Article
Multidisciplinary Sciences
Eveline Hitti, Dima Hadid, Jad Melki, Rima Kaddoura, Mohamad Alameddine
Summary: The study found that healthcare providers in the Emergency Department commonly use mobile devices for personal matters and clinical work, with medical formulary/drug referencing and disease diagnosis/management applications being the most common. While most respondents agreed that mobile devices contribute to better-coordinated care and reduced stress, they did not believe that personal usage significantly improved work performance.
SCIENTIFIC REPORTS
(2021)
Article
Geriatrics & Gerontology
Mariangela Gagliano, Christophe J. Bula, Laurence Seematter-Bagnoud, Carole Michalski-Monnerat, Sylvain Nguyen, Pierre-Nicolas Carron, Cedric Mabire
Summary: This study aimed to determine the characteristics of older patients referred for a geriatric consultation by ED staff and to investigate their subsequent healthcare utilization. The results showed that the referred patients were older, had more impaired daily living abilities, more comorbid conditions, and were more frequently admitted after a fall.
Article
Medicine, General & Internal
Min Ji Park, Yoo Jin Choi, Sangchun Choi
Summary: In this observational study analyzing emergency department utilization patterns of COVID-19 vaccinated healthcare workers, it was found that fever and myalgia were common symptoms among those who visited the ED. However, most cases did not result in serious illnesses. As the COVID-19 vaccination program continues to expand in Korea, strategies should be implemented to minimize unnecessary ED overcrowding.
JOURNAL OF KOREAN MEDICAL SCIENCE
(2021)
Article
Pediatrics
Sunitha Kaiser, Matthew Hall, Jessica L. Bettenhausen, Marion R. Sills, Jennifer A. Hoffmann, Clemens Noelke, Rustin B. Morse, Michelle A. Lopez, Kavita Parikh
Summary: This study investigated the association between the Child Opportunity Index (COI) and children's emergency department (ED) utilization, and found that children from neighborhoods with low COI had higher overall ED utilization and more visits with low-resource intensity.
Article
Geriatrics & Gerontology
Michelle Simpson, Clinton Sergi, Aaron Malsch, Suzanne Ryer, Christopher Rubach, Maharaj Singh
Summary: There is an association between outpatient follow-up and referral orders placed during emergency department visits for older adults and the outcomes of subsequent ED revisits and unplanned hospital admissions. While a significant proportion of older adults had referral orders, less than half attended follow-up appointments.
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
(2022)
Article
Emergency Medicine
Waseem Khaliq, Moeen Aboabdo, Che Matthew Harris, Noor Bazerbashi, Eric Moughames, Nour Al Jalbout, Karim Hajjar, Hind A. Beydoun, May A. Beydoun, Shaker M. Eid
Summary: The study identified significant regional variability in hospitalization rates and Emergency Department service charges among patients with syncope, with the Northeast having the highest hospitalization rate and the lowest service charges. Standardizing practices may be needed to reduce variability.
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2021)
Article
Emergency Medicine
Samantha B. Schon, Angela S. Kelley, Charley Jiang, Min Xu, Marie Menke, Erica E. Marsh
Summary: This study aimed to assess the utilization of emergency departments (ED) for ovarian hyperstimulation syndrome (OHSS) over time and examine admission rates, patient demographics, and charges.
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2022)
Article
Emergency Medicine
Arjun K. Venkatesh, Alexander T. Janke, Li Shu-Xia, Craig Rothenberg, Pawan Goyal, Aisha Terry, Michelle Lin
Summary: This study used a national emergency medicine clinical quality registry to describe recent trends in ED visitation during the pandemic, revealing a significant initial decline followed by some recovery, but still below pre-pandemic levels. The proportion of visits for select emergency conditions increased early in the pandemic, yet visits for acute myocardial infarction and cerebrovascular disease remained lower in 2020 compared to 2019. Despite variation in the trajectory of the COVID-19 outbreak, the overall pattern of ED visits was similar across regions and time.
ANNALS OF EMERGENCY MEDICINE
(2021)
Article
Geriatrics & Gerontology
Cassandra L. Hua, Wenhan Zhang, Portia Y. Cornell, Momotazur Rahman, David M. Dosa, Kali S. Thomas
Summary: This study explored the variation in emergency department utilization among older adults in assisted living settings across different states. The findings highlighted the importance of better understanding the reasons behind this variability to prevent unnecessary ED visits.
