Article
Medicine, General & Internal
Mayra Tisminetzky, Jordy Mehawej, Ruben Miozzo, Jerry H. Gurwitz, Joel M. Gore, Darleen Lessard, Hawa O. Abu, Benita A. Bamgbade, Jorge Yarzebski, Edgard Granillo, Robert J. Goldberg
Summary: This study examined trends in rehospitalization after an initial acute myocardial infarction and found that the risk of readmission within 30 days increased slightly in recent years. Older adults and patients with atrial fibrillation, heart failure, diabetes, and other chronic conditions were at higher risk for readmission. Enhanced surveillance efforts and tailored treatment approaches are needed for these high-risk groups.
AMERICAN JOURNAL OF MEDICINE
(2021)
Article
Cardiac & Cardiovascular Systems
Vasuki Rajaguru, Tae Hyun Kim, Whiejong Han, Jaeyong Shin, Sang Gyu Lee
Summary: This study utilized the LACE index to predict the risk of 30-day readmission in hospitalized patients with acute myocardial infraction (AMI). The results showed that the LACE index demonstrated good discrimination power and can help clinicians predict the risk of 30-day readmission at the early stage of hospitalization.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2022)
Article
Clinical Neurology
Nikolaos Mouchtouris, Fadi Al Saiegh, Breanna Valcarcel, Carrie E. Andrews, Evan Fitchett, David Nauheim, David Moskal, Nabeel Herial, Pascal Jabbour, Stavropoula Tjoumakaris, Ashwini D. Sharan, Robert H. Rosenwasser, M. Reid Gooch
Summary: The study identified hypertension, length of hospital stay, and hemorrhagic conversion as predictors of 30-day readmission in stroke patients after mechanical thrombectomy. Infection was the most common cause of readmission within 30 days, followed by cardiac and cerebrovascular diagnoses. These results are important in identifying patients requiring increased surveillance to reduce complications and unplanned readmissions.
JOURNAL OF NEUROSURGERY
(2021)
Article
Cardiac & Cardiovascular Systems
Muhammad Shahzeb Khan, Jayakumar Sreenivasan, Noman Lateef, Marwan S. Abougergi, Stephen J. Greene, Tariq Ahmad, Stefan D. Anker, Gregg C. Fonarow, Javed Butler
Summary: The readmission rates for heart failure patients have increased from 2010 to 2017, with higher rates observed post-HRRP implementation across all subgroups except low-volume hospitals.
CIRCULATION-HEART FAILURE
(2021)
Article
Cardiac & Cardiovascular Systems
Jennifer A. Rymer, Eileen Fonseca, Durgesh D. Bhandary, Deepa Kumar, Naeem D. Khan, Tracy Y. Wang
Summary: Medication adherence rates after myocardial infarction are low, with underuse of 90-day prescriptions. Patients filling 90-day prescriptions demonstrated higher adherence and fewer medication changes within one year post-discharge.
JOURNAL OF THE AMERICAN HEART ASSOCIATION
(2021)
Article
Geriatrics & Gerontology
Chih-Ying Li, Allen Haas, Kevin T. Pritchard, Amol Karmarkar, Yong-Fang Kuo, Kimberly Hreha, Kenneth J. Ottenbacher
Summary: The study found that patients who were more functionally dependent at the initial post-acute setting had a higher risk of hospital readmission. This finding holds true across different impairment conditions and post-acute care settings.
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION
(2021)
Article
Cardiac & Cardiovascular Systems
Tomo Ando, Said Ashraf, Toshiki Kuno, Alexandros Briasoulis, Hisato Takagi, Cindy Grines, Aaqib Malik
Summary: There was a significant variation in 30-day readmission rate following TAVI, with patient, hospital, and economic factors contributing to the variability. Further measures are needed to address this variance in readmission rates.
