David Y. Hwang
Assistant Professor of Neurology; Staff Neurointensivist, Neuroscience Intensive Care Unit
Research Interests
Neurocritical care; Intensive care unit; Family satisfaction; Consistency of communication by ICU staff; Family anxiety and depression in the ICU; Palliative care
Current Projects
I am currently the Yale PI for the following studies:
Family Satisfaction in the Neuroscience Intensive Care Unit - survey study of Neuro ICU patients' families regarding their impressions of care
GAMES - study of IV glyburide for cerebral edema following acute ischemic stroke
I am a sub-investigator for the following clinical trials:
CLEAR III - study of intraventricular TPA for intraventricular hemorrhage
DIAS 4 - study of desmoteplase for thrombolysis of acute ischemic stroke
ICTuS 2/3 - study of induced hypothermia in acute ischemic stroke
Research Summary
I am interested in improving the care of patients in the neuroscience intensive care unit (Neuro ICU) and their families, many of whom are making important medical decisions for their loved ones.
My most recent research project has involves surveying the family members of Neuro ICU patients about their experiences. Among our collaborative research team's interests are (1) how well families feel that Neuro ICU staff members communicate information and (2) how satisfied families are with support from staff while making decisions for their hospitalized relatives. I am interested in improving decision-making and psychosocial support for these families, particularly for those who find themselves in end-of-life care situations.
I also act as the local site PI for the multicenter GAMES clinical trial, which is investigating the efficacy of IV glyburide for reduction of cerebral edema for patients with large territory anterior circulation ischemic stroke. I am a Yale co-investigator for several other national clinical trials that are enrolling patients admitted to the Neuro ICU with acute ischemic stroke and intracerebral hemorrhage.
Selected Publications
- *Hwang, D.Y., *D. Yagoda, H.M. Perrey, T.M. Tehan, M. Guanci, L. Ananian, P.F., Currier, J.P. Cobb, and J. Rosand. Consistency of communication among intensive care unit staff as perceived by family members of patients surviving to discharge. Abstract accepted to Society of Critical Care Medicine 2013 Critical Care Congress. *Co-first authorship
- *Hwang, D.Y., *D. Yagoda, H.M. Perrey, T.M. Tehan, M. Guanci, L. Ananian, P.F., Currier, J.P. Cobb, and J. Rosand. Assessment of satisfaction with care among family members of survivors in a neuroscience intensive care unit. Neurocritical Care. 2012, 17: S261. Manuscript accepted for publication in the Journal of Neuroscience Nursing. *Co-first authorship
- *Yagoda D., *D.Y. Hwang, P.F. Currier, L. Ananian, H.M. Perrey, T.M. Tehan, M. Guanci, R. Lipkis-Orlando, J.P. Cobb, and J. Rosand. Prevalence of depression and anxiety symptoms among families of survivors in a U.S. medical intensive care unit. Am J Respir Crit Care Med. 2012, 185: A2293. *Co-first authorship
- *Hwang, D.Y., *D. Yagoda, P.F. Currier, H.M. Perrey, T.M. Tehan, M. Guanci, L. Ananian, R. Lipkis-Orlando, J.P. Cobb, and J. Rosand. Prevalence of depression and anxiety symptoms among families of survivors in a neurosciences intensive care unit. Poster presented at the 2012 American Academy of Neurology Annual Meeting. *Co-first authorship
- Hwang, D.Y., G.S. Silva, K.L. Furie, and D.M. Greer. Comparative sensitivity of computed tomography vs. magnetic resonance imaging for detecting acute posterior fossa infarct. The Journal of Emergency Medicine. 2012, 42:559-565.
- Hwang, D.Y., D.A. Gallo, B.A. Ally, P.M. Black, D.L. Schacter, and A.E. Budson. Diagnostic retrieval monitoring in patients with frontal lobe lesions: further exploration of the distinctiveness heuristic. Neuropsychologia. 2007, 45:2543-2552.
