2024
Deep-learning generated B-line score mirrors clinical progression of disease for patients with heart failure
Baloescu C, Chen A, Varasteh A, Hall J, Toporek G, Patil S, McNamara R, Raju B, Moore C. Deep-learning generated B-line score mirrors clinical progression of disease for patients with heart failure. The Ultrasound Journal 2024, 16: 42. PMID: 39283362, PMCID: PMC11405569, DOI: 10.1186/s13089-024-00391-4.Peer-Reviewed Original ResearchB-line scoreComposite congestion scoreCongestion scoreHeart failureSeverity scoreB-linesCongestive heart failurePatients suspectedPulmonary congestionLung zonesClinical progressionRothman IndexClinical assessmentDisease severityPatientsPresence of artifactsEvaluate changesLungDetect fluidUltrasound experienceMixed effects modelsScoresDiseaseInterstitial spaceUltrasound system
2021
Practicality of Ultrasound in Emergency Medicine
Arthur J, Bomann S, Moore C. Practicality of Ultrasound in Emergency Medicine. 2021, 365-371. DOI: 10.1007/978-3-030-46839-2_33.Peer-Reviewed Original Research
2018
Intravenous Infiltration Resulting in Compartment Syndrome
Pare JR, Moore CL. Intravenous Infiltration Resulting in Compartment Syndrome. Journal Of Patient Safety 2018, 14: e6-e8. PMID: 26241617, DOI: 10.1097/pts.0000000000000233.Peer-Reviewed Original ResearchConceptsCompartment syndromeSurgical interventionCases of CSCharacteristics of patientsPatient's mental statusAvailable English literatureLong-term deficitsIntravenous infiltrationMental statusPatient outcomesInclusion criteriaMEDLINE searchMeeting inclusionHigh riskClinical informationPatientsSystematic reviewYounger ageLiterature searchHand amputationSyndromeEnglish literaturePersistent deficitsUnclear mechanismsInfiltration
2016
Cost‐effectiveness of the Cardiac Component of the Focused Assessment of Sonography in Trauma Examination in Blunt Trauma
Hall MK, Omer T, Moore CL, Taylor RA. Cost‐effectiveness of the Cardiac Component of the Focused Assessment of Sonography in Trauma Examination in Blunt Trauma. Academic Emergency Medicine 2016, 23: 415-423. PMID: 26857839, DOI: 10.1111/acem.12936.Peer-Reviewed Original ResearchMeSH KeywordsAdultAge FactorsAgedBlood PressureCost-Benefit AnalysisDecision Support TechniquesFemaleHeart InjuriesHumansHypotensionLife ExpectancyMedicareMiddle AgedModels, EconometricPoint-of-Care SystemsQuality-Adjusted Life YearsReproducibility of ResultsUltrasonographyUnited StatesWounds, NonpenetratingConceptsNormotensive blunt trauma patientsIncremental cost-effectiveness ratioBlunt trauma patientsTrauma patientsBlunt traumaNormotensive patientsHypotensive patientsFocused assessmentBlunt cardiac injuryIncidental pericardial effusionCardiac componentCost-effectiveness ratioDecision analytic modelProbability of deathPericardial effusionPrompt treatmentClinical probabilityCardiac injurySurgical interventionTrauma (FAST) examFAST examLow prevalencePatientsTrauma (FAST) examinationPay thresholdsUreteral Stones: Implementation of a Reduced-Dose CT Protocol in Patients in the Emergency Department with Moderate to High Likelihood of Calculi on the Basis of STONE Score.
