A5054572957- Trauma and Emergency Care Studies
- Disaster Response and Management
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Data-Driven Disease Surveillance
- Renal and related cancers
- Disaster Management and Resilience
- Cardiac Arrest and Resuscitation
- Scientific Computing and Data Management
- COVID-19 diagnosis using AI
- Health, Environment, Cognitive Aging
- Telemedicine and Telehealth Implementation
- Bioinformatics and Genomic Networks
- Food Security and Health in Diverse Populations
- Climate Change and Health Impacts
- Cardiac, Anesthesia and Surgical Outcomes
- Public Health Policies and Education
- Single-cell and spatial transcriptomics
- Tropical and Extratropical Cyclones Research
- Electronic Health Records Systems
- Machine Learning in Healthcare
- Health disparities and outcomes
- Long-Term Effects of COVID-19
- Hip and Femur Fractures
- Traumatic Brain Injury and Neurovascular Disturbances
- Dementia and Cognitive Impairment Research
University of Washington
2021-2024
University of Washington Medical Center
2020-2024
Harborview Injury Prevention and Research Center
2022-2023
Harborview Medical Center
2023
In the wake of emergent natural and anthropogenic disasters, telehealth presents opportunities to improve access healthcare when physical is not possible. Yet, since beginning COVID pandemic, lessons learned reveal that various populations in United States do or cannot adopt due inequitable access. We explored Digital Determinants Health (DDoHs) for telehealth, characterizing role accessibility, broadband connectivity electrical grids, patient intersectionality. addition its as an existing...
Abstract Many data resources generate, process, store, or provide kidney related molecular, pathological, and clinical data. Reference ontologies offer an opportunity to support knowledge integration. The Kidney Precision Medicine Project (KPMP) team contributed the representation addition of 329 phenotype terms Human Phenotype Ontology (HPO), identified many subcategories acute injury (AKI) chronic disease (CKD). Tissue Atlas (KTAO) imports integrates kidney-related from existing (e.g.,...
The characteristics of a person's health status are often guided by how they live, grow, learn, their genetics, as well access to care. Yet, all too often, studies examining the relationship between social determinants (behavioral, sociocultural, and physical environmental factors), role demographics, outcomes poorly represent these relationships, leading misinterpretations, limited study reproducibility, datasets with representativeness secondary research use capacity. This is profound...
Abstract Background Trauma‐induced coagulopathy (TIC) is associated with negative outcomes. Pediatric TIC has been described most often in older children. Children undergo normal developmental hemostasis, but it unknown how this process impacts the risk of across childhood. Aims To understand variations coagulation testing and pediatric age groups. Methods We evaluated patterns studies at presentation over first 72 h hospitalization by group a large, Level I trauma center, 2015–2020. The...
Injury is the leading cause of death in patients aged 1 to 45 years and contributes a significant public health burden for individuals all ages. To achieve zero preventable deaths disability after injury, National Academies Science, Engineering Medicine called development Trauma Research Action Plan improve outcomes military civilian trauma patients. Because rapid resuscitation prompt identification treatment injuries are critical achieving optimal outcomes, panel experts was convened...
Information gaps that accompany hurricanes and floods limit researchers' ability to determine the impact of disasters on population health. Defining key use cases for sharing complex disaster data with research communities facilitators, barriers doing so are promoting health recovery.We conducted a mixed-methods needs assessment 15 researchers using interviews card sorting. Interviews examined information by soliciting facilitators in context their expertise practices. Card sorting ranked...
Abstract Objectives We asked whether age or injury severity drives blood use patterns in paediatric trauma. Background Transfusion for trauma care is complicated by known developmental differences coagulation and patterns. Methods/Materials linked 10 years of Trauma Registry bank data, 2011–2020, all acute patients aged <18 treated at a large US Level 1 adult centre. assessed age, mechanism association with any use, within the first 4 h care, resuscitation balance, using grouped‐age...
Abstract Background Expired blood can be transfused if clinically indicated but outcome data do not exist. We hypothesized that modestly outdated effectively support a hemorrhaging patient until surgical control is achieved. This study assessed whether expired was associated with mortality in combat trauma patients. Study Design and Methods A retrospective analysis of Armed Services Blood Program Department Defense Trauma Registry databases evaluated casualty records (2001–2023). The...
Health data access and sharing in the U.S. have been hindered by complex privacy security conditions, limiting research improvement of health outcomes. This challenge is even greater minority sensitive populations - who would benefit most from integrative research. The All Us Research Program a National Institutes funded initiative aiming to enhance through analysis lifestyle, environment, genetics over one million participants, with focus on communities historically underrepresented...
Abstract Background Persons with Alzheimer’s disease and related dementias (ADRD) have been disproportionally impacted by the COVID‐19 pandemic, showing a significantly increased risk of infection severe illness, including neurocognitive consequences. The National Coordinating Center collects rich longitudinal, standardized data from populations at high complications, older adults who were cognitively normal prior to those had pre‐existing ADRD. These data, in combination Electronic Health...
Background Despite increased testing efforts and the deployment of vaccines, COVID-19 cases death toll continue to rise at record rates. Health systems routinely collect clinical non-clinical information in electronic health records (EHR), yet little is known about how minimal or intermediate spectra EHR data can be leveraged characterize patient SARS-CoV-2 pretest probability support interventional strategies. Methods findings We modeled for test positivity determined which features were...
We asked whether patients >50 years of age with acute traumatic brain injury (TBI) present lower platelet counts and are independently associated mortality.We combined trauma registry laboratory data on a retrospective cohort all ≥18 admitted to our Level 1 US regional center 2015-2021 severe (Head Abbreviated Injury Score [AIS] ≥3), isolated (all other AIS <3) TBI who had first count within h arrival. Age were assessed continuously as groups (age 18-50 vs. >50, normals, at conventional...