2023
CT With CTA Versus MRI in Patients Presenting to the Emergency Department With Dizziness: Analysis Using Propensity Score Matching.
Tu L, Navaratnam D, Melnick E, Forman H, Venkatesh A, Malhotra A, Yaesoubi R, Sureshanand S, Sheth K, Mahajan A. CT With CTA Versus MRI in Patients Presenting to the Emergency Department With Dizziness: Analysis Using Propensity Score Matching. American Journal Of Roentgenology 2023, 221: 836-845. PMID: 37404082, DOI: 10.2214/ajr.23.29617.Peer-Reviewed Original ResearchMeSH KeywordsDizzinessEmergency Service, HospitalFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedPropensity ScoreRetrospective StudiesStrokeTomography, X-Ray ComputedConceptsSecondary stroke prevention medicationsStroke prevention medicationsEmergency departmentPrevention medicationsEchocardiography evaluationPosterior circulation strokeProportion of patientsGroup of patientsPhysical examination findingsNeuroimaging resultsUse of MRIReview of systemsGreater frequencyPropensity-score matchingExamination findingsRetrospective studyED readmissionMedical historyHead CTClinical impactMRI examinationsBrain MRINeck CTADizzinessPatientsClinical criteria to exclude acute vascular pathology on CT angiogram in patients with dizziness
Tu L, Malhotra A, Venkatesh A, Taylor R, Sheth K, Yaesoubi R, Forman H, Sureshanand S, Navaratnam D. Clinical criteria to exclude acute vascular pathology on CT angiogram in patients with dizziness. PLOS ONE 2023, 18: e0280752. PMID: 36893103, PMCID: PMC9997874, DOI: 10.1371/journal.pone.0280752.Peer-Reviewed Original ResearchMeSH KeywordsAdultAngiographyCross-Sectional StudiesDizzinessEmergency Service, HospitalHumansStrokeTomography, X-Ray ComputedVertigoConceptsAcute vascular pathologyEmergency departmentVascular pathologyNegative predictive valueDizzy patientsStroke codeCTA headPredictive valueAdult ED encountersTransient ischemic attackHalf of patientsLong-term smokersLarge vessel occlusionCoronary artery diseasePast medical historySeparate validation cohortCross-sectional analysisIschemic attackAnalysis cohortArterial dissectionArtery diseaseClinical factorsED encountersMedication useChief complaint
2022
Yield of Head Computed Tomography Examinations for Common Psychiatric Presentations and Implications for Medical Clearance From a 6-Year Analysis of Acute Hospital Visits
Tu LH, Malhotra A, Sheth KN, Yaesoubi R, Forman HP, Venkatesh AK. Yield of Head Computed Tomography Examinations for Common Psychiatric Presentations and Implications for Medical Clearance From a 6-Year Analysis of Acute Hospital Visits. JAMA Internal Medicine 2022, 182: 879-881. PMID: 35727595, PMCID: PMC9214629, DOI: 10.1001/jamainternmed.2022.2198.Peer-Reviewed Original ResearchMeSH KeywordsEmergency Service, HospitalHeadHospitalsHumansPhysical ExaminationRetrospective StudiesSurgical ClearanceTomography, X-Ray ComputedMapping emergency department asthma visits to identify poor-quality housing in New Haven, CT, USA: a retrospective cohort study
Samuels EA, Taylor RA, Pendyal A, Shojaee A, Mainardi AS, Lemire ER, Venkatesh AK, Bernstein SL, Haber AL. Mapping emergency department asthma visits to identify poor-quality housing in New Haven, CT, USA: a retrospective cohort study. The Lancet Public Health 2022, 7: e694-e704. PMID: 35907420, PMCID: PMC9387147, DOI: 10.1016/s2468-2667(22)00143-8.Peer-Reviewed Original ResearchMeSH KeywordsAdultAsthmaChildEmergency Service, HospitalFemaleHumansMalePublic HousingRetrospective StudiesTomography, X-Ray ComputedUnited StatesConceptsEmergency department useRetrospective cohort studyEmergency departmentDepartment useCohort studyAsthma-related emergency departmentPoor housing conditionsAsthma incidence ratesEmergency department asthmaTertiary emergency departmentAsthma-related morbidityEmergency department visitsPoor quality housingHealth Sciences CenterHousing conditionsHousing inspectionDepartment visitsPatient ageRegression modelsAsthma incidenceUnique patientsIncidence rateAsthmaPatient addressesElevated incidence
2021
Scenarios to improve CT head utilization in the emergency department delineated by critical results reporting
Tu LH, Venkatesh AK, Malhotra A, Taylor RA, Sheth KN, Forman HP, Yaesoubi R. Scenarios to improve CT head utilization in the emergency department delineated by critical results reporting. Emergency Radiology 2021, 29: 81-88. PMID: 34617133, DOI: 10.1007/s10140-021-01947-w.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedEmergency Service, HospitalHeadHeadacheHumansRetrospective StudiesTomography, X-Ray ComputedConceptsAdult ED encountersCommon chief complaintChief complaintEmergency departmentED encountersPatient selectionHead examsLoss of consciousnessAcademic medical centerChest painBlood sugarRetrospective studyHead injuryMental statusNew headacheMedical CenterPsychiatric evaluationConclusionOur studyBetter outcomesAdvanced imagingAlcohol intoxicationTotal encountersComplaintsHeadacheSignificant differencesBalancing quality and utilization: Emergency physician level correlation between 72 h returns, admission, and CT utilization rates
Parwani V, Thomas M, Rothenberg C, Ulrich A, Venkatesh A. Balancing quality and utilization: Emergency physician level correlation between 72 h returns, admission, and CT utilization rates. The American Journal Of Emergency Medicine 2021, 48: 365-366. PMID: 33597095, DOI: 10.1016/j.ajem.2021.01.078.Peer-Reviewed Original Research
2017
“Choosing Wisely” Imaging Recommendations: Initial Implementation in New England Emergency Departments
Raja AS, Venkatesh A, Mick N, Zabbo CP, Hasegawa K, Espinola JA, Bittner JC, Camargo CA. “Choosing Wisely” Imaging Recommendations: Initial Implementation in New England Emergency Departments. Western Journal Of Emergency Medicine 2017, 18: 454-458. PMID: 28435496, PMCID: PMC5391895, DOI: 10.5811/westjem.2017.1.32677.Peer-Reviewed Original ResearchConceptsNew England Emergency DepartmentsEvidence-based interventionsEmergency departmentClinical pathwayExact testMultiple evidence-based interventionsLow-risk patientsFisher's exact testPulmonary embolismRisk patientsComputerized decision supportMinor traumaComputerized decision support systemImaging recommendationsCommon interventionAmerican CollegeLower riskResponse rateInstitutional review board reviewPatientsInitial mailingRepeat mailingInterventionBoard reviewDescriptive statistics