Publications by authors named "Todd N Brothers"

Article Synopsis
  • The study investigates the long-term effects of opioid maintenance treatment (OMT) during pregnancy, specifically focusing on the impact of methadone and buprenorphine on childhood neurodevelopmental disorders (NDDs).
  • Using Rhode Island Medicaid data from 2008-2018, the research looks at pregnancies with opioid use disorder (OUD) and evaluates the timing of drug exposure during gestation.
  • Results indicated that children exposed to methadone in early pregnancy had a significantly higher incidence of NDDs (36%) compared to those exposed to buprenorphine (17%), highlighting a potential risk associated with the timing and type of OMT used.
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Objectives: Thiamine is often prescribed for thiamine deficiency during hospitalization despite the lack of US-based clinical guidelines. This study aims to evaluate thiamine prescribing patterns and key characteristics associated with the deficiency to address gaps in care.

Methods: Data were obtained from electronic health records of hospitalized patients between September 1, 2021, and March 30, 2022.

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Introduction And Objective: Receipt of opioid agonist treatment during early and late pregnancy for opioid use disorder may relate to varying perinatal risks. We aimed to assess the effect of time-varying prenatal exposure to opioid agonist treatment using buprenorphine or methadone on adverse neonatal and pregnancy outcomes.

Methods: We conducted a retrospective cohort study of pregnant women with opioid use disorder using Rhode Island Medicaid claims data and vital statistics during 2008-16.

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Background: Medication Regimen Complexity (MRC) refers to the combination of medication classes, dosages, and frequencies. The objective of this study was to examine the relationship between the scores of different MRC tools and the clinical outcomes. Methods: We conducted a retrospective cohort study at Roger William Medical Center, Providence, Rhode Island, which included 317 adult patients admitted to the intensive care unit (ICU) between 1 February 2020 and 30 August 2020.

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Objectives: Acute kidney injury is common among the critically ill. However, the incidence, medication use, and outcomes of acute kidney injury have been variably described. We conducted a single-center, retrospective cohort study to examine the risk factors and correlates associated with acute kidney injury in critically ill adults with a particular focus on medication class usage.

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Drug-induced QTc prolongation is a concerning electrocardiogram (ECG) abnormality. This cardiac disturbance carries a 10% risk of sudden cardiac death due to the malignant arrhythmia, Torsades de Pointes. The Arizona Center for Education and Research on Therapeutics (AzCERT) has classified QTc prolonging therapeutic classes, such as antiarrhythmics, antipsychotics, anti-infectives, and others.

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