2023
Automatable end‐of‐life screening for older adults in the emergency department using electronic health records
Haimovich A, Xu W, Wei A, Schonberg M, Hwang U, Taylor R. Automatable end‐of‐life screening for older adults in the emergency department using electronic health records. Journal Of The American Geriatrics Society 2023, 71: 1829-1839. PMID: 36744550, PMCID: PMC10258151, DOI: 10.1111/jgs.18262.Peer-Reviewed Original ResearchConceptsAdvance care planningDecision curve analysisLife screeningComorbidity indexCode statusPrognostic modelHealth systemOlder adultsCurve analysisOlder ED patientsPalliative care interventionsObservational cohort studyEmergency department visitsPalliative care servicesElixhauser Comorbidity IndexReceiver-operating characteristic curveIdentification of patientsMultivariable logistic regressionLarge regional health systemLife-limiting illnessRisk older adultsCode status ordersLife Screening ToolMortality predictive modelsElectronic health records
2021
Reach and Adoption of a Geriatric Emergency Department Accreditation Program in the United States
Kennedy M, Lesser A, Israni J, Liu SW, Santangelo I, Tidwell N, Southerland LT, Carpenter CR, Biese K, Ahmad S, Hwang U. Reach and Adoption of a Geriatric Emergency Department Accreditation Program in the United States. Annals Of Emergency Medicine 2021, 79: 367-373. PMID: 34389196, PMCID: PMC10015385, DOI: 10.1016/j.annemergmed.2021.06.013.Peer-Reviewed Original ResearchMeSH KeywordsAccreditationAgedCohort StudiesEmergency Service, HospitalHumansRural PopulationUnited StatesConceptsGeriatric Emergency DepartmentEmergency departmentCare processesUrinary catheter useUS emergency departmentsHealth care utilizationPatient-oriented outcomesAccreditation programCatheter useCare utilizationEmergency physiciansAmerican CollegeRural designationStudy periodInterquartile rangeSignificant heterogeneityPotential needContinuous dataLow levelsLevel 1Level 2CohortPhysiciansPrevention
2016
A Multicenter Evaluation of Emergency Department Pain Care Across Different Types of Fractures
Siddiqui A, Belland L, Rivera-Reyes L, Handel D, Yadav K, Heard K, Eisenberg A, Khelemsky Y, Hwang U. A Multicenter Evaluation of Emergency Department Pain Care Across Different Types of Fractures. Pain Medicine 2016, 18: 41-48. PMID: 27245631, PMCID: PMC5283699, DOI: 10.1093/pm/pnw072.Peer-Reviewed Original ResearchConceptsPain careEmergency departmentType of fractureFracture typeOlder patientsBaseline pain scoresRetrospective cohort studyLong bone fracturesOpioid doseAnalgesic administrationAnalgesic usePain scoresCohort studyTriage acuityFinal diagnosisSubgroup analysisMulticenter evaluationED crowdingPatientsBone fracturesSecondary analysisAge-based differencesCareProcess outcomesGreater likelihood
2015
A Multicenter Evaluation of the Impact of Sex on Abdominal and Fracture Pain Care
Siddiqui A, Belland L, Rivera-Reyes L, Handel D, Yadav K, Heard K, Eisenberg A, Hwang U. A Multicenter Evaluation of the Impact of Sex on Abdominal and Fracture Pain Care. Medical Care 2015, 53: 948-953. PMID: 26465122, PMCID: PMC4610254, DOI: 10.1097/mlr.0000000000000430.Peer-Reviewed Original ResearchConceptsAbdominal painAnalgesic administrationPain careMulticenter evaluationFinal ED diagnosisInitial pain scoreSingle pain conditionRetrospective cohort reviewType of painSex-based disparitiesImpact of sexPain scoresCohort reviewED visitsSecondary outcomesPain conditionsPrimary outcomeMulticenter studyTriage acuityED diagnosisMultivariable modelMedication ordersSex disparitiesCare outcomesED crowding
2011
Factors 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
2010
The Quality of Emergency Department Pain Care for Older Adult Patients
Hwang U, Richardson LD, Harris B, Morrison RS. The Quality of Emergency Department Pain Care for Older Adult Patients. Journal Of The American Geriatrics Society 2010, 58: 2122-2128. PMID: 21054293, PMCID: PMC3058876, DOI: 10.1111/j.1532-5415.2010.03152.x.Peer-Reviewed Original ResearchConceptsED pain carePain assessmentPain carePain scoresAdult patientsOlder patientsAcademic tertiary care EDYoung adultsFinal ED diagnosisRetrospective observational cohortTertiary care EDCharlson comorbidity scoreDegree of painOlder adult patientsLess opioid useCare process measuresAnalgesic medicationComorbidity scoreMild painED visitsObservational cohortOpioid useYounger patientsOpioid analgesicsPrior medication
2008
The Effect of Emergency Department Crowding on Clinically Oriented Outcomes
Bernstein SL, Aronsky D, Duseja R, Epstein S, Handel D, Hwang U, McCarthy M, McConnell K, Pines JM, Rathlev N, Schafermeyer R, Zwemer F, Schull M, Asplin BR, Medicine E. The Effect of Emergency Department Crowding on Clinically Oriented Outcomes. Academic Emergency Medicine 2008, 16: 1-10. PMID: 19007346, DOI: 10.1111/j.1553-2712.2008.00295.x.Peer-Reviewed Original ResearchConceptsDomains of qualityEmergency departmentED crowdingEffect of EDST-elevation myocardial infarctionTime-sensitive conditionsObjective clinical endpointsEnglish-language literatureEmergency department (ED) crowdingHospital mortalityAcute painCohort studyCase seriesMyocardial infarctionPatient satisfactionSingle institutionClinical endpointsClinical trialsStudy qualityMedical adviceMedicine reportMedical literaturePatientsCareBody of data