Publications by authors named "D Scarpelli"

Importance: Medication nonadherence leads to worse health outcomes, increased healthcare service utilization, and increased overall healthcare costs.

Objective: To determine whether a discharge pharmacy located in the Emergency Department (ED) reduces ED revisits and hospitalizations.

Design: This is a cohort study where we extracted data from our electronic medical records with adult encounters between 12/2019-10/2021.

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Purpose: Discharge prescriptions represent an important aspect of care for patients seen in the emergency department (ED) setting and are used by providers to continue therapy for acute illness once patients leave the ED or to prevent future exacerbations of chronic conditions. The success of an ED discharge and the medications prescribed rely on patient compliance. Compliance depends on patients' ability to obtain prescriptions, which can be hindered by limited access to pharmacies and cost.

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Article Synopsis
  • A case study of a 6-year-old girl presented severe symptoms from a high-grade AVM, leading to surgery and initial SRS treatment, but she later developed recurrent symptoms due to a new AVM nidus.
  • The treatment for her persistent RIN shifted from steroids to bevacizumab, resulting in a significant improvement in her symptoms and reduced side effects associated with long-term steroid use.
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