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION
(2021)
Article
Public, Environmental & Occupational Health
Rachel Garg, Joseph T. Steensma, Alina A. Luke, Kristine Huang, Balaji Golla, Regina Greer, Karen E. Joynt Maddox
Summary: The study found a strong association between 2-1-1 service requests and preventable emergency department visits, even after controlling for other factors. This information may help hospitals and policymakers target social needs interventions to neighborhoods with the greatest need.
AMERICAN JOURNAL OF PREVENTIVE MEDICINE
(2021)
Article
Rehabilitation
Yue Cao, Nicole D. DiPiro, Edelle Field-Fote, James S. Krause
Summary: Compared with the general population, individuals with traumatic spinal cord injury have significantly higher rates of ED visits and hospitalizations, yet these visits are not regularly assessed within the SCI Model Systems. ED visits may indicate the need for intervention beyond the acute condition leading directly to the ED visits and provide an opportunity to link individuals with resources needed to maintain function in the community.
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
(2022)
Article
Economics
Cameron M. Ellis, Meghan Esson
Summary: The change in healthcare insurance affects consumers' medical costs and utilization rate. Previously uninsured individuals see a decrease in primary care costs but a potential increase in emergency department costs after gaining public insurance, while previously insured individuals experience a reduction in emergency department prices but decreased access to primary care.
JOURNAL OF HEALTH ECONOMICS
(2021)
Article
Health Care Sciences & Services
Layla Parast, Megan Mathews, Steven Martino, William G. Lehrman, Debra Stark, Marc N. Elliott
Summary: The study found that black and Hispanic patients were more likely to utilize emergency department services compared to white patients. Additionally, Hispanic and black patients reported better communication with doctors and nurses, and were more likely to recommend the emergency department.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2022)
Article
Clinical Neurology
Christopher Figueroa, Amir Hadanny, Kyle Kroll, Marisa DiMarzio, Kainat Ahktar, Michael Gillogly, Dorothy Mitchell, Theodore Cangero, Julie G. Pilitsis
Summary: This study compared emergency department (ED) utilization rates between chronic pain patients with and without neuromodulation (NM). The results showed that patients who underwent NM had fewer visits to the ED. Younger age, shorter distance to the hospital, lower household income, opioid use, and non-receipt of NM were significant predictors of ED visits.
Article
Surgery
Jason Samuels, Heather Carmichael, Kweku Hazel, Catherine Velopulos, Kevin Rothchild, Jonathan Schoen
Summary: This study aims to evaluate the impact of mental health disorders on emergency department utilization following bariatric surgery. The study found that bariatric patients with schizophrenia or bipolar disorder have higher baseline emergency department usage and experience a greater increase in usage after surgery. These patients would benefit from intensive outpatient follow-up to limit emergency department visits.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Article
Public, Environmental & Occupational Health
Sophia P. Lou, Dingfen Han, Marie F. Kuczmarski, Michele K. Evans, Alan B. Zonderman, Deidra C. Crews
Summary: Higher health literacy (HL) and health numeracy (HN) are associated with greater accordance to the Dietary Approaches to Stop Hypertension (DASH) diet among hypertensive adults. In the sample, 32.5% had limited HL and 14.5% had limited HN. HL was positively correlated with DASH total score in the overall sample, while the relationship between HN and DASH was statistically significant only among White participants. Educational attainment explained both findings.
HEALTH EDUCATION & BEHAVIOR
(2023)
Article
Geriatrics & Gerontology
May A. Beydoun, Nicole Noren Hooten, Jordan Weiss, Ana I. Maldonado, Hind A. Beydoun, Leslie I. Katzel, Christos Davatzikos, Rao P. Gullapalli, Stephen L. Seliger, Guray Erus, Michele K. Evans, Alan B. Zonderman, Shari R. Waldstein
Summary: The link between plasma neurofilament light chain (NfL) and dementia may be mediated through white matter integrity (WMI). This study found that higher plasma NfL levels were associated with increased global and frontal white matter trace (TR) in middle-aged adults, particularly among males and White individuals. Additionally, African American adults showed a relationship between NfL and greater left temporal lobe TR.
