LIVIVO - The Search Portal for Life Sciences

zur deutschen Oberfläche wechseln
Advanced search

Search results

Result 1 - 10 of total 3933

Search options

  1. Article ; Online: Sources of variation in nutrient loads collected through street sweeping in the Minneapolis-St. Paul Metropolitan Area, Minnesota, USA.

    Hobbie, Sarah E / King, Rachel A / Belo, Tessa / Kalinosky, Paula / Baker, Lawrence A / Finlay, Jacques C / Buyarski, Christopher A / Bintner, Ross

    The Science of the total environment

    2023  Volume 905, Page(s) 166934

    Abstract: ... in the Minneapolis-St. Paul Metropolitan Area, Minnesota, USA. We expected that nutrient concentrations and loads ...

    Abstract Excess non-point nutrient loading continues to impair urban surface waters. Because of the potential contribution of tree litterfall to nutrient pollution in stormwater, street sweeping is a promising management tool for reducing eutrophication in urban and suburban regions. However, nutrient concentrations and loads of material removed through street sweeping have not been well characterized, impeding the development of pollution reduction credits and improvement of models for stormwater management. We evaluated the role of canopy cover over streets, street sweeper type, season, and sweeping frequency in contributing to variation in concentrations and loads of nitrogen (N), phosphorus (P), and solids recovered in street sweepings, using analyses of samples collected during regular street sweeping operations in five cities in the Minneapolis-St. Paul Metropolitan Area, Minnesota, USA. We expected that nutrient concentrations and loads would be highest in seasons and places of higher tree litterfall. We also expected that regenerative-air sweepers would recover higher loads compared to mechanical broom sweepers. Total N and P concentrations in sweepings increased most strongly with canopy cover in June, October, and November. Total N and P recovered in street sweepings similarly increased with canopy cover in June, October, and November, and peaked in early summer and autumn, times of high litterfall. In contrast, total dry mass in sweepings was greatest in early spring, following winter snowmelt. However, nutrient loads and concentrations did not differ between sweeper types. Our results add to growing evidence of the importance of street trees in contributing nutrient pollution to urban surface waters. Street sweeping focused on high-canopy streets during early summer and autumn is likely an effective management tool for stormwater nutrient pollution.
    MeSH term(s) Minnesota ; Environmental Monitoring ; Environmental Pollution ; Nutrients ; Cities ; Trees
    Language English
    Publishing date 2023-09-12
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 121506-1
    ISSN 1879-1026 ; 0048-9697
    ISSN (online) 1879-1026
    ISSN 0048-9697
    DOI 10.1016/j.scitotenv.2023.166934
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  2. Article ; Online: Contemporary Trends in the Treatment of Mild Ischemic Stroke with Intravenous Thrombolysis: Paul Coverdell National Acute Stroke Program.

    Asaithambi, Ganesh / Tong, Xin / Coleman King, Sallyann M / George, Mary G

    Cerebrovascular diseases (Basel, Switzerland)

    2021  Volume 51, Issue 1, Page(s) 60–66

    Abstract: ... AIS over time.: Methods: Using the Paul Coverdell National Stroke Program data, we examined trends ...

    Abstract Background: Presentation with mild symptoms is a common reason for intravenous thrombolysis (IVT) nonuse among acute ischemic stroke (AIS) patients. We examined the impact of IVT on the outcomes of mild AIS over time.
    Methods: Using the Paul Coverdell National Stroke Program data, we examined trends in IVT utilization from 2010 to 2019 among AIS patients presenting with National Institutes of Health Stroke Scale (NIHSS) scores ≤5. Outcomes adjudicated included rates of discharge to home and ability to ambulate independently at discharge. We used generalized estimating equation models to examine the effect of IVT on outcomes of AIS patients presenting with mild symptoms and calculated adjusted odds ratio (AOR) with 95% confidence intervals (CI).
    Results: During the study period, 346,762 patients presented with mild AIS symptoms. Approximately 6.2% were treated with IVT. IVT utilization trends increased from 3.7% in 2010 to 7.7% in 2019 (p < 0.001). Patients treated with IVT had higher median NIHSS scores upon presentation (IVT 3 [2, 4] vs. no IVT 2 [0, 3]). Rates of discharge to home (AOR 2.06, 95% CI: 1.99-2.13) and ability to ambulate at time of discharge (AOR 1.82, 95% CI: 1.76-1.89) were higher among those treated with IVT.
    Conclusion: There was an increased trend in IVT utilization among AIS patients presenting with mild symptoms. Utilization of IVT increased the odds of being discharged to home and the ability to ambulate at discharge independently in patients with mild stroke.
    MeSH term(s) Administration, Intravenous ; Brain Ischemia/diagnosis ; Brain Ischemia/drug therapy ; Fibrinolytic Agents ; Humans ; Ischemic Stroke/diagnosis ; Ischemic Stroke/drug therapy ; Stroke/diagnosis ; Stroke/drug therapy ; Thrombolytic Therapy/adverse effects ; Treatment Outcome
    Chemical Substances Fibrinolytic Agents
    Language English
    Publishing date 2021-08-17
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 1069462-6
    ISSN 1421-9786 ; 1015-9770
    ISSN (online) 1421-9786
    ISSN 1015-9770
    DOI 10.1159/000517969
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  3. Article ; Online: A Comparison of Acute Ischemic Stroke Patients Discharged to Inpatient Rehabilitation vs a Skilled Nursing Facility: The Paul Coverdell National Acute Stroke Program.

