Featured Publications
Disparities in Accessing and Reading Open Notes in the Emergency Department Upon Implementation of the 21st Century CURES Act
Sangal RB, Powers E, Rothenberg C, Ndumele C, Ulrich A, Hsiao A, Venkatesh AK. Disparities in Accessing and Reading Open Notes in the Emergency Department Upon Implementation of the 21st Century CURES Act. Annals Of Emergency Medicine 2021, 78: 593-598. PMID: 34353651, DOI: 10.1016/j.annemergmed.2021.06.014.Peer-Reviewed Original ResearchConceptsProportion of patientsPatient portal accessEmergency departmentOpen notesClinical notesPortal accessPublic insuranceUrgent care centersCentury Cures ActDifferent patient demographicsSingle health systemPatient demographicsPrimary outcomeCures ActPatient utilizationPatient visitsCare centerObservational studyPatientsDigital health toolsAge 18Health systemHealth toolsUnique barriersNon-English speakersSociodemographic Disparities in Queue Jumping for Emergency Department Care
Sangal R, Su H, Khidir H, Parwani V, Liebhardt B, Pinker E, Meng L, Venkatesh A, Ulrich A. Sociodemographic Disparities in Queue Jumping for Emergency Department Care. JAMA Network Open 2023, 6: e2326338. PMID: 37505495, PMCID: PMC10383013, DOI: 10.1001/jamanetworkopen.2023.26338.Peer-Reviewed Original ResearchConceptsCross-sectional studyHigh acuityPatient demographicsSame acuityLatino ethnicityNon-Hispanic raceEmergency department careBed placementTime of triageNon-Hispanic blacksNon-Hispanic whitesED visitsPrimary outcomeED arrivalED patientsMedicaid insuranceMean ageTriage acuityStudy visitAcuity patientsSociodemographic disparitiesED outcomesHigher oddsMAIN OUTCOMECare access
2023
Emergency department visits in Connecticut for survivors of sexual assault before and during the COVID-19 pandemic
Yang D, Cordone A, Sun W, Gawel M, Sangal R, Dodington J. Emergency department visits in Connecticut for survivors of sexual assault before and during the COVID-19 pandemic. The American Journal Of Emergency Medicine 2023, 67: 97-99. PMID: 36842427, PMCID: PMC9927790, DOI: 10.1016/j.ajem.2023.02.010.Peer-Reviewed Original ResearchConceptsEmergency departmentChart reviewCOVID-19 pandemicMedical careRetrospective chart reviewStructured chart reviewUrban emergency departmentCare of survivorsLong-term careED presentationsWhite/CaucasianED treatmentSurvivorsCarePatientsSexual assaultMonthsPandemicDepartmentSexual assault survivorsReviewAssault survivorsCaucasians
2021
Delays in antibiotic redosing: Association with inpatient mortality and risk factors for delay
Kemmler CB, Sangal RB, Rothenberg C, Li SX, Shofer FS, Abella BS, Venkatesh AK, Foster SD. Delays in antibiotic redosing: Association with inpatient mortality and risk factors for delay. The American Journal Of Emergency Medicine 2021, 46: 63-69. PMID: 33735698, DOI: 10.1016/j.ajem.2021.02.058.Peer-Reviewed Original ResearchConceptsSecond dose administrationEmergency departmentDose administrationRisk factorsEmergency Severity IndexHospital mortalityFirst doseSecond doseED boardingAntibiotic dosesEnd-stage renal diseaseExtremes of weightHigh acuity presentationsRetrospective cohort studyStage renal diseaseWorse clinical outcomesSerious bacterial infectionsOdds of delayEarly hospital courseSingle healthcare systemAntibiotic redosingDosing intervalHospital courseCohort studyInpatient mortality
2020
The cost of waiting: Association of ED boarding with hospitalization costs
Baloescu C, Kinsman J, Ravi S, Parwani V, Sangal RB, Ulrich A, Venkatesh AK. The cost of waiting: Association of ED boarding with hospitalization costs. The American Journal Of Emergency Medicine 2020, 40: 169-172. PMID: 33272871, DOI: 10.1016/j.ajem.2020.10.058.Peer-Reviewed Original ResearchConceptsED boardingHospitalization costsED crowdingHospital spendingHospital care accessMultivariate linear regression analysisED patient volumeCost of careQuality of careEmergency department boardingCross-sectional analysisPublic health crisisED lengthEffective careCare accessHospital levelInpatient bedsED characteristicsLinear regression analysisPatient volumeCareMedicare spendingMultivariate regressionPatientsRegression analysisIdentification of Patients with Nontraumatic Intracranial Hemorrhage Using Administrative Claims Data
