- Acute Myocardial Infarction Research
- Coronary Interventions and Diagnostics
- Cardiac, Anesthesia and Surgical Outcomes
- Antiplatelet Therapy and Cardiovascular Diseases
- Cardiac Imaging and Diagnostics
- Venous Thromboembolism Diagnosis and Management
- Acute Kidney Injury Research
- Peripheral Artery Disease Management
- Vascular Procedures and Complications
- Cerebrovascular and Carotid Artery Diseases
- Health Systems, Economic Evaluations, Quality of Life
- Renal and Vascular Pathologies
- Chronic Kidney Disease and Diabetes
- Lipoproteins and Cardiovascular Health
- Cardiac Health and Mental Health
- Cardiac Arrest and Resuscitation
- Healthcare Policy and Management
- Acute Ischemic Stroke Management
- Atrial Fibrillation Management and Outcomes
- Ultrasound and Hyperthermia Applications
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Heart Failure Treatment and Management
- Cardiovascular Health and Disease Prevention
- Cardiac Valve Diseases and Treatments
- Cardiovascular Function and Risk Factors
University of Michigan
2016-2025
Michigan Medicine
2016-2025
Institute of Cosmetic and Laser Surgery
2024
Michigan United
2010-2024
Keele University
2022
Virginia Commonwealth University
2022
VA Ann Arbor Healthcare System
2012-2021
Veterans Health Administration
2016-2021
Ann Arbor VA Medical Center
2007-2019
Brown University
2019
We previously reported that, in a randomized trial, carotid stenting with the use of an emboli-protection device is not inferior to endarterectomy for treatment artery disease at 30 days and 1 year. now report 3-year results.
Current guidelines for the treatment of ST-segment elevation myocardial infarction recommend a door-to-balloon time 90 minutes or less patients undergoing primary percutaneous coronary intervention (PCI). Door-to-balloon has become performance measure and is focus regional national quality-improvement initiatives. However, it not known whether improvements in times have been accompanied by decline mortality.We analyzed annual trends in-hospital mortality using data from 96,738 admissions PCI...
There is evidence that collaborations between hospitals and physicians in particular regions of the country have led to improvements quality care. Even so, there not been many these collaborations. We review one, Michigan regional collaborative improvement program, which was paid for by a large private insurer, has yielded range clinical conditions, reduced costs several important areas. In general vascular surgery alone, complications from dropped almost 2.6 percent among participating...
Context Although the efficacy of carotid stenting has been established in clinical trials, outcomes procedure based on operator experience are less certain practice.Objective To assess association between and 2 measures experience: annual volume at time among new operators who first performed after a national coverage decision by Centers for Medicare & Medicaid Services (CMS). Design, Setting, PatientsObservational study using administrative data fee-for-service beneficiaries aged 65 years...
Background The Thrombolysis in Myocardial Infarction (TIMI) risk scores for Unstable Angina/Non-ST–elevation myocardial infarction (UA/NSTEMI) and ST-elevation (STEMI) the Global Registry of Acute Coronary Events (GRACE) in-hospital 6-month mortality are established tools assessing Syndrome (ACS) patients. objective our study was to compare discriminative abilities TIMI GRACE a broad-spectrum, unselected ACS population assess relative contributions model simplicity composition any observed...
<h3>Background</h3> In patients with acute ST-elevation myocardial infarction (STEMI) who are undergoing percutaneous coronary intervention, current guidelines for reperfusion therapy recommend a door-to-balloon (DTB) time of less than 90 minutes. Considerable effort has focused on reducing DTB the assumption that reduction in translates into significant mortality; however, clinical impact this not been evaluated. Therefore, our objective was to determine whether decline STEMI associated an...
Early reports suggest the number of cardiac intensive care unit (CICU) patients with primary noncardiac diagnoses is rising in United States, but no national data currently exist. We examined changes among elderly admitted to a CICU during past decade.Using 2003 2013 Medicare data, we grouped CICUs into 2 categories based on principal diagnosis at discharge: (1) and (2) diagnoses. patient demographics, comorbidities, procedure use, risk-adjusted in-hospital mortality. Among 3.4 million...