12 results match your criteria: "School of Medicine (B.M.[Affiliation]"
Variation in Out-of-Hospital Cardiac Arrest Survival Across Emergency Medical Service Agencies.
Circ Cardiovasc Qual Outcomes
June 2022
Saint Luke's Mid America Heart Institute, University of Missouri-Kansas City (R.A.G., P.G.J., J.A.S., P.S.C.).
Background: Although studies have reported variation in out-of-hospital cardiac arrest (OHCA) survival by geographic location, little is known about variation in OHCA survival at the level of emergency medical service (EMS) agencies-which may have modifiable practices, unlike counties and regions. We quantified the variation in OHCA survival across EMS agencies and explored whether variation in 2 specific EMS resuscitation practices were associated with survival to hospital admission.
Methods: Within the Cardiac Arrest Registry to Enhance Survival, a prospective registry representing ≈51% of the US population, we identified 258 342 OHCAs from 764 EMS agencies with 10 OHCA cases annually during 2015 to 2019.
Prolonged Cardiac Monitoring and Stroke Recurrence: A Meta-analysis.
Neurology
May 2022
From the Second Department of Neurology (G.T., S.T., L.P., A.H.K.) and Second Department of Cardiology (S.D.), School of Medicine, "Attikon" Hospital, First Department of Cardiology (P.D., K.T.), School of Medicine, Hippokration Hospital, and Hygiene, Epidemiology and Medical Statistics, Medical School (G.M.), National and Kapodistrian University of Athens, Greece; Department of Neurology (G.T., A.V.A.), University of Tennessee Health Science Center, Memphis; Duke University School of Medicine (B.M.G.), Durham, NC; Department of Neurology (M.K.), Universitätsklinikum Essen, Germany; Department of Neurology (B.R., S.C., K.L.F.), Alpert Medical School, Brown University, Providence, RI; Department of Neurology (C.K.), St. Josef-Hospital, Ruhr University, Bochum; Departments of Neurology and Neurogeriatry (P.D.S.), Johannes Wesling Medical Center, Ruhr University Bochum, Minden, Germany; Department of Neurology (E.D.), University of Thessaly, Larissa, Greece; Stroke Unit (A.R.-C., E.C.-G.), Department of Neurology, Group of Research on Neurovascular Diseases, Hospital Del Mar Medical Research Institute. DCEX, Universitat Pompeu Fabra, Universitat Autonoma de Barcelona, Spain; Department of Neurosciences (Neurology) (D.A.d.S.), Hospital de Santa Maria, University of Lisbon, Portugal; Division of Neurology (M.S., A.H.K.), McMaster University and Population Health Research Institute, Hamilton; Sunnybrook Research Institute and Hurvitz Brain Sciences Program (D.J.G.), Sunnybrook Health Sciences Centre, and Department of Medicine, University of Toronto, Canada; Fondazione Policlinico Gemelli IRCCS (T.S.); Catholic University of the Sacred Heart (T.S.), Institute of Cardiology, Rome, Italy; Clinic and Policlinic for Cardiology (R.W.), University Hospital Leipzig, Germany; and Department of Neurology (S.Y.), New York University School of Medicine, NY.
Background And Objectives: Prolonged poststroke cardiac rhythm monitoring (PCM) reveals a substantial proportion of patients with ischemic stroke (IS) with atrial fibrillation (AF) not detected by conventional rhythm monitoring strategies. We evaluated the association between PCM and the institution of stroke preventive strategies and stroke recurrence.
Methods: We searched MEDLINE and SCOPUS databases to identify studies reporting stroke recurrence rates in patients with history of recent IS or TIA receiving PCM compared with patients receiving conventional cardiac rhythm monitoring.
Population-Based Study of Nonelective Postpartum Readmissions in Women With Stroke, Migraine, Multiple Sclerosis, and Myasthenia Gravis.
Neurology
April 2022
From the Department of Neurology (B.M.D., K.A.D., A.W.W.), Department of Biostatistics and Epidemiology, Center for Clinical Epidemiology and Biostatistics (B.M.D., D.T., A.W.W.), Department of Neurology, Translational Center of Excellence for Neuroepidemiology and Neurology Outcomes Research, School of Medicine (B.M.D., D.T., A.W.W.), and Leonard Davis Institute of Health Economics (B.M.D., A.W.W.), University of Pennsylvania, Philadelphia; and Department of Neurological Sciences (B.M.D.), University of Vermont Medical Center, Burlington.
