Featured Publications
Real-World Observational Evaluation of Common Interventions to Reduce Emergency Department Prescribing of Opioid Medications
Sangal R, Rothenberg C, Hawk K, D'Onofrio G, Hsiao A, Solad Y, Venkatesh A. Real-World Observational Evaluation of Common Interventions to Reduce Emergency Department Prescribing of Opioid Medications. The Joint Commission Journal On Quality And Patient Safety 2023, 49: 239-246. PMID: 36914528, DOI: 10.1016/j.jcjq.2023.01.013.Peer-Reviewed Original ResearchMeSH KeywordsAnalgesics, OpioidElectronic Health RecordsEmergency Service, HospitalHospitalsHumansPractice Patterns, Physicians'Retrospective StudiesConceptsOpioid prescribingED visitsElectronic health recordsOpioid prescriptionsEmergency department opioid prescriptionsAnalgesia prescriptionOpioid stewardshipOpioid medicationsSecondary outcomesPrimary outcomePreintervention periodInterruptive alertsCommon interventionPrescribingAlert fatigueElectronic prescribingPrevious interventionsHospital systemObservational evaluationHealth recordsVisitsStewardship policiesInterventionOutcomesPrescriptionSociodemographic 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 ResearchMeSH KeywordsAgedCross-Sectional StudiesEmergency Medical ServicesEmergency Service, HospitalFemaleHumansMaleMedicareMiddle AgedRetrospective StudiesUnited StatesConceptsCross-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 ResearchMeSH KeywordsAdolescentConnecticutCOVID-19Emergency Service, HospitalFemaleHumansMalePandemicsRetrospective StudiesSex OffensesSurvivorsUnited StatesConceptsEmergency departmentChart reviewCOVID-19 pandemicMedical careRetrospective chart reviewStructured chart reviewUrban emergency departmentCare of survivorsLong-term careED presentationsWhite/CaucasianED treatmentSurvivorsCarePatientsSexual assaultMonthsPandemicDepartmentSexual assault survivorsReviewAssault survivorsCaucasians
2022
Prehospital emergency department care activations during the initial COVID-19 pandemic surge.
Leff R, Fleming-Nouri A, Venkatesh AK, Parwani V, Rothenberg C, Sangal RB, Flood CT, Goldenberg M, Wira C. Prehospital emergency department care activations during the initial COVID-19 pandemic surge. American Journal Of Disaster Medicine 2022, 17: 23-39. PMID: 35913181, DOI: 10.5055/ajdm.2022.0417.Peer-Reviewed Original ResearchMeSH KeywordsCOVID-19Emergency Medical ServicesEmergency Service, HospitalHumansPandemicsRetrospective StudiesStrokeConceptsCOVID-19 hospital admissionsCOVID-19 pandemic surgeTotal ED volumeNumber of patientsCOVID-19 hospitalizationScatterplot smoothing curvesPublic health measuresCritical medical conditionPublic health emergencyPrehospital presentationStroke activationHospital admissionPrimary outcomeTrauma activationsUrban EDAcademic EDCOVID-19 casesPrehospital settingClinical indicationsType of presentationMedical conditionsED volumePandemic surgeAbsolute decreaseHealth measures
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
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