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This page shows you the most recent publications within this specialty of the MedWorm directory.

Ohio Medicaid expansion back on table with new Republican bill
Ohio might expand Medicaid after all. State Rep. Barbara Sears, R-Monclova Township, who has been one of the GOP majority’s point people on the Medicaid question, introduced a bill late Wednesday that would raise eligibility limits to 138 percent of the federal poverty level, which is the expansion called for in the Affordable Care Act. The federal government pays the full costs for the first three years. Legislative leaders stripped an expansion proposed by Republican Gov. John Kasich from his… (Source: bizjournals.com Health Care:Hospitals headlines)
Source: bizjournals.com Health Care:Hospitals headlines - May 22, 2013 Category: Hospital Management Authors: Carrie Ghose Source Type: research

Mather assisted housing project for veterans closer to reality
Rancho Cordova city officials think a new assisted housing project for disabled homeless veterans near Mather Airport could be months away from breaking ground, after the city council approved a pair of needed entitlements for the Mather Veterans Village this week. Reed Flory, housing services administrator for the city of Rancho Cordova, said a 3.69-acre parcel for the project will house both new and rehabilitated buildings to serve as many as 160 vets. “It’s amazing to me we haven’t done… (Source: bizjournals.com Health Care:Hospitals headlines)
Source: bizjournals.com Health Care:Hospitals headlines - May 22, 2013 Category: Hospital Management Authors: Ben van der Meer Source Type: research

WellCare names David Gallitano to top board post
The board of directors of WellCare Health Plans Inc. elected David Gallitano as chairman. Gallitano, a WellCare director since 2009, succeeds Charles Berg, who stepped down from the board at the end of today’s annual shareholders’ meeting. Gallitano has been president of Tucker Advisors Inc., a private investment firm, since 2002. Gallitano’s operational experience and financial expertise have helped shape WellCare strategies, Alec Cunningham, CEO, said in a statement. Shareholders elected… (Source: bizjournals.com Health Care:Hospitals headlines)
Source: bizjournals.com Health Care:Hospitals headlines - May 22, 2013 Category: Hospital Management Authors: Margie Manning Source Type: research

Michael Kamdar named president of Hawaii-based Cellana Inc.
Michael Kamdar has been named president of Cellana Inc., a Hawaii-based developer of algae-based bioproducts for the pharmaceutical, nutraceutical, fuel and animal feed industries, the company said Wednesday. Kamdar will be primarily responsible for commercialization, business development, research and development and operations. “His track record of success in building, funding and leading biotechnology and biopharmaceutical companies is very impressive,” Cellana CEO Martin Sabarsky said in… (Source: bizjournals.com Health Care:Hospitals headlines)
Source: bizjournals.com Health Care:Hospitals headlines - May 22, 2013 Category: Hospital Management Authors: Duane Shimogawa Source Type: research

Humana hire 620 in Texas
Humana Inc. plans to open a mail order pharmacy call center and support operation in Irving, Texas, that is expected to create more than 620 new jobs over the next three years. RightSource, Humana's (NYSE: HUM) pharmacy-management company, will operate the facility that is expected to open in August, as the Dallas Business Journal reported. The company has leased three floors at 2001 W. John Carpenter Freeway and is working to build out the space for office and work spaces, conference rooms, training… (Source: bizjournals.com Health Care:Hospitals headlines)
Source: bizjournals.com Health Care:Hospitals headlines - May 22, 2013 Category: Hospital Management Authors: Candace Carlisle Source Type: research

UC Davis researchers get $3M grant to study Fragile X
UC Davis researchers have received a five-year, $3 million grant from the National Institute of Mental Health to conduct the first long-range study of mental and psychological decline that accompanies an age-related neurological disorder associated with Fragile X Syndrome. By bringing back participants over time, researchers can watch the progression of the syndrome and track gradual changes in patient brains. The study could provide critical information about the early markers of neurodegeneration… (Source: bizjournals.com Health Care:Hospitals headlines)
Source: bizjournals.com Health Care:Hospitals headlines - May 22, 2013 Category: Hospital Management Authors: Kathy Robertson Source Type: research

