Abstract 12: Feasibility of Monitoring Covid-19 Related Stroke Patients Across a 14 Hospital Stroke System of Care

Stroke ◽  
2021 ◽  
Vol 52 (Suppl_1) ◽  
Author(s):  
Howard J Rho ◽  
Navdeep S Sangha

Background: Identifying and tracking COVID-19 related data has been crucial to the pandemic response. Most hospital systems have created internal tracking databases specific to COVID-19 but separated from other disease specific data pools. Traditional methods for tracking and trending novel and specific data such as COVID-19 related strokes may require personnel with highly technical skills to abstract the data. We aimed to create a COVID-19 stroke dashboard which would easily auto-abstract and update data. Methods: A simple monitoring system was designed using PowerBI™ and Microsoft Suite™ products that model existing data sources without using other IT resources. Existing data queries from various sources were modeled into one report and the resulting data model was used to track and trend incidence of COVID-19 and its relationship to stroke care throughout a 14- hospital stroke system. Results: The report allowed region-wide identification and evaluation of several metrics, including: volume of code strokes, the volume of patients who had a stroke within two weeks before or after testing positive for COVID-19, the initial NIHSS, if alteplase was administered, reason for no alteplase administration, delay in alteplase administration and if related to COVID-19 and the relationship of COVID-19 cases to the volume of code strokes. It was found that the volume of code strokes significantly decreased during the time of the pandemic and was inversely related to the volume of COVID-19 positive cases being reported in a county. The tool also found that COVID-19 positive stroke patients increased as the overall COVID-19 hospital volume increased. Conclusion: Assessing the relationships between a novel disease and other disease states may lead to changes in hospital workflows and practices resulting into improved patient outcomes.

Stroke ◽  
2012 ◽  
Vol 43 (suppl_1) ◽  
Author(s):  
Janet Prvu Bettger ◽  
Xin Zhao ◽  
Cheryl Bushnell ◽  
Louise Zimmer ◽  
Ying Xian ◽  
...  

Background: Socioeconomic status (SES) is widely recognized as an area of inequity that affects health outcomes. However, social determinants of health are less frequently measured in longitudinal studies of acute stroke patients. The relationship of SES on disability 3-months post-stroke is unknown. Methods: We analyzed ischemic stroke patients in the AVAIL registry who were enrolled at 98 hospitals participating in Get With The Guidelines-Stroke. Patients who died (n=64) or did not complete a modified Rankin Scale (mRS) at 3-months (n=154) were excluded. Multivariable logistic regression was used to examine the relationship of SES (defined by level of education, work status, and perceived adequacy of household income to meet needs) and disability (mRS scores 3-5). Results: Among the 2092 stroke patients who met eligibility criteria, the mean age was 65.5 ± 13.7, 44.2% were female, and 82.7% were White. Fifty seven percent had a high school or less education, 11.4% were not working post-stroke and were home not by choice, and 25.7% were without an adequate household income. A third of the sample had some level of disability at 3-months (34.6% mRS 3-5). Those with disability were more likely to be older, non-White, female, single, less educated, have inadequate income, and were home not by choice. In the multivariable analysis, lower education, inadequate income, and being home but not by choice (compared with those who returned to work) were independently associated with disability (p<0.01; Table ). Conclusion: In this national cohort of stroke survivors, socioeconomic status as measured by level of education, work status, and income were independently associated with post-stroke disability.


2019 ◽  
Vol 3 (2) ◽  
pp. 56
Author(s):  
Azwar Annas

This study sought to determine the influence of grammar and vocabularies mastery on the  students ability of  translate in the Kudus Islamic University. The approach articles used in this study is a quantitative approach because researchers wanted to test the hypothesis that shaped assosiative hypothesis (is the hypothesis that asks a relationship between two or more variables). This approach is said to be a quantitative approach because the existing data in the form of numbers and statistics used in analyzing it. Meanwhile, the method used is research Correlation, because the correlation study researchers wanted to uncover the relationship of variations in the correlation coefficient. The results of this research are: 1) the effect of gramatikan mastery to capability students of translate in the Kudus Islamic University as 0.4925 rhitung score greater than 0.317 rtabel. This shows a significant correlation while the coefficient of determination between X1 and Y of 24.25303%. 2) the effect of vocabulary mastery to capability students of translate in the Kudus Islamic University as a score of 0.605 rhitung greater than 0.317 rtabel. This shows a significant relationship coefficient of determination between X2 and Y amounted to 36.62499%, 3) The calculation Ry.X1X2 0.589, ryx1 0.492 and 0.605 ryx2 greater than 0.317 rtabel. This shows that there is a relationship multi positive correlation between mastery of vocabulary and grammatical to capability students of translate in the Kudus Islamic University and acceptance of the hypothesis.


