- Emergency and Acute Care Studies
- Chronic Disease Management Strategies
- Intensive Care Unit Cognitive Disorders
- Geriatric Care and Nursing Homes
- Family and Patient Care in Intensive Care Units
- Healthcare Decision-Making and Restraints
- Dementia and Cognitive Impairment Research
- Healthcare Systems and Technology
- Palliative Care and End-of-Life Issues
- Heart Failure Treatment and Management
- Neonatal Respiratory Health Research
- Simulation-Based Education in Healthcare
- Neonatal Health and Biochemistry
- Innovations in Medical Education
- Radiology practices and education
- Dialysis and Renal Disease Management
- Shoulder Injury and Treatment
- Central Venous Catheters and Hemodialysis
- Occupational health in dentistry
- Data-Driven Disease Surveillance
- Public health and occupational medicine
- Global Maternal and Child Health
- Metabolism and Genetic Disorders
- Frailty in Older Adults
- Family Caregiving in Mental Illness
Indiana University – Purdue University Indianapolis
2011-2023
Indiana University School of Medicine
2008-2023
Regenstrief Institute
2015-2023
University of Southern California
2023
University of California, Los Angeles
2023
Eskenazi Health Foundation
2022-2023
New York University
2023
Eskenazi Health
2023
Indiana University
2008-2015
American Geriatrics Society
2015
Although persons with dementia are frequently hospitalized, relatively little is known about the health profile, patterns of care use, and mortality rates for patients who access in emergency department (ED). We linked data from our hospital system Medicare Medicaid claims, Minimum Data Set, Outcome Assessment Information Set to evaluate 175,652 ED visits made by 10,354 individuals 15,020 without over 11 years. Survival after associated charges were examined. Patients visited more...
Purpose of the study The objective was to understand providers' perceptions regarding identifying and treating older adults with delirium, a common complication acute illness in persons dementia, pre-hospital emergency department environments. Design methods authors conducted structured focus group interviews separate groups medical services staff, nurses, physicians. Recordings each session were transcribed, coded, analyzed for themes representative supporting quotations identified. Results...
Myocardial ischemia is a rare but severe and possibly life threatening manifestation of hyperthyroidism, does not usually result in persistent ischemia. We report on 71-year-old woman who had undergone total thyroidectomy with subsequent irradiation because follicular carcinoma 3 years ago. Since then, she been maintained oral levothyroxine replacement therapy at dose 0.15 mg alternating 0.2 daily. When latent hypothyroidism became evident despite therapy, the was increased to 0.3 day. Three...
Current estimates suggest 6,500 undocumented end-stage renal disease (ESRD) patients in the United States are ineligible for scheduled hemodialysis and require emergent dialysis. In order to remain compliance with Emergency Medicaid, an academic health center altered its emergency dialysis criteria from those emphasizing interdialytic interval a set numerical thresholds. We report impact of this administrative change on biochemical parameters, utilization, adverse outcomes patient...
Purpose of the study Cognitive impairment (CI) is one several factors known to influence hospitalization, hospital length stay, and rehospitalization among older adults. Redesigning care delivery systems sensitive CI may reduce acute utilization while improving quality. To develop a foundation fundamental needs for health redesign, we conducted focus groups with inpatient outpatient providers identify barriers, facilitators, suggestions improvements in patients CI. Design methods Focus group...
OPEN ACCESSAugust 29, 2008A Fresh Frozen Cadaver Procedure Laboratory Frank Messina, MD, Lee Wilbur, Edward Bartkus, Dylan Cooper, Gretchen Huffman, BA MD Indiana University School of Medicine Google Scholar More articles by this author , https://doi.org/10.15766/mep_2374-8265.794 SectionsAbout ToolsDownload Citations ShareFacebookTwitterEmail Abstract Introduction: Certifying boards, such as the American Board Emergency Medicine, mandate that its candidates be taught, and demonstrate...
Older adults with cognitive impairment have more emergency department visits and 30-day readmissions are likely to die after visiting the than people without impairment. Emergency providers frequently do not identify Use of screening tools, along better understanding root causes for visits, could equip health care teams knowledge needed develop individually tailored management strategies post-emergency care. By identifying directly addressing patients' informal caregivers' (or partners')...
Background Realising the potential of broad based STD testing depends on treatment those with positive results. Because emergency department (ED) physicians expressed reluctance to test for STD's because they had no mechanism giving results, we devised a system provide results patients tested at county's public hospital by calling Bell Flower, health department's program, determine whether in ED would call their Methods An electronically generated individually modified referral note...
Background: Older adults with cognitive impairment (CI) are more likely to visit the emergency department (ED) than those without CI. They also suffer poor outcomes after an ED visit. Family and friends who serve as care partners contribute significant time resources of these patients may need particular attention their emotional needs during encounter. In this study, we examined association between patient partner characteristics on depression anxiety at
Background: Human cadavers provide an effective model for procedural training; however, inconsistent blood return during central venous cannulation compromises the overall reliability of this procedure. Objective: To create and quantitatively assess a human cadaver access using continuously-run embalming machine. Curriculum: Emergency medicine (EM) faculty at Indiana University created procedure lab designed EM residents. The right femoral artery was identified by superficial dissection...
<sec> <title>BACKGROUND</title> Older adults with cognitive impairment have more Emergency Department (ED) visits and 30-day readmissions are likely to die after visiting the ED than people without impairment. providers frequently do not identify in older adults. Use of screening tools, combination better understanding root causes for visits, could equip healthcare teams knowledge they need develop individually tailored care management strategies post-ED care. By identifying directly...