2021
Association of Physician Characteristics With Early Adoption of Virtual Health Care
Zachrison K, Yan Z, Samuels-Kalow M, Licurse A, Zuccotti G, Schwamm L. Association of Physician Characteristics With Early Adoption of Virtual Health Care. JAMA Network Open 2021, 4: e2141625. PMID: 34967876, PMCID: PMC8719243, DOI: 10.1001/jamanetworkopen.2021.41625.Peer-Reviewed Original ResearchConceptsVirtual health careCross-sectional studyHealth care systemPatient characteristicsHealth carePhysician characteristicsLarge regional health care systemRetrospective cross-sectional studyBehavioral healthCare systemSurgical specialtiesHealth system databasePhysician-level variationRegional health care systemAmbulatory visitsPrimary careHealth physiciansPatient's abilityAmbulatory careMAIN OUTCOMEGreater oddsAmbulatory practiceBivariate comparisonsPhysiciansHospital affiliationRegional Changes in Patterns of Stroke Presentation During the COVID-19 Pandemic
Etherton M, Zachrison K, Yan Z, Sveikata L, Bretzner M, Estrada J, Viswanathan A, Singhal A, Schwamm L. Regional Changes in Patterns of Stroke Presentation During the COVID-19 Pandemic. Stroke 2021, 52: 1398-1406. PMID: 33588592, PMCID: PMC8992369, DOI: 10.1161/strokeaha.120.031300.Peer-Reviewed Original Research
2020
Trends in Telestroke Care Delivery
Sharma R, Zachrison KS, Viswanathan A, Matiello M, Estrada J, Anderson CD, Etherton M, Silverman S, Rost NS, Feske SK, Schwamm LH. Trends in Telestroke Care Delivery. Circulation Cardiovascular Quality And Outcomes 2020, 13: e005903. PMID: 32126805, PMCID: PMC7374496, DOI: 10.1161/circoutcomes.119.005903.Peer-Reviewed Original ResearchAcademic Medical CentersAgedAged, 80 and overCooperative BehaviorDelivery of Health Care, IntegratedFemaleFibrinolytic AgentsHumansInterdisciplinary CommunicationMaleMiddle AgedNew EnglandOutcome and Process Assessment, Health CareProgram EvaluationProof of Concept StudyRemote ConsultationRetrospective StudiesStrokeThrombolytic TherapyTime FactorsTime-to-TreatmentTissue Plasminogen ActivatorTreatment OutcomeWorkflow
2018
Ischemic Stroke Transfer Patterns in the Northeast United States
Zachrison K, Onnela J, Hernandez A, Reeves M, Camargo C, Cox M, Matsouaka R, Metlay J, Goldstein J, Schwamm L. Ischemic Stroke Transfer Patterns in the Northeast United States. Journal Of Stroke And Cerebrovascular Diseases 2018, 28: 295-304. PMID: 30389376, DOI: 10.1016/j.jstrokecerebrovasdis.2018.09.048.Peer-Reviewed Original ResearchConceptsGuidelines-Stroke registryRegional stroke systemIschemic stroke patientsHospital connectionsTissue plasminogen activatorSevere strokeMore patientsStroke patientsIS patientsReceiving HospitalPatient dischargeStroke systemsPatient transferPatientsHospitalNortheast hospitalsMost hospitalsPlasminogen activatorCareUnited StatesFurther characterizationAdmissionRegistryStroke
2017
Characterizing New England Emergency Departments by Telemedicine Use
Zachrison K, Hayden E, Schwamm L, Espinola J, Sullivan A, Boggs K, Raja A, Camargo C. Characterizing New England Emergency Departments by Telemedicine Use. Western Journal Of Emergency Medicine 2017, 18: 1055-1060. PMID: 29085537, PMCID: PMC5654874, DOI: 10.5811/westjem.2017.8.34880.Peer-Reviewed Original ResearchConceptsNew England Emergency DepartmentsRural emergency departmentsEmergency departmentTelemedicine useED characteristicsLow-volume emergency departmentsMultivariable logistic regressionConsultant availabilityIndependent predictorsMultivariable analysisPatient careLogistic regressionPlastic surgeryClinical applicationDescriptive statisticsTelemedicineEngland surveyPrimary objectiveAnnual volumeDepartmentNew England statesPsychiatrySurgeryPediatricsStroke
2009
Regional Implementation of the Stroke Systems of Care Model
Gropen T, Magdon-Ismail Z, Day D, Melluzzo S, Schwamm L. Regional Implementation of the Stroke Systems of Care Model. Stroke 2009, 40: 1793-1802. PMID: 19299641, DOI: 10.1161/strokeaha.108.531053.Peer-Reviewed Original ResearchMeSH KeywordsEmergency Medical ServicesEvidence-Based MedicineGuidelines as TopicHealth EducationHealth PersonnelHealth Planning SupportHealthcare DisparitiesHumansModels, TheoreticalNew EnglandPatient AdvocacyRegional Medical ProgramsRural PopulationSocioeconomic FactorsStrokeStroke RehabilitationUrban PopulationConceptsStroke systemsCare modelStroke careStroke-related death ratesEmergency medical services dispatchAcute stroke protocolSecondary prevention strategiesContinuum of careEvidence-based interventionsPublic health officialsStroke centersStroke protocolStroke patientsCare measuresStroke resourcesPrevention strategiesHealth professionalsCare deliveryRehabilitation servicesOrder setsDeath rateHealth officialsCareSignificant disparitiesWriting group