Moore CL, Daniels B, Singh D, Luty S, Gunabushanam G, Ghita M, Molinaro A, Gross CP. Ureteral Stones: Implementation of a Reduced-Dose CT Protocol in Patients in the Emergency Department with Moderate to High Likelihood of Calculi on the Basis of STONE Score. Radiology 2016, 280: 743-51. PMID: 26943230, PMCID: PMC5341691, DOI: 10.1148/radiol.2016151691.Peer-Reviewed Original ResearchConceptsReduced-dose CTEmergency departmentUrologic interventionUreteral stonesHigher likelihoodDose CTAverage dose-length productSingle-center studyClinical prediction ruleDose-length productComputed tomography protocolStandard-dose CTInstitutional review boardHIPAA authorizationNonurologic causesPrimary outcomeClinical courseClinician's discretionDose reductionClinical reportsPatientsSTONE scoreCT protocolInformed consentReview boardImpact of point-of-care ultrasonography on ED time to disposition for patients with nontraumatic shock
Hall MK, Taylor RA, Luty S, Allen IE, Moore CL. Impact of point-of-care ultrasonography on ED time to disposition for patients with nontraumatic shock. The American Journal Of Emergency Medicine 2016, 34: 1022-1030. PMID: 26988105, DOI: 10.1016/j.ajem.2016.02.059.Peer-Reviewed Original ResearchConceptsPOC ultrasonographyEmergency departmentNontraumatic shockCare ultrasonographyPropensity scorePropensity score matchElectronic health recordsHospital mortalityShock patientsPrompt diagnosisED arrivalED patientsED physiciansPoint of careRetrospective studyUnique patientsImpact of pointMean reductionPropensity score modelPatientsUltrasonographyED timeDiagnostic ultrasonographyCovariates of timeEvidence of reduction
2015
Emergency physician focused cardiac ultrasound improves diagnosis of ascending aortic dissection
Pare JR, Liu R, Moore CL, Sherban T, Kelleher MS, Thomas S, Taylor RA. Emergency physician focused cardiac ultrasound improves diagnosis of ascending aortic dissection. The American Journal Of Emergency Medicine 2015, 34: 486-492. PMID: 26782795, DOI: 10.1016/j.ajem.2015.12.005.Peer-Reviewed Original ResearchMeSH KeywordsAortic Aneurysm, ThoracicAortic DissectionAutopsyDiagnostic ErrorsEchocardiography, TransesophagealEmergency Medical ServicesEmergency MedicineFemaleHumansMaleMedical RecordsMiddle AgedMulticenter Studies as TopicMulti-Institutional SystemsOutcome Assessment, Health CareRetrospective StudiesTime FactorsTomography, X-Ray ComputedConceptsAortic dissectionCardiac ultrasoundEmergency departmentEmergency physiciansAscending aortic dissectionPrimary outcome measureFocus groupsNonspecific presentationED visitsSecondary outcomesAortic dilationMedian timeRetrospective reviewResuscitate statusMedical recordsThoracic aortaDeadly diagnosisOutcome measuresAutopsy reportsPatientsMisdiagnosis rateDissectionUltrasoundMortalityPhysiciansComparative Effectiveness Research: Alternatives to “Traditional” Computed Tomography Use in the Acute Care Setting
Moore CL, Broder J, Gunn ML, Bhargavan‐Chatfield M, Cody D, Cullison K, Daniels B, Gans B, Hall M, Gaines BA, Goldman S, Heil J, Liu R, Marin JR, Melnick ER, Novelline RA, Pare J, Repplinger MD, Taylor RA, Sodickson AD. Comparative Effectiveness Research: Alternatives to “Traditional” Computed Tomography Use in the Acute Care Setting. Academic Emergency Medicine 2015, 22: 1465-1473. PMID: 26576033, DOI: 10.1111/acem.12831.Peer-Reviewed Original ResearchConceptsAcute care settingCare settingsComputed tomography (CT) useCare of patientsAlternative diagnostic strategiesComputed tomography scanningEssential diagnostic toolTomography useCT useEmergency physiciansEmergency radiologistsComparative effectivenessTomography scanningDiagnostic strategiesDiagnostic toolDelphi techniqueSettingPatientsMedical physicistsPhysiciansCareCTIncidental Findings on CT for Suspected Renal Colic in Emergency Department Patients: Prevalence and Types in 5,383 Consecutive Examinations
