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Linking Australian Stroke Clinical Registry data with Australian government Medicare and medication dispensing claims data and the potential for bias
Aust N Z J Public Health. 2021 Apr 5. doi: 10.1111/1753-6405.13079. Online ahead of print.ABSTRACTOBJECTIVE: We aim to report the accuracy of linking data from a non-government-held clinical quality registry to national claims data and identify associated sources of systematic bias.METHODS: Patients with stroke or transient ischaemic attack admitted to hospitals participating in the Australian Stroke Clinical Registry (AuSCR) were linked with Medicare and medication dispensings through the Australian Medicare enrolment file (MEF). The proportion of registrants in the datasets was calculated and factors associated with a no...
Source: Australian and New Zealand Journal of Public Health - April 5, 2021 Category: International Medicine & Public Health Authors: Nadine E Andrew Dominique A Cadilhac Vijaya Sundararajan Amanda G Thrift Phil Anderson Natasha A Lannin Monique F Kilkenny Source Type: research

Skilled Nursing and Inpatient Rehabilitation Facility Use by Medicare Fee-for-Service Beneficiaries s Discharged Home following a Stroke: Findings from the COMPASS Trial
Objectives: To examine the effect of a comprehensive transitional care model on the utilization of skilled nursing facility (SNF) and inpatient rehabilitation facility (IRF) care in the 12 months after acute care discharge home following stroke; and to identify predictors of experiencing a SNF or IRF admission following discharge home after stroke.Design: Cluster randomized pragmatic trialSetting: 41 acute care hospitals in North Carolina.Participants: 2,262 Medicare fee-for-service beneficiaries with transient ischemic attack or stroke discharged home.
Source: Archives of Physical Medicine and Rehabilitation - November 2, 2021 Category: Rehabilitation Authors: Janet K. Freburger, Amy M. Pastva, Sylvia W. Coleman, Kennedy M. Peter, Anna M. Kucharska-Newton, Anna M. Johnson, Matthew A. Psioda, Pamela W. Duncan, Cheryl D. Bushnell, Wayne D. Rosamond, Sara B. Jones, COMPASS team Source Type: research

Emulating Three Clinical Trials that Compare Stroke Rehabilitation at Inpatient Rehabilitation Facilities to Skilled Nursing Facilities
CONCLUSION(S): IRF patients had superior outcomes, but differences were attenuated when IRFs and SNFs from larger rehabilitation networks were compared. The vulnerability of the findings to unmeasured confounding supports the need for an RCT.PMID:35245481 | DOI:10.1016/j.apmr.2021.12.029
Source: Health Physics - March 4, 2022 Category: Physics Authors: Kent P Simmonds James Burke Allan J Kozlowski Michael Andary Zhehui Luo Mathew J Reeves Source Type: research

Bounce-Back: Predicting Acute Readmission From Inpatient Rehabilitation for Patients With Stroke
Conclusions Results suggest that certain demographic, medical, and functional characteristics are associated differentially with rehospitalization after completion inpatient rehabilitation. The strongest model was the discharge to the acute hospital model with concordance statistic (c-statistic) of 0.87.
Source: American Journal of Physical Medicine and Rehabilitation - June 18, 2022 Category: Rehabilitation Tags: Original Research Articles Source Type: research

E-191 Influence of socioeconomic factors on the development of post-stroke depression in aneurysmal subarachnoid hemorrhage survivors
ConclusionThe overall risk of developing a new depression disorder after aSAH was 16% in this retrospective study. The female sex was close to 4 times and substance use were six and half time more likely to develop new depressive symptoms; therefore, these risk factors should be considered when screening patients for depression after aSAH.Disclosures D. Lim: None. C. Abdi: None. L. George: None. K. Lim: None. M. Amruthur: None. A. Gonzalez: None. K. Prijoles: None. H. Haughn: None. J. Keen: None. E. Federico: None. C. Galang: None. B. Gulek: None. D. Bass: None. R. Meyer: None. D. Coppel: None. C. Kelly: None. L. Kim: None. M. Levitt: None.
Source: Journal of NeuroInterventional Surgery - July 23, 2022 Category: Neurosurgery Authors: Lim, D., Abdi, C., George, L., Lim, K., Amruthur, M., Gonzalez, A., Prijoles, K., Haughn, H., Keen, J., Federico, E., Galang, C., Gulek, B., Bass, D., Meyer, R., Coppel, D., Kelly, C., Kim, L., Levitt, M. Tags: SNIS 19th annual meeting electronic poster abstracts Source Type: research

Formulary restrictions and stroke risk in  patients with atrial fibrillation
CONCLUSIONS: Limiting access to NOACs may exacerbate current underuse of anticoagulants and increase the risk of stroke among patients with newly diagnosed AF. Pharmacy benefit managers and Part D plans need to continuously review the appropriateness of formulary policies to ensure patient access to effective medications.PMID:36252171 | DOI:10.37765/ajmc.2022.89195
Source: The American Journal of Managed Care - October 17, 2022 Category: Health Management Authors: Bo Zhou Seth Seabury Dana Goldman Geoffrey Joyce Source Type: research

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