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Bilateral Emboli and Highest Heart Rate Predict Hospitalization of Emergency Department Patients With Acute, Low-Risk Pulmonary Embolism.
Casey SD, Zekar L, Somers MJ, Westafer LM, Reed ME, Vinson DR. Casey SD, et al. Among authors: vinson dr. Ann Emerg Med. 2023 Sep;82(3):369-380. doi: 10.1016/j.annemergmed.2023.02.014. Epub 2023 Apr 5. Ann Emerg Med. 2023. PMID: 37028997
Emergency physician decisionmaking processes regarding which low-risk patients require hospitalization are unclear. Higher heart rate (HR) or embolic burden may increase short-term mortality risk, and we hypothesized that these variables would be associated with an increas …
Emergency physician decisionmaking processes regarding which low-risk patients require hospitalization are unclear. Higher heart rate (HR) o …
CTEPH: A Kaiser Permanente Northern California Experience.
Kong J, Hardwick A, Jiang SF, Sun K, Vinson DR, McGlothlin DP, Goh CH. Kong J, et al. Among authors: vinson dr. Thromb Res. 2023 Jan;221:130-136. doi: 10.1016/j.thromres.2022.09.022. Epub 2022 Dec 22. Thromb Res. 2023. PMID: 36566069
Despite widespread chronic symptoms following acute pulmonary embolism (PE), the condition is rarely considered, and an externally validated inexpensive diagnostic algorithm is lacking. METHODS: A long-term, retrospective cohort study was conducted to assess the incidence …
Despite widespread chronic symptoms following acute pulmonary embolism (PE), the condition is rarely considered, and an externally validated …
Sustainability of a Clinical Decision Support Intervention for Outpatient Care for Emergency Department Patients With Acute Pulmonary Embolism.
Vinson DR, Casey SD, Vuong PL, Huang J, Ballard DW, Reed ME. Vinson DR, et al. JAMA Netw Open. 2022 May 2;5(5):e2212340. doi: 10.1001/jamanetworkopen.2022.12340. JAMA Netw Open. 2022. PMID: 35576004 Free PMC article.
Risk stratification using electronic health record-embedded clinical decision support systems can aid physician site-of-care decision-making and increase safe outpatient management. The long-term sustainability of early improvements after the cessation of trial-based, cham …
Risk stratification using electronic health record-embedded clinical decision support systems can aid physician site-of-care decision-making …
Higher intensity of 72-h noninvasive cardiac test referral does not improve short-term outcomes among emergency department patients with chest pain.
Mark DG, Shan J, Huang J, Ballard DW, Vinson DR, Kene MV, Sax DR, Rauchwerger AS, Reed ME; Kaiser Permanente CREST Network Investigators. Mark DG, et al. Among authors: vinson dr. Acad Emerg Med. 2022 Jun;29(6):736-747. doi: 10.1111/acem.14448. Epub 2022 Feb 23. Acad Emerg Med. 2022. PMID: 35064989 Free article.
BACKGROUND: It is unclear whether referral for cardiac noninvasive testing (NIT) following emergency department (ED) chest pain encounters improves short-term outcomes. METHODS: This was a retrospective cohort study of patients presenting with chest pain, without ST-elevat …
BACKGROUND: It is unclear whether referral for cardiac noninvasive testing (NIT) following emergency department (ED) chest pain encounters i …
Right ventricle assessment in patients with pulmonary embolism at low risk for death based on clinical models: an individual patient data meta-analysis.
Becattini C, Maraziti G, Vinson DR, Ng ACC, den Exter PL, Côté B, Vanni S, Doukky R, Khemasuwan D, Weekes AJ, Soares TH, Ozsu S, Polo Friz H, Erol S, Agnelli G, Jiménez D. Becattini C, et al. Among authors: vinson dr. Eur Heart J. 2021 Aug 31;42(33):3190-3199. doi: 10.1093/eurheartj/ehab329. Eur Heart J. 2021. PMID: 34179965
AIMS: Patients with acute pulmonary embolism (PE) at low risk for short-term death are candidates for home treatment or short-hospital stay. ...The primary study outcome was short-term death defined as death occurring in hospital or within 30 days. ...
AIMS: Patients with acute pulmonary embolism (PE) at low risk for short-term death are candidates for home treatment or short-hospita …
Acute Stroke Presentation, Care, and Outcomes in Community Hospitals in Northern California During the COVID-19 Pandemic.
