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Source: International Journal of Environmental Research and Public Health
Management: Health Insurance

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Total 29 results found since Jan 2013.

IJERPH, Vol. 16, Pages 326: The Risk of Stroke in Kidney Transplant Recipients with End-Stage Kidney Disease
Ju Wu Chia-Hung Kao Background: The incidence of stroke after kidney transplantation is poorly understood. Our study aimed to determine the incidence and predictors of stroke as well as mortality from stroke in kidney transplant recipients (KTRs). Methods: This retrospective cohort study used the National Health Insurance Research Database in Taiwan to study KTRs (N = 4635), patients with end-stage renal disease (ESRD; N = 69,297), and patients from the general population who were chronic kidney disease (CKD)-free and matched by comorbidities (N = 69,297) for the years 2000 through 2010. The risk of stroke was analyz...
Source: International Journal of Environmental Research and Public Health - January 24, 2019 Category: Environmental Health Authors: Shih-Ting Huang Tung-Min Yu Ya-Wen Chuang Mu-Chi Chung Chen-Yu Wang Pin-Kuei Fu Tai-Yuan Ke Chi-Yuan Li Cheng-Li Lin Ming-Ju Wu Chia-Hung Kao Tags: Article Source Type: research

IJERPH, Vol. 20, Pages 842: Increased Risk of Developing Depression in Disability after Stroke: A Korean Nationwide Study
This study demonstrated an increased risk of developing depression in stroke survivors compared to control subjects, and a higher risk of depression was associated with a more severe degree of disability. Clinicians should be aware of the risk of depression developing in stroke survivors, especially those with disabilities.
Source: International Journal of Environmental Research and Public Health - January 2, 2023 Category: Environmental Health Authors: Hea Lim Choi Kyojin Yang Kyungdo Han Bongsung Kim Won Hyuk Chang Soonwook Kwon Wonyoung Jung Jung Eun Yoo Hong Jin Jeon Dong Wook Shin Tags: Article Source Type: research

IJERPH, Vol. 12, Pages 12618-12627: Lower Risk of Stroke after Deformity Surgery: Long Term Benefit Demonstrated by a National Cohort Study
Conclusions: In this national cohort of more than 13,000 ASD patients covering 10 years, stroke was approximately 25% less likely to happen in patients who underwent spinal fusion surgery than those who received medical management. Therefore, spinal fusion surgery may provide a protective effect against stroke in adult patients with spinal deformity.
Source: International Journal of Environmental Research and Public Health - October 12, 2015 Category: Environmental Health Authors: Liang-Chung HuangWu-Fu ChungShih-Wei LiuPeng-Yuan ChangLi-Fu ChenJau-Ching WuYu-Chun ChenWen-Cheng HuangLaura LiuHenrich ChengSu-Shun . Tags: Article Source Type: research

IJERPH, Vol. 17, Pages 1944: Stroke to Dementia Associated with Environmental Risks —A Semi-Markov Model
Conclusion: Experiments showed that the proposed semi-Markovian model outperformed other benchmark diagnosis algorithms (i.e., linear regression, decision tree, random forest, and support vector machine), with a high R2 of 90%. The proposed model also facilitated an accurate prognosis on the transition time of stroke from chronic diseases to dementias against environmental risks and rehabilitation factors.
Source: International Journal of Environmental Research and Public Health - March 15, 2020 Category: Environmental Health Authors: Kung-Jeng Wang Chia-Min Lee Gwo-Chi Hu Kung-Min Wang Tags: Article Source Type: research

IJERPH, Vol. 19, Pages 13108: Correlation between Endophthalmitis and Stroke Development in Ankylosing Spondylitis Patients: A Population-Based Cohort Study
Conclusions: Our studies showed that endophthalmitis increases the risk of stroke in AS patients and endophthalmitis is an independent risk factor for stroke in AS patients. Nonetheless, advanced studies that thoroughly investigate the correlation between endophthalmitis and stroke in AS patients are needed to validate our findings.
Source: International Journal of Environmental Research and Public Health - October 12, 2022 Category: Environmental Health Authors: Yung-En Tsai Wu-Chien Chien Yi-Hao Chen Chi-Hsiang Chung Jiann-Torng Chen Ching-Long Chen Tags: Article Source Type: research