Virginia take another step toward Medicaid overhaul
Virginia Medicaid reform is off and running. Earlier this week, federal officials approved a four-year experiment to consolidate care for 78,000 Virginians who are eligible for both Medicaid and Medicare coverage, a group of residents whose health care tends to be especially costly to the government. Separately, the state Department of Medical Assistance Services is now soliciting public comment on its implementation of Medicaid reforms required by legislation that Gov. Bob McDonnell signed earlier… (Source: bizjournals.com Health Care:Hospitals headlines)
Source: bizjournals.com Health Care:Hospitals headlines - May 22, 2013 Category: Hospital Management Authors: Ben Fischer Source Type: research

Fine Award deadline June 10
Pittsburgh Regional Health Initiative is accepting applications for the 2013 Fine Award for Teamwork Excellence in Health Care until June 10. Three awards - $25,000, $15,000 and $10,000 - will be given after review by a panel of national health care leaders. This year’s awards will focus on quality improvement initiatives for end-of-life care. The Fine Award was established in 2008 by the Fine Foundation and led by Milton and Shelia Fine in partnership with the Jewish Healthcare Foundation to… (Source: bizjournals.com Health Care:Hospitals headlines)
Source: bizjournals.com Health Care:Hospitals headlines - May 22, 2013 Category: Hospital Management Authors: Kris B. Mamula Source Type: research

Red Cross Bay Area names new CEO
San Francisco Foundation’s Mark Cloutier has been named CEO of the American Red Cross Bay Area Chapter. Cloutier will leave his position as program director for public policy, community health and civic engagement at the San Francisco Foundation, where he served for two years. Before that, he was a principal at Sellers Dorsey, a health care consulting company, and former CEO of the San Francisco AIDS Foundation. Cloutier has a bachelor’s degree in history from Lewis and Clark College and has… (Source: bizjournals.com Health Care:Hospitals headlines)
Source: bizjournals.com Health Care:Hospitals headlines - May 22, 2013 Category: Hospital Management Authors: Renée Frojo Source Type: research

NC's Medicaid shortfall increased by $85 million
The Medicaid-funding shortfall in North Carolina increased another $85 million for the current fiscal year, state leaders announced late Tuesday. Again, N.C. Department of Health and Human Services Secretary Aldona Wos blamed the previous administration’s forecasting models, which apparently did not properly calculate how much Medicaid would cost the state. The shortfall for fiscal 2013 is now estimated at $333 million. On May 2, state leaders adjusted the projected shortfall from the original… (Source: bizjournals.com Health Care:Hospitals headlines)
Source: bizjournals.com Health Care:Hospitals headlines - May 22, 2013 Category: Hospital Management Authors: Jason deBruyn Source Type: research

Lack of evidence of increased mortality among patients with atrial fibrillation taking digoxin: findings from post hoc propensity-matched analysis of the AFFIRM trial
Conclusions In patients with paroxysmal and persistent AF, we found no evidence of increased mortality or hospitalization in those taking digoxin as baseline initial therapy. (Source: European Heart Journal)
Source: European Heart Journal - May 21, 2013 Category: Cardiology Authors: Gheorghiade, M., Fonarow, G. C., van Veldhuisen, D. J., Cleland, J. G. F., Butler, J., Epstein, A. E., Patel, K., Aban, I. B., Aronow, W. S., Anker, S. D., Ahmed, A. Tags: Arrhythmia/electrophysiology Source Type: research

Perceived Risk of Ischemic and Bleeding Events in Acute Coronary Syndromes [Original Articles]
Conclusions— Objective risk assessment provides superior risk discrimination when compared with physician-estimated risk. Whether systematic use of objective risk stratification improves clinical outcomes should be studied in appropriately designed clinical trials. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - May 21, 2013 Category: Cardiology Authors: Chew, D. P., Junbo, G., Parsonage, W., Kerkar, P., Sulimov, V. A., Horsfall, M., Mattchoss, S., for the Perceived Risk of Ischemic and Bleeding Events in Acute Coronary Syndrome Patients (PREDICT) Study Investigators Tags: Coronary circulation Original Articles Source Type: research

