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Specialty: Neurology
Education: Study
Management: Medicare

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Total 72 results found since Jan 2013.

Inequities in Telemedicine Use Among Patients With Stroke and Cerebrovascular Diseases: A Tricenter Cross-sectional Study
Discussion In our diverse cohort across 3 centers, we found differences in TM visit type by race and insurance early during the COVID-19 pandemic. These findings suggest disparities in VTM access across different stroke populations. As VTM remains an integral part of outpatient neurology practice, steps to ensure equitable access are essential.
Source: Neurology Clinical Practice - March 14, 2023 Category: Neurology Authors: Naqvi, I. A., Cohen, A. S., Kim, Y., Harris, J., Denny, M. C., Strobino, K., Bicher, N., Leite, R. A., Sadowsky, D., Adegboye, C., Okpala, N., Okpala, M., Savitz, S. I., Marshall, R. S., Sharrief, A. Tags: All Health Services Research, All Cerebrovascular disease/Stroke, Underserved populations, Health disparities Research Article Source Type: research

Recurrent intracerebral hemorrhage in patients with cerebral amyloid angiopathy: a propensity-matched case –control study
The objective of our study was to compare the readmission rates for recurrent ICH, SAH, and AIS among patients admitted for ICH with and without CAA.MethodsUsing the National Readmissions Database 2016 –2018 we identified patients admitted for ICH with and without a concomitant diagnosis of CAA. Primary outcome of the study was readmission due to ICH. Secondary outcomes included readmissions due to AIS and SAH. Survival analysis was performed, and Kaplan–Meier curves were created to assess for readmissions.ResultsThe study consisted of 194,290 patients with ICH, 8247 with CAA and 186,043 without CAA as a concomitant di...
Source: Journal of Neurology - January 17, 2022 Category: Neurology Source Type: research

Risk for ischemic stroke and coronary heart disease associated with migraine and migraine medication among older adults
ConclusionsOlder adults with migraine are at increased risk for ischemic stroke. The risk for ischemic stroke among older adults with migraine may differ by migraine medication classes.
Source: The Journal of Headache and Pain - October 13, 2021 Category: Neurology Source Type: research

Long-Term Risk of Ischemic Stroke among Elderly Survivors of Non-Traumatic Subarachnoid Hemorrhage
Conclusions: In a large, heterogeneous national cohort of elderly patients, survivors of SAH had double the long-term risk of ischemic stroke. SAH survivors should be closely monitored and risk stratified for ischemic stroke.Cerebrovasc Dis
Source: Cerebrovascular Diseases - July 15, 2021 Category: Neurology Source Type: research

Disease Burden Following Non-Cardioembolic Minor Ischemic Stroke or High-Risk TIA: A GWTG-Stroke Study
We examined outcomes and Medicare payments following any severity IS or TIA as well as the subgroup with minor IS or high-risk TIA.
Source: Journal of Stroke and Cerebrovascular Diseases - October 23, 2020 Category: Neurology Authors: Brystana G. Kaufman, Shreyansh Shah, Anne S. Hellkamp, Barbara L. Lytle, Gregg C. Fonarow, Lee H. Schwamm, Eva Les én, Jonatan Hedberg, Amarjeet Tank, Edmond Fita, Narinder Bhalla, Nipun Atreja, Janet Prvu Bettger Source Type: research

The Patterns and Outcomes of Inter-Hospital Transfer Among Medicare Patients with Ischemic Stroke
This study aimed to understand the national patterns and outcomes of ischemic stroke transfer.
Source: Journal of Stroke and Cerebrovascular Diseases - September 26, 2020 Category: Neurology Authors: Shumei Man, Anne S. Tang, Jesse D. Schold, Murali K. Kolikonda, Ken Uchino Source Type: research

Severity of Traumatic Brain Injury in Older Adults and Risk of Ischemic Stroke and Depression
Conclusion: In this group of older adults with TBI, higher TBI severity was associated with increased risk of ischemic stroke, but not depression. These results suggest that increased monitoring of older adults with moderate-severe TBI for stroke may be warranted.
Source: The Journal of Head Trauma Rehabilitation - September 1, 2020 Category: Neurology Tags: Focus on Clinical Research and Practice Source Type: research

