keyword
https://read.qxmd.com/read/37418869/evaluation-of-neural-machine-translation-for-conversion-of-international-classification-of-disease-codes-to-the-abbreviated-injury-scale
#21
JOURNAL ARTICLE
Thomas Hartka, Pavel Chernyavskiy, George Glass, Justin Yaworsky, Yangfeng Ji
The Abbreviated Injury Scale (AIS) is an essential tool for injury research since it allows for comparisons of injury severity among patients, however, the International Classification of Diseases (ICD) is more widely used to capture medical information. The problem of conversion between these two medical coding systems has similarities to the challenges encountered in language translation. We therefore hypothesize that neural machine translation (NMT), a deep learning technique which is commonly used for human language translation, could be used to convert ICD codes to AIS...
July 5, 2023: Accident; Analysis and Prevention
https://read.qxmd.com/read/37405813/internal-and-external-validation-of-an-updated-icd-10-ca-to-ais-2005-update-2008-algorithm
#22
JOURNAL ARTICLE
Bourke W Tillmann, Matthew P Guttman, Jaimini Thakore, David C Evans, Avery B Nathens, Jennifer McMillan, Recep Gezer, Andrea Phillips, Natalie L Yanchar, Priscila Pequeno, Damon C Scales, Petros Pechlivanoglou, Barbara Haas
BACKGROUND: Administrative data are a powerful tool for population-level trauma research but lack the trauma-specific diagnostic and injury severity codes needed for risk-adjusted comparative analyses. The objective of this study was to validate an algorithm to derive Abbreviated Injury Scale (AIS-2005 Update 2008) severity scores from Canadian International Classification of Diseases (ICD-10-CA) diagnostic codes in administrative data. METHODS: This was a retrospective cohort study using data from the 2009-2017 Ontario Trauma Registry for the internal validation of the algorithm...
July 5, 2023: Journal of Trauma and Acute Care Surgery
https://read.qxmd.com/read/37360512/the-positive-predictive-value-of-pediatric-stroke-diagnoses-in-administrative-data-a-retrospective-validation-study
#23
JOURNAL ARTICLE
Julie Brix Bindslev, Soeren Paaske Johnsen, Klaus Hansen, Jan Brink Valentin, Christina Engel Hoei-Hansen, Thomas Truelsen
BACKGROUND: This retrospective cohort study aimed to examine the positive predictive value (PPV) of pediatric stroke diagnoses in the Danish National Registry of Patients (DNRP) and the impact of different stroke definitions on the PPV. METHODS: We included children registered with a stroke or stroke-related diagnosis in the DNRP between January 2017 through December 2020. Two assessors reviewed medical records and validated cases according to the American Heart and American Stroke Association (AHA/ASA) stroke definition...
2023: Clinical Epidemiology
https://read.qxmd.com/read/37351248/substance-use-disorders-suds-and-risk-of-cardiovascular-disease-cvd-and-cerebrovascular-disease-cevd-analysis-of-the-nationwide-inpatient-sample-nis-database
#24
JOURNAL ARTICLE
Harshil Patel, Urvish K Patel, Medhat Chowdhury, Andrew D Assaf, Chaithanya Avanthika, Mohammed A Nor, Mohamed Rage, Apoorva Madapu, Sravani Konatham, Mamatha Vodapally, Vatsalya Bhat, Anupa Gnawali, Mohamed Mohamed, Nawal Abdi, Faizan A Malik, Marcel Zughaib
BACKGROUND:  Substance use continues to be on the rise in the United States and has been linked to new onset cardiovascular diseases (CVDs) and cerebrovascular disorders (CeVDs). We aimed to study the association between the types of substance use disorders (SUDs) with specific subtypes of CVDs and CeVDs among hospitalized patients using the National Inpatient Sample (NIS) Database. METHODS:  A retrospective study of the NIS database (2016-2017) using the ICD-10-CM codes was performed...