Long-Term Outcomes After Invasive Management for Older Patients With Non-ST-Segment Elevation Myocardial Infarction [Original Articles]
Conclusions— Older patients with non–ST-segment elevation MI with significant coronary disease face high long-term risks for mortality and nonfatal cardiovascular outcomes after early catheterization that differ by type of revascularization procedure performed. These findings can help guide the design of studies evaluating long-term therapies among elderly post-MI patients. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - May 21, 2013 Category: Cardiology Authors: Roe, M. T., Li, S., Thomas, L., Wang, T. Y., Alexander, K. P., Ohman, E. M., Peterson, E. D. Tags: Catheter-based coronary interventions: stents, Acute coronary syndromes, Acute myocardial infarction Original Articles Source Type: research

Depression, Healthcare Utilization, and Death in Heart Failure: A Community Study [Original Articles]
Conclusions— In this prospective cohort study, depression independently predicted an increase in the use of healthcare resources and mortality. Greater recognition and management of depression in HF may optimize clinical outcomes and resource utilization. (Source: Circulation: Heart Failure)
Source: Circulation: Heart Failure - May 21, 2013 Category: Cardiology Authors: Moraska, A. R., Chamberlain, A. M., Shah, N. D., Vickers, K. S., Rummans, T. A., Dunlay, S. M., Spertus, J. A., Weston, S. A., McNallan, S. M., Redfield, M. M., Roger, V. L. Tags: Congestive, Resource utilization Original Articles Source Type: research

Emergency department presentations by Aboriginal children: Issues for consideration for appropriate health services
ConclusionsA significant proportion of ED presentations were potentially preventable with the use of culturally appropriate and accessible local community and primary health care services and better referral pathways back to these services. Community engagement is required to raise awareness of common presentations and to look at strategies to prevent common problems both occurring and presenting to the ED. This will enhance the health of urban Aboriginal children. (Source: Journal of Paediatrics and Child Health)
Source: Journal of Paediatrics and Child Health - May 21, 2013 Category: Pediatrics Authors: Catriona Duncan, Katrina Williams, Dania Nathanson, Susan Thomas, Carolyn Cottier, Matthew O'Meara, Karen Zwi Tags: Original Ariticle Source Type: research

Association between non-alcoholic fatty pancreatic disease (nafpd) and the metabolic syndrome: case--control retrospective study
Conclusion: The presence of fatty pancreas represents a meaningful manifestation of metabolic syndrome together with obesity. (Source: Cardiovascular Diabetology)
Source: Cardiovascular Diabetology - May 20, 2013 Category: Cardiology Authors: Wan-Chen WuChih-Yuan Wang Source Type: research

Twenty-year route of prevalence of risk factors, treatment patterns, complications, and mortality rate of acute myocardial infarction in Iran
Conclusion: The results indicate prominent improvement in the management process of patients suffering from acute myocardial infarction within the past 20 years. (Source: Therapeutic Advances in Cardiovascular Disease)
Source: Therapeutic Advances in Cardiovascular Disease - May 20, 2013 Category: Cardiology Authors: Ghaffari, S., Hakim, H., Pourafkari, L., Asl, E. S., Goldust, M. Tags: Original Research Source Type: research

Medtronic's Q4 earnings: 3 things to watch
Medtronic releases its fourth-quarter results on Tuesday before the market opens. Here are three things to watch for from the Fridley-based med-tech giant: Europe During its third quarter, Medtronic officials reported that historically strong western European markets such as Germany were softening. Europe accounts for about one quarter of Medtronic's sales. If the trend continues, it will hurt not only Medtronic, but the med-tech industry as a whole. Medtronic made up for the shortfall last quarter… (Source: bizjournals.com Health Care:Hospitals headlines)
Source: bizjournals.com Health Care:Hospitals headlines - May 18, 2013 Category: Hospital Management Authors: Katharine Grayson Source Type: research

UC goes to court to stop medical-worker strike
While the California Public Employment Relations Board will seek a court injunction Monday to stop University of California medical center workers from striking Tuesday and Wednesday, university officials are gearing up for a massive strike. Thousands of patient care, service, professional and technical workers in two unions plan to walk off their jobs May 21 and 23. About 30,000 workers statewide — including 5,800 at UC Davis — are represented by the American Federation of State, County and… (Source: bizjournals.com Health Care:Hospitals headlines)
Source: bizjournals.com Health Care:Hospitals headlines - May 17, 2013 Category: Hospital Management Authors: Kathy Robertson Source Type: research