Samim M, Goss S, Luty S, Weinreb J, Moore C. Incidental Findings on CT for Suspected Renal Colic in Emergency Department Patients: Prevalence and Types in 5,383 Consecutive Examinations. Journal Of The American College Of Radiology 2015, 12: 63-69. PMID: 25557571, DOI: 10.1016/j.jacr.2014.07.026.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAge DistributionAgedAged, 80 and overComorbidityConnecticutEmergency Medical ServicesEmergency Service, HospitalFemaleHumansIncidental FindingsLung DiseasesMaleMiddle AgedPelvic Inflammatory DiseasePrevalenceRenal ColicRisk AssessmentSex DistributionTomography, X-Ray ComputedUrolithiasisYoung AdultConceptsImportant incidental findingsNon-enhanced CT scansIncidental findingRenal colicEmergency departmentCT scanSuspected Renal ColicEmergency department patientsSubstantial inter-rater agreementSubset of reportsACR White PaperAdult patientsDepartment patientsRetrospective reviewProspective studyHigh prevalenceConsensus recommendationsInter-rater agreementConsecutive examinationsInter-rater variabilityOlder individualsColicPrevalencePatientsScans
2014
Radiation Dose Index of Renal Colic Protocol CT Studies in the United States: A Report from the American College of Radiology National Radiology Data Registry
Lukasiewicz A, Bhargavan-Chatfield M, Coombs L, Ghita M, Weinreb J, Gunabushanam G, Moore CL. Radiation Dose Index of Renal Colic Protocol CT Studies in the United States: A Report from the American College of Radiology National Radiology Data Registry. Radiology 2014, 271: 445-451. PMID: 24484064, PMCID: PMC5341688, DOI: 10.1148/radiol.14131601.Peer-Reviewed Original ResearchConceptsDose-length productDose indexRadiation dose indicesCT studiesMean dose-length productInstitutional review board approvalReview board approvalCT dose indexRenal colicMean ageSingle institutionCT examinationsAmerican CollegeData registryBoard approvalPatientsPatient habitusRegistryCTSpearman correlationUnited StatesExamination typesDescriptive statisticsInstitutional-level factorsIndex
2013
Prevalence and Clinical Importance of Alternative Causes of Symptoms Using a Renal Colic Computed Tomography Protocol in Patients With Flank or Back Pain and Absence of Pyuria
Moore CL, Daniels B, Singh D, Luty S, Molinaro A. Prevalence and Clinical Importance of Alternative Causes of Symptoms Using a Renal Colic Computed Tomography Protocol in Patients With Flank or Back Pain and Absence of Pyuria. Academic Emergency Medicine 2013, 20: 470-478. PMID: 23672361, DOI: 10.1111/acem.12127.Peer-Reviewed Original ResearchConceptsCause of symptomsAbsence of pyuriaCause of painBack painUreteral stonesRecord reviewUrine infectionEmergency departmentClinical importanceUnimportant causeKidney stonesAlternative causesRetrospective observational analysisComputed tomography protocolPain protocolAdult patientsPatient's symptomsClassic symptomsCT scanStone diagnosisAlternate causePainPatientsSymptomsPyuria
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
2011
Atraumatic headache in US emergency departments: recent trends in CT/MRI utilisation and factors associated with severe intracranial pathology
Gilbert JW, Johnson KM, Larkin GL, Moore CL. Atraumatic headache in US emergency departments: recent trends in CT/MRI utilisation and factors associated with severe intracranial pathology. Emergency Medicine Journal 2011, 29: 576. PMID: 21856709, DOI: 10.1136/emermed-2011-200088.Peer-Reviewed Original ResearchConceptsAtraumatic headacheCT/MRIIntracranial pathologyBlood pressureNational Hospital Ambulatory Medical Care SurveyAmbulatory Medical Care SurveyHeadache-related visitsPercentage of patientsDiastolic blood pressureEmergency department visitsSystolic blood pressureUS emergency departmentsSignificant intracranial pathologyLength of staySevere intracranial pathologyICP diagnosisClinical decision supportDepartment visitsNeurological weaknessEmergency departmentCare SurveyMotor functionEmergency careHeadachePatients
2009
Potential Impact of Adjusting the Threshold of the Quantitative D‐dimer Based on Pretest Probability of Acute Pulmonary Embolism
Kabrhel C, Courtney D, Camargo CA, Moore CL, Richman PB, Plewa MC, Nordenholtz KE, Smithline HA, Beam DM, Brown MD, Kline JA. Potential Impact of Adjusting the Threshold of the Quantitative D‐dimer Based on Pretest Probability of Acute Pulmonary Embolism. Academic Emergency Medicine 2009, 16: 325-332. PMID: 19298619, DOI: 10.1111/j.1553-2712.2009.00368.x.Peer-Reviewed Original ResearchConceptsNegative predictive valuePulmonary embolismD-dimer testingQuantitative D-dimerPretest probabilityD-dimerVenous thromboembolismQuantitative D-dimer testingPossible pulmonary embolismAcute pulmonary embolismObservational multicenter studyMajority of patientsEmergency department patientsIntermediate pretest probabilityEmergency medicine cliniciansD-dimer cutoffHigh pretest probabilityDifferent D-dimer assaysD-dimer assayEligible patientsDepartment patientsMulticenter studyMedicine cliniciansUnstructured estimatePatientsRisk of Thromboembolism Varies, Depending on Category of Immobility in Outpatients
