A5012392264- Acute Ischemic Stroke Management
- Stroke Rehabilitation and Recovery
- Trauma and Emergency Care Studies
- Social Media in Health Education
- Gun Ownership and Violence Research
- Misinformation and Its Impacts
- Emergency and Acute Care Studies
- Suicide and Self-Harm Studies
- Healthcare Policy and Management
- Long-Term Effects of COVID-19
- Patient-Provider Communication in Healthcare
- Health disparities and outcomes
- Diversity and Career in Medicine
- Intracerebral and Subarachnoid Hemorrhage Research
- Health Systems, Economic Evaluations, Quality of Life
- COVID-19 Clinical Research Studies
- COVID-19 and Mental Health
- Traumatic Brain Injury and Neurovascular Disturbances
- Blood donation and transfusion practices
- Appendicitis Diagnosis and Management
- Homelessness and Social Issues
- Vaccine Coverage and Hesitancy
- COVID-19 and healthcare impacts
- Empathy and Medical Education
- Blood Pressure and Hypertension Studies
University of Michigan
2016-2025
Michigan United
2025
Michigan Medicine
2018-2025
Northwestern University
2022-2024
Cincinnati Children's Hospital Medical Center
2024
University of Cincinnati
2024
Institute for Healthcare Improvement
2024
Brown University
2023
Virginia Commonwealth University
2018
The University of Texas at San Antonio
2016
Importance Treatments for time-sensitive acute stroke are not available at every hospital, often requiring interhospital transfer. Current guidelines recommend hospitals achieve a door-in-door-out time of no more than 120 minutes the transferring emergency department (ED). Objective To evaluate times transfers in American Heart Association Get With The Guidelines-Stroke registry and to identify patient hospital factors associated with times. Design, Setting, Participants US registry–based,...
This survey study assesses the frequency and nature of harassment on social media experienced by physicians, biomedical scientists, trainees during COVID-19 pandemic.
Racial disparities in timely diagnosis and treatment of surgical conditions exist; however, it is poorly understood whether there are hospital structural measures or patient-level characteristics that modify this phenomenon.
Introduction: Acute treatment for stroke often requires emergent interhospital transfer access to advanced therapies not available at the initial hospital. Prolonged times have been associated with worse outcomes. Door-in-door-out time (DIDO: amount of a patient spends in transferring emergency department [ED]) is an important quality metric acute care, current recommendations DIDO ≤ 120 minutes. We sought characterize trends and predictors transfers using Greater Cincinnati Northern...
Introduction: Telestroke has the potential to revolutionize acute stroke treatment by improving access optimal care, including time-sensitive care such as thrombolysis. Yet few studies have compared metrics and outcomes in patients treated using telestroke versus standard in-person evaluation. Methods: This was a retrospective cohort study of ischemic age ≥18 presenting 53 Paul Coverdell Michigan hospitals between 2022 2023 who were potentially eligible for thrombolysis (i.e., presented ≤ 4...
Introduction: Novel therapies have changed the landscape of acute ischemic stroke (AIS) treatment over past decade. Timely identification and AIS is imperative, which makes swift action by emergency departments (ED) critical. Most research on comes from academic medical centers. We sought to report temporal trends ED-based 2012-2022 in a community without an center. Methods: As part community-based Brain Attack Surveillance Corpus Christi (BASIC) project, strokes treated department were...
Background: Lower educational attainment (EA) and smaller social network are each associated with a greater risk for incident stroke. However, the relationship between EA, support (SS), recurrent stroke is less clear. Objectives: To evaluate association of EA SS recurrence. We also assessed whether modifies effect on hypothesize that protect against recurrence additively interact to further decrease risk. Methods: Within Brain Attack Surveillance in Corpus Christi (BASIC) project, we...
Introduction: Time from stroke symptom onset to emergency department (ED) arrival (OTA) is an important driver of acute functional outcomes and mortality for both ischemic (AIS) intracerebral hemorrhage (ICH). Acute therapies AIS are time-sensitive, there several recently published time-dependent therapeutic trials ICH, yet little known about the patterns ED presentation over time. We sought analyze trends predictors times ICH within Greater Cincinnati/Northern Kentucky Stroke Study....
Social media is an important tool for disseminating accurate medical information and combating misinformation (ie, the spreading of false or inaccurate information) disinformation with intent to deceive). The prolific rise during a global pandemic pressing public health concern. In response this phenomenon, professional amplifiers such as IMPACT (Illinois Medical Professional Action Collaborative Team) have been created coordinated enhance communication advocacy around COVID-19 pandemic.
Poverty is associated with greater stroke incidence. The relationship between poverty and recurrence less clear.
Importance Delayed appendicitis diagnosis is associated with worse outcomes. Appendicitis hospital care costs delayed are unknown. Objective To determine whether was increased costs. Design, Setting, and Participants This cohort study used data from patients receiving an appendectomy aged 18 to 64 years in 5 states (Florida, Maryland, Massachusetts, New York, Wisconsin) that were captured the Healthcare Cost Utilization Project State Inpatient Emergency Department databases for 2016 2017 no...
Importance Stroke treatment is exquisitely time sensitive. The door-in–door-out (DIDO) time, defined as the total spent in emergency department (ED) at a transferring hospital, an important quality metric for care of acute stroke. However, little known about contributions specific process steps to delays and disparities DIDO time. Objective To quantify their association with times hospitals among patients ischemic stroke (AIS). Design, Setting, Participants This retrospective cohort study...
Transitioning from the pre-clinical environment to clerkships poses a challenge students and educators alike. Students along with faculty developed Clinical Reasoning Elective (CRE) provide exposure patients in emergency department opportunity build illness scripts practice clinical skills longitudinal mentorship low-stakes before entering clerkships. It is voluntary program. Each year, CRE has received overwhelming positive feedback students. The objective of this study determine if...
Women with a history of stroke represent vulnerable patient population due to their extant disability, morbidity, and risk recurrence. The association between prior experience perception emergency medical care is unknown. We utilized data from the Health Care Experiences Perception cross-sectional, online survey American Heart Association Research Goes Red Registry. Ordinal logistic regression models were performed assess self-reported in 10 years not receiving adequate an department because...
Introduction: It is unclear how neighborhood socioeconomic status (nSES) affects the pre-hospital recognition and care of acute stroke at national level. Methods: Patients with ischemic stroke, intracerebral hemorrhage, subarachnoid hemorrhage in Get With Guidelines-Stroke registry, presenting from July 2015 to December 2019, symptom onset <24 hours were included. Social deprivation index (SDI) county level approximated nSES. Logistic quantile regressions evaluated impact SDI on EMS use,...
Introduction: In 2014, the Eighth Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC8) included race-specific recommendations for antihypertensive treatments (e.g. calcium channel blockers [CCBs] Black persons). The impact these guidelines anti-hypertensive regimen changes over time, if this varied by prevalent stroke status, is unclear. Methods: REGARDS participants reporting medications with without history who completed an in-home...
Introduction: Urgent inter-hospital transfer ensures timely access to therapies for acute ischemic stroke. Door-in-door-out (DIDO) represents the total amount of time a patient spends in transferring emergency department (ED) before transfer. DIDO is an important quality metric care stroke; however, little known about influence process steps on times and which most often cause delays. Methods: This was retrospective cohort study patients American Heart Association Get With The...