Dr. Kern Wildenthal appointed to lead Children's Medical foundation
(Source: bizjournals.com Health Care:Hospitals headlines)
Source: bizjournals.com Health Care:Hospitals headlines - May 17, 2013 Category: Hospital Management Authors: Bill Hethcock Source Type: research

UC Davis will use Covered California grant for Spanish-language outreach
University of California Davis will use a $1 million grant announced Tuesday by Covered California to work with El Concilio, the council for Spanish speakers, to educate almost 133,000 primarily Spanish-speaking residents in the Central Valley about the new state health benefit exchange. The grant runs from July 1 though December 2014. The UC Davis Center for Reducing Health Disparities has expertise in educating diverse underserved groups about health care. With El Concilio, the center will focus… (Source: bizjournals.com Health Care:Hospitals headlines)
Source: bizjournals.com Health Care:Hospitals headlines - May 17, 2013 Category: Hospital Management Authors: Kathy Robertson Source Type: research

Health exchange board approves hybrid state-federal model
The board of the New Mexico Health Insurance Exchange voted Friday to temporarily become a hybrid state/federal exchange, with the state enrolling businesses and the federal exchange enrolling individuals. Board members agree that the state didn’t have time to do both by the Oct. 1 deadline. Newly named exchange interim CEO Mike Nunez told board members the plan is for the state to begin enrolling individuals beginning in October 2014. The failure of the state to be able to enroll individuals… (Source: bizjournals.com Health Care:Hospitals headlines)
Source: bizjournals.com Health Care:Hospitals headlines - May 17, 2013 Category: Hospital Management Authors: Dennis Domrzalski Source Type: research

Board, departing CEO say Morehead Memorial on strong footing
Following an announcement that Morehead Memorial Hospital President and CEO Carl Martin would be leaving the hospital at the end of June, Martin and members of the hospital's board of trustees said the hospital is on solid footing. Martin and the board said there's no link between the hospital's financial challenges and Martin's decision to join Providence Hospitals, a Columbia, S.C.-based health system, as chief operating officer at the end of June. Martin informed the board of the move on Monday,… (Source: bizjournals.com Health Care:Hospitals headlines)
Source: bizjournals.com Health Care:Hospitals headlines - May 17, 2013 Category: Hospital Management Authors: Owen Covington Source Type: research

M.D. Anderson saw $330M increase in operating expenses
Though the president of The University of Texas M.D. Anderson Cancer Center told employees this week the institution would make budget cuts in several areas, The University of Texas health care system's 2012 annual report foreshadowed the moves. The report, released in December, shows the cancer center's total operating revenue from August 2011 to August 2012 increased to $3.39 billion, compared to $3.16 billion a year earlier. But a sharp increased in total operating expenses to $278 million left… (Source: bizjournals.com Health Care:Hospitals headlines)
Source: bizjournals.com Health Care:Hospitals headlines - May 17, 2013 Category: Hospital Management Authors: Bayan Raji Source Type: research

Trinity CEO Granger 'ecstatic' after ruling
It's been more than four years since Trinity Medical Center announced plans to move to U.S. 280. On Friday, Trinity finally got the news it was waiting for: The Alabama Supreme Court refused to hear an appeal from St. Vincent's Health System and Brookwood Medical Center over the move. That decision gives Trinity the greenlight it needs to move forward with its relocation plans. “We’re absolutely ecstatic,” Trinity CEO Keith Granger told me on the phone. “It’s a long-awaited ruling, and… (Source: bizjournals.com Health Care:Hospitals headlines)
Source: bizjournals.com Health Care:Hospitals headlines - May 17, 2013 Category: Hospital Management Authors: Yann Ranaivo Source Type: research

