Presentation is loading. Please wait.

Presentation is loading. Please wait.

This article and any supplementary material should be cited as follows: Chumbler NR, Jia H, Phipps MS, Li X, Ordin D, Williams LS, Myers LJ, Bravata DM.

Published byShana Owen Modified over 8 years ago

Similar presentations

Presentation on theme: "This article and any supplementary material should be cited as follows: Chumbler NR, Jia H, Phipps MS, Li X, Ordin D, Williams LS, Myers LJ, Bravata DM."— Presentation transcript:

1 This article and any supplementary material should be cited as follows: Chumbler NR, Jia H, Phipps MS, Li X, Ordin D, Williams LS, Myers LJ, Bravata DM. Postdischarge quality of care: Do age disparities exist among Department of Veterans Affairs ischemic stroke patients? J Rehabil Res Dev. 2013;50(2):263–72. http://dx.doi.org/10.1682/JRRD.2011.08.0145 Slideshow Project DOI:10.1682/JRRD.2011.08.0145JSP Postdischarge quality of care: Do age disparities exist among Department of Veterans Affairs ischemic stroke patients? Neale R. Chumbler, PhD; Huanguang Jia; Michael S. Phipps, MD; Xinli Li, PhD; Diana Ordin, MD, MPH; Linda S. Williams, MD; Laura J. Myers, PhD; Dawn M. Bravata, MD

2 This article and any supplementary material should be cited as follows: Chumbler NR, Jia H, Phipps MS, Li X, Ordin D, Williams LS, Myers LJ, Bravata DM. Postdischarge quality of care: Do age disparities exist among Department of Veterans Affairs ischemic stroke patients? J Rehabil Res Dev. 2013;50(2):263–72. http://dx.doi.org/10.1682/JRRD.2011.08.0145 Slideshow Project DOI:10.1682/JRRD.2011.08.0145JSP Aim – Examine whether age disparities exist in postdischarge quality indicators (QIs) for veterans with ischemic stroke who receive care at Department of Veterans Affairs medical centers (VAMCs). Relevance – Some previous studies have found age differences in care processes, but whether these same differences exist in VAMC stroke care is unclear.

3 This article and any supplementary material should be cited as follows: Chumbler NR, Jia H, Phipps MS, Li X, Ordin D, Williams LS, Myers LJ, Bravata DM. Postdischarge quality of care: Do age disparities exist among Department of Veterans Affairs ischemic stroke patients? J Rehabil Res Dev. 2013;50(2):263–72. http://dx.doi.org/10.1682/JRRD.2011.08.0145 Slideshow Project DOI:10.1682/JRRD.2011.08.0145JSP Method Retrospective cohort of 3,196 veterans. – Diagnosed with ischemic stroke. – Received acute and postdischarge stroke care at 127 VAMCs in fiscal year 2007. Assessed postdischarge stroke QIs in outpatient setting over 6 mo: – Blood pressure. – Serum international normalized ratio (INR). – Cholesterol levels. – Serum glycosylated hemoglobin. – Depression treatment.

4 This article and any supplementary material should be cited as follows: Chumbler NR, Jia H, Phipps MS, Li X, Ordin D, Williams LS, Myers LJ, Bravata DM. Postdischarge quality of care: Do age disparities exist among Department of Veterans Affairs ischemic stroke patients? J Rehabil Res Dev. 2013;50(2):263–72. http://dx.doi.org/10.1682/JRRD.2011.08.0145 Slideshow Project DOI:10.1682/JRRD.2011.08.0145JSP Results After adjustment for sociodemographic, clinical, and facility-level characteristics, only postdischarge INR control differed by age. – Substantially higher for veterans 85 and older. Neither unadjusted nor adjusted results demon- strated consistent decrement in quality with increasing age. – Rather, some care processes provided more often to older patients (cholesterol goal achievement) and others provided more often to younger patients (depression treatment and blood pressure goal achievement).

5 This article and any supplementary material should be cited as follows: Chumbler NR, Jia H, Phipps MS, Li X, Ordin D, Williams LS, Myers LJ, Bravata DM. Postdischarge quality of care: Do age disparities exist among Department of Veterans Affairs ischemic stroke patients? J Rehabil Res Dev. 2013;50(2):263–72. http://dx.doi.org/10.1682/JRRD.2011.08.0145 Slideshow Project DOI:10.1682/JRRD.2011.08.0145JSP Conclusion Overall postdischarge quality for ischemic stroke in VAMCs did not vary consistently by age. However, the few differences that emerged should encourage awareness of possible age disparities. Stroke management should be guided by best clinical evidence and guidelines, irrespective of age.

Download ppt "This article and any supplementary material should be cited as follows: Chumbler NR, Jia H, Phipps MS, Li X, Ordin D, Williams LS, Myers LJ, Bravata DM."

Similar presentations

Investigating Gender Differences in HEDIS Measures Related to Heart Disease Ann F. Chou, PhD, MPH Carol S. Weisman, PhD Rosaly Correa-de-Araujo, MD, PhD.

Investigating Gender Differences in HEDIS Measures Related to Heart Disease Ann F. Chou, PhD, MPH Carol S. Weisman, PhD Rosaly Correa-de-Araujo, MD, PhD.
This article and any supplementary material should be cited as follows: Cameron MH, Huisinga J. Objective and subjective measures reflect different aspects.

