A5011523736- Acute Ischemic Stroke Management
- Stroke Rehabilitation and Recovery
- Cerebrovascular and Carotid Artery Diseases
- Blood Pressure and Hypertension Studies
- Cardiovascular Health and Risk Factors
- Venous Thromboembolism Diagnosis and Management
- Neurological Complications and Syndromes
- Health Systems, Economic Evaluations, Quality of Life
- Intracerebral and Subarachnoid Hemorrhage Research
- Clinical practice guidelines implementation
- Neuroscience of respiration and sleep
- Peripheral Artery Disease Management
- Healthcare Systems and Practices
- Pregnancy and preeclampsia studies
- Healthcare Policy and Management
- Atrial Fibrillation Management and Outcomes
- Health disparities and outcomes
- Medication Adherence and Compliance
- Heart Rate Variability and Autonomic Control
- Antiplatelet Therapy and Cardiovascular Diseases
- Cardiac Structural Anomalies and Repair
- Lipoproteins and Cardiovascular Health
- Intracranial Aneurysms: Treatment and Complications
- Blood Coagulation and Thrombosis Mechanisms
- Infant Health and Development
Georgia College & State University
2025
University of Georgia
2025
National Center for Chronic Disease Prevention and Health Promotion
2012-2023
Centers for Disease Control and Prevention
2014-2023
CDC Foundation
2012-2022
University of Minnesota
2010-2021
United Hospital
2021
University of Minnesota Medical Center
2021
Minnesota Department of Health
2010-2021
Medica (United States)
2021
Despite the global impact and advances in understanding pathophysiology of cerebrovascular diseases, term "stroke" is not consistently defined clinical practice, research, or assessments public health. The classic definition mainly does account for science technology. Stroke Council American Heart Association/American Association convened a writing group to develop an expert consensus document updated stroke 21st century. Central nervous system infarction as brain, spinal cord, retinal cell...
<h3>Importance</h3> While stroke mortality rates have decreased substantially in the past 2 decades, this trend has been primarily limited to older adults. Increasing trends incidence and hospitalizations noted among younger adults, but there concern that reflected improved diagnosis through an increased use of imaging rather than representing a real increase. <h3>Objectives</h3> To determine whether hospitalization continued increase identify prevalence associated risk factors <h3>Design,...
Abstract Objective: The aim of this study was to determine acute stroke hospitalization rates for children and young adults the prevalence risk factors among hospitalized stroke. Methods: population consisted 1995–2008 hospitalizations from Nationwide Inpatient Sample Healthcare Cost Utilization Project. Subarachnoid hemorrhage, intracerebral ischemic were identified by primary International Classification Diseases, 9th ed, Clinical Modification (ICD‐9‐CM) code. Seven consecutive 2‐year time...
Introduction:The prominent decline in U.S. stroke death rates observed for more than 4 decades has slowed recent years.CDC examined trends and patterns among adults aged ≥35 years by age, sex, race/ethnicity, state, census region.Methods: Trends the of as underlying cause during 2000-2015 were analyzed using data from National Vital Statistics System.Joinpoint software was used to identify rates, excess number deaths resulting unfavorable changes estimated.Results: Among years,...
Background and Purpose— Value-based health care aims to bring together patients systems maximize the ratio of quality over cost. To enable assessment healthcare value in stroke management, an international standard set patient-centered outcome measures was defined for use a variety settings. Methods— A modified Delphi process implemented with expert panel representing patients, advocates, clinical specialists outcomes, registers, global health, epidemiology, rehabilitation reach consensus on...
Background and Purpose— The formation certification of Primary Stroke Centers has progressed rapidly since the Brain Attack Coalition's original recommendations in 2000. purpose this article is to revise update our for reflect latest data experience. Methods— We conducted a literature review using MEDLINE PubMed from March 2000 January 2011. focused on studies that were relevant acute stroke diagnosis, treatment, care. Original references as well meta-analyses other care guidelines also...
Stroke is an important contributor to maternal morbidity and mortality, but there are no recent data on trends in pregnancy-related hospitalizations that have involved a stroke. This report describes stroke for women the antenatal, delivery, postpartum periods from 1994 1995 2006 2007 analyzes changes these over time.Hospital discharge were obtained Nationwide Inpatient Sample, developed as part of Healthcare Cost Utilization Project sponsored by Agency Research Quality. Pregnancy-related...
Pulmonary hypertension (PH) is an uncommon but progressive condition, and much of what we know about it comes from specialized disease registries. With expanding research into the diagnosis treatment PH, important to provide updated surveillance on impact this hospitalizations mortality. This study, which builds previous PH mortality hospitalization, analyzed data National Vital Statistics System Hospital Discharge Survey between 2001 2010. deaths were identified using International...
Background and Purpose— Dysphagia screening before oral intake (DS) is a stroke care quality indicator. The value of DS unproven. Quality adherence outcome data from the Paul Coverdell National Acute Stroke Registry were examined to establish DS. Methods— Adherence indicator was in patients with discharged hospitals between March 1 December 31, 2009. Patients classified as unscreened (US), screened passed (S/P), failed. Associations status pneumonia rate assessed by logistic regression...
Adherence to prescribed medications is associated with improved clinical outcomes for chronic disease management and reduced mortality from conditions (1). Conversely, nonadherence higher rates of hospital admissions, suboptimal health outcomes, increased morbidity mortality, care costs (2). In the United States, 3.8 billion prescriptions are written annually (3). Approximately one in five new never filled, among those approximately 50% taken incorrectly, particularly regard timing, dosage,...
Despite decades-long reductions in cardiovascular disease (CVD) mortality, CVD mortality rates have recently plateaued and even increased some subgroups, the prevalence of risk factors remains high. Million Hearts 2022, a 5-year initiative, was launched 2017 to address this burden. This report establishes baseline for targeted reduction by initiative during 2017-2021 highlights recent changes over time.Risk factor among U.S. adults assessed using data from National Health Nutrition...
Many patients with an acute stroke live in areas without ready access to a Primary or Comprehensive Stroke Center. The formation of care facilities that meet the needs these might improve their and outcomes guide them emergency responders such centers within system care.The Brain Attack Coalition conducted electronic search English medical literature from January 2000 December 2012 identify elements processes shown be beneficial for care. We used evidence grading consensus paradigms...
Little is known about trends in the overall combined burden of fatal and nonfatal cerebrovascular disease events United States. Our objective was to describe by age, sex, region from 2006 through 2014.
Findings of association between coronavirus disease 2019 (COVID-19) and stroke remain inconsistent, ranging from significant to absence less than expected ischemic among hospitalized patients with COVID-19. The current study examined the COVID-19 risk acute (AIS).We included 37,379 Medicare fee-for-service (FFS) beneficiaries aged ≥65 years diagnosed April 1, 2020, through February 28, 2021, AIS hospitalization January 2019, 2021. We used a self-controlled case series design examine...