Nguyen-Huynh MN, Tang XN, Vinson DR, Flint AC, Alexander JG, Meighan M, Burnett M, Sidney S, Klingman JG. Nguyen-Huynh MN, et al. Among authors: vinson dr. Stroke. 2020 Oct;51(10):2918-2924. doi: 10.1161/STROKEAHA.120.031099. Epub 2020 Aug 7. Stroke. 2020. PMID: 32762619 Free PMC article.
We aimed to compare temporal trends in volume of acute stroke alerts, patient characteristics, telestroke care, and short-term outcomes pre- and post-SIP orders. METHODS: We conducted a cohort study in 21 stroke centers of an integrated healthcare system serving 4.4+ milli …
We aimed to compare temporal trends in volume of acute stroke alerts, patient characteristics, telestroke care, and short-term outcom …
60-day major adverse cardiac events in emergency department patients with non-low modified HEART scores.
Mark DG, Huang J, Kennedy CJ, Vinson DR, Ballard DW, Reed ME; Kaiser Permanente CREST Network Investigators. Mark DG, et al. Among authors: vinson dr. Am J Emerg Med. 2020 Dec;38(12):2760.e5-2760.e8. doi: 10.1016/j.ajem.2020.05.081. Epub 2020 May 28. Am J Emerg Med. 2020. PMID: 32518023
BACKGROUND: A low (0-3) History, Electrocardiogram, Age, Risk factors and Troponin (HEART) score reliably identifies ED chest pain patients who are low risk for near-term major adverse cardiac events (MACE). To optimize sensitivity, many clinicians employ a modified HEART …
BACKGROUND: A low (0-3) History, Electrocardiogram, Age, Risk factors and Troponin (HEART) score reliably identifies ED chest pain patients …
Increasing Safe Outpatient Management of Emergency Department Patients With Pulmonary Embolism: A Controlled Pragmatic Trial.
Vinson DR, Mark DG, Chettipally UK, Huang J, Rauchwerger AS, Reed ME, Lin JS, Kene MV, Wang DH, Sax DR, Pleshakov TS, McLachlan ID, Yamin CK, Elms AR, Iskin HR, Vemula R, Yealy DM, Ballard DW; eSPEED Investigators of the KP CREST Network. Vinson DR, et al. Ann Intern Med. 2018 Dec 18;169(12):855-865. doi: 10.7326/M18-1206. Epub 2018 Nov 13. Ann Intern Med. 2018. PMID: 30422263 Clinical Trial.
MEASUREMENTS: The primary outcome was discharge to home from either the ED or a short-term (<24-hour) outpatient observation unit based in the ED. Adverse outcomes included return visits for PE-related symptoms within 5 days and recurrent venous thromboembolism, major h …
MEASUREMENTS: The primary outcome was discharge to home from either the ED or a short-term (<24-hour) outpatient observation unit …
Implementation of Computerized Physician Order Entry Is Associated With Increased Thrombolytic Administration for Emergency Department Patients With Acute Ischemic Stroke.
Ballard DW, Kim AS, Huang J, Park DK, Kene MV, Chettipally UK, Iskin HR, Hsu J, Vinson DR, Mark DG, Reed ME; KP CREST Network Investigators. Ballard DW, et al. Among authors: vinson dr. Ann Emerg Med. 2015 Dec;66(6):601-10. doi: 10.1016/j.annemergmed.2015.07.018. Epub 2015 Sep 8. Ann Emerg Med. 2015. PMID: 26362574 Free PMC article.
We seek to evaluate the effect of computerized physician order entry electronic health record implementation on process measures and short-term health outcomes for patients hospitalized with acute ischemic stroke. ...
We seek to evaluate the effect of computerized physician order entry electronic health record implementation on process measures and short- …
Emergency Department Management of Atrial Fibrillation and Flutter and Patient Quality of Life at One Month Postvisit.
Ballard DW, Reed ME, Singh N, Rauchwerger AS, Hamity CA, Warton EM, Chettipally UK, Mark DG, Vinson DR; KP Crest Network Investigators. Ballard DW, et al. Among authors: vinson dr. Ann Emerg Med. 2015 Dec;66(6):646-654.e2. doi: 10.1016/j.annemergmed.2015.04.011. Epub 2015 May 29. Ann Emerg Med. 2015. PMID: 26033532
METHODS: As part of a prospective observational study of ED management and short-term outcomes of patients with nonvalvular atrial fibrillation or flutter, we adapted a disease-specific quality-of-life instrument. ...
METHODS: As part of a prospective observational study of ED management and short-term outcomes of patients with nonvalvular atrial fi …
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