    Pattath, Priyadarshini / Odom, Erika C / Tong, Xin / Yin, Xiaoping / Coleman King, Sallyann M

    Archives of physical medicine and rehabilitation

    2022  Volume 104, Issue 4, Page(s) 605–611

    Abstract: ... skilled nursing facility (SNF) rehabilitation services.: Design: Retrospective descriptive study from the Paul Coverdell ...

    Abstract Objective: To compare the sociodemographic, clinical, and hospital related factors associated with discharge of acute ischemic stroke (AIS) survivors to inpatient rehabilitation (IRF) and skilled nursing facility (SNF) rehabilitation services.
    Design: Retrospective descriptive study from the Paul Coverdell National Acute Stroke Program (PCNASP) participating hospitals during 2016 to 2019.
    Setting: 9 Participating states from PCNASP in United States.
    Participants: 130,988 patients with AIS from 569 hospitals (N=337,857).
    Interventions: Not applicable.
    Main outcome measure: Discharge to IRF and SNF.
    Results: Patients discharged to a SNF had longer length of hospital stay, more comorbidities, and higher modified Rankin scores compared with patients discharged to an IRF. Nine characteristics were associated with being less likely to be discharged to an IRF than an SNF: older age (85+ years old, adjusted odds ratio [AOR]=0.20 [confidence interval [CI]=0.18-0.21]), identifying as non-Hispanic Black (AOR=0.85 [CI=0.81-0.89]), identifying as Hispanic (AOR=0.80 [CI=0.74-0.87]), having Medicaid or Medicare (AOR=0.73 [CI=0.70-0.77]), being able to ambulate with assistance from another person (AOR=0.93 [CI=0.89-0.97]), being unable to ambulate (AOR=0.73 [CI=0.62-0.87]) and having comorbidities, prior stroke (AOR=0.69 [CI=0.66-0.73]), diabetes (AOR=0.85 [CI=0.82-0.88]), and myocardial infraction or coronary artery disease (AOR=0.94 [CI=0.90-0.97]). Four characteristics were associated with being more likely to be discharged to an IRF than an SNF: being a man (AOR=1.20 [CI=1.16-1.24]), and having a slight disability (Rankin Score 2) (AOR=1.41 [CI=1.29-1.54]), being at larger hospitals (200-399 beds: AOR=1.31 [CI=1.23-1.40]; 400+ beds: AOR=1.29 [CI=1.20-1.38]), and being at a hospital with stroke unit (AOR=1.12 [CI=1.07-1.17]).
    Conclusion: This study found differences in demographic, clinical, and hospital characteristics of AIS patients discharged for rehabilitation to an IRF vs SNF. The characteristics of patients receiving rehabilitation services may be helpful for researchers and hospitals making policies related to stroke discharge and practices that optimize patient outcomes. Populations experiencing inequities in access to rehabilitation services should be identified, and those who qualify for rehabilitation in IRF should receive this care in preference to rehabilitation in SNF.
    MeSH term(s) Male ; Humans ; Aged ; United States ; Aged, 80 and over ; Patient Discharge ; Ischemic Stroke ; Inpatients ; Retrospective Studies ; Rehabilitation Centers ; Medicare ; Stroke ; Stroke Rehabilitation ; Skilled Nursing Facilities
    Language English
    Publishing date 2022-12-13
    Publishing country United States
    Document type Journal Article
    ZDB-ID 80057-0
    ISSN 1532-821X ; 0003-9993
    ISSN (online) 1532-821X
    ISSN 0003-9993
    DOI 10.1016/j.apmr.2022.11.008
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  4. Article ; Online: Emergency Medical Services Utilization for Acute Stroke Care: Analysis of the Paul Coverdell National Acute Stroke Program, 2014-2019.

