{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T15:52:11Z","timestamp":1772121131902,"version":"3.50.1"},"reference-count":40,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2022,3,1]],"date-time":"2022-03-01T00:00:00Z","timestamp":1646092800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2022,3,1]],"date-time":"2022-03-01T00:00:00Z","timestamp":1646092800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2022,3,1]],"date-time":"2022-03-01T00:00:00Z","timestamp":1646092800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2022,3,1]],"date-time":"2022-03-01T00:00:00Z","timestamp":1646092800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2022,3,1]],"date-time":"2022-03-01T00:00:00Z","timestamp":1646092800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2022,3,1]],"date-time":"2022-03-01T00:00:00Z","timestamp":1646092800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2022,3,1]],"date-time":"2022-03-01T00:00:00Z","timestamp":1646092800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jocn-journal.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Neuroscience"],"published-print":{"date-parts":[[2022,3]]},"DOI":"10.1016\/j.jocn.2021.12.023","type":"journal-article","created":{"date-parts":[[2022,1,21]],"date-time":"2022-01-21T13:05:36Z","timestamp":1642770336000},"page":"99-105","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":3,"special_numbering":"C","title":["The Insurance Coverage Paradox \u2013 Characterizing Outcomes among Dual-Eligible Hemorrhagic Stroke Patients"],"prefix":"10.1016","volume":"97","author":[{"given":"Youry S.","family":"Pierre-Louis","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Krissia M. Rivera","family":"Perla","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giancarlo Medina","family":"Perez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Skenda","family":"Jean-Charles","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oliver","family":"Tang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chibueze A.","family":"Nwaiwu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert","family":"Weil","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nish S.","family":"Shah","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daithi S.","family":"Heffernan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carla","family":"Moreira","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"issue":"2","key":"10.1016\/j.jocn.2021.12.023_b0005","doi-asserted-by":"crossref","first-page":"94","DOI":"10.1016\/S1474-4422(07)70007-8","article-title":"Stroke in developing countries: can the epidemic be stopped and outcomes improved?","volume":"6","author":"Feigin","year":"2007","journal-title":"Lancet Neurol"},{"issue":"1","key":"10.1016\/j.jocn.2021.12.023_b0010","doi-asserted-by":"crossref","first-page":"34","DOI":"10.5847\/wjem.j.1920-8642.2017.01.006","article-title":"Comparison of neurological clinical manifestation in patients with hemorrhagic and ischemic stroke","volume":"8","author":"Ojaghihaghighi","year":"2017","journal-title":"World J Emerg Med"},{"issue":"11","key":"10.1016\/j.jocn.2021.12.023_b0015","doi-asserted-by":"crossref","first-page":"2061","DOI":"10.1007\/s00415-014-7291-1","article-title":"Progressing haemorrhagic stroke: categories, causes, mechanisms and managements","volume":"261","author":"Chen","year":"2014","journal-title":"J Neurol"},{"key":"10.1016\/j.jocn.2021.12.023_b0020","series-title":"StatPearls [Internet]","article-title":"Hemorrhagic Stroke. 