More insurers than expected line up for Colorado health exchange
At least 19 insurers hope to offer products in Colorado’s soon-to-be-created health benefit exchange — a number significantly higher than Colorado Insurance Commissioner Jim Riesberg had expected. Riesberg will release more detailed information Wednesday, May 22, on which insurers will be involved in the state's Internet marketplace for health insurance, as well as what their base rates will be for 2014. Any insurer wanting to offer products in the exchange, known as Connect for Health Colorado,… (Source: bizjournals.com Health Care:Hospitals headlines)
Source: bizjournals.com Health Care:Hospitals headlines - May 17, 2013 Category: Hospital Management Authors: Ed Sealover Source Type: research

Some health experts are skeptical of Medicaid plan
As North Carolina’s Medicaid officials tour the state for input about reform, they’re likely to get some skepticism. Many doctors, health care experts, and ordinary citizens have questioned the wisdom of inviting private companies from outside the state to manage the program, and instead called on state leaders to expand on the model currently implemented by Community Care of North Carolina, a nonprofit. Yet the McCrory administration today announced it will apply for a Medicaid waiver with… (Source: bizjournals.com Health Care:Hospitals headlines)
Source: bizjournals.com Health Care:Hospitals headlines - May 17, 2013 Category: Hospital Management Authors: Jason deBruyn Source Type: research

Characteristics of Hospital Observation Services: A Society of Cardiovascular Patient Care Survey
Conclusions:Accredited chest pain centers have observation units whose LOSs and discharge rates are comparable to prior studies with utilization patterns that may serve as benchmarks for similar hospitals. (Source: Critical Pathways in Cardiology: A Journal of Evidence-Based Medicine)
Source: Critical Pathways in Cardiology: A Journal of Evidence-Based Medicine - May 17, 2013 Category: Cardiology Tags: Original Articles Source Type: research

Nurses' Work‐Related Stress in China: A Comparison Between Psychiatric and General Hospitals
This study compared the level of work‐related stress between female nurses working in psychiatric and general hospitals in China. Design and MethodsA descriptive comparative cross‐sectional design was used. A consecutive sample of nurses from two psychiatric hospitals (N = 297) and a medical unit (N = 408) of a general hospital completed a written survey including socio‐demographic data and a measure of work‐related stress (Nurse Stress Inventory). FindingsCompared to the nurses working in the general hospital, those working in the psychiatric setting had a higher level of stress in the domains of working environme...
Source: Perspectives In Psychiatric Care - May 17, 2013 Category: Psychiatry Authors: Yun‐Ke Qi, Yu‐Tao Xiang, Feng‐Rong An, Jing Wang, Jiao‐Ying Zeng, Gabor S. Ungvari, Robin Newhouse, Doris S. F. Yu, Kelly Y. C. Lai, Yan‐Ming Ding, Liuyang Yu, Xiang‐Yang Zhang, Helen F. K. Chiu Tags: Original Article Source Type: research

Cryopreserved human allografts (homografts) for the management of graft infections in the ascending aortic position extending to the arch [AORTIC SURGERY]
CONCLUSIONS Surgery for infected Dacron grafts in the ascending aortic position with involvement of the arch can be performed with an acceptable perioperative mortality. In case of degeneration of the valve, reoperations can be performed with good results in experienced hands. Therefore, we consider the concept of complete explantation of all infected material and replacement with homografts a successful treatment strategy. Nevertheless, close follow-up of the patients is mandatory so as not to miss any degeneration or reinfection of the implanted grafts. (Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - May 16, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Khaladj, N., Pichlmaier, U., Stachmann, A., Peterss, S., Reichelt, A., Hagl, C., Haverich, A., Pichlmaier, M. Tags: AORTIC SURGERY Source Type: research

Surgical Management of Apical Muscular Ventricular Septal Defects Using the Sandwich Technique
ConclusionsWe conclude that the sandwich technique is safe and reliable. Even in cases when a residual shunt is present, the shunt tends to decrease with time. Further experience and longer follow‐up of these patients are necessary to conclude whether this technique is applicable to neonates and young infants. doi: 10.1111/jocs.12104 (J Card Surg 2013;28:301–305) (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - May 16, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Qun Gu, Jie Zhou, Haitao Gu, Fengxia Lu, Yongshen Zhang Tags: Original Article Source Type: research

