A5018911658- Traumatic Brain Injury Research
- Traumatic Brain Injury and Neurovascular Disturbances
- Emergency and Acute Care Studies
- Cardiac Arrest and Resuscitation
- Geriatric Care and Nursing Homes
- Reproductive tract infections research
- Adolescent Sexual and Reproductive Health
- Syphilis Diagnosis and Treatment
- Heart Failure Treatment and Management
- Frailty in Older Adults
- Palliative Care and End-of-Life Issues
- Trauma and Emergency Care Studies
- Peripheral Nerve Disorders
- Intensive Care Unit Cognitive Disorders
- Transcranial Magnetic Stimulation Studies
- Cardiac, Anesthesia and Surgical Outcomes
- Patient Dignity and Privacy
- Clostridium difficile and Clostridium perfringens research
- Anesthesia and Sedative Agents
- Clinical Reasoning and Diagnostic Skills
- Urinary Tract Infections Management
- Reproductive Health and Contraception
- Hospital Admissions and Outcomes
- Stroke Rehabilitation and Recovery
- Myasthenia Gravis and Thymoma
Spaulding Rehabilitation Hospital
2014-2023
Harvard University
2014-2023
Massachusetts General Hospital
2016-2023
Brigham and Women's Hospital
2018-2022
Boston University
2017
VA Boston Healthcare System
2017
Foundation for Physical Medicine and Rehabilitation
2017
Washington University in St. Louis
2010-2012
Increased risk of neurological and psychiatric conditions after traumatic brain injury (TBI) is well-defined. However, cardiovascular endocrine comorbidity TBI in individuals without these comorbidities associations with post-TBI mortality have received little attention.To assess the incidence cardiovascular, endocrine, neurological, patients mild (mTBI) or moderate to severe (msTBI) analyze between mortality.This prospective longitudinal cohort study used hospital-based patient registry...
Objective: To determine whether regional variations exist in functional outcomes of patients with traumatic brain injury (TBI) admitted to inpatient rehabilitation facilities (IRFs) across the United States, while controlling for demographic and clinical variables. Setting: Inpatient 4 U.S. regions: West, Midwest, South, East. Participants: Adult open or closed TBI (Rehabilitation Impairment Codes 2.21 2.22) discharged from an IRF between 2016 2019. Design: This is a retrospective analysis...
: To provide protection against sexually transmitted infections and pregnancy, condoms must be used consistently correctly. However, a significant proportion of couples in the United States fail to do so. Our objective was determine demographic behavioral correlates inconsistent incorrect condom use among active, condom-using women.: Analysis baseline data from prospective cohort women Contraceptive CHOICE Project (n = 2087) using self-reported characteristics. Poisson regression relative...
In Brief Background Preventing sexually transmitted diseases (STD) such as Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (GC) remains a public health challenge. The U.S. Preventive Services Task Force suggests STD screening among men will likely lead to decrease in infection rates of women. However, innovative approaches are necessary increase the traditionally low male screening. purpose this study is compare acceptability effectiveness home-based versus clinic-based urine for CT GC...
Patients with disorders of consciousness (DoC) after traumatic brain injury (TBI) recover to varying degrees functional dependency. Dependency is difficult measure but critical for interpreting clinical trial outcomes and prognostic counseling. In participants DoC (i.e., not following commands) enrolled in the TBI Model Systems National Database (TBIMS NDB), we used Functional Independence Measure (FIM®) as reference evaluate how accurately Glasgow Outcome Scale-Extended (GOSE) Disability...
It is not currently possible to predict long-term functional dependency in patients with disorders of consciousness (DoC) after traumatic brain injury (TBI). Our objective was fit and externally validate a prediction model for 1-year DoC
Objective The aim of the study was to determine impact weekend versus weekday admission an inpatient rehabilitation facility on risk acute care transfer in patients with stroke. Design This a retrospective analysis using Uniform Data System for Medical Rehabilitation, national database comprising data from 70% US facilities. A total 1,051,436 adult (age ≥18 yrs) stroke cases were identified between 2002 and 2014 that met inclusion criteria. Logistic regression models developed test...
To develop a checklist to facilitate coordination of care and communication patients with brain tumors assess the benefit using quality improvement survey.Rehabilitation teams are challenged respond unique needs as this population requires coordinated across multiple disciplines frequent communication. improve patient in an IRF setting, we developed novel multidisciplinary team clinicians. Our aims between treatment teams, achieve appropriate goals during stay, involve services needed...
There are currently no models that predict long-term functional dependency in patients with disorders of consciousness (DoC) after traumatic brain injury (TBI).Fit, test, and externally validate a prediction model for 1-year DoC 2 or more weeks TBI.Secondary analysis enrolled TBI Model Systems (TBI-MS, 1988-2020, Discovery Sample) Transforming Research Clinical Knowledge (TRACK-TBI, 2013-2018, Validation followed post-injury.Multi-center study at USA rehabilitation hospitals (TBI-MS) acute...
Electrodiagnostic medicine is a required component of Physical Medicine and Rehabilitation residency education, but limited resources exist to guide curriculum development. Our objective was create focused workshop enhance our program's electrodiagnostic curriculum. We created two separate 1.5-day workshops, one basic advanced, for all residents. Each included didactic sessions, case discussion, question answer demonstrations, hands-on participation with direct supervision feedback....
ABSTRACT Importance Patients with disorders of consciousness (DoC) after traumatic brain injury (TBI) recover to varying degrees functional dependency. Dependency is difficult measure but critical for outcome interpretation and prognostic counseling. Traditional measures, like the Glasgow Outcome Scale-Extended (GOSE), are mandated by US Food Drug Administration evaluating TBI clinical trial efficacy have an unknown accuracy measuring Objective We used Functional Independence Measure (FIM®)...