Publications by authors named "E R Schoenfeld"
Importance: The emergency department (ED) offers an opportunity to initiate palliative care for older adults with serious, life-limiting illness.
Objective: To assess the effect of a multicomponent intervention to initiate palliative care in the ED on hospital admission, subsequent health care use, and survival in older adults with serious, life-limiting illness.
Design, Setting, And Participants: Cluster randomized, stepped-wedge, clinical trial including patients aged 66 years or older who visited 1 of 29 EDs across the US between May 1, 2018, and December 31, 2022, had 12 months of prior Medicare enrollment, and a Gagne comorbidity score greater than 6, representing a risk of short-term mortality greater than 30%.
Article Synopsis
- * The study reviews various challenges and supports for starting buprenorphine treatment in the ED, highlighting the importance of teams and accessible services while pointing out issues like stigma and the complex needs of patients.
- * There's a call for better coordination in these efforts and the inclusion of diverse perspectives to create fairer pathways for starting opioid treatment in both the U.S. and Canada.
Background: Aortic dissection (AD) is a vascular emergency with time-dependent mortality. Point-of-care ultrasound (POCUS) and AD risk score (ADRS) have been proposed as diagnostic tools to risk stratify patients and reduce time to diagnosis.
Study Objective: We evaluate POCUS findings and ADRS in a retrospective cohort of patients with known type A AD.