2020 ◽  
Vol 5 (1) ◽  
Author(s):  
Anastasia Putu Martha ◽  
Raditya Kurniawan Djoar

Objective:  To analyzed the relationship  of nutritional status with the balance of children aged 4-5 years at PG/TK Lumen Christi School SurabayaMethods:  This research design is analytic observational with cross sectional approach.Results:  Involving 22  children aged 4-5 years at PG/TK Lumen Christi School Surabay . Sampling technique using total sampling method. Existing data were analyzed using  Pearson’s Test with significant level of 0.05.  Statistical test results obtained that nutritional status did not had a relationship with balance because p> 0.05Conclusion:   Nutritional status did not related to the balance of children aged 4-5 years


1982 ◽  
Vol 76 (1) ◽  
pp. 109-115 ◽  
Author(s):  
Elaine B. Sharp

The topic of citizen-initiated contacting of government officials has received increasing attention, but research has yielded conflicting findings on the relationship of socioeconomic status to contacting behavior. Various studies find that the two are negatively, positively, parabolically, or negligibly related. Data are presented supporting the claim of a positive relationship, and reasons for the conflicting findings are explored. The need-awareness model, associated with the finding of a parabolic relationship between socioeconomic status and contacting at the aggregate level, is tested at the individual level of analysis. While the importance of the need and awareness factors is affirmed, the overall model is not supported. As with other modes of political participation, sense of efficacy is found to be an important predictor of contracting, but the positive relationship between socioeconomic status and contacting remains when efficacy is controlled.


2017 ◽  
Vol 4 (2) ◽  
pp. 47-53
Author(s):  
Muhammad Arif

According to the NINDS 2015, States that a stroke occurs when the blood supply to brain fails suddenly interrupted due to a blockage or rupture of blood vessels were. Basic Health Research results that show an increase in the prevalence of stroke symptoms in Indonesia increased from 8.3 at 1000 in 2007 to 12.1 and at 1000 in 2013. One of the problems that arise due to stroke is a disorder of swallowing or dysphagia. According to the World Stroke Academy Learning Moduls in 2012 the prevalence of dysphagia in stroke sufferers range from 36 to 67%. In the year 2016 in RSSN dysphagia in stroke patients 22,94%. For early detection of dysphagia screening test required to swallow as a first step in identifying the risks due to dysphagia and aspiration in stroke patients. The purpose of this research is to know the relationship of the implementation of the screening test to swallow with dysphagia in acute stroke patients in the room just entered inpatient Neurology RSSN Bukittinggi in 2017. This research method using analytic, descriptive, then the data was processed using the Chi Square test. The sample in this study as many as 54 people respondents. Test result statistics retrieved value p value = 0.002 (p < α) then it can be inferred the existence of a relationship between the implementation of the screening test to swallow with dysphagia in acute stroke patients the new entry. Analysis of the results obtained OR = 9.281 meaning respondents who perform screening test procedures in accordance with the swallow has a chance of  9.281 times in detecting the occurrence of dysphagia. Suggestions in this study is the implementation of a screening test this swallow can be included in SPO for nurses in Bukittinggi in the room especially RSSN Neurology in detecting the onset of dysphagia in acute stroke patients.


2019 ◽  
Vol 7 (1-2) ◽  
pp. 145-150
Author(s):  
Antal Uzonyi ◽  
Péter Horváth

The accession of Hungary to the EU can be considered a milestone in the life of domestic agriculture, as currently 70% of the income of agricultural producers is funded by agricultural and rural development subsidies. Besides the timeliness of the topic, it is to be highlighted that agriculture has great traditions in Hajdúböszörmény. As a general objective of the study, the relationship of agricultural producers in Hajdúböszörmény with direct subsidies was determined. In the first part of the research, agricultural subsidisation systems of the European Union and Hungary were processed. Subsequently, with regard to Hajdúböszörmény and based on the subsidy-related data available for the period of 2008-2017, subsidies paid during the last 10 years were demonstrated in various breakdowns (resources, funds, settlements and subsidy type). In addition to the above, measurement of the concentration of direct subsidies was realised by means of three concentration indexes (Lorenz curve, CR concentration, Hirschman-Herfindahl index).  


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