Publications by authors named "S A Grubman"
Background: Evaluating health status changes following transfemoral carotid artery stenting (TF-CAS) is essential for assessing procedural success, but meaningful clinical changes are unknown. We aimed to determine minimal clinically important differences (MCIDs) and quantify health status improvement or worsening rates after TF-CAS using the Stenting and Angioplasty with Protection in Patients at High Risk for Endarterectomy (SAPPHIRE) registry data.
Methods: The SAPPHIRE registry included patients undergoing TF-CAS from 2010 to 2014 for both symptomatic and asymptomatic carotid stenosis.
Article Synopsis
- The study aims to assess the healthcare costs associated with atrial fibrillation (AF) and atrial flutter (AFL) in the U.S., highlighting the rising prevalence and evolving management strategies.
- An analysis of data from 2016-2021 found that 1.4% of a large sampled population (over 248 million adults) had AF, with annual healthcare costs for these individuals significantly higher than those without AF ($25,451 vs $9,254).
- Expenditures related to AF rose by 11.1% during the study period, particularly impacting those with comorbid conditions; cancer patients, for instance, had the highest costs, while heart failure did not significantly add to expenditures.
Introduction: As the role of social determinants in carotid artery stenting (CAS) outcomes remains unclear, we investigated the association between the Distressed Community Index (DCI) (zip-code based) and post-CAS mortality/stroke outcomes.
Methods: We analyzed patients undergoing CAS from 2015 to 2019 using the Medicare claims-linked Vascular Quality Initiative database. Patients were grouped based on high (DCI ⩾ 60) and low (DCI < 60) community distress.
Background: Inferior vena cava (IVC) filter tilt is associated with technical difficulties at the time of retrieval. However, the degree of tilt that predisposes patients to undergo complex or failed retrieval has not been defined.
Methods: The electronic charts of patients undergoing IVC filter removal between 2010 and 2019 at a single tertiary center were reviewed.
Clinical Interpretation of Serum Troponin in the Era of High-Sensitivity Testing.
Diagnostics (Basel)
February 2024
Article Synopsis
- Cardiac troponin (Tn) is crucial for assessing patients with angina and acute coronary syndrome, but while new high-sensitivity tests are more accurate, they can misidentify conditions due to lower specificity.
- Clinical judgment is essential, as doctors must combine various diagnostic tools (like ECGs and exams) to accurately interpret Tn levels and establish a diagnosis.
- Understanding the reasons behind Tn elevation helps differentiate between myocardial ischemia (a specific type of heart issue) and general myocardial injury, which is critical since treatment approaches differ significantly for these conditions.