Science News

QCOR 2018 Scientific Sessions
Quality of Care and Outcomes Research

April 6–7, 2018 | Arlington, Virginia
Welcome to #QCOR18 coverage from Washington, D.C. This is where you'll find results from the most interesting science presented at the conference (see our embargo policy), along with in-depth discussion from AHA volunteers.

Science from Friday, April 6

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Panelists Adrian F. Hernandez, Harlan Krumholz, John Rumsfeld, and Brahmajee Nallamothu discuss the impact of big data on the future of medicine during the QCOR 2018 opening session.
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Colleen McIlvennan interviews QCOR 2018 Young Investigator Award winner Sachin Shah on his presentation about stroke rates and anticoagulation for AF patients. (Read Shah's abstract.)
QCOR 2018 Young Investigator Award Finalists

The Impact of State Medicaid Expansions on Care Quality and Outcomes for Low-Income Patients Hospitalized With Heart Failure
Rishi K Wadhera | Brigham and Women's Hospital, Boston, MA

  • RESULTS: Expanded Medicaid eligibility since 2014 in 32 states wasn’t associated with QOC improvement or in-hospital mortality for low-income patients hospitalized with heart failure.
  • Wadhera's Abstract

Financial Toxicity From Out-of-pocket Annual Health Expenditures in Low-income Adults With Atherosclerotic Cardiovascular Disease in the United States
Rohan Khera | UT Southwestern Medical Center, Dallas, TX

Association of Video- vs. Text-Based Informed Consent With Multicenter Registry Enrollment
Alexander Craig Fanaroff | Duke University Medical Center, Durham, NC

WINNER Variation in Published Stroke Rates Results in Wide Variation in the Net Clinical Benefit of Anticoagulation for Atrial Fibrillation
Sachin J Shah | University of California San Francisco, San Francisco, CA

Optimizing Emergency Room Throughput for Cardiac Telemetry Patients: A Queuing Theory Approach
Anna Rosenblatt | Northwestern Memorial Hospital, Chicago, IL

  • RESULTS: A mathematical study of waiting times, queuing theory, and models predicts capacity needs and showed that small capacity increases can result in significant healthcare system improvements.
  • Rosenblatt's Abstract

Science from Saturday, April 7

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Mikhail Kosiborod, Eric Peterson, and John Spertus discussed the evolving role of real world evidence and open science in medical research in a session at QCOR18.
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Kim Smolderen, Adrian Hernandez, and Tracy Wang met at QCOR18 to discuss the potential of social media and networks like Twitter, Facebook and Snapchat for improving patient care.

Use of Intensive Glycemic Management in Older Adults With Diabetes. An Analysis From the Diabetes Collaborative Registry
Suzanne V Arnold | Mid America Heart Institute and UMKC, Kansas City, MO

  • RESULTS: The extent of alternative treatment use with less risk for hypoglycemia vs. tight control of older diabetic patients reveals groups where the higher-risk agents are more likely used.
  • Arnold's Abstract

Association of Opioids and Cardiovascular Comorbidities
Philip W Chui | Yale School of Medicine, New Haven, CT

  • RESULTS: A significant minority of veterans in this study were found to be on extended duration of opioids and to have a greater risk for CVD and CV risk factors.
  • Chui's Abstract

Health Resource Utilization and Healthcare Expenditure Among Myocardial Infarction Patients With Depression
Victor Okunrintemi | Baptist Health South Florida, Coral Gables, FL

Inter-hospital Variation in Costs of Pediatric Cardiac Catheterization: An Analysis of the PHIS Database
Michael L O'Byrne, Children's Hospital of Philadelphia, Philadelphia, PA

  • RESULTS: Inter-hospital cost variation for pediatric cardiac catheterization was found to be significant.
  • O'Byrne's Abstract

Rapid Response Teams at Top-performing Hospitals for In-hospital Cardiac Arrest: A Qualitative Study
Saket Girotra | University of Iowa, Iowa City, IA

  • RESULTS: Design and implementation differences distinguish top performing hospitals.
  • Girotra's Abstract

Does the Implementation of Pneumonia Prevention Practices Reduce Risk of Pneumonia Following Cardiac Surgery?
Raymond J Strobel | University of Michigan Medical School, Ann Arbor, MI

  • RESULTS: Evaluation of a bundle of three pneumonia prevention practices identifies steps associated with lower odds for pneumonia for CABG patients in this study.
  • Strobel's Abstract

Other studies of note published today

Antihypertension Treatment Disutility Among U.S. Adults
Erica S Spatz | Yale University School of Medicine, New Haven, CT