    Asaithambi, Ganesh / Tong, Xin / Lakshminarayan, Kamakshi / Coleman King, Sallyann M / George, Mary G / Odom, Erika C

    Prehospital emergency care

    2021  Volume 26, Issue 3, Page(s) 326–332

    Abstract: ... ...

    Abstract Objective
    MeSH term(s) Aged ; Emergency Medical Services ; Female ; Hemorrhagic Stroke ; Humans ; Ischemic Attack, Transient/diagnosis ; Ischemic Attack, Transient/therapy ; Ischemic Stroke ; Male ; Medicare ; Stroke/diagnosis ; Stroke/therapy ; United States
    Language English
    Publishing date 2021-02-22
    Publishing country England
    Document type Journal Article
    ZDB-ID 1461751-1
    ISSN 1545-0066 ; 1090-3127
    ISSN (online) 1545-0066
    ISSN 1090-3127
    DOI 10.1080/10903127.2021.1877856
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  5. Article ; Online: Defect-free care trends in the Paul Coverdell National Acute Stroke Program, 2008-2018.

    Overwyk, Katherine J / Yin, Xiaoping / Tong, Xin / King, Sallyann M Coleman / Wiltz, Jennifer L

    American heart journal

    2020  Volume 232, Page(s) 177–184

    Abstract: ... metrics are monitored to assess utilization of evidence-based stroke care processes as part of the Paul ...

    Abstract Background: In an effort to improve stroke quality of care and patient outcomes, quality of care metrics are monitored to assess utilization of evidence-based stroke care processes as part of the Paul Coverdell National Acute Stroke Program (PCNASP). We aimed to assess temporal trends in defect-free care (DFC) received by stroke patients in the PCNASP between 2008 and 2018.
    Methods: Quality of care data for 10 performance measures were available for 849,793 patients aged ≥18 years who were admitted to a participating hospital with a clinical diagnosis of stroke between 2008 and 2018. A patient who receives care according to all performance measures for which they are eligible, receives "defect-free care" (DFC) (eg, appropriate medications, assessments, and education). Generalized estimating equations were used to examine the factors associated with receipt of DFC.
    Results: DFC among ischemic stroke patients increased from 38.0% in 2008 to 80.8% in 2018 (P < .0001), with the largest improvement seen in receipt of stroke education (relative percent change, RPC = 64%). Similarly, DFC for hemorrhagic stroke and transient ischemic attack patients increased from 46.7% to 82.6% (RPC = 76.9%) and 39.9% to 85.0% (RPC = 113.0%) (P < .001), respectively. Among ischemic stroke patients, the adjusted odds for receiving DFC were lower for women, patients aged 18 to 54 years, Medicaid or Medicare participants, and patients with atrial fibrillation (P < .05).
    Conclusions: From 2008 to 2018, receipt of DFC by ischemic stroke patients significantly increased in the PCNASP; however certain subgroups were less likely to receive this level of care. Targeted quality improvement initiatives could result in even further improvements among all stroke patients and help reduce disparities in care.
    MeSH term(s) Adult ; African Americans/statistics & numerical data ; Age Factors ; Aged ; Atrial Fibrillation ; Female ; Guideline Adherence/trends ; Healthcare Disparities/ethnology ; Healthcare Disparities/statistics & numerical data ; Hemorrhagic Stroke/therapy ; Hispanic or Latino/statistics & numerical data ; Humans ; Ischemic Attack, Transient/therapy ; Ischemic Stroke/therapy ; Male ; Medicaid/statistics & numerical data ; Medicare/statistics & numerical data ; Middle Aged ; Practice Guidelines as Topic ; Quality Indicators, Health Care ; Quality of Health Care/trends ; Sex Factors ; United States ; Whites/statistics & numerical data ; Young Adult
    Language English
    Publishing date 2020-11-27
    Publishing country United States
    Document type Journal Article ; Research Support, U.S. Gov't, P.H.S.
    ZDB-ID 80026-0
    ISSN 1097-6744 ; 0002-8703
    ISSN (online) 1097-6744
    ISSN 0002-8703
    DOI 10.1016/j.ahj.2020.11.010
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  6. Article ; Online: Effect of Insurance Status on Outcomes of Acute Ischemic Stroke Patients Receiving Intra-Arterial Treatment: Results from the Paul Coverdell National Acute Stroke Program.