May 2023: Curēus
https://read.qxmd.com/read/37295463/trends-and-in-hospital-outcomes-in-patients-with-vocal-fold-paralysis-after-ischemic-and-intracerebral-hemorrhagic-stroke-a-propensity-matched-20-year-analysis-of-the-nationwide-inpatient-sample
#25
JOURNAL ARTICLE
Vikram Vasan, Trevor A Hardigan, Brandon Yeshoua, Margaret Downes, Muhammad Ali, Alex Devarajan, Christina P Rossitto, Braxton R Schuldt, Ian Odland, Christopher P Kellner, Johanna T Fifi, J Mocco, Shahram Majidi
INTRODUCTION: Laryngeal manifestations of stroke have been sparsely described in the literature, specifically vocal fold paralysis (VFP). This study aimed to identify the prevalence, characteristics, and in-hospital outcomes of patients presenting with VFP after acute ischemic stroke (AIS) and intracerebral hemorrhage (ICH). METHODS: A query of the 2000-2019 Nationwide Inpatient Sample was performed for patients admitted with AIS (ICD9 433, 43401, 43411, 43491, ICD-10 I63) and ICH (ICD9 431, 432...
June 7, 2023: World Neurosurgery
https://read.qxmd.com/read/37233764/association-between-atopic-dermatitis-autoimmune-illnesses-epstein-barr-virus-and-cytomegalovirus
#26
JOURNAL ARTICLE
Zelma C Chiesa Fuxench, Nandita Mitra, Ole J Hoffstad, Elizabeth J Phillips, David J Margolis
Atopic dermatitis (AD) is a Th2 -driven inflammatory skin disease that has been associated with other autoimmune illnesses (AI) and has a well-known predisposition to infection with herpes simplex virus infection. Yet, few studies have evaluated the association between atopic dermatitis, autoimmune illness, and other human herpes virus (HHV) infections such as cytomegalovirus (CMV) and Epstein-Barr virus (EBV). We aimed to evaluate the association between AD, specific AIs, CMV, and EBV in a random sample of the Optum Clinformatics Data Mart database, a US administrative claims database...
May 26, 2023: Archives of Dermatological Research
https://read.qxmd.com/read/37232426/electrophysiological-study-prior-to-planned-pulmonary-valve-replacement-in-patients-with-repaired-tetralogy-of-fallot
#27
JOURNAL ARTICLE
Benjamin Bouyer, Zakaria Jalal, F Daniel Ramirez, Nicolas Derval, Xavier Iriart, Josselin Duchateau, François Roubertie, Nadir Tafer, Romain Tixier, Thomas Pambrun, Ghassen Cheniti, Ciro Ascione, Masaaki Yokoyama, Christopher Kowalewski, Samuel Buliard, Rémi Chauvel, Marine Arnaud, Mélèze Hocini, Michel Haïssaguerre, Pierre Jaïs, Hubert Cochet, Jean-Benoit Thambo, Frederic Sacher
AIM: Ventricular arrhythmias (VAs) are the most common cause of death in patients with repaired Tetralogy of Fallot (rTOF). However, risk stratifying remains challenging. We examined outcomes following programmed ventricular stimulation (PVS) with or without subsequent ablation in patients with rTOF planned for pulmonary valve replacement (PVR). METHODS: We included all consecutive patients with rTOF referred to our institution from 2010 to 2018 aged ≥18 years for PVR...
May 26, 2023: Journal of Cardiovascular Electrophysiology
https://read.qxmd.com/read/37183768/perioperative-acute-ischemic-stroke-in-patients-with-atrial-fibrillation
#28
JOURNAL ARTICLE
Liqi Shu, Wei Jiang, Han Xiao, Nils Henninger, Thanh N Nguyen, James E Siegler, Adam de Havenon, Eric D Goldstein, Daniel Mandel, Maheen Rana, Fawaz Al-Mufti, Jennifer Frontera, Karen Furie, Shadi Yaghi
OBJECTIVE: Anticoagulation therapy is commonly interrupted in patients with atrial fibrillation (AF) for elective procedures. However, the risk factors of acute ischemic stroke (AIS) during the periprocedural period remain uncertain. We performed a nationwide analysis to evaluate AIS risk factors in patients with AF undergoing elective surgical procedures. METHODS: Using the Nationwide Readmission Database, we included electively admitted adult patients with AF and procedural Diagnosis-Related Group codes from 2016 to 2019...