Article
Cardiac & Cardiovascular Systems
Hung -Chen Lin, Shing-Hsien Chou, Pei-Chun Fan, Zhidong Zhu, Junjie Pan, Jian Li, Chih-Hsiang Chang, Victor Chien-Chia Wu, Shao-Wei Chen, Pao-Hsien Chu
Summary: This study aimed to investigate the relationship between day-1 urine cadmium excretion and 30-day mortality in patients with acute myocardial infarction (AMI) at two centers. The results showed that day-1 urine cadmium excretion was positively correlated with 30-day mortality and can be used as a simple, objective prognostic scoring system in AMI patients.
INTERNATIONAL JOURNAL OF CARDIOLOGY
(2023)
Article
Cardiac & Cardiovascular Systems
Lochan M. Shah, Jie Ding, Erin M. Spaulding, William E. Yang, Matthias A. Lee, Ryan Demo, Francoise A. Marvel, Seth S. Martin
Summary: Research found that sociodemographic characteristics did not significantly influence the use of digital health interventions (DHIs), with married individuals more likely to utilize DHIs; the findings suggest a potential role of DHIs in achieving equity in cardiovascular health, and the presence of a spouse may encourage DHIs utilization.
JOURNAL OF CARDIOVASCULAR TRANSLATIONAL RESEARCH
(2021)
Review
Medicine, General & Internal
Ines Marina Niehaus, Nina Kansy, Stephanie Stock, Joerg Doetsch, Dirk Mueller
Summary: This systematic review summarises multivariable predictive models for 30-day unplanned hospital readmissions in paediatrics, evaluates their performance and reporting completeness, and assesses their potential for application in practice. The results indicate that predictive models can be useful in identifying paediatric patients at increased risk of readmission, but the quality of many studies in this area is moderate to low.
Article
Health Care Sciences & Services
Vasuki Rajaguru, Tae Hyun Kim, Jaeyong Shin, Sang Gyu Lee, Whiejong Han
Summary: This study aimed to predict the risk of 30-day readmission in patients with acute myocardial infarction (AMI) using the LACE index and identify associated factors. The results showed that older age, admission via emergency ward, and LACE score >= 10 were highly associated with 30-day readmissions. The LACE index demonstrated good discrimination in predicting 30-day readmission risk for hospitalized patients with AMI.
JOURNAL OF PERSONALIZED MEDICINE
(2022)
Article
Multidisciplinary Sciences
Mitesh S. Patel, Kevin G. Volpp, Dylan S. Small, Genevieve P. Kanter, Sae-Hwan Park, Chalanda N. Evans, Daniel Polsky
Summary: This study examines the use of smartphones and wearable devices to collect remote patient monitoring data after hospital discharge, and finds that incorporating this data and using nonparametric machine learning approaches significantly improves the prediction of hospital readmission within 30 days.
SCIENTIFIC REPORTS
(2023)
Article
Multidisciplinary Sciences
J. Afonso Rocha, Jose Carlos Cardoso, Alberto Freitas, Thomas G. Allison, Luis F. Azevedo
Summary: This study assessed trends and factors associated with interhospital transfers (IHT) and 30-day acute coronary syndrome (ACS) rehospitalizations in patients admitted with ACS between 2000-2015. The findings showed an increase in transfer rates and a decrease in rehospitalization rates, with factors like female sex, older age, and higher comorbidity burden associated with lower likelihood of transfer or planned rehospitalization, while higher comorbidity burden was associated with higher likelihood of unplanned rehospitalization.
Article
Medicine, General & Internal
Chaoqun Wu, Danwei Zhang, Xueke Bai, Tiannan Zhou, Yongfei Wang, Zhenqiu Lin, Guangda He, Xi Li
Summary: This study aimed to develop a model of in-hospital mortality using medical record front page (MRFP) data and compare it with a model developed using complete medical record data. The results showed that the MRFP data-based model had good discrimination and calibration capability, as well as similar risk prediction effect compared to the complete medical record data-based model.
Article
Multidisciplinary Sciences
Melissa R. Riester, Elliott Bosco, Joe B. B. Silva, Barbara H. Bardenheier, Parag Goyal, Emily T. O'Neil, Robertus van Aalst, Ayman Chit, Stefan Gravenstein, Andrew R. Zullo
Summary: Pneumonia and sepsis are common reasons for hospitalization in the US, often leading to readmission to skilled nursing facilities within 30 days. Septicemia was the most common readmission diagnosis, occurring within an average of 14 days post-discharge. Further study is needed to improve monitoring and communication to reduce potentially preventable hospital readmissions for older adults.