Article Synopsis
- Comparative Study
- : The research compared maternal complications and readmission rates between women with neurological disorders (like stroke, migraines, MS, and MG) and those without (controls), using data from the National Readmissions Database from 2015-2017.
- Key Findings
- : Women with neurological conditions had significantly higher rates of postpartum complications, such as edema and hypertensive disorders, along with increased readmission rates within 30 and 90 days post-delivery compared to controls.
- Higher Risks Identified
- : Specifically, women with previous strokes, migraines, and MG faced the most severe risks for both maternal morbidity and hospital readmissions, indicating the need for targeted postpartum care for this population.
Acute Ischemic Stroke, Depressed Left Ventricular Ejection Fraction, and Sinus Rhythm: Prevalence and Practice Patterns.
Stroke
June 2022
Department of Neurology (A.D.B., A.J., J.S., L.H.S., K.N.S., R.S.), Yale School of Medicine, New Haven, CT.
Background: There are limited data about the epidemiology and secondary stroke prevention strategies used for patients with depressed left ventricular ejection fraction (LVEF) and sinus rhythm following an acute ischemic stroke (AIS). We sought to describe the prevalence of LVEF ≤40% and sinus rhythm among patients with AIS and antithrombotic treatment practice in a multi-center cohort from 2002 to 2018.
Methods: This was a multi-center, retrospective cohort study comprised of patients with AIS hospitalized in the Greater Cincinnati Northern Kentucky Stroke Study and 4 academic, hospital-based cohorts in the United States.
Understanding the geography of trauma: Combining spatial analysis and funnel plots to create comprehensive spatial injury profiles.
J Trauma Acute Care Surg
August 2022
From the Department of Surgery (P.J.A., R.L.G., Z.H., J.B.H., J.D.K., J.O.J.), University of Alabama at Birmingham, Birmingham, Alabama; Center for Injury Science (P.J.A., S.W.S., M.M., R.L.G., Z.H., J.B.H., J.D.K., J.O.J.), University of Alabama at Birmingham, Birmingham, Alabama; and School of Medicine (B.M.C., D.M.), University of Alabama at Birmingham, Birmingham, Alabama.
Background: Understanding geographic patterns of injury is essential to operating an effective trauma system and targeting injury prevention. Choropleth maps are helpful in showing spatial relationships but are unable to provide estimates of spread or degrees of confidence. Funnel plots overcome this issue and are a recommended graphical aid for comparisons that allow quantification of precision.
View Article and Find Full Text PDFOpioid Prescribing and Use Among Cancer Survivors: A Mapping Review of Observational and Intervention Studies.
J Pain Symptom Manage
April 2022
Duke Cancer Institute, Duke University Medical Cente (D.K.C., R.A.A., C.M., A.H.K., K.C.O.), Durham, North Carolina; Department of Medicine, Duke University School of Medicine (K.C.O.), Durham, North Carolina.
Context: Recent years show a sharp increase in research on opioid use among cancer survivors, but evidence syntheses are lacking, leaving knowledge gaps. Corresponding research needs are unclear.
Objectives: To provide an evidence synthesis.
Clinic-Based Eye Disease Screening Using Non-Expert Fundus Photo Graders at the Point of Screening: Diagnostic Validity and Yield.
Am J Ophthalmol
July 2021
Francis I. Proctor Foundation (B.M.S., J.S.M., J.D.K.), University of California San Francisco, San Francisco, California, USA; Department of Ophthalmology (J.D.K.), University of California San Francisco, San Francisco, California, USA. Electronic address:
Purpose: The intent of this study was to determine the diagnostic accuracy of several diagnostic tests for age-related macular degeneration (AMD), diabetic retinopathy (DR), glaucoma, and cataract, as well as the proportions of patients with eye disease from each of 3 enrolling clinics.
Design: Diagnostic accuracy study.
Methods: Patients ≥50 years old in a diabetes, thyroid, and general medicine clinic were screened using visual acuity, tonometry, and fundus photography.
Nationwide cost-effectiveness analysis of surgical stabilization of rib fractures by flail chest status and age groups.