Prevalence, associated factors, and relationship to quality of life of lower urinary tract symptoms: a cross‐sectional, questionnaire survey of cancer patients
ConclusionsThe high prevalence of LUTS suggests that cancer treatment might be linked to LUTS, which in turn has a negative effect on a patient's quality of life. These results suggest that future research should involve studies in larger, more homogeneous samples. Health care providers should monitor the presence of LUTS and deliver the management and treatments of LUTS to optimise cancer patients' quality of life. (Source: International Journal of Clinical Practice)
Source: International Journal of Clinical Practice - May 16, 2013 Category: Internal Medicine Authors: C.‐I. Hsieh, A.‐L. Lung, L.‐I. Chang, C. M. Sampselle, C.‐C. Lin, Y.‐M. Liao Tags: Original Paper Source Type: research

The cutaneous adverse drug reactions: risk factors, prognosis and economic impacts
ConclusionThe study identified risk factors for cutaneous ADRs in terms of both patient characteristics and drug complexity. The present analyses indicate characteristics and mechanisms of cutaneous ADRs among inpatients, which provide clues for future intervention strategies and management issues in healthcare settings. (Source: International Journal of Clinical Practice)
Source: International Journal of Clinical Practice - May 16, 2013 Category: Internal Medicine Authors: P.‐J. Liao, C.‐P. Shih, C.‐T. Mao, S.‐T. Deng, M.‐C. Hsieh, K.‐H. Hsu Tags: Original Paper Source Type: research

Early and ultra-early surgery in hip fracture patients improves survival
Abstract: Background: Hip fracture is a common injury with associated high mortality. Recent drives by the Department of Health have sought to prioritise these patients’ care. In April 2010, the Best Practice Tariff was introduced in England and Wales. This offers financial incentives to institutions that provide holistic care and surgery within 36h for hip fracture patients. The England and Wales National Institute for Health and Clinical Excellence (NICE) published its first guidance on hip fracture management in June 2011, and emphasised the need for surgery on the day or day after admission. In spite of the emphasis ...
Source: Injury - May 15, 2013 Category: Orthopaedics Authors: Chika Edward Uzoigwe, Henry Guy Francis Burnand, Caroline Lois Cheesman, Douglas Osaro Aghedo, Murtuza Faizi, Rory George Middleton Tags: Clinical Papers – Proximal femoral fractures Source Type: research

High-intensity interventions promote smoking cessation among hospitalized patients
Commentary on: Rigotti NA, Clair C, Munafò MR, et al.. Interventions for smoking cessation in hospitalised patients. Cochrane Database Syst Rev 2012;5:CD001837. Context Hospitalisation represents a potent ‘teachable moment’ for the delivery of smoking cessation interventions. Many smokers are hospitalised for tobacco-related diseases that personalise the risks of persistent smoking and thereby enhance motivation to quit and receptivity to tobacco cessation assistance. Most hospitals are smoke-free and many have adopted broad, smoke-free campus policies that further restrict smoking on hospital grounds, m...
Source: Evidence-Based Medicine - May 15, 2013 Category: Internal Medicine Authors: Ostroff, J. S. Tags: Medical management, Smoking and tobacco, Drugs: cardiovascular system, Unwanted effects / adverse reactions, Drugs misuse (including addiction), Health education, Smoking Prevention Source Type: research

Changing Strategies to Treat Venous Thrombotic Occlusions of the Upper and Lower Extremities Secondary to Compressive Phenomena
Conclusion: Use of MT has led to shorter treatment duration and length of hospital stay. Limiting first rib resection to the anterior half of the rib shortened operative time. Patients requiring stents had excellent long-term patency rates. (Source: Vascular and Endovascular Surgery)
Source: Vascular and Endovascular Surgery - May 15, 2013 Category: Surgery Authors: Spivack, A., Troutman, D., Dougherty, M., Calligaro, K. Tags: Clinical Research Articles Source Type: research