Article
Anesthesiology
Danielle M. McCarthy, Howard S. Kim, Scott Hur, Patrick M. Lank, Christine Arroyo, Lauren A. Opsasnick, Katherine Piserchia, Laura M. Curtis, Michael S. Wolf, D. Mark Courtney
Summary: This study found that patients visiting the emergency department for acute pain were prescribed a median of 12 pills of hydrocodone-acetaminophen and consumed low quantities, with 92.5% having leftover pills after 10 days.
Article
Critical Care Medicine
Michael S. Wolf, Jaskaran Rakkar, Christopher M. Horvat, Dennis W. Simon, Patrick M. Kochanek, Gilles Clermont, Robert S. B. Clark
Summary: This study aimed to develop a method to assess dynamic intracranial compliance in severe TBI patients by monitoring ICP and CO2 data. The results suggest that indirect assessment of dynamic intracranial compliance using standard-of-care monitoring is feasible and indicates a prolonged period of derangement post-injury up to 5 days. Further study is needed to determine the utility of the PCI index in guiding management of severe TBI patients.
NEUROCRITICAL CARE
(2021)
Article
Allergy
Alex D. Federman, Erin Thanik, Rachel O'Conor, Arushi Arora, Michael S. Wolf, Juan P. Wisnivesky
Summary: The study identified that low scores on the asthma control test and prior ED visits for asthma are strong correlates of later clinically meaningful changes in asthma control among older adults.
Article
Health Care Sciences & Services
Christine M. Gunn, Ariel Maschke, Michael K. Paasche-Orlow, Nancy R. Kressin, Mara A. Schonberg, Tracy A. Battaglia
Summary: The study aimed to explore the informational needs and shared decision-making experiences between women with limited health literacy and primary care providers regarding mammography decisions. Findings revealed that patients lacked technical and process knowledge, viewing them as essential for decision-making. PCPs were hesitant to engage patients with limited health literacy in SDM due to time constraints and concerns that increased information might confuse or deter patients from undergoing mammograms.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2021)
Article
Public, Environmental & Occupational Health
Stacy Cooper Bailey, Emma N. Andrews, Candida C. Halton, Michael S. Wolf
Summary: The study found that providing a health literacy-appropriate discussion guide significantly improved women's understanding of menopause symptoms and treatment options compared to traditional standard educational materials. The majority of women preferred the discussion guide and rated it highly in terms of appearance and content.
JOURNAL OF WOMENS HEALTH
(2021)
Letter
Immunology
Anna Bershteyn, Mark D. Schwartz, Lorna E. Thorpe, Michael K. Paasche-Orlow, Patricia Kissinger, Helen C. Stankiewicz Karita, Miriam K. Laufer, Risa M. Hoffman, Raphael J. Landovitz, Kristopher Paolino, Ruanne V. Barnabas
EXPERT REVIEW OF CLINICAL IMMUNOLOGY
(2021)
Article
Allergy
Irina Mindlis, Juan P. Wisnivesky, Michael S. Wolf, Rachel O'Conor, Alex D. Federman
Summary: Depressive symptoms in older adults with asthma are significantly associated with the overall count of comorbidities, but not with the count of comorbidities with self-management intensive needs. Further evaluation is warranted to understand how comorbid illnesses contribute to depressive symptoms in this population, given the impact of depression on asthma outcomes.
Article
Allergy
Dustin Kee, Rachel O'Conor, Juan P. Wisnivesky, Michael S. Wolf, Alex D. Federman
Summary: Concern about non-asthma chronic conditions, but no other illness beliefs or patient characteristics, were associated with retention in an asthma self-management support intervention. Further research is needed to better understand why patients drop out of asthma behavioral intervention studies.
