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Abstract 256: Infections Among Patients With Left Ventricular Assist Devices at University of Kansas Medical Center - Statistics and Strategies [Session Title: Poster Session PM]
Background: Owing to this improved technology and peri-implantation care around 90% of patients being considered for mechanical circulatory support receive an LVAD. Although LVAD support is associated with improved survival and quality of life, infectious complications remain a major limitation. The exact incidence of LVAD-related and non-VAD related infections among patients with VADs is unknown. Several potential factors make patients with VADs more prone to infectious complications, most obvious being the presence of an implanted device. Temporary alterations in the host immune system, including changes in T-cell functi...
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Rali, A. S., Foster, R., Dalia, T., Kandah, D., Sauer, A. J., Haglund, N. Tags: Session Title: Poster Session PM Source Type: research

Abstract 255: Weight Management in Peripheral Artery Disease: Insight From the PORTRAIT Registry [Session Title: Poster Session PM]
Conclusion: Only 1 in 5 obese patients were offered weight/diet counseling and 30% achieved weight loss of ≥ 5%. There was marked site variability in the use of weight management in these patients. This suggests an opportunity for improvement in addressing this important cardiovascular risk factor. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Peri-Okonny, P. A., Patel, K., Gosch, K., Buchannan, D., Stone, N., Smoleren, K. Tags: Session Title: Poster Session PM Source Type: research

Abstract 254: The Benefits and Barriers to Remote Health Coaching in Patients at Risk for Cardiovascular Disease [Session Title: Poster Session PM]
Background: Partners’ Center for Population Health is reviewing the effectiveness of an app-based remote health coaching program, designed to complement the care of providers. The program allows patients to regularly communicate with a live health coach via text, phone, or video conferencing. The health coaches are provided by an outside vendor and are trained to provide guidance relevant to a number of chronic diseases, including obesity, hypertension and diabetes.Objectives: The aim for the health coaching cardiovascular program is to see an improvement in clinical outcomes including blood pressure, blood glucose, ...
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Kelly, N., Licurse, A., Sperry, K. Tags: Session Title: Poster Session PM Source Type: research

Abstract 253: The Importance of Spiritual Authorities in Critical Care Field: An International Survey Analysis [Session Title: Poster Session PM]
Conclusions: One in every two physicians/nurses in this study considered spiritual authorities, as part of the ICU team, beneficial in managing the patients and communicating with them and their families. We also found a correlation between the religious practice of the physicians/nurses and their opinion about its impact on the care of the patients. Physicians who are committed to a religious practice, tend to state that this could be beneficial; while nurses who are spiritual but not religious indicated no impact on the management. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Alshami, A., Romero, C., Avila, A., Einav, S., Surani, S., Varon, J. Tags: Session Title: Poster Session PM Source Type: research

Abstract 252: Regional Variations in Access to Care Among U.S. Veterans With Cardiovascular Disease [Session Title: Poster Session PM]
Conclusions: In this observational study involving U.S. veterans with CVD, West region was independently associated with lower rates of medical checkup within the past year. Further large-scale studies examining the prevalence of impaired access to care in U.S. veterans with CVD are warranted. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Srivastava, P., Shroyer, A. L., Templeton, R., Butler, J., Parikh, P. B. Tags: Session Title: Poster Session PM Source Type: research

Abstract 251: Gender Equity in Rates of Guideline-Directed Medical Therapy Prescription at Discharge for Hospitalized Heart Failure Patients [Session Title: Poster Session PM]
Conclusions: In this sample of hospitalized heart failure patients, no difference was found in rates of GDMT prescription for women as compared to men. Readmission rates were significantly higher for men than women, consistent with national data. Further investigation will determine the extent to which equity in prescription rates translates into improved outcomes for women hospitalized with heart failure. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Cleveland, E. R., Berkowitz, C., Pissaris, A., Valencia, V., Mutharasan, R. K. Tags: Session Title: Poster Session PM Source Type: research

Abstract 250: Antiplatelet Therapy in Post-Acute Coronary Syndrome: Effect of Education on Physician Knowledge and Competence [Session Title: Poster Session PM]
Conclusion: Participation in a 30-minute online video discussion with synchronized slides resulted in statistically significant improvement in non-US cardiologists’ knowledge and competence regarding DAPT in patients with post-ACS. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: ONeil, T., Guedj, P., Hughes, S. Tags: Session Title: Poster Session PM Source Type: research

Abstract 249: Quality of Medical Advice Provided Online Between Anonymous Members of a Message Board for Implanted Defibrillator Patients [Session Title: Poster Session PM]
Conclusions: Patients use online medical information to understand conditions and treatment options. A number of efforts have been made to understand the quality of professionally-created educational content, while ours describes the quality of advice being provided between anonymous members of an online message board. The quality of advice varied considerably, both by topical area and the specificity of advice. This analysis provides a methodologic model by which to describe the quality of patient-generated material available online. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Knoepke, C., Slack, D. H., Matlock, D., Marzec, L. Tags: Session Title: Poster Session PM Source Type: research

