2010 Neurological Institute Outcomes - Cleveland Clinic

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40 Cerebrovascular Disease Intracerebral Hemorrhage, Subarachnoid Hemorrhage and Ischemic Stroke: Discharge Status 2010 Intracerebral Subarachnoid Ischemic Hemorrhage Hemorrhage Stroke Acute Rehab 21% 15% 25% Home 22% 36% 34% Home with Home Health Services 6% 8% 10% Skilled Nursing Facility/Interim Care 24% 22% 24% Death 25% 15% 7% Other 3% 4% 1% Total Number of Patients 167 157 550 The national average for inpatient death following subarachnoid hemorrhage (ruptured aneurysm) was 29.4 percent in 1990-1991 and 26.5 percent in 2000-2001. 2 2. Qureshi AI, Suri MF, Nasar A, Kirmani JF, Ezzeddine MA, Divani AA, Giles WH. Changes in cost and outcome among US patients with stroke hospitalized in 1990 to 1991 and those hospitalized in 2000 to 2001. Stroke. 2007 Jul;38(7):2180-2184. Outcomes 2010
Cognitive Disorders Cleveland Clinic’s Lou Ruvo Center for Brain Health (CCLRCBH) provides state-of-the-art care for cognitive disorders and for the family members of those who suffer from them. The physicians and staff at the CCLRCBH are working toward the development of early diagnosis, conducting clinical trials of promising new medications and advancing understanding of cognitive disorders. The ultimate goal is to delay the onset of or prevent Alzheimer’s disease. Quality of Life Compared across Different Cognitive Disorders 2010 Mean EQ-5D Index 1.0 0.8 0.6 0.4 0.2 0 N = Change in Quality of Life Compared across Different Cognitive Disorders 2010 Patients (%) 60 40 20 0 N = Alzheimer’s Disease 158 Alzheimer’s Disease 98 Over a one-year observation period, patients with Alzheimer’s disease and mild cognitive impairment tended to have an improvement or stabilization of their quality of life, as measured with the EQ-5D, while those with frontotemporal dementia or other dementia syndromes tended to have worsening quality of life. Mean interval between first and last visits in 2010 was 97, 64, 96 and 158 days for those with Alzheimer’s disease, mild cognitive impairment, frontotemporal dementia and other dementia, respectively. Improvement was defined as any positive change in score. Neurological Institute Mild Cognitive Impairment 83 Mild Cognitive Impairment 60 Frontotemporal Dementia 26 Frontotemporal Dementia 16 Other Dementia 27 Other Dementia 19 Worsened Stable Improved 41
Page 1: Neurological Institute 2010 Outcome
Page 4 and 5: 2 Dear Colleague: It is my great pl
Page 6 and 7: 4 Chairman’s Letter Dear Colleagu
Page 8 and 9: Chairman Letter Institute Overview
Page 10 and 11: 8 Institute Overview Relevant Resea
Page 12 and 13: 10 Institute Overview 2010 Statisti
Page 14 and 15: Institute Overview Admissions 15,49
Page 16 and 17: 14 Outcomes Overview Recognizing th
Page 18 and 19: 16 Brain Tumors The Rose Ella Burkh
Page 20 and 21: 18 Brain Tumors Brain Biopsy Brain
Page 22 and 23: 20 Brain Tumors Supratentorial Cran
Page 24 and 25: 22 Brain Tumors Infratentorial Cran
Page 26 and 27: 24 Brain Tumors Infratentorial Cran
Page 28 and 29: 26 Brain Tumors Pituitary Surgery P
Page 30 and 31: 28 Brain Tumors Stereotactic Radios
Page 32 and 33: 30 Brain Tumors Stereotactic Radios
Page 34 and 35: 32 Brain Tumors Glioblastoma Multif
Page 36 and 37: 34 Cerebrovascular Disease Inpatien
Page 38 and 39: 36 Cerebrovascular Disease Change i
Page 40 and 41: 38 Cerebrovascular Disease Hemorrha
Page 44 and 45: 42 Cognitive Disorders Depressive s
Page 46 and 47: 44 Epilepsy Seizure Frequency in Me
Page 48 and 49: 46 Epilepsy Seizure Outcomes Follow
Page 50 and 51: 48 Epilepsy Frontal lobe resection
Page 52 and 53: 50 Epilepsy Long-Term Seizure Freed
Page 54 and 55: 52 Epilepsy Epilepsy Outcomes Beyon
Page 56 and 57: 54 Epilepsy Adult Epilepsy: Effect
Page 58 and 59: 56 Epilepsy Adult Epilepsy: Effect
Page 60 and 61: 58 Epilepsy Change in Driving Statu
Page 62 and 63: 60 Epilepsy Pediatric Epilepsy: Eff
Page 64 and 65: 62 Epilepsy Pediatric Epilepsy: Eff
Page 66 and 67: 64 Movement Disorders Change in Mot
Page 68 and 69: 66 Multiple Sclerosis Mellen Center
Page 70 and 71: 68 Multiple Sclerosis MS-Related Di
Page 72 and 73: 70 Multiple Sclerosis Establishing
Page 74 and 75: 72 Multiple Sclerosis Lower Extremi
Page 76 and 77: Multiple Sclerosis Treatment with N
Page 78 and 79: Multiple Sclerosis Walking Times be
Page 80 and 81: 78 Multiple Sclerosis Distribution
Page 82 and 83: 80 Multiple Sclerosis Spasticity be
Page 84 and 85: 82 Neuromuscular Disorders Quality
Page 86 and 87: 84 Pain / Headache Infusion Therapy
Page 88 and 89: 86 Pain / Headache Depression, Anxi
Page 90 and 91: Pain / Headache Cleveland Clinic Ch
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Pain / Headache Anxiety before and
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Pain / Headache CPRP Outcomes in Mu
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94 Pain / Headache CPRP Outcomes in
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Pain / Headache Anxiety before and
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Pediatric Neurological / Neurosurgi
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100 Pediatric Neurological / Neuros
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Psychiatric Disease Outpatient Trea
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Psychiatric Disease Women’s Menta
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106 Psychiatric Disease Illness Sev
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108 Psychiatric Disease Alcohol and
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110 Sleep Disorders Sleep Apnea Obs
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Sleep Disorders The 2011 National S
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114 Sleep Disorders Insomnia It is
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116 Spinal Disease Improvement in Q
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118 Spinal Disease Degenerative Spo
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120 Physical Medicine and Rehabilit
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126 Home Care Cleveland Clinic Hosp
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128 Neuroimaging Brain Attack Head
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130 Surgical Quality Improvement Su
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132 Surgical Quality Improvement Na
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134 Patient Experience “Patients
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136 Patient Experience Inpatient -
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138 Selected Publications “The Ne
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140 Selected Publications Epilepsy
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Selected Publications Rudick RA, O
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144 Selected Publications Neurologi
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146 Selected Publications Sleep Dis
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148 Innovations Rose Ella Burkhardt
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150 Innovations Cerebrovascular Cen
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152 Innovations Lou Ruvo Center for
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Innovations Applying MRI Motion Cor
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Innovations Epilepsy Center Improvi
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158 Innovations Designing the Hip F
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160 Innovations Neurological Center
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Innovations Center for Spine Health
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Staff Listing Institute Chairman Mi
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166 Staff Listing Epilepsy Center (
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Referral Staff Listing Contact Info
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170 Staff Listing Center for Region
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172 Staff Listing Center for Spine
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174 Contact Information General Pat
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176 Institute Locations Euclid Hosp
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178 About Cleveland Clinic Overview
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This project would not have been po
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2010 Neurological Institute Outcomes - Cleveland Clinic

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