2020 Aug 10","author":"Unnithan","year":"2020"},{"issue":"1","key":"10.1016\/j.jocn.2021.12.023_b0025","doi-asserted-by":"crossref","first-page":"3","DOI":"10.5853\/jos.2016.00864","article-title":"Epidemiology, risk factors, and clinical features of intracerebral hemorrhage: an update","volume":"19","author":"An","year":"2017","journal-title":"J Stroke"},{"issue":"1","key":"10.1016\/j.jocn.2021.12.023_b0030","doi-asserted-by":"crossref","first-page":"268","DOI":"10.1161\/hs0102.101169","article-title":"Effect of socioeconomic status on treatment and mortality after stroke","volume":"33","author":"Kapral","year":"2002","journal-title":"Stroke"},{"key":"10.1016\/j.jocn.2021.12.023_b0035","first-page":"187","article-title":"Uninsured and unstably insured: the importance of continuous insurance coverage","volume":"35","author":"Schoen","year":"2000","journal-title":"Health Serv Res"},{"issue":"2","key":"10.1016\/j.jocn.2021.12.023_b0040","doi-asserted-by":"crossref","first-page":"283","DOI":"10.1016\/j.jstrokecerebrovasdis.2013.02.016","article-title":"Insurance status and outcome after intracerebral hemorrhage: findings from Get With The Guidelines-stroke","volume":"23","author":"James","year":"2014","journal-title":"J Stroke Cerebrovasc Dis"},{"issue":"1","key":"10.1016\/j.jocn.2021.12.023_b0045","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1097\/CCM.0000000000004043","article-title":"Outcomes in critically ill patients with traumatic brain injury: ethnicity, documentation, and insurance status","volume":"48","author":"Ram","year":"2020","journal-title":"Crit Care Med"},{"key":"10.1016\/j.jocn.2021.12.023_b0050","doi-asserted-by":"crossref","unstructured":".Schiraldi, Michael, Chirag G. Patil, Debraj Mukherjee, Beatrice Ugiliweneza, Miriam Nu\u00f1o, Shivanand P. Lad, Maxwell Boakye. Effect of Insurance and Racial Disparities on Outcomes in Traumatic Brain Injury. Journal of Neurological Surgery. Part A, Central European Neurosurgery 76, no. 3 (May 2015): 224\u2013232. https:\/\/doi.org\/10.1055\/s-0034-1543958.","DOI":"10.1055\/s-0034-1543958"},{"key":"10.1016\/j.jocn.2021.12.023_b0055","doi-asserted-by":"crossref","first-page":"198","DOI":"10.1016\/j.jss.2019.07.064","article-title":"Race and insurance status as predictors of bicycle trauma outcome in adults","volume":"245","author":"Chen","year":"2020","journal-title":"J Surgical Res"},{"key":"10.1016\/j.jocn.2021.12.023_b0060","unstructured":"\u201cDual-Eligible Beneficiaries of Medicare and Medicaid: Characteristics, Health Care Spending, and Evolving Policies | Congressional Budget Office.\u201d Accessed March 12, 2020. https:\/\/www.cbo.gov\/publication\/44308."},{"issue":"3","key":"10.1016\/j.jocn.2021.12.023_b0065","doi-asserted-by":"crossref","first-page":"1010","DOI":"10.1161\/01.STR.0000257312.12989.af","article-title":"Disparities in outcomes among patients with stroke associated with insurance status","volume":"38","author":"Shen","year":"2007","journal-title":"Stroke"},{"key":"10.1016\/j.jocn.2021.12.023_b0070","unstructured":"HCUP Databases. Healthcare Cost and Utilization Project (HCUP). December 2020. Agency for Healthcare Research and Quality, Rockville, MD. www.hcup-us.ahrq.gov\/nisoverview.jsp."},{"key":"10.1016\/j.jocn.2021.12.023_b0075","unstructured":"Averill RF, Goldfield N, Hughes JS, et al. ALL PATIENT REFINED DIAGNOSIS RELATED GROUPS (APR-DRGs) Methodology Overview 3M Health Information Systems.; 2003. Accessed November 12, 2020. www.3Mhis.com."},{"key":"10.1016\/j.jocn.2021.12.023_b0080","doi-asserted-by":"crossref","first-page":"271","DOI":"10.2147\/RMHP.S228415","article-title":"Performance of comprehensive risk adjustment for the prediction of in-hospital events using administrative healthcare data: The queralt indices","volume":"13","author":"Monterde","year":"2020","journal-title":"Risk Manag Healthc Policy"},{"key":"10.1016\/j.jocn.2021.12.023_b0085","series-title":"Missing Data Methods for the NIS and the SID","author":"Houchens","year":"2015"},{"issue":"3","key":"10.1016\/j.jocn.2021.12.023_b0090","doi-asserted-by":"crossref","first-page":"288","DOI":"10.1001\/jamasurg.2013.3835","article-title":"Perioperative complications after live-donor hepatectomy","volume":"149","author":"Hall","year":"2014","journal-title":"JAMA Surg"},{"issue":"2","key":"10.1016\/j.jocn.2021.12.023_b0095","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1097\/01.sla.0000133083.54934.ae","article-title":"Classification of surgical complications: A new proposal with evaluation in a cohort of 6336 patients and results of a survey","volume":"240","author":"Dindo","year":"2004","journal-title":"Ann Surg"},{"key":"10.1016\/j.jocn.2021.12.023_b0100","unstructured":"Consumer Price Index, 1913- | Federal Reserve Bank of Minneapolis. Accessed December 14, 2020. https:\/\/www.minneapolisfed.org\/about-us\/monetary-policy\/inflation-calculator\/consumer-price-index-1913-."