A5022087616- Intraoperative Neuromonitoring and Anesthetic Effects
- Spinal Fractures and Fixation Techniques
- Spine and Intervertebral Disc Pathology
- Opioid Use Disorder Treatment
- Anesthesia and Pain Management
- Healthcare Policy and Management
- Pain Management and Opioid Use
- Cardiac, Anesthesia and Surgical Outcomes
- Musculoskeletal pain and rehabilitation
- Primary Care and Health Outcomes
- Healthcare Systems and Reforms
- Global Health Workforce Issues
- Dental Radiography and Imaging
- Acute Ischemic Stroke Management
- Stroke Rehabilitation and Recovery
- Dental Health and Care Utilization
- Scoliosis diagnosis and treatment
- Cerebrovascular and Carotid Artery Diseases
- Employment and Welfare Studies
- Dental Trauma and Treatments
- Telemedicine and Telehealth Implementation
- Climate Change and Health Impacts
- Suicide and Self-Harm Studies
- Health disparities and outcomes
- Migration and Labor Dynamics
University of New Mexico
2013-2024
University of Washington
2011-2015
University of California, Los Angeles
2013-2015
Foundation Center
2014
Robert Wood Johnson Foundation
2013-2014
Case Western Reserve University
2013
Lehigh University
2011
To evaluate the effect of intensive care unit continuous EEG (cEEG) monitoring on inpatient mortality, hospital charges, and length stay.A retrospective cross-sectional study was conducted using Nationwide Inpatient Sample, a dataset representing 20% discharges in nonfederal US hospitals. Adult discharge records reporting mechanical ventilation (routine or cEEG) were included. cEEG compared with routine alone association primary outcome in-hospital mortality secondary outcomes total charges...
To determine associations between intraoperative neurophysiologic monitoring (IOM) for spinal decompressions and simple fusions with neurologic complications, length of stay, hospitalization charges.Adult discharges in the Nationwide/National Inpatient Sample (NIS) (2007-2012) were included. Revision surgeries, instrumentations, complicated approaches, tumor- trauma-related surgeries excluded. Extracted data included patient demographics, medical comorbidities, primary surgery type, hospital...
Purpose: To construct a cost–benefit model for intraoperative neurophysiological monitoring (IOM) in spinal surgeries. Methods: Decision was based on sensitivity, specificity, IOM cost, prevention rate given an alert, and procedure neurologic complication rates pooled estimates from the published literature with outcome of lifetime costs after neuromonitored versus unmonitored Lifetime cost injury sum direct health care lost wages benefits. Results Monte Carlo simulation 10,000 replications...
Objectives. We compared the incremental cost-effectiveness of 2 primary molar sealant strategies—always seal and never seal—with standard care for Medicaid-enrolled children. Methods. used Iowa Medicaid claims data (2008–2011), developed a tooth-level Markov model 10 000 teeth, costs, treatment avoided, cost per avoided strategies with care. Results. In simulated $214 510, always $232 141, $186 010. Relative to care, reduced number restorations 340 from 2389, whereas increased 2853. Compared...
Access to Critical Cerebral Emergency Support Services (ACCESS) was developed as a low-cost solution providing neuro-emergent consultations rural hospitals in New Mexico that do not offer comprehensive stroke care. ACCESS is two-way audio-visual program linking remote emergency department physicians and their patients specialists. also has an education component which receive training from specialists on the triage treatment of patients. This study assessed clinical economic outcomes...
Few, if any, return on investment (ROI) analyses of health programs make systematic considerations patient access, instead focusing principally gains related to cost and quality. The objective this study was develop an open-source model that adds estimation in access a traditional ROI analysis. A classification system for quantifying is proposed.An Excel-based built not only incorporated - savings cases avoided but also addressed changes access. then applied case using New Mexico Medicaid...
The objective was to evaluate 2 primary molar sealant strategies for publicly insured children using an “expected value of perfect information” (EVPI) approach. We converted a 10,000-observation tooth-level cost-effectiveness simulation model comparing – always seal (AS) and standard care (SC) with 1,250-observation child-level model. Costs per child restoration or extraction averted were estimated. Opportunity losses under the AS strategy determined whom SC optimal choice. EVPI by...
Private health insurance (PHI) represents the largest source of for Americans. Hispanic Americans have one lowest rates PHI coverage. The group in US population are Mexican Americans; they account about two every three Hispanics. One aged 64 years and under did not most unfavorable coverage any nation.The objective is to determine factors associated with gap between American non-Hispanic men.This study used National Health Interview Surveys (2010-2013) as sample. A non-linear Oaxaca-Blinder...
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Neurologists care for chronic neurological illnesses through the use of disease-specific pharmacotherapies, but any licensed medical provider can prescribe these medications. Therefore, we evaluate effect neurologist on usage pharmacotherapies diseases. Survey respondents from 2002-2010 Medical Expenditure Panel Survey(MEPS), an annual representative dataset civilian non-institutionalized US population, were identified multiple sclerosis, parkinsonism, epilepsy, and dementia. Data collection...