Article
Surgery
Swetha Duraiswamy, Sabrina E. Sanchez, David R. Flum, Michael K. Paasche-Orlow, Kelly M. Kenzik, Jennifer F. Tseng, Frederick Thurston Drake
Summary: The accuracy of International Classification of Disease, ninth/tenth revision codes in classifying appendicitis as uncomplicated versus complicated was evaluated. The study found that these codes did not accurately identify surgeon-described complicated appendicitis, leading to potential reimbursement issues and misleading research results.
Article
Immunology
Terry C. Davis, Robbie Beyl, Mohammad A. N. Bhuiyan, Adrienne B. Davis, John A. Vanchiere, Michael S. Wolf, Connie L. Arnold
Summary: This study examined COVID-19 concerns, vaccine acceptance, and trusted information sources among patients in a safety-net health system in Louisiana. The findings showed that participants viewed COVID-19 as a serious threat to public health, with variations among different demographic groups. The majority of participants had received the COVID-19 vaccine, and females were more likely to be vaccinated. Physicians were considered the most trusted source of vaccine information, while social media was the least trusted.
Article
Medicine, General & Internal
Izabela E. Annis, Robyn Jordan, Kathleen C. Thomas
Summary: This study assessed the feasibility of using a risk factor-based machine learning model for quickly identifying opioid use disorder (OUD) in emergency departments. The results showed that a quick review of patients' history of OUD is an efficient strategy for identifying those who are currently at the greatest risk of OUD.
Article
Health Care Sciences & Services
Stephanie Ruth Young, Emily Gardiner Lattie, Andrew B. L. Berry, Lynn Bui, Greg Joseph Byrne, Julia Noelani Yoshino Benavente, Michael Bass, Richard C. Gershon, Michael S. Wolf, Cindy J. Nowinski
Summary: This study described the design and proposed implementation of a remote cognitive screening app called MyCog Mobile, which aims to facilitate cognitive screening before annual wellness visits in primary care settings. The findings suggest that primary care clinicians and clinic administrators are motivated to adopt a remote cognitive screening process if it saves time, and older adult patients are interested in completing screeners on a smartphone, with potential benefits such as time-saving and privacy.
JMIR FORMATIVE RESEARCH
(2023)
Review
Health Care Sciences & Services
Sophia N. Zupanc, Joshua R. Lakin, Angelo E. Volandes, Michael K. Paasche-Orlow, Edward T. Moseley, Daniel A. Gundersen, Sophiya Das, Akhila Penumarthy, Diana Martins-Welch, Edith A. Burns, Maria T. Carney, Jennifer E. Itty, Kaitlin Emmert, James A. Tulsky, Charlotta Lindvall
Summary: This study aims to investigate structured and unstructured advance care planning (ACP) documentation in electronic health records and evaluate their comprehensiveness and accuracy. The findings indicate that the unstructured approach identifies more instances of ACP documentation, and some structured ACP documents were judged as misclassified or incomplete.
JOURNAL OF PAIN AND SYMPTOM MANAGEMENT
(2023)
Proceedings Paper
Computer Science, Information Systems
Darley Sackitey, Teresa K. O'Leary, Michael Paasche-Orlow, Timothy Bickmore, Andrea G. Parker
Summary: Faith institutions play a vital role in providing social support and care in the United States. Black churches, in particular, have historically been a site for social change and care provision. However, the pandemic has highlighted the limitations of physical spaces in accessing social support. This study explores how hybrid faith communities that combine offline and online contexts can expand access to social support and care provision, and identifies barriers and strategies for integrating care networks into online environments.
PROCEEDINGS OF THE 2023 CHI CONFERENCE ON HUMAN FACTORS IN COMPUTING SYSTEMS (CHI 2023)
(2023)
Article
Health Care Sciences & Services
Laura M. Curtis, Mary J. Kwasny, Lauren Opsasnick, Rachel M. O'Conor, Julia Yoshino-Benavente, Morgan Eifler, Alex D. Federman, Drew Altschul, Michael S. Wolf
Summary: A study found a negative relationship between age and health literacy over time, with older adults possibly experiencing declining health literacy as they age, especially when self-care demands increase. Clinicians are recommended to strengthen strategies to assess and respond to limited health literacy, particularly in patients aged 70 and older.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2021)