},{"key":"10.1016\/j.jocn.2021.12.023_b0105","unstructured":"Producing National HCUP Estimates - Accessible Version. Accessed November 12, 2020. https:\/\/hcup-us.ahrq.gov\/tech_assist\/nationalestimates\/508_course\/508 course_2018.jsp."},{"issue":"10","key":"10.1016\/j.jocn.2021.12.023_b0125","doi-asserted-by":"crossref","first-page":"e78047","DOI":"10.1371\/journal.pone.0078047","article-title":"The impact of insurance status on the outcomes after aneurysmal subarachnoid hemorrhage","volume":"8","author":"Lai","year":"2013","journal-title":"PLoS ONE"},{"key":"10.1016\/j.jocn.2021.12.023_b0130","doi-asserted-by":"crossref","unstructured":"Gardizi E, Hanks RA, Millis SR, Figueroa MJ. Comorbidity and insurance as predictors of disability after traumatic brain injury. Arch Phys Med Rehab. Dec; 2014 95(12):2396\u20132401.","DOI":"10.1016\/j.apmr.2014.06.004"},{"issue":"3","key":"10.1016\/j.jocn.2021.12.023_b0135","doi-asserted-by":"crossref","first-page":"412","DOI":"10.1227\/NEU.0000000000001065","article-title":"Clostridium difficile infection after subarachnoid hemorrhage: a nationwide analysis","volume":"78","author":"Dasenbrock","year":"2016","journal-title":"Neurosurgery"},{"key":"10.1016\/j.jocn.2021.12.023_b0140","doi-asserted-by":"crossref","unstructured":"Janus, Todd J., Hayden L. Smith, Angela Chigazola, Mikelle R. Wortman, Richard A. Sidwell, John G. Piper. Hospital discharge destinations for hispanic and non-hispanic white patients treated for traumatic brain injury. J Trauma Nursing | JTN 20, no. 2 (June 2013): 102\u2013107. https:\/\/doi.org\/10.1097\/JTN.0b013e318296003a.","DOI":"10.1097\/JTN.0b013e318296003a"},{"key":"10.1016\/j.jocn.2021.12.023_b0145","doi-asserted-by":"crossref","first-page":"e787","DOI":"10.1016\/j.wneu.2020.03.087","article-title":"Discrepancy in neurologic outcomes following aneurysmal subarachnoid hemorrhage as a function of socioeconomic class","volume":"138","author":"Strickland","year":"2020","journal-title":"World Neurosurg"},{"key":"10.1016\/j.jocn.2021.12.023_b0150","doi-asserted-by":"crossref","unstructured":"Fargen, Kyle M., Dan Neal, Spiros L. Blackburn, Brian L. Hoh, Maryam Rahman. Health disparities and stroke: the influence of insurance status on the prevalence of patient safety indicators and hospital-acquired conditions, J Neurosurgery JNS 122, 4: 870-875, 2020, https:\/\/doi.org\/10.3171\/2014.12.JNS14646.","DOI":"10.3171\/2014.12.JNS14646"},{"key":"10.1016\/j.jocn.2021.12.023_b0155","unstructured":"Mmco C. Data Analysis Brief: Medicare-Medicaid Dual Enrollment Trends 2006-2018.; 2006. Accessed May 18, 2020. https:\/\/www.cms.gov\/Medicare-Medicaid-Coordination\/Medicare-and-Medicaid-."},{"key":"10.1016\/j.jocn.2021.12.023_b0160","unstructured":"People Dually Eligible for Medicare and Medicaid MEDICARE-MEDICAID COORDINATION OFFICE Centers for Medicare & Medicaid Services. Accessed December 16, 2020. https:\/\/www.cms.gov\/Medicare-Medicaid-Coordination\/Medicare-and-Medicaid-Coordination\/Medicare-Medicaid-Coordination-Office\/Downloads\/MMCO_Factsheet.pdf."},{"issue":"2","key":"10.1016\/j.jocn.2021.12.023_b0195","doi-asserted-by":"crossref","first-page":"406","DOI":"10.3171\/2015.3.JNS131356","article-title":"Treatment biases in traumatic neurosurgical care: a retrospective study of the Nationwide Inpatient Sample from 1998 to 2009","volume":"123","author":"McCutcheon","year":"2015","journal-title":"J Neurosurg"},{"key":"10.1016\/j.jocn.2021.12.023_b0200","doi-asserted-by":"crossref","unstructured":"Alban RF, Berry C, Ley E, et al. Does health care insurance affect Outcomes after traumatic brain injury? Analysis of National Trauma Databank. The American surgeon. Oct; 2010 76(10): 1108\u20131111.","DOI":"10.1177\/000313481007601019"},{"key":"10.1016\/j.jocn.2021.12.023_b0110","unstructured":"Bureau of Labor Statistics. BLS Reports. Washington, DC: 2014. Labor Force Characteristics by Race and Ethnicity, 2013."