww.com/EDE/B235 .
Source: Epidemiology - August 2, 2017 Category: Epidemiology Tags: Validation Studies Source Type: research