J Trauma Acute Care Surg
March 2021
From the Department of Surgery (J.C., L.T., D.A.S., J.D.F.), Division of General Surgery, Department of Epidemiology and Population Health (J.C.), Surgeons Writing About Trauma (J.C., B.M., R.T., L.T., D.A.S., J.D.F.), and School of Medicine (B.M., R.T.), Stanford University, Stanford, California; Department of Surgery, Chulalongkorn University (W.L.), Bangkok, Thailand; and Stanford Health Policy (J.A.S., J.D.G.-F.), Centers for Health Policy and Primary Care and Outcomes Research, Stanford University, Stanford, California.
Background: Surgical stabilization of rib fracture (SSRF) is increasingly used to manage patients with rib fractures. Benefits of performing SSRF appear variable, and the procedure is costly, necessitating cost-effectiveness analysis for distinct subgroups. We aimed to assess the cost-effectiveness of SSRF versus nonoperative management among patients with rib fractures younger than 65 years versus 65 years or older, with versus without flail chest.
View Article and Find Full Text PDFAugmented Reality Future Step Visualization for Robust Surgical Telementoring.
Simul Healthc
February 2019
From the Departments of Computer Science (D.S.A., V.S.P.) and Industrial Engineering (M.E.C., E.J.R.M., G.T.G., J.P.W.), Purdue University, West Lafayette; and Indiana University, School of Medicine (B.M., S.M., B.L.Z.), Bloomington, IN.
Article Synopsis
- Surgical telementoring uses augmented reality to connect expert mentors with trainees in low-bandwidth environments, helping them perform urgent medical procedures.
- The system displays pre-recorded video instructions as overlays on the trainee's view, enhancing their guidance during operations despite unreliable network connections.
- In a study, trainees using this future step visualization had significantly better outcomes, including lower idle times, fewer recall errors, and higher task performance compared to those using traditional telementoring methods.
Relationship between risk factor control and vascular events in the SAMMPRIS trial.
Neurology
January 2017
From Medical University of South Carolina (T.N.T., M.F.L.-V., K.L.H., J.H., M.I.C.), Charleston; Emory University (A.N., M.J.L., B.L., J.M.), Atlanta, GA; University of South Carolina School of Medicine (B.M.E.), Greenville; Atlanta VAMC (N.-A.L.), Decatur, GA; Washington University (C.P.D.), St. Louis, MI; State University of New York at Stony Brook (D.F.); and National Institute of Neurological Disorders and Stroke (L.S.J.), Bethesda, MD.
Objective: The Stenting and Aggressive Medical Management for Preventing Recurrent Stroke in Intracranial Stenosis (SAMMPRIS) study is the first stroke prevention trial to include protocol-driven intensive management of multiple risk factors. In this prespecified analysis, we aimed to investigate the relationship between risk factor control during follow-up and outcome of patients in the medical arm of SAMMPRIS.
Methods: Data from SAMMPRIS participants in the medical arm (n = 227) were analyzed.
Systolic Blood Pressure Intervention Trial (SPRINT) and Target Systolic Blood Pressure in Future Hypertension Guidelines.
Hypertension
August 2016
From the Care Coordination Institute, Greenville Health System, University of South Carolina School of Medicine (B.M.E., C.S.W.); and Department of Mathematics, College of Charleston, SC (J.L.).
The Systolic Blood Pressure (SBP, mm Hg) Intervention Trial (SPRINT) showed that targeting SBP <120 mm Hg (intensive treatment, mean SBP: 121.5 mm Hg) versus <140 (standard treatment, mean SBP: 134.6 mm Hg) reduced cardiovascular events 25%.
View Article and Find Full Text PDFAssociation Between Hay Fever and High Myopia in United States Adolescents and Adults.
Eye Contact Lens
May 2017
Temple University School of Medicine (B.M.S.), Philadelphia, PA; Wilmer Eye Institute (M.Q.), Johns Hopkins University, Baltimore, MD; Cornea Service (C.J.R.), Wills Eye Hospital, Thomas Jefferson University, Philadelphia, PA; and Ocular Oncology Service (C.L.S.), Wills Eye Hospital, Thomas Jefferson University, Philadelphia, PA.
Objectives: To investigate the relationship between hay fever and refractive error in a representative sample of adolescents and adults in the United States.
Methods: This cross-sectional study included 5,744 participants aged ≥12 years from the 2005 to 2006 National Health and Nutrition Examination Survey who participated in the allergy questionnaire, completed objective refraction and keratometry in both eyes, and had immunoglobulin E (IgE) serology. The primary predictor variable, refractive error, was classified as emmetropia (-0.