2020
Medicaid expansion and resource utilization in the emergency department
Janke AT, Danagoulian S, Venkatesh AK, Levy PD. Medicaid expansion and resource utilization in the emergency department. The American Journal Of Emergency Medicine 2020, 38: 2586-2590. PMID: 31982222, DOI: 10.1016/j.ajem.2019.12.050.Peer-Reviewed Original ResearchMeSH KeywordsAdultChest PainComputed Tomography AngiographyCoronary AngiographyDiagnostic Techniques, CardiovascularDisease ManagementEchocardiography, StressEligibility DeterminationEmergency Service, HospitalExercise TestFemaleHealth PolicyHospitalizationHumansMaleMedicaidMedically UninsuredMiddle AgedMyocardial Perfusion ImagingOdds RatioPatient Protection and Affordable Care ActUnited StatesConceptsChest pain visitsOdds of admissionAdvanced cardiac imagingPain visitsAffordable Care ActChest painED visitsMedicaid expansionED visit dataCardiac imagingEmergency department visitsEligibility expansionsSubgroup of patientsExpansion statesLikelihood of admissionProportion of visitsNon-expansion statesMedicaid eligibility expansionsDepartment visitsClinician's discretionEmergency departmentMedicaid patientsAdmissionProvider behaviorVisits
2012
Evaluation of Pulmonary Embolism in the Emergency Department and Consistency With a National Quality Measure: Quantifying the Opportunity for Improvement
Venkatesh AK, Kline JA, Courtney DM, Camargo CA, Plewa MC, Nordenholz KE, Moore CL, Richman PB, Smithline HA, Beam DM, Kabrhel C. Evaluation of Pulmonary Embolism in the Emergency Department and Consistency With a National Quality Measure: Quantifying the Opportunity for Improvement. JAMA Internal Medicine 2012, 172: 1028-1032. PMID: 22664742, PMCID: PMC3775003, DOI: 10.1001/archinternmed.2012.1804.Peer-Reviewed Original ResearchMeSH KeywordsAdultAge FactorsAgedDiagnosis, DifferentialEmergency Service, HospitalFemaleFibrin Fibrinogen Degradation ProductsHumansLogistic ModelsMaleMiddle AgedMultivariate AnalysisOdds RatioProspective StudiesPulmonary EmbolismQuality ImprovementQuality of Health CareRadiation InjuriesRadiographyRisk AssessmentSensitivity and SpecificityUnited StatesUnnecessary ProceduresConceptsNegative D-dimer test resultD-dimer test resultPulmonary embolismLow pretest probabilityD-dimer testEmergency departmentNational Quality ForumED patientsPretest probabilitySecondary analysisNQF measureMulticenter observational studyLow-risk patientsPatient-level predictorsUS emergency departmentsD-dimer testingMultivariable logistic regressionNational quality measuresInappropriate imagingAdult patientsPrimary outcomeMalignant diseaseObservational studyPatientsUnnecessary irradiation