Abstract 6: What Proportion of High-Cost Patients' Inpatient Spending is Preventable? [Concurrent Session I Session A: Oral Abstract Presentations on Less is More]
Conclusions: Though high-cost patients account for the majority of inpatient spending, fewer than one in ten of their hospitalizations are potentially preventable through better outpatient care. Thus, focusing on outpatient interventions such as case management may not be optimally targeted. We also need strategies that make hospital care more efficient so that each episode of inpatient care is less expensive regardless of its cause. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - May 15, 2013 Category: Cardiology Authors: Joynt, K. E., Gawande, A., Orav, E. J., Jha, A. K. Tags: Concurrent Session I Session A: Oral Abstract Presentations on Less is More Source Type: research

Abstract 7: Reduced Hospitalization For Transient Ischemic Attack In The United States Over The Past Decade [Concurrent I Session B: Oral Abstract Presentations on Stroke Topics]
CONCLUSION: TIA hospitalizations in the United States decreased from 2000 to 2010 as the number of ischemic stroke hospitalizations increased. This may be a result of increased imaging utilization and use of tissue-based diagnosis of TIA. Cases of cerebral ischemia with resolved symptoms coded as TIA in the past may be coded as ischemic stroke with MRI imaging evidence of brain injury, yet further study is needed to confirm this finding. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - May 15, 2013 Category: Cardiology Authors: Sanossian, N., Ramirez, L., Kim-Tenser, M. A., Cen, S., Wen, G., Towfighi, A., Ne, S., Adamczyk, P., Mack, W. J. Tags: Concurrent I Session B: Oral Abstract Presentations on Stroke Topics Source Type: research

Abstract 27: Impact of Telemonitoring on Health Status in Patients with Heart Failure [Concurrent III Session A: Oral Abstract Presentations on EHS & Health IT]
Conclusion: Telemonitoring in a large group of patients with heart failure did not improve health status when compared to usual care. Failure to improve readmission or mortality rates combined with lack of effect on quality of life suggests that alternative solutions for management of this complex population should be sought. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - May 15, 2013 Category: Cardiology Authors: Jayaram, N., Krumholz, H. M., Chaudhry, S. I., Mattera, J., Tang, F., Spertus, J. A. Tags: Concurrent III Session A: Oral Abstract Presentations on EHS & amp; Health IT Source Type: research

Abstract 31: Patterns Of Healthcare Resource Utilization Among Adults With Type 2 Diabetes Mellitus At Risk Of Cardiovascular Events In The Large Population-based Study To Help Improve Early Evaluation And Management Of Risk Factors Leading To Diabetes (SHIELD) [Poster Session I]
Conclusions: CVD events among T2DM patients continue to represent a very high economic burden on the healthcare system. HRU is very high among adults with T2DM at-risk of CVD events and significantly higher among those who had a new CVD event within 3 and 5 years compared with those who did not have a new CVD event. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - May 15, 2013 Category: Cardiology Authors: Fox, K. M., Wu, Y., Kim, J., Grandy, S. Tags: Poster Session I Source Type: research

Abstract 57: NT-proBNP Decreases Exponentially Following Left Ventricular Assist Device Implantation and Can Predict Future Hospitalization [Poster Session I]
Conclusions: NT-proBNP decreased exponentially and reliably, before reaching a steady state at 60d following device implantation. Our study is the first to show that serial changes in NPs may be useful in predicting LVAD outcomes. Future study should focus on whether NT-proBNP changes are influenced by baseline variables, and if NPs can be used to guide clinical management. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - May 15, 2013 Category: Cardiology Authors: Wehbe, R. M., Jensen, B. C., Chang, P. P., Bowen, A., Sheridan, B. C., Katz, J. N. Tags: Poster Session I Source Type: research

Abstract 73: Use of an ED- Based Observation Unit Followed by Outpatient Stress Testing in Chest Pain Patients with Prior Coronary Artery Disease History: Evaluation of Safety and Prognostic Utility [Poster Session I]
Conclusion: A strategy of observation followed by stress MPI can safely and effectively risk stratify CP patients with prior CAD for long-term CV events. However, our data suggests these patients are at increased risk of CV events even after a low-risk follow-up stress MPI study. Thus, patients presenting with CP and managed with a strategy of observation and a non-ischemic stress MPI still warrant close short and long term monitoring for recurrent events. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - May 15, 2013 Category: Cardiology Authors: Khalil, Y., Pandey, P., Schwartz, M., Abdul-Latif, M., Matsumura, M. E. Tags: Poster Session I Source Type: research

