2023
Trends in Disparities in Advanced Neuroimaging Utilization in Acute Stroke: A Population-Based Study
Vagal A, Sucharew H, Wang L, Kissela B, Alwell K, Haverbusch M, Woo D, Ferioli S, Mackey J, La Rosa F, Mistry E, Demel S, Coleman E, Jasne A, Walsh K, Khatri P, Slavin S, Star M, Stephens C, Kleindorfer D. Trends in Disparities in Advanced Neuroimaging Utilization in Acute Stroke: A Population-Based Study. Stroke 2023, 54: 1001-1008. PMID: 36972349, DOI: 10.1161/strokeaha.122.040790.Peer-Reviewed Original ResearchConceptsPopulation-based studyAdvanced imagingSocioeconomic statusAcute strokeOlder patientsAdvanced neuroimagingStroke/transient ischemic attack eventsTransient ischemic attack eventsUS census tractsTransient ischemic attackLow SES patientsMultivariable logistic regressionHospital admission dateHigher socioeconomic statusIschemic attackYounger patientsSES patientsWhite patientsBlack patientsAdmission dateMultivariable modelAttack onsetSES-related disparitiesPatientsSecondary objective
2021
Expedited and Comprehensive Management of Low-Risk TIA Patients in the Emergency Department is Safe and Less Costly
Garg A, Maran I, Amin H, Vlieks K, Neuschatz K, Coppola A, Poskus K, Johnson J, Davis M, Minja F, Schindler J, Sansing LH, Malhotra A, Jasne AS, Sharma R. Expedited and Comprehensive Management of Low-Risk TIA Patients in the Emergency Department is Safe and Less Costly. Journal Of Stroke And Cerebrovascular Diseases 2021, 30: 106016. PMID: 34325273, DOI: 10.1016/j.jstrokecerebrovasdis.2021.106016.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overClinical ProtocolsCost SavingsCost-Benefit AnalysisDecision Support TechniquesDelivery of Health Care, IntegratedEmergency Service, HospitalFeasibility StudiesFemaleHospital CostsHumansIschemic Attack, TransientLength of StayMaleMiddle AgedOutcome and Process Assessment, Health CarePredictive Value of TestsRetrospective StudiesRisk AssessmentRisk FactorsTime FactorsTreatment OutcomeTriageConceptsLow-risk TIA patientsTransient ischemic attackTIA patientsEmergency roomAcademic comprehensive stroke centerSingle-center cohort studyPre-pathway groupComprehensive stroke centerClinical practice recommendationsLength of stayOutcomes of interestImpending strokeIschemic attackOutpatient echocardiogramRapid outpatientTIA admissionsEchocardiogram findingsEchocardiographic findingsStroke clinicCohort studyStroke centersNeurovascular eventsEmergency departmentFinal diagnosisHospital costs