Publications by authors named "Julia E Snyder"
Background: Despite widely available risk stratification tools, safe and effective anticoagulants, and guideline recommendations, anticoagulation for stroke prevention in atrial fibrillation (AF) is under-prescribed in ambulatory patients. To assess the impact of alert-based computerized decision support (CDS) on anticoagulation prescription in ambulatory patients with AF and high-risk for stroke, we conducted this randomized controlled trial.
Methods: Patients with AF and CHADSVASc score ≥ 2 who were not prescribed anticoagulation and had a clinic visit at Brigham and Women's Hospital were enrolled.
Multidisciplinary pulmonary embolism (PE) response teams have garnered widespread adoption given the complexities of managing acute PE and provide a platform for assessment of trends in therapy and outcomes. We describe temporal trends in PE management and outcomes following the deployment of such a team. All consecutive patients managed by our multidisciplinary PE response team activated by the Emergency Department were included over a 5-year calendar period.
View Article and Find Full Text PDFPatients with acute venous thromboembolism (VTE) in the setting of transient provoking factors are typically treated with short-term anticoagulation. However, the risk of recurrence may be increased in the presence of enduring risk factors. In such patients, the optimal duration of treatment remains uncertain.
View Article and Find Full Text PDFArticle Synopsis
- A study examined the prevalence of atrial fibrillation in patients with acute aortic syndromes, finding that 8.7% of the 309 patients had atrial fibrillation.
- Patients with atrial fibrillation were generally older, more likely to be white, and had a higher incidence of other health issues such as cancer and heart disease.
- Those with atrial fibrillation experienced significantly higher in-hospital mortality rates (40.7% vs 12.4%) compared to those without it, but there was no difference in stroke rates between the two groups.
Background: Cardiovascular complications, including myocardial infarction, ischemic stroke, and pulmonary embolism, represent an important source of adverse outcomes in coronavirus disease-2019 (COVID-19).
Objectives: To assess the frequency of arterial and venous thromboembolic disease, risk factors, prevention and management patterns, and outcomes in patients with COVID-19, the authors designed a multicenter, observational cohort study.
Methods: We analyzed a retrospective cohort of 1,114 patients with COVID-19 diagnosed through our Mass General Brigham integrated health network.
Background: Hospitalized patients and their care partners have valuable and unique perspectives of the medical care they receive. Direct and real-time reporting of patients' safety concerns, though limited in the acute care setting, could provide opportunities to improve patient care.
Methods: We implemented the MySafeCare (MSC) application on six acute care units for 18 months as part of a patient-centered health information technology intervention to promote engagement and safety in the acute care setting.
Article Synopsis
- The study explored the implementation of an acute care patient portal at six hospital units over 18 months to improve patient engagement and care partner activation.
- Analysis involved assessing the characteristics of users and their interaction with the portal, focusing on metrics like visit frequency and activation scores.
- Results showed that over half of the sampled patients opted into the portal, with younger, less ill individuals being the primary users, highlighting limited use despite features like lab results and medication lists being available.