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Rural Health
Resources by Topic: Cardiovascular disease

Understanding Barriers and Facilitators to Implementation of a Patient Safety Bundle for Pregnancy-Related Severe Hypertension in 3 North Carolina Outpatient Clinics: A Qualitative Study
Examines the Alliance for Innovation on Maternal Health's Patient Safety Bundle (Bundle) implementation in North Carolina, which aims to address complications of pregnancy related hypertension. Utilizes feedback from 11 key informant interviews working at a rural outpatient Federally Qualified Health Center (FQHC) in central North Carolina. Discusses facilitators and barriers of the Bundle implementation, with a focus on access issues in rural and underserved communities.
Author(s): Aparna G. Kachoria, Hiba Fatima, Alexandra F. Lightfoot, et al.
Citation: Implementation Science Communications, 6, 7
Date: 01/2025
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Target Door-to-Needle Time in Acute Stroke Treatment via Telemedicine Versus In-Person Evaluation in a Rural Setting of the Midwest: A Retrospective Cohort Study
Examines door-to-needle time (DTN) among 239 patients who received thrombolytic treatment within a rural, Midwestern stroke network. Compares telemedicine and in-person treatment delivery, with data on patient safety, short-term outcomes, and DTN by provider type.
Author(s): Andrea Loggini, Jonatan Hornik, Jessie Henson, et al.
Citation: Journal of Stroke & Cerebrovascular Diseases, 34(1), 108141
Date: 01/2025
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A Comparison of Rural and Urban Differences in Geographic Proximity to Outpatient Stroke Rehabilitation Services in Tennessee
Examines distance and travel time disparities for outpatient stroke rehabilitation (OSR) services in rural and urban areas of Tennessee. Analyzes 185 facilities for OSR and provides rural versus urban median travel distance and time according to OSR service type. Includes county-level maps showing mean travel distance by kilometers.
Author(s): Phoebe M. Tran, Benjamin Fogelson, Robert E. Heidel, Raj Baljepally
Citation: Journal of Cardiopulmonary Rehabilitation and Prevention 45(1), 65-71
Date: 01/2025
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Alabama Vital Statistics, 2022
Statistics on births, deaths, marriage, and population in Alabama in 2022. Includes birth rate, maternal demographics and characteristics, causes of death, divorces and annulments, population estimates, and more. Provides county-by-county data, including county-level maps.
Date: 12/2024
Sponsoring organization: Alabama Department of Public Health
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Cardiovascular Mortality Trends and Disparities in U.S. Breast Cancer Patients, 1999–2020: A Population-Based Retrospective Study
Analyzes trends in cardiovascular disease (CVD) mortality among 74,733 breast cancer patients during the years 1999-2020, utilizing CDC WONDER data. Breaks down age-adjusted mortality rate (AAMR) data by race, census region, level of rurality, and more.
Author(s): Yong-Hao Yeo, Boon-Jian San, Jia-Yi Tan, et al.
Citation: Cardio-Oncology, 10, 89
Date: 12/2024
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Identifying Best Practices for Improving the Evaluation and Management of Stroke in Rural Lower-Resourced Settings: A Scientific Statement From the American Heart Association
Discusses the value of quality improvement and expanded stroke service availability in underserved rural and remote settings. Identifies disparities in stroke care access and patient outcomes, and provides strategies related to policy, investment, training, and inter-organizational cooperation which address challenges in prehospital, inpatient, and postacute care, thrombolysis and ED care, patient transfers, and thrombectomy.
Author(s): Kori S. Zachrison, Kaiz S. Asif, Sherita Chapman, et al.
Citation: Stroke
Date: 12/2024
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County-Level Hypertension Prevalence and Control in the United States: A ZIP3-County Crosswalk Using Electronic Health Record Data
Provides county-level maps showing hypertension prevalence and control across the United States. Utilizes 2022 data from the IQVIA Ambulatory Electronic Medical Record-US database to analyze hypertension in over 7 million patients.
Author(s): Xingran Weng, Adam S. Vaughan, Siran He, et al.
Citation: Preventing Chronic Disease, 21
Date: 12/2024
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Validation of Prognostic Scales for Functional Outcome in Ischemic Stroke Patients Treated with Intravenous Thrombolysis in a Rural Setting
Examines the efficacy of prognostic tools for stroke recovery in a rural setting, utilizing data of 279 stroke patients who received thrombolytic therapy at the Southern Illinois Healthcare Stroke Network from July 2017 to June 2024. Provides data on the performance of the DRAGON, MRI-DRAGON, and S-TPI tools in predicting positive and negative patient outcomes.
Author(s): Andrea Loggini, Faddi G Saleh Velez, Jonatan Hornik, et al.
Citation: Cerebrovascular Diseases Extra, 14(1), 148-157
Date: 10/2024
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Process Evaluation Findings from Strong Hearts, Healthy Communities 2.0: A Cardiovascular Disease Prevention Intervention for Rural Women
Examines the impact and delivery of a 24-week cardiovascular disease prevention program administered to women in rural New York. Utilizes quantitative and qualitative data from 182 participants to analyze implementation measures such as program reach and length, participant attendance and satisfaction, program effectiveness, and more.
Author(s): Jacob Szeszulski, Laura J. Rolke, Priscilla Ayine, et al.
Citation: International Journal of Behavioral Nutrition and Physical Activity, 21, 122
Date: 10/2024
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Healthcare Cost and Utilization Project (HCUP) Maternal Health Chartbook 2010–2019
Analyzes data from the National Inpatient Sample from between 2010 and 2019 to highlight trends in maternal health related to diabetes, hypertension, mental health disorders, substance use disorders, and severe maternal morbidity. Includes data by expected payer, patient characteristics, and geography. Includes large metropolitan, medium/small metropolitan, and nonmetropolitan comparisons throughout.
Author(s): Lawrence Reid, Kimberly Marin, Jessica Monnet
Date: 10/2024
Sponsoring organization: Agency for Healthcare Research and Quality
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