August 2023: Annals of Neurology
https://read.qxmd.com/read/37157802/the-gut-brain-connection-inflammatory-bowel-disease-increases-risk-of-acute-ischemic-stroke
#29
JOURNAL ARTICLE
Nicholas W Mui, Anaz Uddin, Michael P Fortunato, Bridget E Nolan, Kevin M Clare, Aiden K Lui, Mohammed Al-Juboori, Chirag D Gandhi, Fawaz Al-Mufti
OBJECTIVES: Chronic inflammation of the gastrointestinal tract is a hallmark of inflammatory bowel disease (IBD). This increased inflammation is thought to induce a hypercoagulable state that increases the risk for stroke. However, few studies have examined the association between IBD and acute ischemic stroke (AIS). Thus, this study aims to investigate the incidence, treatments, complications, and outcomes of AIS in patients with IBD. MATERIALS & METHODS: ICD-9-CM and ICD-10-CM codes were used to query the National Inpatient Sample for AIS and IBD diagnosis...
May 8, 2023: Interventional Neuroradiology
https://read.qxmd.com/read/37068938/variation-in-us-acute-ischemic-stroke-treatment-by-hospital-regions-limited-endovascular-access-despite-evidence
#30
JOURNAL ARTICLE
Laura K Stein, Luke Maillie, John Erdman, Emma Loebel, Naomi Mayman, Akarsh Sharma, Sophia Wolmer, Stanley Tuhrim, Johanna T Fifi, Nathalie Jette, J Mocco, Mandip S Dhamoon
BACKGROUND: Although national organizations recognize the importance of regionalized acute ischemic stroke (AIS) care, data informing expansion are sparse. We assessed real-world regional variation in emergent AIS treatment, including growth in revascularization therapies and stroke center certification. We hypothesized that we would observe overall growth in revascularization therapy utilization, but observed differences would vary greatly regionally. METHODS: A retrospective cross-sectional analysis was carried out of de-identified national inpatient Medicare Fee-for-Service datasets from 2016 to 2019...
April 17, 2023: Journal of Neurointerventional Surgery
https://read.qxmd.com/read/37038260/burn-excision-within-48-hours-portends-better-outcomes-than-standard-management-a-nationwide-analysis
#31
JOURNAL ARTICLE
Walter A Ramsey, Christopher F O'Neil, Andres M Corona, Brianna L Cohen, Nicole B Lyons, Matthew S Meece, Rebecca A Saberi, Gareth P Gilna, Shevonne S Satahoo, Joyce I Kaufman, Carl I Schulman, Nicholas Namias, Kenneth G Proctor, Louis R Pizano
BACKGROUND: Previous studies have debated the optimal time to perform excision and grafting of second- and third-degree burns. The current consensus is that excision should be performed before the sixth hospital day. We hypothesize that patients who undergo excision within 48 hours have better outcomes. METHODS: The American College of Surgeons Trauma Quality Programs data set was used to identify all patients with at least 10% total body surface area second- and third-degree burns from years 2017 to 2019...