NEUROBIOLOGY OF AGING
(2023)
Article
Immunology
May A. Beydoun, Nicole Noren Hooten, Jordan Weiss, Hind A. Beydoun, Michael Georgescu, David W. Freeman, Michele K. Evans, Alan B. Zonderman
Summary: Serum GDF15 levels are correlated with multiple neurodegenerative diseases. This study examined the association between initial serum GDF15 concentrations and cognitive performance over time in a diverse sample of middle-aged adults. The results showed cross-sectional associations between GDF15 and cognitive performance, but GDF15 did not predict changes in cognitive performance over a 4-year follow-up period. More longitudinal studies are needed to assess the clinical utility of GDF15 as a biomarker for early cognitive defects.
BRAIN BEHAVIOR AND IMMUNITY
(2023)
Meeting Abstract
Clinical Neurology
Shubham Misra, Terence J. Quinn, Guido J. Falcone, Vijay K. Sharma, Adam H. De Havenon, Yize Zhao, Ece Eldem, Clarissa Yasuda, Jesse Dawson, David S. Liebeskind, Patrick Kwan, Nishant K. Mishra
Article
Geriatrics & Gerontology
Anjali M. Byappanahalli, Nicole Noren Hooten, Mya Vannoy, Nicolle A. Mode, Ngozi Ezike, Alan B. Zonderman, Michele K. Evans
Summary: This study investigates the relationship between frailty and mitochondrial DNA (mtDNA) and inflammatory proteins in extracellular vesicles (EVs). The results show that EVs from frail individuals have higher levels of mtDNA and inflammatory proteins. The levels of EV inflammatory proteins are influenced by frailty, race, sex, and poverty status. These findings highlight the importance of EVs in frailty and the impact of social determinants of health, such as poverty, on the inflammatory cargo of EVs.
Review
Clinical Neurology
Shubham Misra, Terence J. Quinn, Guido J. Falcone, Vijay K. Sharma, Adam de Havenon, Yize Zhao, Ece Eldem, Jacqueline A. French, Clarissa Lin Yasuda, Jesse Dawson, David S. Liebeskind, Patrick Kwan, Nishant K. Mishra
Summary: We conducted a systematic review to investigate the association of single-nucleotide polymorphisms (SNPs) with the risk of post-traumatic epilepsy (PTE) and post-stroke epilepsy (PSE). Our findings showed that 11 SNPs were significantly associated with an increased risk of PTE, while 3 SNPs were significantly associated with an increased risk of PSE, and 2 SNPs were associated with a reduced risk. The association between APOE e4 and PTE was not significant.
EUROPEAN JOURNAL OF NEUROLOGY
(2023)
Article
Neurosciences
Hind A. Beydoun, May A. Beydoun, Ana Maldonado, Marie T. Fanelli-Kuczmarski, Jordan Weiss, Michele K. Evans, Alan B. Zonderman
Summary: This study found that chronic stress has a negative impact on cognitive function. However, this impact does not change over time, and there are no significant differences in its effects based on sex or race.
JOURNAL OF ALZHEIMERS DISEASE
(2023)
Review
Cardiac & Cardiovascular Systems
Sadaf Fakhra, Yasar Sattar, Neel N. Patel, Shazia Aziz, Anoop Titus, Talal Almas, Muhammad Aamir, Samian Sulaiman, Nishant K. Mishra, Islam Y. Elgendy, Sameer Raina, Vikrant Jagadeesan, Ramesh Daggubati, Chadi Alraies
Summary: A retrospective cohort study on the outcomes of PFO occluder devices showed similar efficacy and complication rates between males and females, except for a higher incidence of acute kidney injury (AKI) in males.
CURRENT PROBLEMS IN CARDIOLOGY
(2023)
Article
Nutrition & Dietetics
Marie Fanelli Kuczmarski, May A. Beydoun, Michael F. Georgescu, Nicole Noren Hooten, Nicolle A. Mode, Michele K. Evans, Alan B. Zonderman
Summary: Limited research has been conducted on the trajectories of diet quality in adulthood. This study used data from the HANDLS study to determine the diet quality group trajectories over time. The results showed minimal changes in diet quality regardless of the index used.
Article
Nutrition & Dietetics
Marie Fanelli Kuczmarski, May A. Beydoun, Michael F. Georgescu, Nicole Noren Hooten, Nicolle A. Mode, Michele K. Evans, Alan B. Zonderman
Summary: This study aims to investigate the association between diet quality and frailty status. The results showed that both medium pro-inflammatory and anti-inflammatory diet trajectory groups were positively associated with being non-frail over time, and anti-inflammatory diet quality was associated with lower risk for being pre-frail or frail.
