A5010581901- Palliative Care and End-of-Life Issues
- Heart Failure Treatment and Management
- Patient Dignity and Privacy
- Cardiac Health and Mental Health
- Geriatric Care and Nursing Homes
- Blood Pressure and Hypertension Studies
- Patient-Provider Communication in Healthcare
- Medication Adherence and Compliance
- Cardiac, Anesthesia and Surgical Outcomes
- Family and Patient Care in Intensive Care Units
- Telemedicine and Telehealth Implementation
- Cardiac Arrest and Resuscitation
- Childhood Cancer Survivors' Quality of Life
- Grief, Bereavement, and Mental Health
- Health Systems, Economic Evaluations, Quality of Life
- Mobile Health and mHealth Applications
- Chronic Disease Management Strategies
- Patient Safety and Medication Errors
- Child Nutrition and Feeding Issues
- Syphilis Diagnosis and Treatment
- Sodium Intake and Health
- Pediatric Pain Management Techniques
- Opioid Use Disorder Treatment
- Infection Control and Ventilation
- Primary Care and Health Outcomes
Northwell Health
2013-2024
Hofstra University
2016-2024
Feinstein Institute for Medical Research
2014-2024
Donald & Barbara Zucker School of Medicine at Hofstra/Northwell
2021-2022
Health Innovations (United States)
2020-2022
Background:Although the American Heart Association promotes telehealth models to improve care access, there is limited literature on its use in underserved populations. This study first compare utilization and quality of life (QoL) for black Hispanic heart failure (HF) patients assigned self-monitoring (TSM) or comprehensive outpatient management (COM) over 90 days.Methods:This randomized controlled trial enrolled 104 patients. Outcomes included emergency department (ED) visits,...
Objective: To study the impact of remote patient monitoring (RPM) upon most frequent diagnosis in hospitalized patients over 65 years age—heart failure (HF). We examined effect RPM on hospital utilization and Medicare costs HF receiving home care.Materials Methods:Two studies were simultaneously conducted: A randomized a matched-cohort study. In study, 168 subjects randomly assigned (after hospitalization) to care utilizing (live nursing visits video-based visits) or live only. 160 with...
Abstract Objective: Although race and ethnic background are known to be important factors in the completion of advance directives, there is a dearth literature specifically investigating effect ethnicity on directive rate after palliative care consultation (PCC). Method: A chart review all patients seen by PCC service an academic hospital over 9-month period was performed. Data were compiled using gender, race, ethnicity, religion, primary diagnosis. For this study, directives defined as:...
To evaluate physician knowledge and perceptions about the American Board of Internal Medicine/American Geriatrics Society (ABIM/AGS) Choosing Wisely recommendations regarding percutaneous endoscopic gastrostomy (PEG) in individuals with advanced dementia.Multicenter, mixed-mode, anonymous questionnaire.Three tertiary four community hospitals New York.Internal medicine physicians (N = 168).Physician PEG tubes dementia.Ninety-nine percent reported having cared for someone dementia; 95% had...
Background:Home telemonitoring (HTM) is a promising approach to improve quality of life (QoL) and decrease hospital utilization. Methods:This randomized-controlled study followed 89 community-dwelling Medicare outpatients with heart failure (HF) after discharge from home care for 6 months. Patients were randomized HTM or comprehensive outpatient management (COM). received weekly (video) televisits daily vital sign monitoring. COM was contacted by telephone. Outcomes included emergency...
The use of telemonitoring is a promising approach to optimizing outcomes in the treatment heart failure (HF) for patients living community. HF interventions, however, have not been tested with individuals residing disparity communities.The current study describes results community based participatory research adapting intervention so that it acceptable and feasible lower-income, Black Hispanic patient population. uses ADAPT-ITT framework engage key stakeholders process context two...
As the aging population faces complex end-of-life issues, we studied intervals between long-term care admission and advance directive completion, completion death. We also sought to determine interdisciplinary team's compliance with documented wishes.A cross-sectional study of 182 residents in two facilities without completed medical orders for life-sustaining treatment (MOLST) New York Metropolitan area was conducted. Demographic variables included: gender, age, ethnicity, diagnosis....
The palliative medicine literature consistently documents that physicians are poorly prepared to help patients experience a “good death” and often unaware of their ill patients' preferences for end-of-life care. present study, enrolling 150 physicians, sought improve communication skills We found significant attitudinal changes greater degree self-rated competence in delivering care those the intervention group. This study used novel approach train be better equipped conduct difficult goals...