Beam DM, Courtney DM, Kabrhel C, Moore CL, Richman PB, Kline JA. Risk of Thromboembolism Varies, Depending on Category of Immobility in Outpatients. Annals Of Emergency Medicine 2009, 54: 147-152. PMID: 19135280, DOI: 10.1016/j.annemergmed.2008.10.033.Peer-Reviewed Original ResearchConceptsVenous thromboembolismOdds ratioSymptomatic ED patientsPrevious venous thromboembolismEmergency department patientsSignificant risk factorsLongitudinal outcome studyPositive imaging resultsCause of immobilityActive malignancyLimb immobilityNeurologic paralysisRecent surgeryDepartment patientsClinical featuresED patientsRisk factorsThromboembolismLarge cohortPresence of limbsOutcome studiesUnilateral legPatientsTypes of immobilityMultivariate analysis
2008
Prevalence of abnormal CT findings in patients with proven ovarian torsion and a proposed triage schema
Moore C, Meyers AB, Capotasto J, Bokhari J. Prevalence of abnormal CT findings in patients with proven ovarian torsion and a proposed triage schema. Emergency Radiology 2008, 16: 115-120. PMID: 18679730, DOI: 10.1007/s10140-008-0754-x.Peer-Reviewed Original ResearchConceptsOvarian torsionComputed tomographyPelvic painCT findingsAbnormal pelvic findingsAbnormal CT findingsPelvic findingsRetrospective reviewOvarian cystsInvolved ovariesAdnexal massesCT reportsCT scanAvailable CT imagesFurther evaluationRadiologist reviewPatientsWomenPainOvariesTriage schemaCT imagesFindingsReportReviewProspective multicenter evaluation of the pulmonary embolism rule‐out criteria
KLINE JA, COURTNEY DM, KABRHEL C, MOORE CL, SMITHLINE HA, PLEWA MC, RICHMAN PB, O'NEIL BJ, NORDENHOLZ K. Prospective multicenter evaluation of the pulmonary embolism rule‐out criteria. Journal Of Thrombosis And Haemostasis 2008, 6: 772-780. PMID: 18318689, DOI: 10.1111/j.1538-7836.2008.02944.x.Peer-Reviewed Original ResearchConceptsPulmonary embolismLow suspicionGestalt estimateLow-risk patientsPulmonary Embolism RuleProspective multicenter evaluationPretest probability estimatesPost-test probabilityChest painChief complaintEmergency departmentMAIN OUTCOMEMulticenter evaluationPatientsFalse negative rateDiagnostic testsSuspicionOutpatientsCliniciansTest ordersDeathData formInitial testingDaysDyspneaAssessing the utility of ultrasound in Liberia
Kotlyar S, Moore CL. Assessing the utility of ultrasound in Liberia. Journal Of Emergencies Trauma And Shock 2008, 1: 10-14. PMID: 19561936, PMCID: PMC2700563, DOI: 10.4103/0974-2700.41785.Peer-Reviewed Original ResearchCurvilinear probeRight upper quadrantManagement of obstetricUtility of ultrasoundObstetrics/gynecologyConsecutive patientsUpper quadrantProspective dataDisease spectrumAverage ageFocused assessmentUltrasound useIntrathoracic fluidAbdominal processesPatientsGynecologic studiesUS indicationObstetricsSaharan AfricaMost needPrimary roleSonographyGynecologyManagementOB
2007
Diagnosis and Guided Reduction of Forearm Fractures in Children Using Bedside Ultrasound
Chen L, Kim Y, Moore CL. Diagnosis and Guided Reduction of Forearm Fractures in Children Using Bedside Ultrasound. Pediatric Emergency Care 2007, 23: 528-531. PMID: 17726410, DOI: 10.1097/pec.0b013e318128f85d.Peer-Reviewed Original ResearchConceptsPediatric emergency medicine physiciansForearm fracturesEmergency medicine physiciansBedside ultrasoundMedicine physiciansUltrasound-guided reductionUrban pediatric EDInitial success ratePediatric EDPostreduction radiographsRadiograph findingsCommon injuriesUltrasound findingsUltrasound guidanceForearm bonesUltrasound diagnosisPatientsStudy periodDiagnosisUltrasoundSuccess rateUltrasound unitFluoroscopy unitChildrenRadiographs
2004
Ultrasound in pregnancy
Moore C, Promes SB. Ultrasound in pregnancy. Emergency Medicine Clinics Of North America 2004, 22: 697-722. PMID: 15301847, DOI: 10.1016/j.emc.2004.04.005.Peer-Reviewed Original Research