2016
Ureteral Stones: Implementation of a Reduced-Dose CT Protocol in Patients in the Emergency Department with Moderate to High Likelihood of Calculi on the Basis of STONE Score.
Moore CL, Daniels B, Singh D, Luty S, Gunabushanam G, Ghita M, Molinaro A, Gross CP. Ureteral Stones: Implementation of a Reduced-Dose CT Protocol in Patients in the Emergency Department with Moderate to High Likelihood of Calculi on the Basis of STONE Score. Radiology 2016, 280: 743-51. PMID: 26943230, PMCID: PMC5341691, DOI: 10.1148/radiol.2016151691.Peer-Reviewed Original ResearchConceptsReduced-dose CTEmergency departmentUrologic interventionUreteral stonesHigher likelihoodDose CTAverage dose-length productSingle-center studyClinical prediction ruleDose-length productComputed tomography protocolStandard-dose CTInstitutional review boardHIPAA authorizationNonurologic causesPrimary outcomeClinical courseClinician's discretionDose reductionClinical reportsPatientsSTONE scoreCT protocolInformed consentReview boardImpact of point-of-care ultrasonography on ED time to disposition for patients with nontraumatic shock
Hall MK, Taylor RA, Luty S, Allen IE, Moore CL. Impact of point-of-care ultrasonography on ED time to disposition for patients with nontraumatic shock. The American Journal Of Emergency Medicine 2016, 34: 1022-1030. PMID: 26988105, DOI: 10.1016/j.ajem.2016.02.059.Peer-Reviewed Original ResearchConceptsPOC ultrasonographyEmergency departmentNontraumatic shockCare ultrasonographyPropensity scorePropensity score matchElectronic health recordsHospital mortalityShock patientsPrompt diagnosisED arrivalED patientsED physiciansPoint of careRetrospective studyUnique patientsImpact of pointMean reductionPropensity score modelPatientsUltrasonographyED timeDiagnostic ultrasonographyCovariates of timeEvidence of reduction
2015
Incidental Findings on CT for Suspected Renal Colic in Emergency Department Patients: Prevalence and Types in 5,383 Consecutive Examinations
Samim M, Goss S, Luty S, Weinreb J, Moore C. Incidental Findings on CT for Suspected Renal Colic in Emergency Department Patients: Prevalence and Types in 5,383 Consecutive Examinations. Journal Of The American College Of Radiology 2015, 12: 63-69. PMID: 25557571, DOI: 10.1016/j.jacr.2014.07.026.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAge DistributionAgedAged, 80 and overComorbidityConnecticutEmergency Medical ServicesEmergency Service, HospitalFemaleHumansIncidental FindingsLung DiseasesMaleMiddle AgedPelvic Inflammatory DiseasePrevalenceRenal ColicRisk AssessmentSex DistributionTomography, X-Ray ComputedUrolithiasisYoung AdultConceptsImportant incidental findingsNon-enhanced CT scansIncidental findingRenal colicEmergency departmentCT scanSuspected Renal ColicEmergency department patientsSubstantial inter-rater agreementSubset of reportsACR White PaperAdult patientsDepartment patientsRetrospective reviewProspective studyHigh prevalenceConsensus recommendationsInter-rater agreementConsecutive examinationsInter-rater variabilityOlder individualsColicPrevalencePatientsScans
2014
Radiation Dose Index of Renal Colic Protocol CT Studies in the United States: A Report from the American College of Radiology National Radiology Data Registry
Lukasiewicz A, Bhargavan-Chatfield M, Coombs L, Ghita M, Weinreb J, Gunabushanam G, Moore CL. Radiation Dose Index of Renal Colic Protocol CT Studies in the United States: A Report from the American College of Radiology National Radiology Data Registry. Radiology 2014, 271: 445-451. PMID: 24484064, PMCID: PMC5341688, DOI: 10.1148/radiol.14131601.Peer-Reviewed Original ResearchConceptsDose-length productDose indexRadiation dose indicesCT studiesMean dose-length productInstitutional review board approvalReview board approvalCT dose indexRenal colicMean ageSingle institutionCT examinationsAmerican CollegeData registryBoard approvalPatientsPatient habitusRegistryCTSpearman correlationUnited StatesExamination typesDescriptive statisticsInstitutional-level factorsIndex
