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Mashup Score: 7Association of Homelessness and Unstable Housing With Cardiovascular Care Utilization Among Veterans | Circulation: Cardiovascular Quality and Outcomes - 14 hour(s) ago
BACKGROUND: Veterans are disproportionately more likely to experience homelessness and unstable housing (HUH) compared with the general population. Cardiovascular disease is the leading cause of death among Veterans experiencing HUH. We aimed to understand whether HUH status among Veterans with preexisting cardiovascular disease was associated with disparities in cardiovascular care access and utilization. METHODS: Retrospective study of all Veterans with preexisting cardiovascular disease between 2017 and 2019 using Veterans Affairs Corporate Data Warehouse and Homeless registry data. Primary outcomes were annual outpatient visits for cardiovascular disease management and visits with cardiovascular disease–related specialists. Secondary outcomes included cardiovascular disease–related procedures and emergency department visits and hospitalizations. HUH status was determined based on response to a screener, diagnostic codes, or use of homelessness services, and outcomes were assessed i
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Mashup Score: 0
BACKGROUND: A polypill containing all 4 classes of guideline-directed medical therapy for heart failure with reduced ejection fraction (HFrEF) has been proposed to change the heart failure treatment paradigm. The acceptability, appropriateness, and feasibility of a HFrEF polypill-based strategy are unknown. The purpose of this study was to elicit patients’ and providers’ priorities in the design of HFrEF polypills. METHODS: From April 2023 to December 2023, we conducted a convergent parallel mixed-methods study at Washington University in St. Louis, the University of California, San Francisco, and the American College of Cardiology. We administered physician surveys containing adapted implementation outcome measures to elicit physicians’ perspectives on the acceptability, feasibility, and appropriateness of a HFrEF polypill (Likert scale ranging from 1 [low] to 5 [high]). We used a purposive sampling frame to select patients and physicians for in-depth interviews. Using semi-structured
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Mashup Score: 6
Request permissions for this article. This work was presented as an oral abstract at the AHA Scientific Sessions, November 16–18, 2024. For Sources of Funding and Disclosures, see page XXX. Correspondence to: Rebecca L. Tisdale, MD, MPA, VA Palo Alto Health Care System (152-MPD), Health Services Research and Development, Center for Innovation to Implementation, 795 Willow Rd, Bldg 324, Menlo Park, CA 94025. Email [email protected] If you have the appropriate software installed, you can download article
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Mashup Score: 11
Background: It is unknown whether predelivery cardiology care is associated with future risk of major adverse cardiovascular events (MACE) in Preeclampsia/Eclampsia (PrE/E). We sought to determine the cumulative incidence of MACE by race and whether predelivery cardiology care was associated with the hazard of MACE up to 1-year post-delivery for Black and White patients with PrE/E. Methods: Using Optum’s de-identified Clinformatics® Data Mart Database, we identified Black and White patients with PrE/E who had a delivery between 2008 and 2019. MACE was defined as the composite of heart failure, acute myocardial infarction, stroke, and death. Cumulative incidence functions were used to compare incidence of MACE by race. Regression models were used to assess hazard of MACE by cardiology care for each race. Separate hazards were calculated for the first 14 days and the remainder of the year. Results: Among 29,336 patients (83.4% White, 16.6% Black, 99.5% commercially insured, mean age 30.9
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Mashup Score: 8
BACKGROUND: National-level differences in myocardial infarction (MI) quality of care among Asian patients in the United States are unclear. We assessed the quality of MI care in the 6 largest US Asian ethnic groups. METHODS: Patients aged ≥18 years with ST-segment–elevation MI or non–ST-segment–elevation MI in the Get With The Guidelines–Coronary Artery Disease registry (711 US hospitals, 2015–2021) were assessed. The odds of MI-related quality of care and process outcomes were evaluated in Asian Indian, Chinese, Filipino, Japanese, Korean, Vietnamese, and other Asian adults compared with non-Hispanic White adults. Sex-stratified logistic regression models were adjusted for age and clinical characteristics. RESULTS: There were 5691 Asian patients (1520 Asian Indian, 422 Chinese, 430 Filipino, 114 Japanese, 283 Korean, 553 Vietnamese, and 2369 other Asian) and 141 271 non-Hispanic White patients, overall 30% female, and mean age of 66.5 years. Relative to non-Hispanic White adults, amon
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Mashup Score: 9
BACKGROUND: Cardiac rehabilitation (CR) improves outcomes following percutaneous coronary intervention (PCI) but remains underutilized. A liaison-mediated referral (LMR), where a health care professional explains CR’s benefits, addresses barriers to participation, and places a referral before discharge, may promote CR use. Our objective was to assess the impact of an LMR on CR participation after PCI. METHODS: This was a retrospective study of patients who underwent PCI across 48 hospitals in Michigan between January 2021 and April 2022 and referred to CR before discharge. Clinical registry data were linked to administrative claims to identify the primary outcome, CR participation, defined as ≥1 CR session within 90 days of discharge. Bayesian hierarchical logistic regression was used to compare CR participation between patients with and without an LMR. For the secondary outcome, frailty proportional hazard modeling compared days elapsed between discharge and first CR session between l
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Mashup Score: 0Null Hypothesis Collection | AHA Journals - 24 day(s) ago
This Null Hypothesis Collection highlights important and impactful articles from across the portfolio that report on negative, inconclusive, or confirmatory research.
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Mashup Score: 0Null Hypothesis Collection | AHA Journals - 24 day(s) ago
This Null Hypothesis Collection highlights important and impactful articles from across the portfolio that report on negative, inconclusive, or confirmatory research.
Source: www.ahajournals.orgCategories: General Medicine News, Cardiology News and JournTweet
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Mashup Score: 0Null Hypothesis Collection | AHA Journals - 25 day(s) ago
This Null Hypothesis Collection highlights important and impactful articles from across the portfolio that report on negative, inconclusive, or confirmatory research.
Source: www.ahajournals.orgCategories: General Medicine News, Cardiology News and JournTweet
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Mashup Score: 0Null Hypothesis Collection | AHA Journals - 26 day(s) ago
This Null Hypothesis Collection highlights important and impactful articles from across the portfolio that report on negative, inconclusive, or confirmatory research.
Source: www.ahajournals.orgCategories: General Medicine News, Cardiology News and JournTweet
Veterans with CV disease experiencing homelessness & housing instability had fewer visits for CV disease management or with specialists but more ED visits and hospitalizations than similar housed Veterans @SameedKhatana @PennLDI @PennCardiology https://t.co/kXRKAOoe3u https://t.co/ioJiGXYvKl