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Total 992 results found since Jan 2013.

Association of Cognitive Functioning, Incident Stroke, and Mortality in Older Adults Clinical Sciences
Conclusions— Baseline cognitive function was associated with incident stroke. Cognitive decline increased significantly after stroke relative to before stroke. Cognitive decline increased mortality risk independent of the risk attributable to stroke and should be followed as a marker for both stroke and mortality.
Source: Stroke - August 25, 2014 Category: Neurology Authors: Rajan, K. B., Aggarwal, N. T., Wilson, R. S., Everson-Rose, S. A., Evans, D. A. Tags: Cerebrovascular disease/stroke, Epidemiology Clinical Sciences Source Type: research

Inpatient rehabilitation facilities' hospital readmission rates for medicare beneficiaries treated following a stroke.
CONCLUSION: Results suggest it is feasible to assess hospital readmission rates among a stroke-cohort treated in IRFs. Stroke-focused quality measures would be useful to patients in selecting a provider and for providers in evaluating their stroke rehabilitation program outcomes. Secondary results suggest that admission function (FIM) capture stroke severity, a limitation with other claims-based stroke measures. PMID: 32657256 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - July 10, 2020 Category: Neurology Authors: Daras LC, Deutsch A, Ingber MJ, Hefele JG, Perloff J Tags: Top Stroke Rehabil Source Type: research

Association of Get With The Guidelines-Stroke Program Participation and Clinical Outcomes for Medicare Beneficiaries With Ischemic Stroke Clinical Sciences
Conclusions— Hospital adoption of the GWTG-Stroke program was associated with improved functional outcomes at discharge and reduced postdischarge mortality.
Source: Stroke - April 24, 2016 Category: Neurology Authors: Song, S., Fonarow, G. C., Olson, D. M., Liang, L., Schulte, P. J., Hernandez, A. F., Peterson, E. D., Reeves, M. J., Smith, E. E., Schwamm, L. H., Saver, J. L. Tags: Health Services, Quality and Outcomes, Ischemic Stroke Clinical Sciences Source Type: research

Is self or caregiver report comparable to Medicare claims indicators of healthcare utilization after stroke?
Conclusion Healthcare utilization after stroke can be reliably assessed from Medicare claims, Stroke participant, or Caregiver report for salient events such as hospitalizations and Emergency Room visits. Self-report and caregiver report appear to be less reliable for identifying use of therapy or home health services. Caution should be used when interpreting disparities based on self-report data alone in these areas. PMID: 30047841 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - July 26, 2018 Category: Neurology Authors: Sheehan OC, Prvu-Bettger J, Huang J, Haley WE, David Rhodes J, E Judd S, Kilgore ML, Roth DL Tags: Top Stroke Rehabil Source Type: research

Care Received by Elderly US Stroke Survivors May Be Underestimated Clinical Sciences
Conclusions— Although stroke survivors are known to require considerable caregiving resources, our findings suggest that previous assessments may underestimate hours of care received and hence costs.
Source: Stroke - July 24, 2016 Category: Neurology Authors: Skolarus, L. E., Freedman, V. A., Feng, C., Wing, J. J., Burke, J. F. Tags: Health Services, Quality and Outcomes, Cerebrovascular Disease/Stroke Clinical Sciences Source Type: research

No Racial Difference in Rehabilitation Therapy Across All Post-Acute Care Settings in the Year Following a Stroke Clinical Sciences
Background and Purpose—Black stroke survivors experience greater poststroke disability than whites. Differences in post-acute rehabilitation may contribute to this disparity. Therefore, we estimated racial differences in rehabilitation therapy utilization, intensity, and the number of post-acute care settings in the first year after a stroke.Methods—We used national Medicare data to study 186 168 elderly black and white patients hospitalized with a primary diagnosis of stroke in 2011. We tabulated the proportion of stroke survivors receiving physical, occupational, and speech and language therapy in each post-acute c...
Source: Stroke - November 27, 2017 Category: Neurology Authors: Lesli E. Skolarus, Chunyang Feng, James F. Burke Tags: Health Services, Cerebrovascular Disease/Stroke Original Contributions Source Type: research

Marked Regional Variation in Acute Stroke Treatment Among Medicare Beneficiaries Clinical Sciences
Conclusions— There is substantial regional variation in thrombolysis treatment. Future studies to determine features of high-performing thrombolysis treatment regions may identify opportunities to improve thrombolysis rates.
Source: Stroke - June 22, 2015 Category: Neurology Authors: Skolarus, L. E., Meurer, W. J., Shanmugasundaram, K., Adelman, E. E., Scott, P. A., Burke, J. F. Tags: Health policy and outcome research, Emergency treatment of Stroke Clinical Sciences Source Type: research

Hospital Readmission Rates Among Mechanically Ventilated Patients With Stroke Brief Reports
Conclusions— Approximately one quarter of mechanically ventilated patients with stroke who survive to discharge are readmitted to the hospital within 30 days. Readmission rates are significantly higher in patients with stroke who undergo tracheostomy, but the difference is not clinically meaningful. Thirty-day readmission rates among mechanically ventilated patients with stroke are similar to Medicare beneficiaries hospitalized with major medical diseases such as pneumonia.
Source: Stroke - September 28, 2015 Category: Neurology Authors: Lahiri, S., Navi, B. B., Mayer, S. A., Rosengart, A., Merkler, A. E., Claassen, J., Kamel, H. Tags: Acute Cerebral Hemorrhage, Acute Cerebral Infarction, Emergency treatment of Stroke, Other Stroke Treatment - Medical Brief Reports Source Type: research