BACKGROUND/OBJECTIVES For older adults with acute hip fracture, use of preoperative noninvasive cardiac testing may lead to delays in surgery, thereby contributing worse outcomes. Our study objective was evaluate the pharmacologic stress and transthoracic echocardiogram (TTE) hospitalized fracture. DESIGN Retrospective chart review. SETTING Seven hospitals (three tertiary, four community) within a large health system. PARTICIPANTS Patients, aged 65 years older, fracture (n = 1,079; mean age...
Abstract Objective: As medical education evolves, emphasis on chronic care management within the curriculum becomes essential. Because of consistent lack appropriate end-of-life training, far too many patients die without benefits hospice care. This study explores association between physician knowledge, training status, and level comfort with referral terminally ill patients. Method: In 2011, anonymous surveys were distributed to physicians in postgraduate years 1, 2, 3; fellows; hospital...
Infections are common in terminally ill patients (pts), and although antibiotics frequently prescribed, their benefit for symptom relief is not clear. Antimicrobials at the end of life (EOL) may increase risk antimicrobial resistance Clostrioides difficile infection. Our aim was to determine frequency occurrence EOL when comparing pts who did or receive (AB+ AB-).We reviewed electronic medical records admitted a palliative care unit quarternary hospital between 01/09/2017 07/16/2017 assessed...
Telehealth has emerged as an evolving care management strategy that is playing increasingly vital role, particularly with the onset of coronavirus disease 2019 pandemic. A meta-analysis 20 randomized controlled trials was conducted to test effectiveness home telemonitoring (HTM) in patients type 2 diabetes reducing A1C, blood pressure, and BMI over a median 180-day study duration. HTM associated significant reduction A1C by 0.42% (
Background: Poverty negatively affects the lives and health of poor. However, professionals often have limited personal experience receive little formal education on surviving under conditions poverty in United States, which may contribute to suboptimal patient care outcomes. Purpose: We conducted a 3-h, interactive, experiential simulation workshop with an interprofessional group pre-professional students increase their comprehension about realities poverty. Method: As part evaluation,...
Whereas opiate prescribing patterns have been well described in outpatient and emergency department settings, they less defined hospitalized older adults. The objective was to describe of associated outcomes adults.Retrospective cohort study.Tertiary care facility.Hospitalized medical patients aged 65 (N = 9,245; mean age 80.3, 55.2% female, 72.3% white, 90.8% non-Hispanic).Opiate exposure duration action, concurrent use potentially inappropriate medications (PIMs), adverse events, discharge...
235 Background: According to the CDC, 117 million Americans have one or more chronic health conditions and 31% used two prescription drugs in past month. Approximately 40% of adults United States are using some form Complementary Alternative Medicine. Medical marijuana is such medicine, date 29 states legalized medical marijuana. Methods: A multicenter, anonymous, on-line survey care providers was distributed via e-mail within a large system NY Metropolitan area. The April May 2017. specific...
Abstract Background In the United States, 54% of people aging with HIV (PAWH) are age >/= 50 and 89.7% virally suppressed. is linked to increased risk developing comorbidities may accelerate aging. This population not receive adequate screening for changes related advancing age. We describe initial findings a “Maturity Screen” PAWH. Methods Setting population. Convenience sample PAWH aged years or older receiving care at an specialty clinic in major metropolitan area. Patients...
Abstract Introduction The Institute for Healthcare Improvement identifies four essential components (the 4Ms) of high-quality care older adults within an Age-Friendly Health System (AFHS): What Matters, Medication, Mentation, and Mobility. This framework allows healthcare providers to address act on key issues, such as goals-of-care discussions, the in-patient use potentially harmful medications (e.g. benzodiazepines, opioids, hypnotics), delirium prevention, mobility maintenance. Methods...
The purpose of this study was to assess the validity a multisite anesthesia voluntary adverse event reporting process. A data validation methodology used through medical chart review on live records at 3 facilities (N = 600). per-item aggregated error rate among all 42 items 0.3%: 0.1% for quality indicators, 1.3% demographic/status variables, and 1.7% administrative items. per-patient 6.3%: 3.0% Trends such as better accuracy more serious events continue, but observed rates were lower than...
Background The Hispanic/Latino population has greater risk (estimated >50%) of developing type 2 diabetes (T2D) and it at a younger age. American Diabetes Association estimates costs diagnosed in 2017 was $327 billion; with medical 2.3x higher than patients without diabetes. purpose this manuscript is to describe the methodology utilized randomized controlled trial aimed evaluating efficacy telemanagement (DTM) program for T2D. intent provide information future investigators ensure...