Review
Clinical Neurology
Shubham Misra, Scott E. Kasner, Jesse Dawson, Tomotaka Tanaka, Yize Zhao, Hitten P. Zaveri, Ece Eldem, Juan Vazquez, Lucas Scardua Silva, Saba Mohidat, L. Brian Hickman, Erum I. Khan, Melissa C. Funaro, John-Paul Nicolo, Rajarshi Mazumder, Clarissa Lin Yasuda, Katharina S. Sunnerhagen, Masafumi Ihara, Joseph S. Ross, David S. Liebeskind, Patrick Kwan, Terence J. Quinn, Jerome Engel, Nishant K. Mishra
Summary: The systematic review and meta-analysis showed that poststroke seizures (PSS) were significantly associated with increased mortality and severe disability in stroke patients. Early seizures had a higher correlation with mortality risk, suggesting the need for preventative interventions.
Article
Urology & Nephrology
Tessa K. Novick, James Custer, Alan B. Zonderman, Michele K. Evans, Melissa Hladek, Marie Kuczmarski, Paul J. Rathouz, Deidra C. Crews
Summary: This study aimed to evaluate the association between coping behaviors and incident CKD or rapid kidney function decline. The study found that adaptive coping behaviors were associated with lower odds of incident CKD, while maladaptive coping behaviors were not associated with CKD. No association was found between coping behaviors and rapid kidney function decline.
Meeting Abstract
Clinical Neurology
Shubham Misra, Erum Khan, TuKiet Lam, Rajarshi Mazumder, Ece Eldem, Kapil Gururangan, L. Brian Hickman, Vaibhav Goswami, Melissa Funaro, Joan Montaner, Terence Quinn, David Liebeskind, Nishant K. Mishra
Meeting Abstract
Clinical Neurology
Shubham Misra, Juan Vazquez, Ece Eldem, Lucas Scardua Silva, Saba Mohidat, L. Brian Hickman, Erum Khan, Melissa Funaro, Clarissa Yasuda, David Liebeskind, Scott Kasner, Nishant K. Mishra
Meeting Abstract
Clinical Neurology
Ece Eldem, Shubham Misra, Terence Quinn, Lucas Driskell, Alice Perez, Carmen Carrion, Todd Constable, Joseph Schindler, Yize Zhao, Jason Sico, Jason D. Hinman, Heather Allore, Swathi Kiran, Jubin Abutalebi, Jean-Marie Annoni, Nishant K. Mishra
Article
Clinical Neurology
Jun-Pyo Hong, Hanim Kwon, Euyhyun Park, Sun-Uk Lee, Chan-Nyoung Lee, Byung-Jo Kim, Ji-Soo Kim, Kun-Woo Park
Summary: In patients with mild-to-moderate PD, vestibular function assessed by video head-impulse tests appears relatively preserved and has minimal impact on the risk of falls. Risk of postural instability is associated with the severity of clinical symptoms in PD.
PARKINSONISM & RELATED DISORDERS
(2024)
Article
Clinical Neurology
Yaqin Xiang, XiuRong Huang, Qian Xu, Zhenhua Liu, Yase Chen, Qiying Sun, Junling Wang, Hong Jiang, Lu Shen, Xinxiang Yan, Beisha Tang, Jifeng Guo
Summary: Using the novel data-driven method DEBM, this study determined the sequence of several common biomarker changes in Parkinson's disease (PD). The left putamen was found to be the earliest biomarker to become abnormal, followed by the right putamen, CSF alpha-synuclein, right caudate, left caudate, and serum NfL. The estimated disease stages showed significant differences between PD and healthy controls, and achieved a high accuracy for distinguishing PD from HC.
PARKINSONISM & RELATED DISORDERS
(2024)
Article
Clinical Neurology
Yan Li, David J. McLernon, Carl E. Counsell, Angus D. Macleod
Summary: This study aimed to investigate the incidence and risk factors for institutionalisation in Parkinson's disease (PD) and atypical parkinsonism (AP). The study found that institutionalisation was more frequent in AP compared to PD and controls. Age, poorer cognition, and more-severe parkinsonian impairment were independent predictors of institutionalisation.
PARKINSONISM & RELATED DISORDERS
(2024)