keyword
MENU ▼
Read by QxMD icon Read
search

krumholz

keyword
https://www.readbyqxmd.com/read/27885060/gender-differences-in-physical-activity-following-acute-myocardial-infarction-in-adults-a-prospective-observational-study
#1
Karl E Minges, Kelly M Strait, Neville Owen, David W Dunstan, Sarah M Camhi, Judith Lichtman, Mary Geda, Rachel P Dreyer, Héctor Bueno, John F Beltrame, Jeptha P Curtis, Harlan M Krumholz
AIMS: Despite the benefits of regular physical activity participation following acute myocardial infarction, little is known about gender differences in physical activity among patients after acute myocardial infarction. We described, by gender, physical activity trajectories pre- and post-acute myocardial infarction, and determined whether gender was independently associated with physical activity. METHODS AND RESULTS: The Variation in Recovery: Role of Gender on Outcomes of Young AMI patients (VIRGO) study, conducted at 103 US, 24 Spanish, and three Australian hospitals, was designed, in part, to evaluate gender differences in lifestyle behaviors following acute myocardial infarction...
November 24, 2016: European Journal of Preventive Cardiology
https://www.readbyqxmd.com/read/27884254/troponin-testing-for-clinicians
#2
REVIEW
John E Brush, Sanjay Kaul, Harlan M Krumholz
The analytical performance of troponin assays has improved markedly in the last 2 decades. The variety of assays, their evolution over time, and their critical importance in influencing care, mandates the need for skills in their use. There are 3 critical elements necessary for optimal use of troponin testing in clinical care, as follows: 1) the analytical performance of the assay; 2) the clinical sensitivity and specificity of the test result; and 3) the clinical reasoning for ordering and the proper clinical context for interpreting the test result...
November 29, 2016: Journal of the American College of Cardiology
https://www.readbyqxmd.com/read/27874977/relationship-between-age-and-trajectories-of-rehospitalization-risk-in-older-adults
#3
Kumar Dharmarajan, Angela Hsieh, Rachel P Dreyer, Jack Welsh, Li Qin, Harlan M Krumholz
OBJECTIVES: To characterize the magnitude and duration of risk of rehospitalization according to age after hospitalization for heart failure (HF), acute myocardial infarction (AMI), or pneumonia. DESIGN: Retrospective cohort study. SETTING: U.S. hospitals (n = 4,767). PARTICIPANTS: All Medicare fee-for-service beneficiaries aged 65 and older surviving hospitalization for HF, AMI, or pneumonia between October 2012 and December 2013...
November 22, 2016: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/27864915/identification-of-emergency-department-visits-in-medicare-administrative-claims-approaches-and-implications
#4
Arjun K Venkatesh, Hao Mei, Keith Kocher, Mike Granovsky, Ziad Obermeyer, Erica Spatz, Craig Rothenberg, Harlan Krumholz, Zhenqui Lin
OBJECTIVES: Administrative claims datasets are often used for emergency care research and policy investigations of healthcare resource utilization, acute care practices, and evaluation of quality improvement interventions. Despite the high profile of emergency department (ED) visits in analyses using administrative claims, little work has evaluated the degree to which existing definitions based on claims data accurately captures conventionally defined hospital-based ED services. We sought to construct an operational definition for ED visitation using a comprehensive Medicare dataset and to compare this definition to existing operational definitions used by researchers and policymakers...
November 19, 2016: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/27834249/population-well-being-measures-help-explain-geographic-disparities-in-life-expectancy-at-the-county-level
#5
Anita Arora, Erica Spatz, Jeph Herrin, Carley Riley, Brita Roy, Kenneth Kell, Carter Coberley, Elizabeth Rula, Harlan M Krumholz
Geographic disparities in life expectancy are substantial and not fully explained by differences in race and socioeconomic status. To develop policies that address these inequalities, it is essential to identify other factors that account for this variation. In this study we investigated whether population well-being-a comprehensive measure of physical, mental, and social health-helps explain geographic variation in life expectancy. At the county level, we found that for every 1-standard-deviation (4.2-point) increase in the well-being score, life expectancy was 1...
November 1, 2016: Health Affairs
https://www.readbyqxmd.com/read/27806161/data-desert-for-inferior-vena-caval-filters-limited-evidence-supervision-and-research
#6
Behnood Bikdeli, Joseph S Ross, Harlan M Krumholz
No abstract text is available yet for this article.
November 2, 2016: JAMA Cardiology
https://www.readbyqxmd.com/read/27803089/access-to-evidence-based-statins-in-low-cost-generic-drug-programs
#7
Cynthia A Jackevicius, Katie Choi, Harlan M Krumholz
No abstract text is available yet for this article.