2013
Point-of-Care Focused Cardiac Ultrasound for Prediction of Pulmonary Embolism Adverse Outcomes
Taylor RA, Davis J, Liu R, Gupta V, Dziura J, Moore CL. Point-of-Care Focused Cardiac Ultrasound for Prediction of Pulmonary Embolism Adverse Outcomes. Journal Of Emergency Medicine 2013, 45: 392-399. PMID: 23827166, DOI: 10.1016/j.jemermed.2013.04.014.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAged, 80 and overEchocardiographyEmergency Service, HospitalFemaleHemorrhageHospital MortalityHumansMaleMiddle AgedPoint-of-Care SystemsPredictive Value of TestsPrognosisPulmonary EmbolismRecurrenceRespiratory InsufficiencyRetrospective StudiesRisk FactorsShockVenous ThromboembolismVentricular Dysfunction, RightConceptsRight ventricular strainHospital adverse outcomesRetrospective chart reviewPulmonary embolismAdverse outcomesEmergency departmentChart reviewCardiac ultrasoundHighest positive likelihood ratioRecurrent venous thromboembolismLow negative likelihood ratioSignificant predictorsEmergency care practitionersFocused cardiac ultrasoundFOCUS examinationPositive likelihood ratioNegative likelihood ratioMajor bleedingLikelihood ratioRespiratory failureVenous thromboembolismTransthoracic echocardiographyHospital admissionIndependent predictorsVentricular strain
2009
Pulseless Electrical Activity, Focused Abdominal Sonography for Trauma, and Cardiac Contractile Activity as Predictors of Survival After Trauma
Schuster KM, Lofthouse R, Moore C, Lui F, Kaplan LJ, Davis KA. Pulseless Electrical Activity, Focused Abdominal Sonography for Trauma, and Cardiac Contractile Activity as Predictors of Survival After Trauma. Journal Of Trauma And Acute Care Surgery 2009, 67: 1154-1157. PMID: 20009660, DOI: 10.1097/ta.0b013e3181c303e8.Peer-Reviewed Original ResearchMeSH KeywordsAbdominal InjuriesAdultAgedAged, 80 and overCardiopulmonary ResuscitationChildFemaleHeart ArrestHumansMaleMiddle AgedPericardial EffusionPredictive Value of TestsPrognosisPulseRetrospective StudiesSensitivity and SpecificityStatistics, NonparametricSurvival RateTrauma Severity IndicesUltrasonographyConceptsPulseless electrical activityCardiac contractile activityFocused abdominal sonographyInitial resuscitationAbdominal sonographyEmergency departmentContractile activityCardiac activityStudy period 25 patientsLevel I trauma centerGrave prognostic indicatorI trauma centerPredictors of survivalMechanism of injuryElectrical activityClosed head injuryPericardial viewTension hemothoraxOngoing resuscitationPericardial effusionBlunt traumaRetrospective reviewTrauma centerPrognostic indicatorHead injury
2008
Prevalence of abnormal CT findings in patients with proven ovarian torsion and a proposed triage schema
Moore C, Meyers AB, Capotasto J, Bokhari J. Prevalence of abnormal CT findings in patients with proven ovarian torsion and a proposed triage schema. Emergency Radiology 2008, 16: 115-120. PMID: 18679730, DOI: 10.1007/s10140-008-0754-x.Peer-Reviewed Original ResearchConceptsOvarian torsionComputed tomographyPelvic painCT findingsAbnormal pelvic findingsAbnormal CT findingsPelvic findingsRetrospective reviewOvarian cystsInvolved ovariesAdnexal massesCT reportsCT scanAvailable CT imagesFurther evaluationRadiologist reviewPatientsWomenPainOvariesTriage schemaCT imagesFindingsReportReview