    Asaithambi, Ganesh / Tong, Xin / Lakshminarayan, Kamakshi / Coleman King, Sallyann M / George, Mary G

    Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association

    2021  Volume 30, Issue 5, Page(s) 105692

    Abstract: ... from the Paul Coverdell National Acute Stroke Program (PCNASP) from 2014 to 2019 to quantify rates of IAT ...

    Abstract Background: Stroke continues to be a leading cause of death and disability in the United States. Rates of intra-arterial reperfusion treatments (IAT) for acute ischemic stroke (AIS) are increasing, and these treatments are associated with more favorable outcomes. We sought to examine the effect of insurance status on outcomes for AIS patients receiving IAT within a multistate stroke registry.
    Methods: We used data from the Paul Coverdell National Acute Stroke Program (PCNASP) from 2014 to 2019 to quantify rates of IAT (with or without intravenous thrombolysis) after AIS. We modeled outcomes based on insurance status: private, Medicare, Medicaid, or no insurance. Outcomes were defined as rates of discharge to home, in-hospital death, symptomatic intracranial hemorrhage (sICH), or life-threatening hemorrhage during hospitalization.
    Results: During the study period, there were 486,180 patients with a clinical diagnosis of AIS (mean age 70.6 years, 50.3% male) from 674 participating hospitals in PCNASP. Only 4.3% of patients received any IAT. As compared to private insurance, uninsured patients receiving any IAT were more likely to experience in-hospital death (AOR 1.36 [95% CI 1.07-1.73]). Medicare (AOR 0.78 [95% CI 0.71-0.85]) and Medicaid (AOR 0.85 [95% CI 0.75-0.96]) beneficiaries were less likely but uninsured patients were more likely (AOR 1.90 [95% CI 1.61-2.24]) to be discharged home. Insurance status was not found to be independently associated with rates of sICH.
    Conclusions: Insurance status was independently associated with in-hospital death and discharge to home among AIS patients undergoing IAT.
    MeSH term(s) Adolescent ; Adult ; Aged ; Aged, 80 and over ; Endovascular Procedures/adverse effects ; Endovascular Procedures/mortality ; Female ; Fibrinolytic Agents/administration & dosage ; Fibrinolytic Agents/adverse effects ; Healthcare Disparities ; Hospital Mortality ; Humans ; Insurance, Health ; Intracranial Hemorrhages/etiology ; Intracranial Hemorrhages/mortality ; Ischemic Stroke/diagnosis ; Ischemic Stroke/drug therapy ; Ischemic Stroke/mortality ; Male ; Medicaid ; Medically Uninsured ; Medicare ; Middle Aged ; Patient Discharge ; Registries ; Risk Assessment ; Risk Factors ; Thrombolytic Therapy/adverse effects ; Time Factors ; Treatment Outcome ; United States/epidemiology ; Young Adult
    Chemical Substances Fibrinolytic Agents
    Language English
    Publishing date 2021-03-04
    Publishing country United States
    Document type Comparative Study ; Journal Article ; Multicenter Study
    ZDB-ID 1131675-5
    ISSN 1532-8511 ; 1052-3057
    ISSN (online) 1532-8511
    ISSN 1052-3057
    DOI 10.1016/j.jstrokecerebrovasdis.2021.105692
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  7. Article ; Online: COVID-19 Pandemic and Quality of Care and Outcomes of Acute Stroke Hospitalizations: the Paul Coverdell National Acute Stroke Program.

    Tong, Xin / King, Sallyann M Coleman / Asaithambi, Ganesh / Odom, Erika / Yang, Quanhe / Yin, Xiaoping / Merritt, Robert K

    Preventing chronic disease

    2021  Volume 18, Page(s) E82

    Abstract: ... hospitals who contributed data to the Paul Coverdell National Acute Stroke Program. We used 10 performance ...

