Publications by authors named "H Gardener"
Background: Resource allocation for stroke care was impacted worldwide by the Coronavirus 2019 (COVID19) pandemic. Regionally, worsened stroke outcomes varied, however comparative year-over-year in-hospital performance metrics from the pandemic are unreported. Therefore, within the large Florida Stroke Registry (FSR), we assessed the pandemic's effects upon the American Heart Association (AHA) Get With The Guidelines (GWTG) ischemic stroke metrics and the meta-metric, Defect-Free Care (DFC).
View Article and Find Full Text PDFThis study identifies the association between patient perception of discharge education/resources and adequate transitions of care (ATOC) (i.e., patient achievement of at least 75% of recommended positive behaviors and activities within 30 days post-stroke hospitalization).
View Article and Find Full Text PDFBackground And Purpose: Social determinants of health (SDOH), including social networks, impact disability and quality of life post-stroke, yet the direct influence of SDOH on functional change remains undetermined. We aimed to identify which SDOH predict change on the modified Rankin Scale (mRS) within 90 days after stroke hospitalization.
Methods: Stroke patients from the Transitions of Care Stroke Disparities Study (TCSDS) were enrolled from 12 hospitals in the Florida Stroke Registry.
Article Synopsis
- Pulse-wave velocity (ePWV) is linked to arterial stiffness and increased cardiovascular disease risk, and this study investigated its relationship with cerebral small-vessel disease in a diverse group of 1257 participants from the NOMAS study.
- The analysis showed a significant association between ePWV and white matter hyperintensity volume, with stronger effects observed in Hispanic and non-Hispanic Black populations, indicating racial and ethnic variations in this risk factor.
- Findings suggest that ePWV could be a key mechanism behind adverse cerebrovascular outcomes in individuals with cerebral small-vessel disease, emphasizing the importance of monitoring this measure, especially in minority groups.
Objectives: We explore patient-reported behaviors and activities within 30-days post-stroke hospitalization and their role in reducing death or readmissions within 90-days post-stroke.
Methods: We constructed the adequate transitions of care (ATOC) composite score, measuring patient-reported participation in eligible behaviors and activities (diet modification, weekly exercise, follow-up medical appointment attendance, medication adherence, therapy use, and toxic habit cessation) within 30 days post-stroke hospital discharge. We analyzed ATOC scores in ischemic and intracerebral hemorrhage stroke patients discharged from the hospital to home or rehabilitation facilities and enrolled in the NIH-funded Transitions of Care Stroke Disparities Study (TCSD-S).