2021
The potential impact of triage protocols on racial disparities in clinical outcomes among COVID-positive patients in a large academic healthcare system
Roy S, Showstark M, Tolchin B, Kashyap N, Bonito J, Salazar MC, Herbst JL, Nash KA, Tiako M, Jubanyik K, Kim N, Galusha D, Wang KH, Oladele C. The potential impact of triage protocols on racial disparities in clinical outcomes among COVID-positive patients in a large academic healthcare system. PLOS ONE 2021, 16: e0256763. PMID: 34529684, PMCID: PMC8445412, DOI: 10.1371/journal.pone.0256763.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedAged, 80 and overBlack or African AmericanConnecticutCOVID-19Delivery of Health CareFemaleHealthcare DisparitiesHispanic or LatinoHospital MortalityHospitals, UniversityHumansMaleMiddle AgedOrgan Dysfunction ScoresPandemicsRetrospective StudiesSARS-CoV-2TriageWhite PeopleYoung AdultConceptsCOVID-positive patientsHigher SOFA scoreSOFA scoreClinical outcomesBlack patientsHospital mortalityICU admissionTriage protocolYale New Haven Health SystemSequential Organ Failure Assessment scoreHealthcare systemLarge academic healthcare systemOrgan Failure Assessment scoreRacial disparitiesSimilar clinical outcomesWorse clinical outcomesAcademic healthcare systemChi-square testRace/ethnicityPredictors of interestRetrospective cohortWhite patientsInsurance statusCOVID patientsTriage toolEpidemiology, Infection Prevention, Testing Data, and Clinical Outcomes of COVID-19 on Five Inpatient Psychiatric Units in a large Academic Medical Center
Li L, Roberts SC, Kulp W, Wing A, Barnes T, Colandrea N, Klink B, Fortunati F, Martinello R. Epidemiology, Infection Prevention, Testing Data, and Clinical Outcomes of COVID-19 on Five Inpatient Psychiatric Units in a large Academic Medical Center. Psychiatry Research 2021, 298: 113776. PMID: 33571800, PMCID: PMC7987366, DOI: 10.1016/j.psychres.2021.113776.Peer-Reviewed Original ResearchConceptsInpatient psychiatric unitLarge academic medical centerAcademic medical centerPsychiatric unitMedical CenterCOVID-19Retrospective cohort analysisEmergency room visitsInpatient psychiatric facilityLow patientsClinical outcomesRoom visitsHospitalized individualsInfection preventionStudy populationCohort analysisPrevention strategiesAdmission statusTriage protocolDiverse patientsInfection rateMental illnessPsychiatric facilitiesDemographic dataPatientsPromoting racial equity in COVID-19 resource allocation
Bruce L, Tallman R. Promoting racial equity in COVID-19 resource allocation. Journal Of Medical Ethics 2021, 47: 208-212. PMID: 33514637, PMCID: PMC7852067, DOI: 10.1136/medethics-2020-106794.Peer-Reviewed Original ResearchTriage protocolFront-line healthcare workersCOVID-19 triage protocolsPatients of colorHealth inequalitiesOlder physiciansHealth systemHospital policiesCOVID-19 resourcesRacial disparitiesHealthcare workersCOVID-19Promote racial equityPregnant womenMedical resourcesIncrease equityCOVID-19 policiesStatements of solidarityRacial inequalityResource allocationHealthTriagePolicymakers' abilityCommon argumentsRacial affiliation
2020
Developing a Triage Protocol for the COVID-19 Pandemic: Allocating Scarce Medical Resources in a Public Health Emergency.
