Search results for "Stroke"
A different score and factor to consider before surgery
Hospitalists should think beyond the Revised Cardiac Risk Index when providing preoperative assessments, attendees at Internal Medicine Meeting 2022 learned.
https://acphospitalist.acponline.org/archives/2022/05/04/a-different-score-and-factor-to-consider-before-surgery.htm
4 May 2022
For ACS patients, risk of repeat event high immediately after discharge
A follow-up analysis of patients hospitalized for acute coronary syndrome (ACS) found a greater than 40% risk of nonfatal myocardial infarction, nonfatal ischemic stroke, or cardiovascular death shortly after discharge, compared to a risk of only about 6% per year after one year.
https://acphospitalist.acponline.org/archives/2022/05/04/for-acs-patients-risk-of-repeat-event-high-immediately-after-discharge.htm
4 May 2022
Continuing aspirin for no reason?
A speaker made the case for anticoagulant monotherapy in selected patients with stable coronary artery disease and atrial fibrillation during a “Things We Do For No Reason” session at SHM Converge 2022.
https://acphospitalist.acponline.org/archives/2022/04/27/continuing-aspirin-for-no-reason.htm
27 Apr 2022
Nurse-led mobile EKG monitoring in the hospital appears cost-effective after initial stroke
An Australian study found that mobile EKG monitoring was associated with marginally higher costs and more quality-adjusted life-years over a 20-year time horizon than 24-hour Holter monitoring during an index hospitalization for stroke.
https://acphospitalist.acponline.org/archives/2022/04/20/nurse-led-mobile-ekg-monitoring-in-the-hospital-appears-cost-effective-after-initial-stroke.htm
20 Apr 2022
Syphilis cases from Thomas Jefferson University
Four cases highlight the varied complications and presentations of syphilis.
https://acphospitalist.acponline.org/archives/2022/04/20/free/brief-case-jefferson-syphillis.htm
20 Apr 2022
About two-thirds of stroke survivors discharged to a SNF with low function died within a year
In a study of Medicare beneficiaries, the lowest-functioning stroke survivors who were discharged to a skilled nursing facility (SNF) had 64% mortality at one year, whereas those discharged to an inpatient rehabilitation facility had 29.6% mortality at one year.
https://acphospitalist.acponline.org/archives/2022/03/09/about-two-thirds-of-stroke-survivors-discharged-to-a-snf-with-low-function.htm
9 Mar 2022
Pulmonary embolism
For optimal documentation, coding, and reimbursement, the location or type of pulmonary embolism needs to be clearly identified.
https://acphospitalist.acponline.org/archives/2022/02/23/coding-corner-pulmonary-embolism.htm
23 Feb 2022
AHA recommends five core elements to improve management of in-hospital stroke
A new scientific statement from the American Heart Association calls on hospitals to deliver stroke training to all staff, create rapid response teams, standardize evaluation, address treatment barriers, and conduct quality oversight.
https://acphospitalist.acponline.org/archives/2022/02/16/aha-recommends-five-core-elements-to-improve-management-of-in-hospital-stroke.htm
16 Feb 2022
Rule developed for starting DOACs after stroke in patients with atrial fibrillation
Using a “1-2-3-4-day rule” to choose when to start direct-acting oral anticoagulants (DOACs) based on stroke severity appeared to decrease risk for recurrent stroke or systemic embolism without increasing bleeding risk.
https://acphospitalist.acponline.org/archives/2022/02/09/rule-developed-for-starting-doacs-after-stroke-in-patients-with-atrial-fibrillation.htm
9 Feb 2022
Dementia
Distinguishing among the causes of dementia—including Alzheimer and Parkinson disease—is a clinical and coding imperative.
https://acphospitalist.acponline.org/archives/2022/02/09/coding-corner-dementia.htm
9 Feb 2022