2017
Predictors of linkage to HIV care and viral suppression after release from jails and prisons: a retrospective cohort study
Loeliger KB, Altice FL, Desai MM, Ciarleglio MM, Gallagher C, Meyer JP. Predictors of linkage to HIV care and viral suppression after release from jails and prisons: a retrospective cohort study. The Lancet HIV 2017, 5: e96-e106. PMID: 29191440, PMCID: PMC5807129, DOI: 10.1016/s2352-3018(17)30209-6.Peer-Reviewed Original ResearchConceptsHIV treatment outcomesHIV careViral suppressionTreatment outcomesPoor HIV treatment outcomesMore medical comorbiditiesPost-release linkagePredictors of linkageRetrospective cohort studyDetectable viral loadCase management servicesCase management dataTransitional case managementHealth care goalsAntiretroviral therapyMedical comorbiditiesCohort studyRetrospective cohortDays of releaseViral loadPharmacy databasePsychiatric comorbidityUS National InstitutesCase management needsHispanic ethnicity
2015
National Trends in Pulmonary Embolism Hospitalization Rates and Outcomes for Adults Aged ≥65 Years in the United States (1999 to 2010)
Minges KE, Bikdeli B, Wang Y, Kim N, Curtis JP, Desai MM, Krumholz HM. National Trends in Pulmonary Embolism Hospitalization Rates and Outcomes for Adults Aged ≥65 Years in the United States (1999 to 2010). The American Journal Of Cardiology 2015, 116: 1436-1442. PMID: 26409636, PMCID: PMC4841688, DOI: 10.1016/j.amjcard.2015.07.068.Peer-Reviewed Original ResearchConceptsHospitalization ratesMortality rateReadmission ratesBlack patientsPrincipal discharge diagnosis codeOlder adultsCause readmission rateHospital mortality rateProportion of patientsRetrospective cohort studyDischarge diagnosis codesSkilled nursing facilitiesNational trendsSignificant racial differencesHigh rateHome health careHospital stayAdults AgedCohort studyMore patientsTherapeutic advancesDiagnosis codesMedicare feeNursing facilitiesSignificant burden
2014
Usual Source of Care and Outcomes Following Acute Myocardial Infarction
Spatz ES, Sheth SD, Gosch KL, Desai MM, Spertus JA, Krumholz HM, Ross JS. Usual Source of Care and Outcomes Following Acute Myocardial Infarction. Journal Of General Internal Medicine 2014, 29: 862-869. PMID: 24553957, PMCID: PMC4026492, DOI: 10.1007/s11606-014-2794-0.Peer-Reviewed Original ResearchConceptsAcute myocardial infarctionUsual sourceMyocardial infarctionMortality rateBaseline risk factorsAcute clinical eventsMain outcome measuresAMI severityAMI patientsMultivariable analysisKey ResultsAmongClinical eventsSocio-demographic characteristicsRisk factorsOutcome measuresReadmissionHigh mortalityPatientsMortalityCareMonthsInfarctionAdultsOutcomesAssociation
2013
Socially-Assigned Race, Healthcare Discrimination and Preventive Healthcare Services
MacIntosh T, Desai MM, Lewis TT, Jones BA, Nunez-Smith M. Socially-Assigned Race, Healthcare Discrimination and Preventive Healthcare Services. PLOS ONE 2013, 8: e64522. PMID: 23704992, PMCID: PMC3660607, DOI: 10.1371/journal.pone.0064522.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedDelivery of Health CareFemaleHumansLogistic ModelsMaleMiddle AgedMinority GroupsOutcome Assessment, Health CarePreventive Health ServicesRacial GroupsRacismConceptsHealthcare discriminationCancer screeningBehavioral Risk Factor Surveillance SystemRisk Factor Surveillance SystemReceipt of vaccinationPreventive healthcare servicesInfluence health outcomesNon-Hispanic whitesCross-sectional analysisRace/ethnicityPneumococcal vaccinationPreventive carePreventive servicesPreventive vaccinationAge 60Health outcomesEthnic minoritiesVaccinationW groupDistrict of ColumbiaHealthcare servicesSignificant differencesRace/Similar ratesSurveillance system
2012
Hospital-Level Outcomes Associated with Laparoscopic Colectomy for Cancer in the Minimally Invasive Era
Fox JP, Desai MM, Krumholz HM, Gross CP. Hospital-Level Outcomes Associated with Laparoscopic Colectomy for Cancer in the Minimally Invasive Era. Journal Of Gastrointestinal Surgery 2012, 16: 2112-2119. PMID: 22948842, PMCID: PMC3670114, DOI: 10.1007/s11605-012-2018-z.Peer-Reviewed Original ResearchMeSH KeywordsAged, 80 and overColectomyColonic NeoplasmsDatabases, FactualFemaleHospital MortalityHospitals, High-VolumeHospitals, Low-VolumeHumansLaparoscopyLength of StayMaleOutcome Assessment, Health CareConceptsLaparoscopy rateLaparoscopic colectomyShorter hospitalizationColon resectionHospital mortalityPostoperative morbidityLow postoperative morbidity rateHigher laparoscopy ratePostoperative morbidity rateRisk-standardized outcomesLow postoperative morbidityShorter hospital stayNationwide Inpatient SampleShort-term outcomesHigher procedure volumeHospital stayComparable morbidityRandomized trialsMorbidity rateInvasive eraInpatient SampleOutcomes AssociatedColectomyMortality rateProcedure volume
2011
An Administrative Claims Measure Suitable for Profiling Hospital Performance Based on 30-Day All-Cause Readmission Rates Among Patients With Acute Myocardial Infarction
