Publications by authors named "Vrushali Dhongade"
Article Synopsis
- Delays in hospital presentation for stroke patients were linked not only to individual factors but also to broader community-level social vulnerabilities, indicating a need for better support in these areas.
- The study analyzed over 149,000 ischemic stroke patients and found that those in socially vulnerable neighborhoods took longer to arrive at hospitals, with an average delay of about 15.6 minutes compared to those from less vulnerable areas.
- Mapping these delays revealed overlapping zones of delay and vulnerability, highlighting the impact of socioeconomic conditions and community resources on timely medical care.
Venous thromboembolism (VTE) risk is increased in patients infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). A key question was whether increased intensity of anticoagulation would help prevent VTE and improve patient outcomes, including transfer to the intensive care unit (ICU) and mortality. At the start of the coronavirus disease-19 (COVID-19) pandemic, our institution, Boston Medical Center, instituted a VTE risk stratification protocol based on patients' initial D-dimer levels, medical history, and presence of thrombosis to determine whether they should receive standard-dose prophylaxis, high-dose prophylaxis, or therapeutic anticoagulation.
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