This article and any supplementary material should be cited as follows: Cameron MH, Huisinga J. Objective and subjective measures reflect different aspects.
This article and any supplementary material should be cited as follows: Spencer RJ, McGuire AP, Tree HA, Waldron-Perrine B, Pangilinan PH, Bieliauskas.

This article and any supplementary material should be cited as follows: Spencer RJ, McGuire AP, Tree HA, Waldron-Perrine B, Pangilinan PH, Bieliauskas.
This article and any supplementary material should be cited as follows: Sauret C, Bascou J, de Saint Rémy N, Pillet H, Vaslin P, Lavast F. Assessment of.

This article and any supplementary material should be cited as follows: Sauret C, Bascou J, de Saint Rémy N, Pillet H, Vaslin P, Lavast F. Assessment of.
This article and any supplementary material should be cited as follows: Wilson RH, McArdle R. Characteristics of audiometric 4,000 Hz notch (744,553 veterans)

This article and any supplementary material should be cited as follows: Wilson RH, McArdle R. Characteristics of audiometric 4,000 Hz notch (744,553 veterans)
This article and any supplementary material should be cited as follows: Nightingale EJ, Pourkazemi F, Hiller CE. A Systematic review of timed stair tests.

This article and any supplementary material should be cited as follows: Nightingale EJ, Pourkazemi F, Hiller CE. A Systematic review of timed stair tests.
This article and any supplementary material should be cited as follows: Wininger M, Crane B. Effect of interpolation on parameters extracted from seating.

This article and any supplementary material should be cited as follows: Wininger M, Crane B. Effect of interpolation on parameters extracted from seating.
This article and any supplementary material should be cited as follows: Melcer T, Walker J, Bhatnagar V, Richard E, Han P, Sechriest VF 2nd, Lebedda M,

This article and any supplementary material should be cited as follows: Melcer T, Walker J, Bhatnagar V, Richard E, Han P, Sechriest VF 2nd, Lebedda M,
This article and any supplementary material should be cited as follows: Larson RD, McCully KK, Larson DJ, Pryor WM, White LJ. Lower-limb performance disparities:

This article and any supplementary material should be cited as follows: Larson RD, McCully KK, Larson DJ, Pryor WM, White LJ. Lower-limb performance disparities:
This article and any supplementary material should be cited as follows: Larson GE, Norman SB. Prospective prediction of functional difficulties among recently.

This article and any supplementary material should be cited as follows: Larson GE, Norman SB. Prospective prediction of functional difficulties among recently.
This article and any supplementary material should be cited as follows: Gerschutz MJ, Haynes ML, Nixon D, Colvin JM. Strength evaluation of prosthetic.

This article and any supplementary material should be cited as follows: Gerschutz MJ, Haynes ML, Nixon D, Colvin JM. Strength evaluation of prosthetic.
This article and any supplementary material should be cited as follows: Nilsson L, Durkin J. Assessment of learning powered mobility use— Applying grounded.

This article and any supplementary material should be cited as follows: Nilsson L, Durkin J. Assessment of learning powered mobility use— Applying grounded.
This article and any supplementary material should be cited as follows: Harpaz-Rotem I, Rosenheck RA, Desai R. Residential treatment for homeless female.

This article and any supplementary material should be cited as follows: Harpaz-Rotem I, Rosenheck RA, Desai R. Residential treatment for homeless female.
This article and any supplementary material should be cited as follows: Tsai J, O’Connell M, Kasprow WJ, Rosenheck RA. Factors related to rapidity of housing.

This article and any supplementary material should be cited as follows: Tsai J, O’Connell M, Kasprow WJ, Rosenheck RA. Factors related to rapidity of housing.
This article and any supplementary material should be cited as follows: Tsai J, Rosenheck RA. Use of group treatment among case managers in Department.

This article and any supplementary material should be cited as follows: Tsai J, Rosenheck RA. Use of group treatment among case managers in Department.
This article and any supplementary material should be cited as follows: Saunders GH, Frederick MT, Arnold M, Silverman S, Chisolm TH, Myers P. Auditory.

This article and any supplementary material should be cited as follows: Saunders GH, Frederick MT, Arnold M, Silverman S, Chisolm TH, Myers P. Auditory.
This article and any supplementary material should be cited as follows: Hurley RK Jr, Rivera JC, Wenke JC, Krueger CA. Identifying obstacles to return.

This article and any supplementary material should be cited as follows: Hurley RK Jr, Rivera JC, Wenke JC, Krueger CA. Identifying obstacles to return.
This article and any supplementary material should be cited as follows: Webster JB, Hakimi KN, Williams RM, Turner AP, Norvell DC, Czerniecki JM. Prosthetic.

This article and any supplementary material should be cited as follows: Webster JB, Hakimi KN, Williams RM, Turner AP, Norvell DC, Czerniecki JM. Prosthetic.
This article and any supplementary material should be cited as follows: Myers PJ, Griest S, Kaelin C, Legro MW, Schmidt CJ, Zaugg TL, Henry JA. Development.

This article and any supplementary material should be cited as follows: Myers PJ, Griest S, Kaelin C, Legro MW, Schmidt CJ, Zaugg TL, Henry JA. Development.
This article and any supplementary material should be cited as follows: Levy CE, Silverman E, Jia H, Geiss M, Omura D. Effects of physical therapy delivery.

This article and any supplementary material should be cited as follows: Levy CE, Silverman E, Jia H, Geiss M, Omura D. Effects of physical therapy delivery.

Similar presentations

Ads by Google