Sangal RB, Fodeh S, Taylor A, Rothenberg C, Finn EB, Sheth K, Matouk C, Ulrich A, Parwani V, Sather J, Venkatesh A. Identification of Patients with Nontraumatic Intracranial Hemorrhage Using Administrative Claims Data. Journal Of Stroke And Cerebrovascular Diseases 2020, 29: 105306. PMID: 33070110, PMCID: PMC7686163, DOI: 10.1016/j.jstrokecerebrovasdis.2020.105306.Peer-Reviewed Original ResearchFemale millennial patient perspectives in the emergency department: A qualitative analysis
Upton E, Sangal RB, Blutinger E, Khachatryan M, Aysola J, Mamtani M. Female millennial patient perspectives in the emergency department: A qualitative analysis. The American Journal Of Emergency Medicine 2020, 38: 2462-2464. PMID: 32224040, DOI: 10.1016/j.ajem.2020.02.026.Peer-Reviewed Original Research
2019
Nursing updates as a means to improve patient satisfaction
Sangal RB, Shofer F, Blutinger E, Mamtani M. Nursing updates as a means to improve patient satisfaction. The American Journal Of Emergency Medicine 2019, 38: 404-406. PMID: 31427162, DOI: 10.1016/j.ajem.2019.158388.Peer-Reviewed Original Research
2018
Rodenticide Causing Lower Gastrointestinal Bleeding: Resident Simulation
Sangal RB, Conlon LW. Rodenticide Causing Lower Gastrointestinal Bleeding: Resident Simulation. MedEdPORTAL 2018, 14: 10729. PMID: 30800929, PMCID: PMC6342433, DOI: 10.15766/mep_2374-8265.10729.Peer-Reviewed Educational MaterialsConceptsLower GI bleedingGastrointestinal bleedingGI bleedingAbnormal coagulationSkilled medical providersLower gastrointestinal bleedingLife-threatening conditionEmergency medicine providersAnticoagulation medicationRectal bleedingMore patientsHemorrhagic shockTreatment algorithmIntentional ingestionBlood productsMedicine providersBleedingDisease processTypes of GIBipolar disorderLower GIMedical providersRapid diagnosisPatientsAnticoagulation
2015
Preoperative High-Resolution Ultrasound for the Assessment of Malignant Central Compartment Lymph Nodes in Papillary Thyroid Cancer
Khokhar MT, Day KM, Sangal RB, Ahmedli NN, Pisharodi LR, Beland MD, Monchik JM. Preoperative High-Resolution Ultrasound for the Assessment of Malignant Central Compartment Lymph Nodes in Papillary Thyroid Cancer. Thyroid 2015, 25: 1351-1354. PMID: 26431908, DOI: 10.1089/thy.2015.0176.Peer-Reviewed Original ResearchConceptsPapillary thyroid cancerHigh-resolution ultrasoundNegative predictive valueCentral compartment lymph nodesPositive predictive valueRecurrent local diseasePreoperative high-resolution ultrasoundLymph nodesNode metastasisLocal diseaseThyroid cancerPredictive valueCentral compartmentAcademic tertiary care centerCentral compartment nodesSingle endocrine surgeonTertiary care centerPostoperative pathology reportRetrospective chart reviewTotal thyroidectomyChart reviewConsecutive patientsPreoperative ultrasoundEndocrine surgeonsCare center
2014
Risk of Echocardiographic Pulmonary Hypertension in Individuals with Human Immunodeficiency Virus–Hepatitis C Virus Coinfection
Sangal RB, Taylor LE, Gillani F, Poppas A, Klinger JR, Ventetuolo CE. Risk of Echocardiographic Pulmonary Hypertension in Individuals with Human Immunodeficiency Virus–Hepatitis C Virus Coinfection. Annals Of The American Thoracic Society 2014, 11: 1553-1559. PMID: 25375659, PMCID: PMC4298977, DOI: 10.1513/annalsats.201405-225oc.Peer-Reviewed Original ResearchConceptsPulmonary artery systolic pressureEchocardiographic pulmonary hypertensionModerate right ventricular dysfunctionHIV-HCV coinfectionRight ventricular dysfunctionPulmonary hypertensionHIV-HCVHCV treatmentRisk factorsVentricular dysfunctionHCV diagnosisVirus infectionHuman Immunodeficiency Virus–Hepatitis C Virus CoinfectionChronic hepatitis C virus (HCV) infectionEstimated pulmonary artery systolic pressureHigher pulmonary artery systolic pressurePrevalence of PHRisk of PHDevelopment of PHHepatitis C virus infectionHuman immunodeficiency virus (HIV) infectionC virus coinfectionC virus infectionImmunodeficiency virus infectionPulmonary vascular disease