Abstract 248: Gold Star Pilot Program Expedites Early Discharges From Inpatient Cardiology Unit [Session Title: Poster Session PM]
Conclusions: The Gold Star program facilitated pre-11 AM discharges from an inpatient cardiology unit. Barriers to early discharge include wait time for diagnostic studies, failure to identify Gold Star eligible patients, and delays in transportation. We continue to address these barriers and plan to replicate our program at other hospitals within our health system. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Chen, J. H., Vazquez, J. R., Hummel, C., Kumarasamy, M., Yam, A., Esper, G. J., Goyal, A., Wells, B. J. Tags: Session Title: Poster Session PM Source Type: research

Abstract 247: Is Oxygen Therapy Beneficial in Acute Myocardial Infarction? A Meta-Analysis [Session Title: Poster Session PM]
Conclusion: Contrary to the routine clinical practice, our analysis shows that O2 administration does not provide any benefit in AMI patients who have normal oxygen saturation. It is reasonable to reserve O2 only for patients with AMI and hypoxemia. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Khan, M. S., Kolkailah, A., Fugar, S., Ayub, M. T., Al-Ogaili, A., Ayoub, A., Asmi, N., Sreenivasan, J., Khosa, F., Samady, H. Tags: Session Title: Poster Session PM Source Type: research

Abstract 246: Single Center Study of Statin Use Among Renal Transplant Recipients [Session Title: Poster Session PM]
Conclusion: In this high risk cohort, a significant proportion of patients who were statin eligible including diabetics, were not prescribed statin. Less than half of renal transplant recipients had a lipid panel documented pre and post- transplant. Patterns of use of cardioprotective medications in the renal transplant population, and its relation to renal and cardiac outcomes needs further study. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Nestasie, M., Madhana Kumar, A., Doyle, M., Poornima, I. G. Tags: Session Title: Poster Session PM Source Type: research

Abstract 245: Assessing Patient Knowledge and Satisfaction Following Stroke Video Education [Session Title: Poster Session PM]
Conclusions: Based on this preliminary data, stroke patients enjoy video education in clinic. However, as patients in both groups were highly satisfied, it remains unclear whether video education increases overall satisfaction. Highly educated patients may bennefit from video education, but further enrollment will clarify this. A positive correlation between post-visit test score and satisfaction indicates that clinics should prioritize patient education. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Tisel, S., Rieman, A., Hodges, M., Gwathmey, K. Tags: Session Title: Poster Session PM Source Type: research

Abstract 244: ECG Recording Errors Prevalence in a Hospital Setting [Session Title: Poster Session PM]
Discussion: Electrocardiography remains the cornerstone of early diagnosis and treatment of cardiac disease in the inpatient and outpatient setting. ECG recording artifacts have been reported with variable frequency, with inpatient recordings likely suffering greater errors, depending on the acuity of the situation. We observed that in the outpatient setting, there was 3.6% (11/309) prevalence of recording error, while in the inpatient and emergency department setting there was 6.6% (60/903) prevalence of ECG recording errors. Despite the overall small percentages, this is an alarming problem, especially with regards to in...
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Awan, M., Omar, M., Omar, B. A., Malozzi, C., Awan, G. M. Tags: Session Title: Poster Session PM Source Type: research

Abstract 243: Contrast Induced Nephropathy; Out of Sight, Out of Mind [Session Title: Poster Session PM]
Conclusions: Shortened hospitalizations decrease the awareness of and preventive treatment for CIN. A multidisciplinary team has identified multiple opportunities for practice improvement: provider education, review of the EHR power plan [for modification of pre and intraprocedural risk factors, implementation of correctly dosed fluid repletion with renal consultation for high risk patients, appropriate follow-up of creatinine], Preprocedural calculation and intraprocedural monitoring to achieve low risk contrast volume [(ml)/eGFR <3.7}, interventional report embedding CIN risk score, EHR tracking and audit to ensure im...
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Lawson, W. E., Wilbert, L., Musani, M., Gumersell, K., Leippert, Y., Pyo, R. Tags: Session Title: Poster Session PM Source Type: research

Abstract 242: Can Belief Enhance Relief? A Multicenter Study [Session Title: Poster Session PM]
Conclusions: A significant number of physicians identify themselves as religious, whether by belief in God, or based on a level of spirituality. We found a strong correlation between the level of spirituality a provider feels and the perception of how much his/her patient care is affected. We are not aware if this translates into real differences in patient care. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Alshami, A., Avila, A., Romero, C., Villarreal, R., Einav, S., Surani, S., Varon, J. Tags: Session Title: Poster Session PM Source Type: research