November 1, 2016: Circulation. Cardiovascular Quality and Outcomes
https://www.readbyqxmd.com/read/27798032/china-peace-risk-estimation-tool-for-in-hospital-death-from-acute-myocardial-infarction-an-early-risk-classification-tree-for-decisions-about-fibrinolytic-therapy
#8
Xi Li, Jing Li, Frederick A Masoudi, John A Spertus, Zhenqiu Lin, Harlan M Krumholz, Lixin Jiang
OBJECTIVES: As the predominant approach to acute reperfusion for ST segment elevation myocardial infarction (STEMI) in many countries, fibrinolytic therapy provides a relative risk reduction for death of ∼16% across the range of baseline risk. For patients with low baseline mortality risk, fibrinolytic therapy may therefore provide little benefit, which may be offset by the risk of major bleeding. We aimed to construct a tool to determine if it is possible to identify a low-risk group among fibrinolytic therapy-eligible patients...
October 24, 2016: BMJ Open
https://www.readbyqxmd.com/read/27742618/sex-differences-in-financial-barriers-and-the-relationship-to-recovery-after-acute-myocardial-infarction
#9
Adam L Beckman, Emily M Bucholz, Weiwei Zhang, Xiao Xu, Rachel P Dreyer, Kelly M Strait, John A Spertus, Harlan M Krumholz, Erica S Spatz
BACKGROUND: Financial barriers to health care are associated with worse outcomes following acute myocardial infarction (AMI). Yet, it is unknown whether the prevalence of financial barriers and their relationship with post-AMI outcomes vary by sex among young adults. METHODS AND RESULTS: We assessed sex differences in patient-reported financial barriers among adults aged <55 years with AMI using data from the Variation in Recovery: Role of Gender on Outcomes of Young AMI Patients study...
October 14, 2016: Journal of the American Heart Association
https://www.readbyqxmd.com/read/27716841/trajectories-of-risk-for-specific-readmission-diagnoses-after-hospitalization-for-heart-failure-acute-myocardial-infarction-or-pneumonia
#10
Harlan M Krumholz, Angela Hsieh, Rachel P Dreyer, John Welsh, Nihar R Desai, Kumar Dharmarajan
BACKGROUND: The risk of rehospitalization is elevated in the immediate post-discharge period and declines over time. It is not known if the extent and timing of risk vary across readmission diagnoses, suggesting that recovery and vulnerability after discharge differ by physiologic system. OBJECTIVE: We compared risk trajectories for major readmission diagnoses in the year after discharge among all Medicare fee-for-service beneficiaries hospitalized with heart failure (HF), acute myocardial infarction (AMI), or pneumonia from 2008-2010...
2016: PloS One
https://www.readbyqxmd.com/read/27705249/life-expectancy-after-myocardial-infarction-according-to-hospital-performance
#11
Emily M Bucholz, Neel M Butala, Shuangge Ma, Sharon-Lise T Normand, Harlan M Krumholz
Background Thirty-day risk-standardized mortality rates after acute myocardial infarction are commonly used to evaluate and compare hospital performance. However, it is not known whether differences among hospitals in the early survival of patients with acute myocardial infarction are associated with differences in long-term survival. Methods We analyzed data from the Cooperative Cardiovascular Project, a study of Medicare beneficiaries who were hospitalized for acute myocardial infarction between 1994 and 1996 and who had 17 years of follow-up...
October 6, 2016: New England Journal of Medicine
https://www.readbyqxmd.com/read/27692757/life-years-gained-from-smoking-cessation-counseling-after-myocardial-infarction
#12
Emily M Bucholz, Adam L Beckman, Catarina I Kiefe, Harlan M Krumholz
INTRODUCTION: Hospitalization for acute myocardial infarction (AMI) is an opportune time to counsel smokers to quit. Studies have demonstrated lower short-term mortality for counseled versus non-counseled smokers; yet, little is known about the long-term survival benefits of post-AMI smoking-cessation counseling (SCC). METHODS: Data from the Cooperative Cardiovascular Project, a prospective cohort study of elderly patients with AMI between 1994 and 1996 with >17 years of follow-up, were used to evaluate the association of SCC with short- and long-term mortality in smokers with AMI...
September 28, 2016: American Journal of Preventive Medicine
https://www.readbyqxmd.com/read/27681285/commentary-diagnostic-devices-in-clinical-trials-have-high-stakes-for-patient-care
#13
Vinay K Rathi, Harlan M Krumholz, Joseph S Ross
No abstract text is available yet for this article.