IJERPH, Vol. 17, Pages 2550: Long-Term Mortality and Medical Burden of Patients with Chronic Obstructive Pulmonary Disease with and without Subsequent Stroke Episodes
Conclusion: The mortality risk of patients with COPD is considerably increased by stroke independent of the other effects of COPD. Moreover, the average number of hospitalization days and frequency of medical visits dramatically increased in patients with COPD after stroke.
Source: International Journal of Environmental Research and Public Health - April 7, 2020 Category: Environmental Health Authors: Yu-Shu Yen Dorji Harnod Cheng-Li Lin Tomor Harnod Chia-Hung Kao Tags: Article Source Type: research

IJERPH, Vol. 17, Pages 7440: Association between Anemia and Stroke in Females: A Nationwide, Population-Based Cohort Study in Taiwan
In conclusion, the present population-based cohort study found that anemia is a potential risk factor for overall, hemorrhagic and ischemic stroke in females of reproductive age.
Source: International Journal of Environmental Research and Public Health - October 13, 2020 Category: Environmental Health Authors: Sui Hong Chien Liu Chiou Hsieh Tags: Article Source Type: research

IJERPH, Vol. 17, Pages 8348: Long-Term Effect of Income Level on Mortality after Stroke: A Nationwide Cohort Study in South Korea
Kong We investigated whether income level has long-term effects on mortality rate in stroke patients and whether this varies with time after the first stroke event, using the National Health Insurance Service National Sample Cohort data from 2002 to 2015 in South Korea. The study population was new-onset stroke patients ≥18 years of age. Patients were categorized into Category (1) insured employees and Category (2) insured self-employed/Medical Aid beneficiaries. Each category was divided into three and four income level groups, retrospectively. The study population comprised of 11,668 patients. Among the C...
Source: International Journal of Environmental Research and Public Health - November 11, 2020 Category: Environmental Health Authors: Seungmin Jeong Sung-il Cho So Yeon Kong Tags: Article Source Type: research

IJERPH, Vol. 16, Pages 3491: The Relationship between Scabies and Stroke: A Population-Based Nationwide Study
Conclusions: The results of the study indicated an elevated risk of stroke among scabies patients, an association that might be contributed to by immunopathological factors. This information could serve as a reminder to clinicians to remain alert to any indications of neurological impairment in patients previously infected with scabies.
Source: International Journal of Environmental Research and Public Health - September 18, 2019 Category: Environmental Health Authors: Meng-Huan Wu Chien-Yu Li Huichin Pan Yu-Chieh Lin Tags: Article Source Type: research

IJERPH, Vol. 18, Pages 4129: Comparison of Cost-Effectiveness between Inpatient and Home-Based Post-Acute Care Models for Stroke Rehabilitation in Taiwan
Willy Chou Stroke rehabilitation focuses on alleviating post-stroke disability. Post-acute care (PAC) offers an intensive rehabilitative program as transitional care following acute stroke. A novel home-based PAC program has been initiated in Taiwan since 2019. Our study aimed to compare the current inpatient PAC model with a novel home-based PAC model in cost-effectiveness and functional recovery for stroke patients in Taiwan. One hundred ninety-seven stroke patients eligible for the PAC program were divided into two different health interventional groups. One received rehabilitation during hospitalization, and the o...
Source: International Journal of Environmental Research and Public Health - April 14, 2021 Category: Environmental Health Authors: Yu-Ju Tung Wen-Chih Lin Lin-Fu Lee Hong-Min Lin Chung-Han Ho Willy Chou Tags: Article Source Type: research