Association Between Midlife Cardiorespiratory Fitness and Risk of Stroke: The Cooper Center Longitudinal Study Clinical Sciences
Conclusions— There is a strong, inverse association between midlife CRF and stroke risk in later life independent of baseline and antecedent burden of risk factors, such as hypertension, diabetes mellitus, and atrial fibrillation.
Source: Stroke - June 26, 2016 Category: Neurology Authors: Pandey, A., Patel, M. R., Willis, B., Gao, A., Leonard, D., Das, S. R., Defina, L., Berry, J. D. Tags: Epidemiology, Cerebrovascular Disease/Stroke Clinical Sciences Source Type: research

Geographic Access to Acute Stroke Care in the United States Clinical Sciences
Conclusions— More than half of the US population has geographic access to hospitals that actually deliver acute stroke care but treatment rates remain low. These data provide a national perspective on acute stroke care and should inform the planning and optimization of stroke systems in the United States.
Source: Stroke - September 22, 2014 Category: Neurology Authors: Adeoye, O., Albright, K. C., Carr, B. G., Wolff, C., Mullen, M. T., Abruzzo, T., Ringer, A., Khatri, P., Branas, C., Kleindorfer, D. Tags: Acute Cerebral Infarction, Emergency treatment of Stroke, Thrombolysis Clinical Sciences Source Type: research

Atrial Cardiopathy and the Risk of Ischemic Stroke in the CHS (Cardiovascular Health Study) Clinical Sciences
Conclusions—In addition to clinically apparent AF, other evidence of abnormal atrial substrate is associated with subsequent ischemic stroke. This finding is consistent with the hypothesis that thromboembolism from the left atrium may occur in the setting of several different manifestations of atrial disease.
Source: Stroke - March 26, 2018 Category: Neurology Authors: Hooman Kamel, Traci M. Bartz, Mitchell S.V. Elkind, Peter M. Okin, Evan L. Thacker, Kristen K. Patton, Phyllis K. Stein, Christopher R. deFilippi, Rebecca F. Gottesman, Susan R. Heckbert, Richard A. Kronmal, Elsayed Z. Soliman, W.T. Longstreth Jr Tags: Arrhythmias, Cardiomyopathy, Echocardiography, Electrocardiology (ECG), Ischemic Stroke Original Contributions Source Type: research

Population-Based Assessment of the Long-Term Risk of Seizures in Survivors of Stroke Clinical Sciences
Background and Purpose—We sought to determine the long-term risk of seizures after stroke according to age, sex, race, and stroke subtype.Methods—We performed a retrospective cohort study using administrative claims from 2 complementary patient data sets. First, we analyzed data from all emergency department visits and hospitalizations in California, Florida, and New York from 2005 to 2013. Second, we evaluated inpatient and outpatient claims from a nationally representative 5% random sample of Medicare beneficiaries. Our cohort consisted of all adults at the time of acute stroke hospitalization without a prior history...
Source: Stroke - May 25, 2018 Category: Neurology Authors: Alexander E. Merkler, Gino Gialdini, Michael P. Lerario, Neal S. Parikh, Nicholas A. Morris, Benjamin Kummer, Lauren Dunn, Michael E. Reznik, Santosh B. Murthy, Babak B. Navi, Zachary M. Grinspan, Costantino Iadecola, Hooman Kamel Tags: Risk Factors, Cerebrovascular Disease/Stroke Original Contributions Source Type: research

Impact of Stroke Center Certification on Mortality After Ischemic Stroke Clinical Sciences
This study aimed to understand whether PSC certification reduced stroke mortality.Methods—We examined Medicare fee-for-service beneficiaries aged ≥65 years who were hospitalized between 2009 and 2013 for ischemic stroke. Hospitals were classified into 3 groups: new PSCs, the hospitals that received initial PSC certification between 2009 and 2013 (n=634); existing PSCs, the PSCs certified before 2009 (n=785); and non-SCs, the hospitals that have never been certified as PSCs (n=2640). Multivariate logistic regression and Cox proportional hazards model was used to compare the mortality among the 3 groups.Results—Existin...
Source: Stroke - August 28, 2017 Category: Neurology Authors: Shumei Man, Jesse D. Schold, Ken Uchino Tags: Health Services, Quality and Outcomes, Cerebrovascular Disease/Stroke Original Contributions Source Type: research

Disparities in Accessibility of Certified Primary Stroke Centers Clinical Sciences
Conclusions— There are significant geographic disparities in access to PSCs. Access is limited in nonurban areas. Despite the higher burden of cerebrovascular disease in stroke belt states, access to care is lower in these areas. Selecting demographic and healthcare factors is strongly associated with access to care in smaller cities, but not in other areas, including major cities.
Source: Stroke - October 27, 2014 Category: Neurology Authors: Mullen, M. T., Wiebe, D. J., Bowman, A., Wolff, C. S., Albright, K. C., Roy, J., Balcer, L. J., Branas, C. C., Carr, B. G. Tags: Health policy and outcome research, Emergency treatment of Stroke Clinical Sciences Source Type: research

Geographic Variation in the Use of Oral Anticoagulation Therapy in Stroke Prevention in Atrial Fibrillation Brief Report
Conclusions—Large geographic variation exists in oral anticoagulation use in atrial fibrillation. The use of oral anticoagulation is lower in the South, where the rates of stroke are unusually high. In the future, it will be important to analyze whether the high rates of stroke in the South can be partially attributed to the underuse of oral anticoagulation in this region.
Source: Stroke - July 24, 2017 Category: Neurology Authors: Inmaculada Hernandez, Samir Saba, Yuting Zhang Tags: Arrhythmias, Anticoagulants, Health Services, Ischemic Stroke Brief Reports Source Type: research