Featured Publications
Association of a Geriatric Emergency Department Innovation Program With Cost Outcomes Among Medicare Beneficiaries
Hwang U, Dresden SM, Vargas-Torres C, Kang R, Garrido MM, Loo G, Sze J, Cruz D, Richardson LD, Adams J, Aldeen A, Baumlin KM, Courtney DM, Gravenor S, Grudzen CR, Nimo G, Zhu CW, Abraham G, Amoko C, Genes N, Morano B, Nassisi D, Ortiz J, Rivera-Reyes L, Sanon M, Shapiro J, Winkel G, Malik S, Rosenberg M, Christensen M, Karounos M, Schultz R, Sumberg D. Association of a Geriatric Emergency Department Innovation Program With Cost Outcomes Among Medicare Beneficiaries. JAMA Network Open 2021, 4: e2037334. PMID: 33646311, PMCID: PMC7921898, DOI: 10.1001/jamanetworkopen.2020.37334.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overCost SavingsCross-Sectional StudiesEmergency Medical ServicesEmergency Service, HospitalFee-for-Service PlansGeriatric AssessmentHealth Services for the AgedHospital CostsHospitalsHumansMedicarePatient CareReferral and ConsultationSocial WorkTransitional CareUnited StatesConceptsTransitional care nursesFirst ED visitIndex ED visitED visitsMAIN OUTCOMEMedicare feeMedicare beneficiariesService beneficiariesEmergency department programComparison groupCross-sectional studyUnique Medicare beneficiariesLower Medicare expendituresMost patientsMean ageCare nursesVisit encountersCare programGeriatric treatmentCost outcomesPatient careMedicare expendituresHealth systemMean savingsPatients
2016
The effect of surgical consult in the treatment of abdominal pain in older adults in the ED
Roberts ES, Belland L, Rivera-Reyes L, Hwang U. The effect of surgical consult in the treatment of abdominal pain in older adults in the ED. The American Journal Of Emergency Medicine 2016, 34: 1524-1527. PMID: 27241564, PMCID: PMC5027841, DOI: 10.1016/j.ajem.2016.05.010.Peer-Reviewed Original ResearchMeSH KeywordsAbdominal PainAgedDiagnosis, DifferentialEmergency Service, HospitalFemaleHumansMalePain ManagementPain MeasurementProspective StudiesReferral and ConsultationSurgeonsConceptsPain score reductionScore reductionAbdominal painSurgical consultAnalgesic administrationAnalgesic medicationConsult patientsEmergency departmentOlder adultsAdministration of analgesicsProspective cohort studyEmergency Severity IndexRace/ethnicityDecreased administrationCohort studyOlder patientsSecondary data analysisPatientsPainAdministrationConsultsSeverity IndexAnalgesicsOpioidsMedications
2012
Characteristics of Emergency Department Patients Who Receive a Palliative Care Consultation
Grudzen CR, Hwang U, Cohen JA, Fischman M, Morrison RS. Characteristics of Emergency Department Patients Who Receive a Palliative Care Consultation. Journal Of Palliative Medicine 2012, 15: 396-399. PMID: 22468771, PMCID: PMC3391705, DOI: 10.1089/jpm.2011.0376.Peer-Reviewed Original ResearchConceptsPalliative care consultationEmergency departmentCare consultationsEmergency providersHospital stayPrimary palliative care skillsAcademic tertiary care hospitalUrban academic medical centerAdult ED patientsCharacteristics of patientsPalliative care skillsTertiary care hospitalPalliative care servicesPalliative care teamEmergency department patientsEmergency medicinePatient's hospital stayAcademic medical centerCare hospitalDepartment patientsED patientsPalliative careCare teamMedical CenterPalliative medicine
2011
Variations in Crowding and Ambulance Diversion in Nine Emergency Departments
Handel DA, Pines J, Aronsky D, Genes N, Ginde AA, Hackman J, Hilton JA, Hwang U, Kamali M, Powell E, Sattarian M, Fu R. Variations in Crowding and Ambulance Diversion in Nine Emergency Departments. Academic Emergency Medicine 2011, 18: 941-946. PMID: 21906203, DOI: 10.1111/j.1553-2712.2011.01149.x.Peer-Reviewed Original ResearchConceptsEmergency departmentED bedsAmbulance diversionED visitsOverall mean LOSAnnual ED censusPrimary outcome variablePrimary study aimPrimary predictor variableDaily ED visitsPercentage of daysMean LOSAcute treatmentMulticenter studyED censusSurrogate markerED crowdingStudy aimMean differenceOutcome variablesDichotomous variablesTotal numberVisitsDaysDiversionFactors associated with delays to emergency care for bowel obstruction
Hwang U, Aufses AH, Bickell NA. Factors associated with delays to emergency care for bowel obstruction. The American Journal Of Surgery 2011, 202: 1-7. PMID: 21632032, DOI: 10.1016/j.amjsurg.2010.05.003.Peer-Reviewed Original ResearchConceptsSmall bowel obstructionFirst treatmentBowel obstructionSurgical resectionTertiary care medical centerEmergency department patientsPatient-related characteristicsHospital factorsIntestinal obstructionDepartment patientsED patientsRetrospective studyMedical recordsAdministrative databasesHospital careMedical CenterEmergency careGreater oddsPatientsObstructionResectionTreatmentCareEDFactors