Tolchin B, Latham SR, Bruce L, Ferrante LE, Kraschel K, Jubanyik K, Hull SC, Herbst JL, Kapo J, Moritz ED, Hughes J, Siegel MD, Mercurio MR. Developing a Triage Protocol for the COVID-19 Pandemic: Allocating Scarce Medical Resources in a Public Health Emergency. The Journal Of Clinical Ethics 2020, 31: 303-317. PMID: 32991327, DOI: 10.1086/jce2020314303.Peer-Reviewed Original ResearchConceptsPublic health emergencyTriage protocolScarce medical resourcesYale New Haven Health SystemMedical resourcesEthical challengesHealth emergencyCOVID-19 pandemicAllocating Scarce Medical ResourcesFuture wavesMajor ethical challengesChronic comorbiditiesPregnant patientsSimilar public health emergenciesHealthcare workersTriage assessmentClinical judgmentCoronavirus diseaseHealth systemSocioeconomic disparitiesRole of ageCOVID-19Less needPublic discussionSecondary goalTriage and justice in an unjust pandemic: ethical allocation of scarce medical resources in the setting of racial and socioeconomic disparities
Tolchin B, Hull SC, Kraschel K. Triage and justice in an unjust pandemic: ethical allocation of scarce medical resources in the setting of racial and socioeconomic disparities. Journal Of Medical Ethics 2020, 47: 200-202. PMID: 33067315, DOI: 10.1136/medethics-2020-106457.Peer-Reviewed Original ResearchBroader social changeEntrenched health disparitiesLife-saving medical resourcesSystemic health inequitiesTriage protocolHealth disparitiesMedical resourcesSocial changeStructural racismSystemic inequitiesScarce medical resourcesHealth inequitiesComparative advantagePublic health emergencyEthical challengesSocioeconomic health disparitiesInequitiesCrisis standardsTriage systemSocioeconomic disparitiesAdequate mechanismsHealth emergencyEthical allocationHealthcare systemDisparities
2017
Metabolomic Analysis of Mice Exposed to Gamma Radiation Reveals a Systemic Understanding of Total-Body Exposure
Golla S, Golla JP, Krausz KW, Manna SK, Simillion C, Beyoğlu D, Idle JR, Gonzalez FJ. Metabolomic Analysis of Mice Exposed to Gamma Radiation Reveals a Systemic Understanding of Total-Body Exposure. Radiation Research 2017, 187: 612-629. PMID: 28467754, PMCID: PMC5539505, DOI: 10.1667/rr14592.1.Peer-Reviewed Original ResearchConceptsTotal body exposureRadiation exposureUltra-performance liquid chromatography-electrospray ionization-quadrupole timeBile acid metabolismChronic radiation toxicityMultiple radiation exposuresTissue-specific biomarkersMetabolomic analysisPotential novel approachGamma-irradiated groupsRadiation toxicityResponse markersBone marrowFunctional alterationsLiquid chromatography-electrospray ionization-quadrupole timeTriage protocolSpecific biomarkersDiagnostic markerMetabolic signaturesRadiosensitive tissuesMetabolic changesH postirradiationBiomarkersAcid metabolismTissue-level responses
2006
Driving Times and Distances to Hospitals With Percutaneous Coronary Intervention in the United States
Nallamothu BK, Bates ER, Wang Y, Bradley EH, Krumholz HM. Driving Times and Distances to Hospitals With Percutaneous Coronary Intervention in the United States. Circulation 2006, 113: 1189-1195. PMID: 16520425, DOI: 10.1161/circulationaha.105.596346.Peer-Reviewed Original ResearchConceptsNon-PCI hospitalsPercutaneous coronary interventionST-elevation myocardial infarctionPCI hospitalsAdult populationCoronary interventionPrehospital triage protocolsAdults 18 yearsCross-sectional studyAmerican Hospital Association Annual SurveyHospital-level dataMedian timeMyocardial infarctionDirect referralTriage protocolHospitalTimely accessPatientsUnited StatesMinutesCensus tract-level dataInterventionTract-level dataTransport timePopulation
1996
A comparison of pediatric and adult trauma patients transported by helicopter and ground EMS: Managed-care considerations
Tortella B, Sambol J, Lavery R, Cudihy K, Nadzam G. A comparison of pediatric and adult trauma patients transported by helicopter and ground EMS: Managed-care considerations. Air Medical Journal 1996, 15: 24-28. PMID: 10154059, DOI: 10.1016/s1067-991x(96)90015-2.Peer-Reviewed Original ResearchConceptsHelicopter emergency medical servicesInjury Severity ScoreHigher Injury Severity ScoreLevel 1 trauma centerPediatric patientsTrauma patientsTrauma centerAdvanced life supportAdult patientsUrban level 1 trauma centerAdult trauma patientsPediatric trauma patientsMechanism of injuryPaucity of dataEmergency medical servicesHEMS patientsSeverity scoreGround EMSGround ambulancePatientsSimilar cohortPrehospital proceduresTriage protocolPhysiologic parametersLife support
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