A quantitative analysis of the effect of continuity of care on 30-day readmission and in-hospital mortality among patients with acute ischemic stroke
Ischemic stroke patients are predisposed to 30-day readmissions and mortality. An evaluation of readmission rates among patients with acute ischemic strokes from several studies highlighted that a 30-day readmission rate among Medicare beneficiaries are between 12.4% and 14.4%1,2 and there is a 2.5 fold increase risk of mortality among ischemic stroke patients readmitted within 30 days.3 Additionally, evidence suggest that up to 29% of rehospitalized patients with ischemic stroke were associated with inadequate outpatient continuum of care.
Source: Journal of Stroke and Cerebrovascular Diseases - August 15, 2020 Category: Neurology Authors: Arinze Nkemdirim Okere, Vassiki Sanogo, Rajesh Balkrishnan, Vakaramoko Diaby 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

Rural –Urban Disparities in Intracerebral Hemorrhage Mortality in the USA: Preliminary Findings from the National Inpatient Sample
ConclusionsDespite current efforts to reduce disparity in stroke care, ICH patients hospitalized in rural hospitals had two times the odds of dying compared to those in urban hospitals. In addition, the ICH mortality gap between rural and urban centers is increasing. Further studies are needed to identify and reverse the causes of this disparity.
Source: Neurocritical Care - May 31, 2020 Category: Neurology Source Type: research

Care Delivery and Outcomes for Acute Stroke and Transient Ischemic Attacks in Rural and Urban Medicare Patients
This cohort study describes trends among rural and urban patients with acute ischemic stroke or transient ischemic attack in the type of health care centers to which patients were admitted, what care was provided, and patient outcomes.
Source: JAMA Neurology - May 4, 2020 Category: Neurology Source Type: research

Case Fatality Decline from 2009 to 2013 among Medicare Beneficiaries with Ischemic Stroke
This study aimed to examine the temporal trend of 30-day and 1-year mortality among U.S. Medicare beneficiaries who were hospitalized for ischemic stroke, with special focus on the mortality among subgroup of patients in relation to acute reperfusion therapies including intravenous thrombolysis (IVT) and endovascular thrombectomy (EVT).
Source: Journal of Stroke and Cerebrovascular Diseases - December 9, 2019 Category: Neurology Authors: Shumei Man, Jesse D. Schold, Ken Uchino Source Type: research

Seize the Day for a Day With No Seizures: Modifiable Midlife Risk Factors Identified.
CONCLUSIONS AND RELEVANCE: Potentially modifiable risk factors in midlife and the APOE ε4 genotype were positively associated with risk of developing late-onset epilepsy. Although stroke and dementia were both associated with late-onset epilepsy, vascular and lifestyle risk factors were significant even in the absence of stroke or dementia. PMID: 30838917 [PubMed]
Source: Epilepsy Currents - March 8, 2019 Category: Neurology Tags: Epilepsy Curr Source Type: research

Mortality and Associated Morbidities Following Traumatic Brain Injury in Older Medicare Statin Users
Conclusion: These findings provide valuable information for clinicians treating older adults with TBI as clinicians can consider, when appropriate, atorvastatin and simvastatin to older adults with TBI in order to decrease mortality and associated morbidities.
Source: The Journal of Head Trauma Rehabilitation - November 1, 2018 Category: Neurology Tags: Focus on Clinical Research and Practice Source Type: research

Retention of Stroke Education Provided during Hospitalization: Does Provision of Required Education Increase Stroke Knowledge?
Discussion: While stroke education is required during hospitalization, its ability to produce retention may be poor. We propose study of test-enhanced learning methods through the Targeted Education in Stroke Trial (TEST) to examine the effect of novel teaching methods on patient/caregiver knowledge retention.Intervent Neurol 2018;7:471 –478
Source: Interventional Neurology - July 26, 2018 Category: Neurology Source Type: research