A5015090803- Acute Ischemic Stroke Management
- Traumatic Brain Injury Research
- Traumatic Brain Injury and Neurovascular Disturbances
- Long-Term Effects of COVID-19
- Intensive Care Unit Cognitive Disorders
- Intracerebral and Subarachnoid Hemorrhage Research
- EEG and Brain-Computer Interfaces
- Cardiac Arrest and Resuscitation
- Smoking Behavior and Cessation
- Climate Change and Health Impacts
- COVID-19 and Mental Health
- Air Quality and Health Impacts
- Stroke Rehabilitation and Recovery
- Health disparities and outcomes
- Indoor Air Quality and Microbial Exposure
- Palliative Care and End-of-Life Issues
- Traumatic Ocular and Foreign Body Injuries
- Heart Rate Variability and Autonomic Control
- Retinal and Optic Conditions
- Respiratory Support and Mechanisms
- Epilepsy research and treatment
- Trauma and Emergency Care Studies
- Neurosurgical Procedures and Complications
- Infectious Encephalopathies and Encephalitis
- Disaster Response and Management
University of Miami
2018-2024
Neurological Surgery
2021-2024
Jackson Memorial Hospital
2021-2023
Columbia University
2022-2023
Naval Research Laboratory Information Technology Division
2023
Louis Stokes Cleveland VA Medical Center
2023
Case Western Reserve University
2023
Inserm
2023
Centre de recherche en Epidémiologie et Santé des Populations
2023
Université de Versailles Saint-Quentin-en-Yvelines
2023
Impaired level of consciousness (LOC) on presentation at hospital admission in patients with intracerebral hemorrhage (ICH) may affect outcomes and the decision to withhold or withdraw life-sustaining treatment (WOLST).Patients ICH were included across 121 Florida hospitals participating Stroke Registry from 2010 2019. We studied effect LOC in-hospital mortality (primary outcome), WOLST, ambulation status discharge, length stay, discharge disposition.Among 37 613 cases (mean age 71, 46%...
Early consciousness disorder (ECD) after acute ischemic stroke (AIS) is understudied. ECD may influence outcomes and the decision to withhold or withdraw life-sustaining treatment.We studied patients with AIS from 2010 2019 across 122 hospitals participating in Florida Stroke Registry. We effect of on in-hospital mortality, withholding withdrawal treatment (WLST), ambulation status discharge, hospital length stay, discharge disposition.Of 238,989 AIS, 32,861 (14%) had at presentation....
This study investigated video eye tracking (VET) in comatose patients with traumatic brain injury (TBI).
<h3>Objective:</h3> To report the prevalence of acute encephalopathy and outcomes in patients with severe COVID-19, to identify determinants 90-day outcomes. <h3>Methods:</h3> Data from adults COVID-19 were prospectively collected for requiring intensive care unit management 31 university or university-affiliated six countries (France, USA, Colombia, Spain, Mexico, Brazil) between March September 2020. Acute was defined, as recently recommended, subsyndromal delirium delirium, a comatose...
Background U.S. Hispanic/Latino construction workers constitute a large and historically underserved group in terms of smoking cessation services. Using formative research, we developed worksite intervention tailored to the life/work circumstances these workers. Aims This study aims examine feasibility, acceptability, potential efficacy “Enhanced Care” (EC; one behavioral counseling session provided around food truck + fax referral tobacco quitline [QL] 8-week nicotine replacement treatment...
OBJECTIVES: Temporal trends and factors associated with the withdrawal of life-sustaining therapy (WLST) after acute stroke are not well determined. DESIGN: Observational study (2008–2021). SETTING: Florida Stroke Registry (152 hospitals). PATIENTS: Acute ischemic (AIS), intracerebral hemorrhage (ICH), subarachnoid (SAH) patients. INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: Importance plots were performed to generate most predictive WLST. Area under curve (AUC) for receiver operating...
Objective: Limited data are available on posttraumatic stress symptoms (PTSS) among COVID-19 survivors. This study aimed to contribute this knowledge base. Methods: PTSS survivors who had been hospitalized were investigated. Patients identified as positive at hospital admission. surveyed with the Posttraumatic Stress Disorder Checklist (PCL-5) between March and October 2020 5- 12-month postdischarge follow-up points. Results: Of 411 patients, 331 (81%) survived discharge. these survivors, 83...
Extreme weather events (EWE) are expected to increase as climate change intensifies, leaving coastal regions exposed higher risks. South Florida has the highest HIV infection rate in United States, and disruptions clinic utilization due extreme conditions could affect adherence treatment community transmission. The objective of this study was identify association between EWE HIV-clinic attendance rates at a large academic medical system serving Miami-Dade communities. following methods were...
Background Resting-state electroencephalogram (rsEEG) is usually obtained to assess seizures in comatose patients with traumatic brain injury (TBI) patients. We aim investigate rsEEG measures and their prediction of early recovery consciousness TBI Methods This a retrospective study who were admitted level-1 trauma center (10/2013-1/2022). Demographics, basic clinical data, imaging characteristics, EEG data collected. calculated using 10-minute rsEEGs: power spectral density (PSD),...
(1) Background: Climate change is increasing the already frequent diverse extreme weather events (EWE) across geographic locations, directly and indirectly impacting human health. However, current ongoing research fails to address magnitude of these indirect impacts, including healthcare access. Vulnerable populations such as persons with spinal cord injury (pSCI) face added physiologic burden thermoregulation or mobility challenges like closure public transportation. Our exploratory...
Limited research exists on COVID-19 associated brain fog, and the long-term cognitive psychiatric sequelae in racially ethnically diverse patients. We characterize neuropsychological of post-acute a cohort investigate whether clinical severity remains with fog deficits approximately 2 years post infection.
Eye tracking assessments are clinician dependent and can contribute to misclassification of coma. We investigated responsiveness videos with without audio in traumatic brain injury (TBI) subjects using video eye-tracking (VET). recruited 20 healthy volunteers 10 unresponsive TBI subjects. Clinicians were surveyed whether the subject was on their bedside assessment. The Coma Recovery Scale-Revised (CRS-R) also performed. movements response three different 30-second sound recorded VET....
Introduction: The decision to withhold or withdraw life-sustaining therapy (WLST) is common after acute stroke. Factors that may influence the are not well determined. We aimed investigate factors associated with WLST in hospitalized stroke patients. Methods: Patients ischemic (AIS), intracerebral hemorrhage (ICH), and subarachnoid (SAH) were included across 152 Florida hospitals participating prospective Stroke Registry from 2008-2021. Importance plots performed generate predictive WLST....
Background: Impaired level of consciousness (LOC) on presentation after acute ischemic stroke (AIS) may affect outcomes and the decision to withdraw life-sustaining treatment (WLST). We aim investigate their trends AISby LOC presentation. Methods: studied 238,989 cases with AIS in Florida Stroke Registry from 2010-2019. Pearson chi-squared Kruskall-Wallis tests were used compare descriptive statistics. A multivariable-logistic regression GEE accounted for basic demographics, comorbidities,...
Background: Impaired level of consciousness (LOC) on presentation after intracerebral hemorrhage (ICH) may affect outcomes and the decision to withdraw life-sustaining treatment (WLST). We aim investigate trends ICH by LOC status presentation. Methods: studied 37,613 cases with in Florida Stroke Registry from 2010-2019. Pearson chi-squared Kruskall-Wallis tests were used compare descriptive statistics. A multivariable-logistic regression GEE accounted for basic demographics, comorbidities,...