    Abstract Introduction: Studies documented significant reductions in emergency department visits and hospitalizations for acute stroke during the COVID-19 pandemic. A limited number of studies assessed the adherence to stroke performance measures during the pandemic. We examined rates of stroke hospitalization and adherence to stroke quality-of-care measures before and during the early phase of pandemic.
    Methods: We identified hospitalizations with a clinical diagnosis of acute stroke or transient ischemic attack among 406 hospitals who contributed data to the Paul Coverdell National Acute Stroke Program. We used 10 performance measures to examine the effect of the pandemic on stroke quality of care. We compared data from 2 periods: pre-COVID-19 (week 11-24 in 2019) and COVID-19 (week 11-24 in 2020). We used χ
    Results: We identified 64,461 hospitalizations. We observed a 20.2% reduction in stroke hospitalizations (from 35,851 to 28,610) from the pre-COVID-19 period to the COVID-19 period. Hospitalizations among patients aged 85 or older, women, and non-Hispanic White patients declined the most. A greater percentage of patients aged 18 to 64 were hospitalized with ischemic stroke during COVID-19 than during pre-COVID-19 (34.4% vs 32.5%, P < .001). Stroke severity was higher during COVID-19 than during pre-COVID-19 for both hemorrhagic stroke and ischemic stroke, and in-hospital death among patients with ischemic stroke increased from 4.3% to 5.0% (P = .003) during the study period. We found no differences in rates of receiving care across stroke type during the study period.
    Conclusion: Despite a significant reduction in stroke hospitalizations, more severe stroke among hospitalized patients, and an increase in in-hospital death during the pandemic period, we found no differences in adherence to quality of stroke care measures.
    MeSH term(s) Adolescent ; Adult ; Aged ; Aged, 80 and over ; COVID-19 ; Female ; Hospital Mortality ; Hospitalization ; Humans ; Male ; Medicare ; Middle Aged ; Pandemics ; Quality of Health Care ; Retrospective Studies ; Stroke/epidemiology ; Stroke/therapy ; United States/epidemiology ; Young Adult
    Language English
    Publishing date 2021-08-19
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2135684-1
    ISSN 1545-1151 ; 1545-1151
    ISSN (online) 1545-1151
    ISSN 1545-1151
    DOI 10.5888/pcd18.210130
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  8. Article ; Online: Current trends in the acute treatment of ischemic stroke: analysis from the Paul Coverdell National Acute Stroke Program.

    Asaithambi, Ganesh / Tong, Xin / Lakshminarayan, Kamakshi / Coleman King, Sallyann M / George, Mary G

    Journal of neurointerventional surgery

    2019  Volume 12, Issue 6, Page(s) 574–578

    Abstract: ... on the utilization of intravenous thrombolysis (IVT) within the same 11 years.: Methods: Using data from the Paul ...

    Abstract Background: The intra-arterial treatment (IAT) of acute ischemic stroke (AIS) is now evidence-based and given the highest level of recommendation among eligible patients. Using a multi-state stroke registry, we studied the trend in IAT among patients with AIS over 11 years and its impact on the utilization of intravenous thrombolysis (IVT) within the same 11 years.
    Methods: Using data from the Paul Coverdell National Acute Stroke Program (PCNASP), we studied trends in IVT and IAT for patients with AIS between 2008 and 2018. Trends over time were examined for rates of IVT only, IAT only, or a combination of IVT and IAT (IVT+IAT). Favorable outcome was defined as discharge to home.
    Results: During the study period there were 595 677 patients (mean age 70.4 years, 50.4% women) from 646 participating hospitals with a clinical diagnosis of AIS in the PCNASP. Trends for IVT only, IAT only, and IVT+IAT all significantly increased over time (P<0.001). Total use of IVT and IAT increased from 7% in 2008 to 19.1% in 2018. The rate of patients discharged to home increased significantly over time among all treatment groups (P<0.001).
    Conclusion: In our large registry-based analysis, we observed a significant increase in the use of IAT for the treatment of AIS, with continued increases in the use of IVT. Concurrently, the percent of patients with favorable outcomes continued to increase.
    MeSH term(s) Aged ; Brain Ischemia/epidemiology ; Brain Ischemia/therapy ; Female ; Fibrinolytic Agents/administration & dosage ; Humans ; Infusions, Intra-Arterial/standards ; Infusions, Intra-Arterial/trends ; Infusions, Intravenous/standards ; Infusions, Intravenous/trends ; Injections, Intra-Arterial/standards ; Injections, Intra-Arterial/trends ; Injections, Intravenous/standards ; Injections, Intravenous/trends ; Male ; Middle Aged ; Quality Improvement/standards ; Quality Improvement/trends ; Registries ; Stroke/epidemiology ; Stroke/therapy ; Thrombolytic Therapy/standards ; Thrombolytic Therapy/trends ; Treatment Outcome
    Chemical Substances Fibrinolytic Agents
    Language English
    Publishing date 2019-10-25
    Publishing country England
    Document type Journal Article
    ZDB-ID 2514982-9
    ISSN 1759-8486 ; 1759-8478
    ISSN (online) 1759-8486
    ISSN 1759-8478
    DOI 10.1136/neurintsurg-2019-015133
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  9. Book: Paul Rudolph

