TY - T1的协同护理中风中心:角色植入的神经回路录音机检测心房纤颤(p4.9 - 065) JF -神经学乔-神经学六世- 92 - 15补充SP - p4.9 - 065 AU - Nabeel Herial盟梅丽莎·沃伦AU -罗宾Dharia盟戴安娜Tzeng盟弗雷德-阿拉姆Shaista盟林康AU 首页- Pascal Jabbour盟罗德尼·贝尔盟-罗伯特Rosenwasser Y1 - 2019/04/09 UR - //www.ez-admanager.com/content/92/15_supplement/p4.9 - 065. -抽象N2 -目的:可行性报告,需要凭证/特权,和价值的神经植入循环录音机合作与心脏病检测房颤(AF)的中风和对病人护理的质量和连续性的影响。背景:神经学家,通常随着血管神经病学专科训练,扮演不可或缺的角色在管理缺血性中风患者。首页在疑似栓塞性中风患者,检测心房颤动(房颤)是必要的,以防止复发。在合格的中风患者,使用植入式循环记录器(劳工关系)增加检测房颤和具有重要临床意义。合作医疗在不明原因引起的中风是至关重要和越来越多的植入劳工关系的神经学家的兴趣。设计/方法:注册表中执行的所有住院劳工关系过程全面综述了中风研究中心。机构协议植入劳工关系是通过专业之间的合作开发的。从医院特权委员会批准后,介入神经学家(有资格)植入患者的劳工关系被血管神经。首页初始编程前的设备进行放电。跟踪监测是由心脏病和节奏。劳工关系过程细节包括并发症,计费,报销等报道。结果:共有80名劳工关系过程进行了10个月(12月的17-Sep 18)。所有患者门诊心脏病紧随其后。 CPT code 33282 used for device insertion with 2017 Medicare physician work RVUs of 3.25 reported. Diagnosis codes of 163.9 or G45.9 are frequently utilized. Quarterly data for 2017–18 (16 vs. 23, 12 vs. 33, and 13 vs. 35) indicated average increase by ~130% (p<0.001) in implantation of ILRs for cryptogenic stroke. No complications were reported and atrial fibrillation was detected in 9/80 (11%).Conclusions: Hospital-based collaborative care increases ILR use in cryptogenic stroke. ILR procedure can be performed safely by trained and qualified physician in the stroke team prior to discharge. Additionally, an effective multidisciplinary collaboration adds value by ensuring continuity of care and patient retention in the health-system.Disclosure: Dr. Herial has received personal compensation for consulting, serving on a scientific advisory board, speaking, or other activities with medtronic. Dr. Warren has nothing to disclose. Dr. Dharia has nothing to disclose. Dr. Tzeng has nothing to disclose. Dr. Alam has nothing to disclose. Dr. Rincon has nothing to disclose. Dr. Jabbour has nothing to disclose. Dr. Bell has nothing to disclose. Dr. Rosenwasser has nothing to disclose. ER -