Krumholz HM, Lin Z, Drye EE, Desai MM, Han LF, Rapp MT, Mattera JA, Normand SL. An Administrative Claims Measure Suitable for Profiling Hospital Performance Based on 30-Day All-Cause Readmission Rates Among Patients With Acute Myocardial Infarction. Circulation Cardiovascular Quality And Outcomes 2011, 4: 243-252. PMID: 21406673, PMCID: PMC3350811, DOI: 10.1161/circoutcomes.110.957498.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overCohort StudiesFemaleHumansInsurance Claim ReviewLogistic ModelsMaleMedicareModels, StatisticalMyocardial InfarctionOutcome and Process Assessment, Health CareOutcome Assessment, Health CarePatient ReadmissionQuality of Health CareReproducibility of ResultsRisk FactorsTime FactorsUnited States
2010
Beyond insurance coverage: Usual source of care in the treatment of hypertension and hypercholesterolemia. Data from the 2003-2006 National Health and Nutrition Examination Survey
Spatz ES, Ross JS, Desai MM, Canavan ME, Krumholz HM. Beyond insurance coverage: Usual source of care in the treatment of hypertension and hypercholesterolemia. Data from the 2003-2006 National Health and Nutrition Examination Survey. American Heart Journal 2010, 160: 115-121. PMID: 20598981, PMCID: PMC3025407, DOI: 10.1016/j.ahj.2010.04.013.Peer-Reviewed Original ResearchConceptsTreatment of hypertensionNutrition Examination SurveyInsurance statusMedication treatmentExamination SurveyNational HealthUsual sourceAdult Treatment Panel III recommendationsJoint National Committee 7Multivariable logistic regression modelingInsurance coverageSeparate multivariable modelsChronic disease managementLogistic regression modelingHigh-quality careRace/ethnicityCardiovascular diseaseMultivariable modelStratified analysisHypertensionHypercholesterolemiaRegular sourceCareDisease managementIndependent effects
2003
The effects of a targeted multicomponent delirium intervention on postdischarge outcomes for hospitalized older adults
Bogardus ST, Desai MM, Williams CS, Leo-Summers L, Acampora D, Inouye SK. The effects of a targeted multicomponent delirium intervention on postdischarge outcomes for hospitalized older adults. The American Journal Of Medicine 2003, 114: 383-390. PMID: 12714128, DOI: 10.1016/s0002-9343(02)01569-3.Peer-Reviewed Original ResearchMeSH KeywordsAgedDeliriumHumansOutcome Assessment, Health CarePatient DischargeProspective StudiesRisk FactorsTime FactorsConceptsSelf-rated healthFunctional statusIntervention groupMulticomponent interventionBetter functional statusHigh-risk patientsGood self-rated healthHospital-based interventionsHospitalized older adultsHealth care utilizationHigh-risk subgroupsHome health visitsOutcomes 6 monthsNursing home placementAcademic medical centerDelirium interventionPostdischarge outcomesHospital dischargeHealth visitsCare utilizationRisk factorsMedical CenterControl groupCognitive statusBeneficial effectsDeterminants of Receipt of Ambulatory Medical Care in a National Sample of Mentally Ill Homeless Veterans
Desai MM, Rosenheck RA, Kasprow WJ. Determinants of Receipt of Ambulatory Medical Care in a National Sample of Mentally Ill Homeless Veterans. Medical Care 2003, 41: 275-287. PMID: 12555055, DOI: 10.1097/01.mlr.0000044907.31129.0a.Peer-Reviewed Original ResearchMeSH KeywordsAdultAmbulatory Care FacilitiesData Interpretation, StatisticalFemaleHealth Services Needs and DemandHumansIll-Housed PersonsInterviews as TopicLogistic ModelsMaleMentally Ill PersonsMiddle AgedModels, PsychologicalMultivariate AnalysisOutcome Assessment, Health CarePatient Acceptance of Health CareProspective StudiesSampling StudiesUnited StatesVeteransConceptsDeterminants of receiptMedical careHomeless veteransMore visitsVeterans Affairs administrative dataProgram intakeMedical service useAmbulatory medical careMedical servicesOutpatient medical careLogistic regression modelingIll homeless personsProspective studyMedical visitsFemale genderDuration of homelessnessService useMedical treatmentMental illnessMultivariate analysisDecreased likelihoodSubstance abuseCareVulnerable populationsHomeless Program
2001
What Does the Medical Record Reveal about Functional Status?
Bogardus S, Towle V, Williams C, Desai M, Inouye S. What Does the Medical Record Reveal about Functional Status? Journal Of General Internal Medicine 2001, 16: 728-736. PMID: 11722685, PMCID: PMC1495285, DOI: 10.1111/j.1525-1497.2001.00625.x.Peer-Reviewed Original ResearchConceptsFunctional status measuresMedical recordsFunctional statusStatus measuresIADL impairmentDaily livingHospitalized older patientsPotent independent predictorAcademic medical centerMost medical recordsHospital outcomesOlder patientsIndependent predictorsMedical patientsPrognostic importanceFunctional status informationImpairment prevalencePatient interviewsInstrumental activitiesMedical CenterBADLsIADLsBasic activitiesBADLPatients