- Dialysis and Renal Disease Management
- Heart Failure Treatment and Management
- COVID-19 Clinical Research Studies
- Pharmaceutical Practices and Patient Outcomes
- Hormonal Regulation and Hypertension
- SARS-CoV-2 and COVID-19 Research
- Medication Adherence and Compliance
- Blood Pressure and Hypertension Studies
- Intensive Care Unit Cognitive Disorders
- SARS-CoV-2 detection and testing
- Sepsis Diagnosis and Treatment
- COVID-19 and healthcare impacts
- Parathyroid Disorders and Treatments
- Renal function and acid-base balance
- Health Systems, Economic Evaluations, Quality of Life
- Biosensors and Analytical Detection
- Frailty in Older Adults
- Health Promotion and Cardiovascular Prevention
- Youth Development and Social Support
- Aquaculture Nutrition and Growth
- Central Venous Catheters and Hemodialysis
- Telemedicine and Telehealth Implementation
- Long-Term Effects of COVID-19
- Electrolyte and hormonal disorders
- Neurological and metabolic disorders
Kaiser Permanente
2021-2025
Colorado Permanente Medical Group
2025
Cardiovascular Medical Group
2025
Woodland Hills Medical Center
2023
Kaiser Permanente Baldwin Park Medical Center
2020-2022
Los Angeles Medical Center
2021
To estimate the burden and severity of suspected reinfection with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2).A retrospective cohort members Kaiser Permanente Southern California PCR-positive SARS-CoV-2 infection between 1st March 2020 31st October was followed through electronic health records for subsequent positive tests (suspected reinfection) ≥90 days after initial infection, January 2021. Incidence estimated using Kaplan-Meier method. Cox proportional hazards models...
Heart failure and chronic kidney disease (CKD) frequently coexist reflective of the strong interplay between these organ systems. A better understanding prevalence different types heart (preserved reduced ejection fraction) their subsequent mortality risks among advanced CKD patients would provide important epidemiologic insights may pave way for more focused proactive management strategies.Retrospective cohort study.Patients aged ≥18 years with incident (estimated glomerular filtration rate...
The Midwestern Prevention Program (MPP) is an ongoing trial of a multi-component intervention—including school-based social influence curriculum, parent program, mass-media programming, community organization, and health policy change—designed to prevent drug alcohol abuse among adolescents. In this article, we focus on the Indianapolis program site, address relationships between parental participation in adolescent use. Components included parent-child homework exercises linked...
Baclofen and tizanidine are both muscle relaxants that carry the risk for neuropsychiatric events in older adults but there is a lack of data directly comparing their safety. This study aimed to investigate relative between these two medications causing injury delirium adults.This was retrospective cohort completed an integrated healthcare system United States included patients aged 65 years or who started baclofen treatment musculoskeletal pain from January 2016 through December 2018....
Provider-collected nasopharyngeal specimens for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) molecular testing are the standard of care in many clinical settings, but patient-collected saliva and anterior nares less invasive more flexible alternatives. Prior studies comparing specimen types SARS-CoV-2 have been limited by small sample sizes low pretest probability. We conducted a large observational study among symptomatic adults at 7 emergency departments Kaiser Permanente...
Objective: To assess whether implementation of age-dependent therapeutic targets for high hemoglobin A1c (HbA1c) changed clinicians’ ordering diabetes medications older adults.Background: In 2016, Kaiser Permanente Southern California (KPSC) the alerting clinicians about HbA1c results in electronic health record, KP HealthConnect (KPHC). Previously, all ≥7.0 percent were flagged as adult patients with diabetes. Starting relaxed to <7.5 age 65 75, and <8.0 over 75 reduce treatment...
The use of highly anticholinergic (ACH) medications, including the concurrent multiple ACH agents (Poly-ACH), is to be avoided based on AGS Beers List.1 Reduction in a strategy maintain functional status older adults due its association with injury2 and geriatric syndromes3 dementia.4 Additionally, efficacy for many these medications has not been demonstrated1 adults. Despite warnings, consistent deprescribing agents5 difficult demonstrate literature. Since 2018, Kaiser Permanente Southern...
Objectives: ,To develop a COVID-19–specific deterioration index for hospitalized patients: the COVID Hospitalized Patient Deterioration Index (COVID-HDI). This builds on proprietary Epic Index, which was not developed predicting respiratory events among patients with COVID-19. Study Design: ,A retrospective observational cohort used to and validate COVID-HDI model predict or death were defined as requiring high-flow oxygen, bilevel positive airway pressure, mechanical ventilation,...
Smoking burdens are greatest among underserved patients. Lung cancer screening (LCS) reduces mortality individuals at risk for smoking-associated lung cancer. Although LCS programs must offer smoking cessation support, the interventions that best promote patients in this setting unknown. This stakeholder-engaged, pragmatic randomized clinical trial will compare effectiveness of four promoting referred LCS. By using an additive study design, all arms provide standard “ask–advise–refer” care....
Bhandari, Simran K.; Pak, Katherine J.; Zhou, Hui; Shaw, Sally F.; Shi, Jiaxiao; Broder, Benjamin; Sim, John J. Author Information
Tong, Eric M.; Zhou, Hui; Pak, Katherine J.; Namoos, Khalid; Shaw, Sally F.; Shi, Jiaxiao; Broder, Benjamin; Sim, John Southern California Permanente Medical Group. Author Information
Yu, Albert; Zhou, Hui; Pak, Katherine J.; Shaw, Sally F.; Shi, Jiaxiao; Broder, Benjamin; Huang, Cheng-Wei; Sim, John J. Author Information