Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Friday, October 26, 2018

Study: In-Hospital MRIs Could Be Wasteful

Has your hospital examined how poor quality and redundant their MRIs are? Are they better than scanning a dead salmon and reporting it as having brain activity?

Study: In-Hospital MRIs Could Be Wasteful


More body MRI examinations are being performed in-hospital, but are often of poor quality and provide redundant information, according to a study published in the American Journal of Radiology.
Researchers from Beth Israel Deaconess Medical Center in Boston, sought to analyze body MRI utilization trends, quality, yield, and timing among inpatients in a tertiary care academic medical center.
Using billing data from fiscal years 2006 to 2015, researched compared the volume of admissions with the total number of inpatient body MRI examinations. MRI examinations per admissions and discharge were adjusted using the Centers for Medicare & Medicaid Services case mix index by fiscal year. Linear regression was used to assess trends. In addition, each inpatient body MRI examination performed in fiscal year 2015 was evaluated and graded on its quality and yield and was judged as to whether it could have been performed on an outpatient basis.
Related article: Comprehensive Utilization Management Reduces High Cost Imaging Volume
The results showed there was an increase in the number of inpatient body MRI examinations, from 637 examinations in FY 2006 to 871 examinations in fiscal year 2015. When adjusted for case mix, the upward trend for body MRI use persisted.
When examining the quality of the MRIs, the researchers noted that of the inpatient body MRI examinations:
  • 2.3% were nondiagnostic
  • 40.4% were limited quality
  • 57.3% were of diagnostic quality
  • 20.8% had no yield
  • 5.1% of examinations had no yield but incidental findings
  • 74.1% of examinations had a positive yield
The researchers also found that 30.2% of examinations could have been performed as outpatient examinations.
The researchers concluded that at their institution, the number of inpatient body MRI examinations had increased significantly over the past 10 years. However, many of the examinations were of poor quality, often gave redundant information, and could have be performed in the outpatient setting.

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