Publications by authors named "Erik Risa"
Introduction: In response to blood shortages, providers face pressure to conserve blood. No metrics exist to calculate transfusion utility. We describe characteristics of survivors after high-volume resuscitation and evaluate transfusion utility in low-volume and high-volume resuscitation.
View Article and Find Full Text PDFBackground: Patients with coronavirus disease 2019 (COVID-19) often develop acute hypoxemic respiratory failure and receive invasive mechanical ventilation. Much remains unknown about their respiratory mechanics, including the trajectories of pulmonary compliance and [Formula: see text]/[Formula: see text], the prognostic value of these parameters, and the effects of prone positioning. We described respiratory mechanics amon subjects with COVID-19 who were intubated during the first month of hospitalization.
View Article and Find Full Text PDFBackground: COVID-19 has a widely variable clinical syndrome that is difficult to distinguish from bacterial sepsis, leading to high rates of antibiotic use. Early studies indicate low rates of secondary bacterial infections (SBIs) but have included heterogeneous patient populations. Here, we catalogue all SBIs and antibiotic prescription practices in a population of mechanically ventilated patients with COVID-19 induced acute respiratory distress syndrome (ARDS).
View Article and Find Full Text PDFBackground: The objective is to study the effect of Medicaid expansion on postoperative radiation therapy (PORT) delay in patients with head and neck squamous cell carcinoma (HNSCC).
Methods: Patients from the National Cancer Database with HNSCC undergoing curative-intent surgery in the 2 years before and after Medicaid expansion were analyzed (n = 11 717) using the difference-in-differences technique to study the effect on PORT delay.
Results: The rate of PORT delay before and after expansion was 66.
Emergency department characteristics and associations with intensive care admission among patients with coronavirus disease 2019.
J Am Coll Emerg Physicians Open
February 2021
Article Synopsis
- The study focuses on the initial presentation and outcomes of COVID-19 patients in emergency departments (ED) during a local surge, analyzing data from three hospitals between March and June 2020.
- The cohort consisted of 330 patients confirmed with SARS-CoV-2, with 34% being admitted to the ICU; patient demographics showed a median age of 61, with a median BMI of 28.1 and 50% identifying as White.
- Key findings indicated that elevated levels of lactate dehydrogenase, high-sensitivity C-reactive protein, and troponin were significant predictors of ICU admission, with LDH emerging as the strongest predictor after adjusting for age, sex, and BMI.