},{"key":"10.1016\/j.jocn.2021.12.023_b0115","unstructured":"KFF\u2019s Medicaid Enrollment by Race\/Ethnicity. Data Source: Kaiser Family Foundation estimates based on the Medicaid Statistical Information System (MSIS) data from FY 2013."},{"issue":"3","key":"10.1016\/j.jocn.2021.12.023_b0120","doi-asserted-by":"crossref","first-page":"E40","DOI":"10.1097\/HTR.0000000000000338","article-title":"Disparities in health care utilization of adults with traumatic brain injuries are related to insurance, race, and ethnicity: a systematic review","volume":"33","author":"Gao","year":"2018","journal-title":"J Head Trauma Rehabil"},{"issue":"5","key":"10.1016\/j.jocn.2021.12.023_b0165","first-page":"907","article-title":"Isolated traumatic brain injury: age is an independent predictor of mortality and early outcome","volume":"52","author":"Mosenthal","year":"2002","journal-title":"J Trauma: Injury, Infect, Critical Care"},{"key":"10.1016\/j.jocn.2021.12.023_b0170","doi-asserted-by":"crossref","unstructured":"Cruz-Flores, Salvador, Gustavo J. Rodriguez, Mohammad Rauf A. Chaudhry, Ihtesham A. Qureshi, Mohtashim A. Qureshi, Paisith Piriyawat, Anantha R. Vellipuram, Rakesh Khatri, Darine Kassar, Alberto Maud. Racial\/ethnic disparities in hospital utilization in intracerebral hemorrhage. Int J Stroke 14 (7) (2019): 686\u2013695. https:\/\/doi.org\/10.1177\/1747493019835335.","DOI":"10.1177\/1747493019835335"},{"issue":"2","key":"10.1016\/j.jocn.2021.12.023_b0175","doi-asserted-by":"crossref","first-page":"162","DOI":"10.1016\/j.ienj.2014.09.003","article-title":"Injury patterns, severity and outcomes among older adults who sustained brain injury following a same level fall: a retrospective analysis","volume":"23","author":"Scheetz","year":"2015","journal-title":"Int Emergency Nurs"},{"key":"10.1016\/j.jocn.2021.12.023_b0180","doi-asserted-by":"crossref","unstructured":"Dams-O\u2019Connor, Kristen, Jeffrey P. Cuthbert, John Whyte, John D. Corrigan, Mark Faul, and Cynthia Harrison-Felix. Traumatic brain injury among older adults at level I and II trauma centers. J Neurotrauma 30 (24) (2013): 2001\u20132013. https:\/\/doi.org\/10.1089\/neu.2013.3047.","DOI":"10.1089\/neu.2013.3047"},{"issue":"1","key":"10.1016\/j.jocn.2021.12.023_b0185","doi-asserted-by":"crossref","first-page":"52","DOI":"10.1097\/HTR.0000000000000403","article-title":"Predictors of discharge destination from acute care in patients with traumatic brain injury: a systematic review","volume":"34","author":"Zarshenas","year":"2019","journal-title":"J Head Trauma Rehabilit"},{"issue":"8","key":"10.1016\/j.jocn.2021.12.023_b0190","doi-asserted-by":"crossref","first-page":"e105124","DOI":"10.1371\/journal.pone.0105124","article-title":"Insurance status is associated with treatment allocation and outcomes after subarachnoid hemorrhage","volume":"9","author":"Hobson","year":"2014","journal-title":"PLoS ONE"}],"container-title":["Journal of Clinical Neuroscience"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0967586821006172?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0967586821006172?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,18]],"date-time":"2025-10-18T21:29:00Z","timestamp":1760822940000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0967586821006172"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,3]]},"references-count":40,"alternative-id":["S0967586821006172"],"URL":"https:\/\/doi.org\/10.1016\/j.jocn.2021.12.023","relation":{"has-preprint":[{"id-type":"doi","id":"10.21203\/rs.3.rs-659199\/v1","asserted-by":"object"}]},"ISSN":["0967-5868"],"issn-type":[{"value":"0967-5868","type":"print"}],"subject":[],"published":{"date-parts":[[2022,3]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"The Insurance Coverage Paradox \u2013 Characterizing Outcomes among Dual-Eligible Hemorrhagic Stroke Patients","name":"articletitle","label":"Article Title"},{"value":"Journal of Clinical Neuroscience","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jocn.2021.12.023","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2021 Elsevier Ltd. All rights reserved.","name":"copyright","label":"Copyright"}]}}