2022
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
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
2020
Association Between Cost-Related Medication Nonadherence and Hypertension Management Among US Adults
Fang J, Chang T, Wang G, Loustalot F. Association Between Cost-Related Medication Nonadherence and Hypertension Management Among US Adults. American Journal Of Hypertension 2020, 33: 879-886. PMID: 32369108, DOI: 10.1093/ajh/hpaa072.Peer-Reviewed Original ResearchConceptsCurrent antihypertensive medication useCost-related medication nonadherenceAntihypertensive medication useNormal blood pressureSelf-reported hypertensionBlood pressureMedication useHypertension managementMedication nonadherenceUS adultsPrevalence ratiosSelf-reported antihypertensive medication useNational Health Interview SurveyAdjusted prevalence ratiosHealth Interview SurveyAdherence persistUncontrolled hypertensionAdjusted prevalenceHypertensionAdjusted percentageNonadherenceInterview SurveyMonthsFinancial barriersAdults
2019
National Rates of Nonadherence to Antihypertensive Medications Among Insured Adults With Hypertension, 2015
Chang TE, Ritchey MD, Park S, Chang A, Odom EC, Durthaler J, Jackson SL, Loustalot F. National Rates of Nonadherence to Antihypertensive Medications Among Insured Adults With Hypertension, 2015. Hypertension 2019, 74: 1324-1332. PMID: 31679429, DOI: 10.1161/hypertensionaha.119.13616.Peer-Reviewed Original ResearchMeSH KeywordsAdultAge FactorsAgedAged, 80 and overAntihypertensive AgentsCross-Sectional StudiesFemaleHumansHypertensionIncidenceInsurance Claim ReviewInsurance CoverageMaleMedicaidMedicare Part DMedication AdherenceMiddle AgedRetrospective StudiesRisk AssessmentSensitivity and SpecificitySex FactorsUnited StatesConceptsBlood pressure controlMedication nonadherence ratesAntihypertensive medicationsNonadherence ratesHypertensive adultsUS adultsHealth insurancePressure controlNational ratesAvailable evidence-based interventionsAntihypertensive medication regimenAntihypertensive medication therapyEstimates of nonadherenceInsurance plan typePrescription claims dataIBM MarketScan databasesProportion of daysMultiple administrative datasetsEvidence-based interventionsMedicare Part DMedication regimenMedication therapyMarketScan databaseGreater nonadherencePrivate health insuranceAssociation between long-term adherence to class-I recommended medications and risk for potentially preventable heart failure hospitalizations among younger adults
Chang TE, Park S, Yang Q, Loustalot F, Butler J, Ritchey MD. Association between long-term adherence to class-I recommended medications and risk for potentially preventable heart failure hospitalizations among younger adults. PLOS ONE 2019, 14: e0222868. PMID: 31545830, PMCID: PMC6756532, DOI: 10.1371/journal.pone.0222868.Peer-Reviewed Original ResearchConceptsHeart failureMedication categoriesHF hospitalizationIsosorbide dinitrateGood adherenceEnzyme inhibitors/angiotensin receptor blockersIBM MarketScan Commercial DatabaseAngiotensin receptor blockersHeart failure hospitalizationReduced ejection fractionAldosterone receptor antagonistsMarketScan Commercial DatabaseLong-term adherencePoor health outcomesEffectiveness of interventionsLong-term managementGood adherersHF medicationsHospitalization 3Failure hospitalizationInsured adultsBeta blockersEjection fractionInitial diagnosisOutpatient setting
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 servicesUse of Outpatient Rehabilitation Among Adult Stroke Survivors — 20 States and the District of Columbia, 2013, and Four States, 2015
Ayala C, Fang J, Luncheon C, King SC, Chang T, Ritchey M, Loustalot F. Use of Outpatient Rehabilitation Among Adult Stroke Survivors — 20 States and the District of Columbia, 2013, and Four States, 2015. MMWR Morbidity And Mortality Weekly Report 2018, 67: 575-578. PMID: 29795076, PMCID: PMC6433337, DOI: 10.15585/mmwr.mm6720a2.Peer-Reviewed Original ResearchConceptsStroke survivorsBehavioral Risk Factor Surveillance System dataEvidence-based guidelinesDistrict of ColumbiaAdult stroke survivorsSurveillance System dataQuality of lifeSystem-level interventionsPublic health communityStroke recurrenceHospital dischargeOutpatient rehabilitationFunctional outcomeOutpatient settingLeading causeStroke rehabilitationNational guidelinesBRFSS dataHealth systemStrokeHispanic originSurvivorsHealth communityAmerican adultsLevel of education