Abstract 78: The Association of Home Warfarin Therapy with Acute Treatment Patterns and Bleeding Risk in Patients Presenting with ST-Elevation Myocardial Infarction: Results from the NCDR(R) [Poster Session I]
Conclusions: In STEMI patients treated with primary PCI, home warfarin therapy is associated with significant increase in the risk of in-hospital major bleeding despite the less frequent use of treatment regimens associated with higher bleeding risk. Future studies are needed to identify bleeding avoidance strategies in this high-risk population. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - May 15, 2013 Category: Cardiology Authors: Karrowni, W., Wang, T. Y., Chen, A. Y., Thomas, L., Saucedo, J. F., El Accaoui, R. N. Tags: Poster Session I Source Type: research

Abstract 98: Personal and Community Barriers to a Heart-healthy Lifestyle in Women [Poster Session I]
Conclusion: In this well-educated cohort of women, the most common barrier to leading a heart-healthy lifestyle was lack of time due to family obligations. Most women were aware that women in general needed to make healthy changes in their lives, but they did not personalize their risk. This study suggests that women, even with available resources, need to be assessed, reminded, and encouraged to develop behavioral skills and strategies (e.g. time management) to incorporate heart healthy behaviors into their lifestyle. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - May 15, 2013 Category: Cardiology Authors: Parashar, S., Hui, S. A., Vacek, J. L., Simmons, A. Tags: Poster Session I Source Type: research

Abstract 99: COPS( Chest Pain Observational Prospective Study)- An Inpatient Quality Improvement Analysis Of Chest Pain Management Between Teaching And Non- Teaching Teams [Poster Session I]
Conclusion: There was no statistical differences found in the length of stay and readmission’s between teams. Non teaching teams used more consult services & interventions but showed no difference in any quality markers. Interventions resulted in concomitant decrease in readmission among teaching teams only. If validated COMB score can be used as a readmission predictor tool. Future efforts should be made to recognize the judicious use of cardiology consult services in timely fashion for effective management of CP patients. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - May 15, 2013 Category: Cardiology Authors: Singh, M., Bajwa, M. R., Bolla, V. H., Kotak, K., Mills, P. Tags: Poster Session I Source Type: research

Abstract 111: Assessing Statin Therapy and Lipid Profile Goals 6 Months After Percutaneous Coronary Intervention at a Veterans Hospital [Poster Session I]
Conclusion: In patients who have undergone PCI, there was significant improvement in LDL levels. At six months, there was an increase in usage of statin therapy. Furthermore there was a statistically significant increase in adherence to NCEP-ATIII guidelines at both the minimum and ideal LDL levels on follow-up after PCI. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - May 15, 2013 Category: Cardiology Authors: Blumenkrants, D., Siddiqui, S. M., Challa, K., Ladani, A., Shroff, A. Tags: Poster Session I Source Type: research

Abstract 113: Regional Variation In The Receipt Of Coronary Revascularization Following Diagnostic Catheterization In British Columbia [Poster Session I]
Conclusions: There was substantial regional variation in revascularization practice among hospitals in the province of British Columbia, Canada. Identification of subgroups where variation in practices were significant, such as use of PCI vs. CABG among STEMI patients, offer opportunities for follow-up and quality improvement. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - May 15, 2013 Category: Cardiology Authors: Ng, C. H., Pu, A., Ding, L., Zhang, R., Kmetic, A. Tags: Poster Session I Source Type: research

Abstract 116: Improvements in the Medical Management and Survival of Patients Hospitalized with Heart Failure [Poster Session I]
Conclusion: The use of effective HF therapies increased markedly following the issuance of ACC-AHA guidelines for HF in 1995, with a concomitant increase in survival. Nonetheless, the prognosis for patients hospitalized with HF remains poor, as fewer than 1 in 3 patients survives 5 years. Opportunities exist to further improve the use of HF therapeutics. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - May 15, 2013 Category: Cardiology Authors: Joffe, S. W., McManus, D. D., DeWolf, M., Shih, J., Kiernan, M., Spencer, F., Lessard, D., Gore, J., Goldberg, R. Tags: Poster Session I Source Type: research