July 1, 2023: Journal of Trauma and Acute Care Surgery
https://read.qxmd.com/read/36966219/antiplatelet-use-and-cadasil-a-retrospective-observational-analysis
#32
JOURNAL ARTICLE
Jayachandra Muppa, Shadi Yaghi, Eric D Goldstein
OBJECTIVES: Cerebral Autosomal Dominant Arteriopathy with Subcortical Infarcts and Leukoencephalopathy (CADASIL) is hallmarked by age-dependent accumulation of microangiopathy with antiplatelet medications commonly used for stroke prevention though without known therapeutic benefit. Our objective was to identify whether antiplatelet therapy impacted the incidence of acute ischemic stroke (AIS) or intracerebral hemorrhage (ICH) in those with reported CADASIL. MATERIALS AND METHODS: Owing to the rarity of the disease, we performed a retrospective study of anonymized data from the international TriNetX Research Network (Oct 2015 through January 2021)...
March 25, 2023: Neurological Sciences
https://read.qxmd.com/read/36934518/prevalence-and-prognosis-of-seizures-among-patients-undergoing-mechanical-thrombectomy-for-acute-ischemic-stroke-a-look-at-pre-2015-aha-asa-guidelines-update-regarding-endovascular-treatment
#33
JOURNAL ARTICLE
Alain Lekoubou, Yael Pinero Colon, Kinfe G Bishu, Ajah T Ngonde, Leonardo Bonilha, Bruce Ovbiagele
BACKGROUND: Mechanical Thrombectomy (MT) is standard of care for eligible patients with Acute Ischemic Stroke (AIS) due to large vessel occlusion (LVO). With increasing use of MT, clinicians are more likely to encounter seizures, a potential complication of AIS treated with MT. Tracking future trends in the burden of post-stroke seizure associated with MT will require baseline pre-approval benchmark estimates of its frequency and outcomes. METHODS: All patients with AIS who underwent MT (International Classification of Diseases, Ninth Revision, Clinical Modification; ICD-9-CM procedure code: 39...
March 17, 2023: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
https://read.qxmd.com/read/36713755/prediction-of-acute-myocardial-infarction%C3%A2-in-asian-patients-with-acute%C3%A2-ischemic-stroke-the-ctran-score
#34
JOURNAL ARTICLE
Luowei Chen, Shenqiang Yan, Yaode He, Wansi Zhong, Xiaoxian Gong, Min Lou
BACKGROUND: Patients with acute ischemic stroke (AIS) are susceptible to acute myocardial infarction (AMI), which would lead to a dramatic increase of in-hospital mortality. OBJECTIVES: The authors established and validated an easy-used model to stratify the risk of in-hospital AMI among patients with AIS. METHODS: We consecutively included patients with AIS who were admitted within 7 days from symptom onset in our prospectively maintained database (NCT04487340) from January 2016 to December 2020...
December 2022: JACC Asia
https://read.qxmd.com/read/36705742/the-effect-of-angioembolization-versus-open-exploration-for-moderate-to-severe-blunt-liver-injuries-on-mortality
#35
JOURNAL ARTICLE
Jared Gallaher, Victoria Burton, Andrew B Schneider, Trista Reid, Lauren Raff, Charlotte B Smith, Anthony Charles
INTRODUCTION: Blunt liver injury is common and is associated with a high morbidity and mortality. More severe injuries often require either angioembolization or open operative repair, depending on patient factors and facility capacity. We sought to describe patient outcomes based on intervention type. METHODS: We analyzed the National Trauma Data Bank (2017-2019) using ICD-10 codes to identify adult patients with blunt liver injury and their interventions. AIS (Abbreviated Injury Scale) scores were used to group patients based on liver injury severity (AIS 2-6)...
May 2023: World Journal of Surgery
https://read.qxmd.com/read/36531857/national-patterns-and-outcomes-of-neurologist-care-in-acute-ischemic-stroke
#36
JOURNAL ARTICLE
Kate A Moody, Luke Maillie, Mandip S Dhamoon
BACKGROUND & PURPOSE: Specialist care of acute ischemic stroke patients has been associated with improved outcomes but is not well-characterized. We sought to elucidate the involvement and influence of neurologists on acute ischemic stroke care. METHODS: Using 100% Medicare datasets, index acute ischemic stroke admissions from 2016-2018 were identified with International Classification of Diseases, 10th Revision codes. Neurologists were identified by NPI code...