2016: BMJ: British Medical Journal
https://www.readbyqxmd.com/read/27680601/predicting-30-day-readmission-or-death-in-patients-with-heart-failure-looking-beyond-the-c-statistic
#14
Isuru Ranasinghe, Harlan M Krumholz
No abstract text is available yet for this article.
November 1, 2016: JAMA Cardiology
https://www.readbyqxmd.com/read/27670522/data-sharing-through-an-nih-central-database-repository-a-cross-sectional-survey-of-biolincc-users
#15
Joseph S Ross, Jessica D Ritchie, Emily Finn, Nihar R Desai, Richard L Lehman, Harlan M Krumholz, Cary P Gross
OBJECTIVE: To characterise experiences using clinical research data shared through the National Institutes of Health (NIH)'s Biologic Specimen and Data Repository Information Coordinating Center (BioLINCC) clinical research data repository, along with data recipients' perceptions of the value, importance and challenges with using BioLINCC data. DESIGN AND SETTING: Cross-sectional web-based survey. PARTICIPANTS: All investigators who requested and received access to clinical research data from BioLINCC between 2007 and 2014...
2016: BMJ Open
https://www.readbyqxmd.com/read/27668668/data-acquisition-curation-and-use-for-a-continuously-learning-health-system
#16
Harlan M Krumholz, Sharon F Terry, Joanne Waldstreicher
No abstract text is available yet for this article.
October 25, 2016: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/27659408/trends-in-drug-utilization-glycemic-control-and-rates-of-severe-hypoglycemia-2006-2013
#17
Kasia J Lipska, Xiaoxi Yao, Jeph Herrin, Rozalina G McCoy, Joseph S Ross, Michael A Steinman, Silvio E Inzucchi, Thomas M Gill, Harlan M Krumholz, Nilay D Shah
OBJECTIVE: To examine temporal trends in utilization of glucose-lowering medications, glycemic control, and rate of severe hypoglycemia among patients with type 2 diabetes (T2DM). RESEARCH DESIGN AND METHODS: Using claims data from 1.66 million privately insured and Medicare Advantage patients with T2DM from 2006 to 2013, we estimated the annual 1) age- and sex-standardized proportion of patients who filled each class of agents; 2) age-, sex-, race-, and region-standardized proportion with hemoglobin A1c (HbA1c) <6%, 6 to <7%, 7 to <8%, 8 to <9%, ≥9%; and 3) age- and sex-standardized rate of severe hypoglycemia among those using medications...
September 22, 2016: Diabetes Care
https://www.readbyqxmd.com/read/27628589/statins-evidence-when-answers-also-raise-questions
#18
EDITORIAL
Harlan M Krumholz
No abstract text is available yet for this article.
2016: BMJ: British Medical Journal
https://www.readbyqxmd.com/read/27628573/identification-of-hospital-cardiac-services-for-acute-myocardial-infarction-using-individual-patient-discharge-data
#19
Tiffany E Chang, Harlan M Krumholz, Shu-Xia Li, John Martin, Isuru Ranasinghe
BACKGROUND: The availability of hospital cardiac services may vary between hospitals and influence care processes and outcomes. However, data on available cardiac services are restricted to a limited number of services collected by the American Hospital Association (AHA) annual survey. We developed an alternative method to identify hospital services using individual patient discharge data for acute myocardial infarction (AMI) in the Premier Healthcare Database. METHODS AND RESULTS: Thirty-five inpatient cardiac services relevant for AMI care were identified using American Heart Association/American College of Cardiology guidelines...
September 14, 2016: Journal of the American Heart Association
https://www.readbyqxmd.com/read/27624634/a-nationwide-assessment-of-the-association-of-smoking-bans-and-cigarette-taxes-with-hospitalizations-for-acute-myocardial-infarction-heart-failure-and-pneumonia
#20
Vivian Ho, Joseph S Ross, Claudia A Steiner, Aditya Mandawat, Marah Short, Meei-Hsiang Ku-Goto, Harlan M Krumholz
Multiple studies claim that public place smoking bans are associated with reductions in smoking-related hospitalization rates. No national study using complete hospitalization counts by area that accounts for contemporaneous controls including state cigarette taxes has been conducted. We examine the association between county-level smoking-related hospitalization rates and comprehensive smoking bans in 28 states from 2001 to 2008. Differences-in-differences analysis measures changes in hospitalization rates before versus after introducing bans in bars, restaurants, and workplaces, controlling for cigarette taxes, adjusting for local health and provider characteristics...
September 12, 2016: Medical Care Research and Review: MCRR
keyword
keyword
43577
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"