    Domin, Christopher / King, Joseph / Rudolph, Paul

    the Florida houses

    2002  

    Author's details Christopher Domin and Joseph King
    Keywords Architecture ; Architecture, Domestic
    Language English
    Size 237 S, überw. Ill
    Publisher Princeton Architectural Press
    Publishing place New York, NY
    Document type Book
    Note Includes bibliographical references and index
    ISBN 1568982666 ; 9781568982663
    Database Library catalogue of the German National Library of Science and Technology (TIB), Hannover

    More links

    Kategorien

  10. Article ; Online: Trends in hospital procedure volumes for intra-arterial treatment of acute ischemic stroke: results from the paul coverdell national acute stroke program.

    Asaithambi, Ganesh / Tong, Xin / Lakshminarayan, Kamakshi / Coleman King, Sallyann M / George, Mary G

    Journal of neurointerventional surgery

    2020  Volume 12, Issue 11, Page(s) 1076–1079

    Abstract: ... procedure volumes and patient outcome after stroke.: Methods: We used data from the Paul Coverdell ...

    Abstract Background: Rates of intra-arterial revascularization treatments (IAT) for acute ischemic stroke (AIS) are increasing in the USA. Using a multi-state stroke registry, we studied the trend in IAT use among patients with AIS over a period spanning 11 years. We examined the impact of IAT rates on hospital procedure volumes and patient outcome after stroke.
    Methods: We used data from the Paul Coverdell National Acute Stroke Program (PCNASP) and explored trends in IAT between 2008 and 2018. Patient outcomes were examined by rates of IAT procedures across hospitals. Specifically, outcomes were compared across low-volume (<15 IAT per year), medium-volume (15-30 IAT per year), and high-volume hospitals (>30 IAT per year). Favorable outcome was defined as discharge to home.
    Results: There were 612 958 patients admitted with AIS to 687 participating hospitals within the PCNASP during this study. Only 2.9% of patients (mean age 68.5 years, 49.3% women) received IAT. The percent of patients with AIS receiving IAT increased from 1% in 2008 to 5.3% in 2018 (p<0.001). The proportion of low-volume hospitals decreased over time (p<0.001), and the proportions of medium-volume (p=0.007) and high-volume hospitals (p<0.001) increased between 2008 and 2018. When compared with medium-volume hospitals, high-volume hospitals had a higher (p<0.0001) and low-volume hospitals had a lower (p<0.0001) percent of patients discharged to home.
    Conclusion: High-volume hospitals were associated with a higher rate of favorable outcome. With the increased use of IAT among patients with AIS, the proportion of low-volume hospitals performing IAT significantly decreased.
    MeSH term(s) Adult ; Aged ; Aged, 80 and over ; Cerebral Arteries/surgery ; Cerebral Revascularization/statistics & numerical data ; Female ; Hospitals, High-Volume/statistics & numerical data ; Hospitals, Low-Volume/statistics & numerical data ; Humans ; Ischemic Stroke/epidemiology ; Ischemic Stroke/surgery ; Male ; Middle Aged ; Patient Discharge ; Registries ; Stroke/epidemiology ; Stroke/surgery ; Thrombolytic Therapy ; Treatment Outcome ; United States/epidemiology
    Language English
    Publishing date 2020-03-13
    Publishing country England
    Document type Journal Article
    ZDB-ID 2514982-9
    ISSN 1759-8486 ; 1759-8478
    ISSN (online) 1759-8486
    ISSN 1759-8478
    DOI 10.1136/neurintsurg-2020-015844
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

To top