2022
Rural Residence and Antihypertensive Medication Use in US Stroke Survivors
Tran PM, Tran LT, Zhu C, Chang T, Powers IP, Goldstein LB, Lichtman JH. Rural Residence and Antihypertensive Medication Use in US Stroke Survivors. Journal Of The American Heart Association 2022, 11: e026678. PMID: 35862140, PMCID: PMC9375512, DOI: 10.1161/jaha.122.026678.Peer-Reviewed Original ResearchConceptsUS stroke survivorsAntihypertensive medication useAntihypertensive useStroke survivorsLifestyle characteristicsMedication useBehavioral Risk Factor Surveillance System surveyUrban residenceSurvey-weighted logistic regressionRural stroke survivorsSurvey-weighted prevalenceHigh smoking prevalenceRecurrent strokeHypertension prevalenceSmoking prevalenceRural residentsRural residenceHypertensionReported historyLogistic regressionSurvivorsGeographic disparitiesSystem surveyPrevalenceSignificant increaseCardiovascular Risk Factor Profiles, Emergency Department Visits, and Hospitalizations for Women and Men with a History of Stroke or Transient Ischemic Attack: A Cross-Sectional Study
Chang TE, Goldstein LB, Leifheit EC, Howard VJ, Lichtman JH. Cardiovascular Risk Factor Profiles, Emergency Department Visits, and Hospitalizations for Women and Men with a History of Stroke or Transient Ischemic Attack: A Cross-Sectional Study. Journal Of Women's Health 2022, 31: 834-841. PMID: 35148481, DOI: 10.1089/jwh.2021.0471.Peer-Reviewed Original ResearchConceptsStroke/transient ischemic attackTransient ischemic attackPrior stroke/transient ischemic attackCause ED visitsEmergency department visitsHealth care utilizationCross-sectional studyCause hospitalizationED visitsIschemic attackDepartment visitsCare utilizationCVD-RFsCardiovascular risk factor profileCardiovascular disease risk factorsCovariate-adjusted logistic regression modelsCause emergency department visitsHigher health care utilizationMedical Expenditure Panel Survey dataRisk factor profileDisease risk factorsHistory of strokeOdds of hospitalizationRepresentative Medical Expenditure Panel Survey dataSex-specific predictors
2019
Trends and Factors Associated With Concordance Between International Classification of Diseases, Ninth and Tenth Revision, Clinical Modification Codes and Stroke Clinical Diagnoses
Chang TE, Tong X, George MG, King S, Yin X, O’Brien S, Ibrahim G, Liskay A, team T, Wiltz JL. Trends and Factors Associated With Concordance Between International Classification of Diseases, Ninth and Tenth Revision, Clinical Modification Codes and Stroke Clinical Diagnoses. Stroke 2019, 50: 1959-1967. PMID: 31208302, DOI: 10.1161/strokeaha.118.024092.Peer-Reviewed Original ResearchConceptsClinical Modification codesIschemic strokeClinical diagnosisTenth RevisionDiagnosis categoryICD-CM codesTransient ischemic attackDisease surveillanceICD-9-CMIschemic attackPatient characteristicsIntracerebral hemorrhageStroke patientsSubarachnoid hemorrhagePatient dischargeHospital characteristicsICD-10-CMCare studiesHigher oddsInternational ClassificationPatient recordsHospitalLarge hospitalsSmall hospitalsCalendar quarter
2018
A Decade of Improvement in Door-to-Needle Time Among Acute Ischemic Stroke Patients, 2008 to 2017
Tong X, Wiltz JL, George MG, Odom EC, King S, Chang T, Yin X, team P, Merritt RK. A Decade of Improvement in Door-to-Needle Time Among Acute Ischemic Stroke Patients, 2008 to 2017. Circulation Cardiovascular Quality And Outcomes 2018, 11: e004981. PMID: 30557047, PMCID: PMC6329285, DOI: 10.1161/circoutcomes.118.004981.Peer-Reviewed Original ResearchMeSH KeywordsAdministration, IntravenousAdolescentAdultAgedAged, 80 and overBrain IschemiaFemaleFibrinolytic AgentsHealthcare DisparitiesHumansMaleMiddle AgedQuality ImprovementQuality Indicators, Health CareRegistriesRisk AssessmentRisk FactorsStrokeThrombolytic TherapyTime FactorsTime-to-TreatmentTissue Plasminogen ActivatorTreatment OutcomeUnited StatesYoung AdultConceptsPaul Coverdell National Acute Stroke ProgramAcute ischemic stroke patientsAcute Stroke ProgramDTN timeIschemic stroke patientsStroke ProgramNeedle timeStroke patientsAcute ischemic stroke admissionsAcute ischemic strokeIschemic stroke admissionsEmergency medical servicesIntravenous alteplaseSevere strokeStroke admissionsIschemic strokeBlack patientsOutside hospitalClinical benefitMedical historyOdds ratioAlteplasePatientsStrokeMedical services
2016
Accuracy of ICD‐9‐CM Codes by Hospital Characteristics and Stroke Severity: Paul Coverdell National Acute Stroke Program
Chang TE, Lichtman JH, Goldstein LB, George MG. Accuracy of ICD‐9‐CM Codes by Hospital Characteristics and Stroke Severity: Paul Coverdell National Acute Stroke Program. Journal Of The American Heart Association 2016, 5: e003056. PMID: 27247334, PMCID: PMC4937256, DOI: 10.1161/jaha.115.003056.Peer-Reviewed Original ResearchConceptsICD-9-CM codesTransient ischemic attackPaul Coverdell National Acute Stroke ProgramAcute Stroke ProgramStroke severityHospital characteristicsIschemic strokeClinical diagnosisStroke ProgramStroke unitStroke/transient ischemic attackHealth Stroke Scale scoreStroke Scale scoreSevere ischemic strokeRecords of patientsPatient's clinical diagnosisPhysician's clinical diagnosisHealth services researchIschemic attackStroke teamIntracerebral hemorrhageNinth RevisionPhysician diagnosisAdministrative databasesClinical Modification