IJERPH, Vol. 16, Pages 3472: Exploration of Medical Trajectories of Stroke Patients Based on Group-Based Trajectory Modeling
In this study, we used group-based trajectory modeling (GBTM) to study the characteristics of various groups of patients hospitalized with ACVD. In this research, the patient data were derived from the 1 million sampled cases in the National Health Insurance Research Database (NHIRD) in Taiwan. Cases who had been admitted to hospitals fewer than four times or more than eight times were excluded. Characteristics of the ACVD patients were collected, including age, mortality rate, medical expenditure, and length of hospital stay for each admission. We then performed GBTM to examine hospitalization patterns in patients who had...
Source: International Journal of Environmental Research and Public Health - September 17, 2019 Category: Environmental Health Authors: Ting-Ying Chien Mei-Lien Lee Wan-Ling Wu Hsien-Wei Ting Tags: Article Source Type: research

IJERPH, Vol. 18, Pages 8679: Prior Antiplatelet Therapy and Stroke Risk in Critically Ill Patients Undergoing Extracorporeal Membrane Oxygenation
an Choi We aimed to investigate whether prior exposure to antiplatelet therapy (anti-PLT) was associated with stroke incidence after the initiation of extracorporeal membrane oxygenation (ECMO) therapy. We conducted a population-based cohort study based on health records obtained from the National Health Insurance Service database in South Korea. Adult patients (aged ≥ 18 years) who underwent ECMO therapy in the intensive care unit during 2009–2018 were enrolled. In total, 17,237 patients who underwent ECMO therapy were included; stroke occurred in 779 (4.5%) of 17,237 patients within 7 days of initiating the ECMO ...
Source: International Journal of Environmental Research and Public Health - August 17, 2021 Category: Environmental Health Authors: Tak-Kyu Oh In-Ae Song Sol-Yi Lee Hey-Ran Choi Tags: Article Source Type: research

IJERPH, Vol. 20, Pages 1690: Acupuncture Is Effective at Reducing the Risk of Stroke in Patients with Migraines: A Real-World, Large-Scale Cohort Study with 19-Years of Follow-Up
This study explored the long-term effects of acupuncture treatment on stroke risk in migraineurs using national real-world data. We collected new migraine patients from the Taiwan National Health Insurance Research Database (NHIRD) from 1 January 2000 to 31 December 2017. Using 1:1 propensity-score matching, we assigned patients to either an acupuncture or non-acupuncture cohort and followed up until the end of 2018. The incidence of stroke in the two cohorts was compared using the Cox proportional hazards regression analysis. Each cohort was composed of 1354 newly diagnosed migraineurs with similar baseline characteristic...
Source: International Journal of Environmental Research and Public Health - January 17, 2023 Category: Environmental Health Authors: Chung-Chih Liao Chi-Hsien Chien Ying-Hsiu Shih Fuu-Jen Tsai Jung-Miao Li Tags: Article Source Type: research

IJERPH, Vol. 17, Pages 5360: Increased One-Year Recurrent Ischemic Stroke after First-Ever Ischemic Stroke in Males with Benign Prostatic Hyperplasia
Conclusion: Patients with BPH who had these risk factors had an increased risk of one-year recurrent IS. The modification of risk factors may prevent recurrent IS.
Source: International Journal of Environmental Research and Public Health - July 24, 2020 Category: Environmental Health Authors: Chun-Gu Cheng Hsin Chu Jiunn-Tay Lee Wu-Chien Chien Chun-An Cheng Tags: Article Source Type: research

IJERPH, Vol. 18, Pages 12362: Influence of Admission Time on Health Care Quality and Utilization in Patients with Stroke: Analysis for a Possible July Effect and Weekend Effect
Conclusions: Consistent with the NHI’s general effectiveness in ensuring fair, universally accessible, and high-quality health care services in Taiwan, the health care quality of patients examined in this study did not vary significantly overall between July and non-July months. However, a longer hospitalization length was observed for weekend admissions, possibly due to limitations in personnel and resource allocations during weekends. These results highlight the health care efficiency of hospitals during weekends as an area for further improvement.
Source: International Journal of Environmental Research and Public Health - November 24, 2021 Category: Environmental Health Authors: Liu Kung Chang Hsu Tsai Tags: Article Source Type: research