January 2023: Neurohospitalist
https://read.qxmd.com/read/36521372/patterns-in-the-number-of-interventionalists-for-endovascular-treatment-of-acute-ischemic-stroke-in-the-us
#37
JOURNAL ARTICLE
Ankita Tripathi, Laura K Stein, Mandip S Dhamoon
BACKGROUND: Endovascular thrombectomy (ET) has become the standard of stroke care for large vessel occlusion acute ischemic stroke (AIS) involving the anterior circulation. With continued eligibility expansion, the demand for neuro-intervention is growing. Current estimates indicate inadequate supply of interventionalists. However, there is limited data describing the number of interventionalists per hospital in the US, and correlations with outcomes. METHODS: We used Medicare 100% sample datasets and included all AIS admissions from 2018 to 2019, using validated International Classification of Diseases, 10th Revision, Clinical Modification codes to identify AIS and comorbidities...
December 13, 2022: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
https://read.qxmd.com/read/36512392/model-for-predicting-in-hospital-mortality-of-physical-trauma-patients-using-artificial-intelligence-techniques-nationwide-population-based-study-in-korea
#38
JOURNAL ARTICLE
Seungseok Lee, Wu Seong Kang, Sanghyun Seo, Do Wan Kim, Hoon Ko, Joongsuck Kim, Seonghwa Lee, Jinseok Lee
BACKGROUND: Physical trauma-related mortality places a heavy burden on society. Estimating the mortality risk in physical trauma patients is crucial to enhance treatment efficiency and reduce this burden. The most popular and accurate model is the Injury Severity Score (ISS), which is based on the Abbreviated Injury Scale (AIS), an anatomical injury severity scoring system. However, the AIS requires specialists to code the injury scale by reviewing a patient's medical record; therefore, applying the model to every hospital is impossible...
December 13, 2022: Journal of Medical Internet Research
https://read.qxmd.com/read/36361102/prevalence-of-insomnia-in-the-early-post-covid-19-recovery-period
#39
JOURNAL ARTICLE
Robert Pudlo, Izabela Jaworska, Anna Szczegielniak, Jacek Niedziela, Zofia Kułaczkowska, Alicja Nowowiejska-Wiewióra, Jerzy Jaroszewicz, Mariusz Gąsior
BACKGROUND: Sleep is a complex, reversible process that is responsible for the modulation of various physiological mechanisms. COVID-19-related sleep disorders are affecting different populations with a heterogenous prevalence, yet high rates among infected patients are frequently reported. The aim of the study is to assess the prevalence of insomnia in the early post-COVID-19 recovery period and explore the differences in the results acquired by the Athens Insomnia Scale (AIS) by gender and selected infection severity parameters...
October 31, 2022: International Journal of Environmental Research and Public Health
https://read.qxmd.com/read/36330687/the-burden-of-geriatric-traumatic-brain-injury-on-trauma-systems-analysis-of-348-800-medicare-inpatient-claims
#40
JOURNAL ARTICLE
Samir M Fakhry, Yan Shen, Jeneva M Garland, Nina Y Wilson, Ransom J Wyse, Jennifer L Morse, Darrell L Hunt, David Acuna, James Dunne, Stanley J Kurek, Stephanie D Gordy, Dorraine D Watts
BACKGROUND: Traumatic brain injury (TBI) is a leading cause of death and disability in older adults. The aim of this study was to characterize the burden of TBI in older adults by describing demographics, care location, diagnoses, outcomes, and payments in this high-risk group. METHODS: Using 2016-2019 Centers for Medicare & Medicaid Services (CMS) Inpatient Standard Analytical Files (IPSAF), patients >65 years with TBI (>1 injury ICD-10 starting with "S06") were selected...
November 4, 2022: Journal of the American Geriatrics Society
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