2019
Analgesic prescribing trends in a national sample of older veterans with osteoarthritis
Trentalange M, Runels T, Bean A, Kerns RD, Bair MJ, Brody AA, Brandt CA, Hwang U. Analgesic prescribing trends in a national sample of older veterans with osteoarthritis. Pain 2019, Publish Ahead of Print: &na;. PMID: 30913167, PMCID: PMC9486693, DOI: 10.1097/j.pain.0000000000001509.Peer-Reviewed Original ResearchConceptsPain intensity ratingsAnalgesic prescriptionPrescribing trendsOlder veteransIntensity ratingsNonopioid analgesic prescribingPatterns of opioidPre-post observational studyReported pain intensityInterrupted time seriesOlder U.S. veteransAcetaminophen prescriptionsAnalgesic classTotal prescribingAnalgesic prescribingOpioid prescribingPain intensityDrug prescribingObservational studyPrescribingU.S. veteransPrescribing programmeOsteoarthritisStudy periodBinomial regression models
2018
Geriatric Emergency Department Innovations: Transitional Care Nurses and Hospital Use
Hwang U, Dresden SM, Rosenberg MS, Garrido MM, Loo G, Sze J, Gravenor S, Courtney DM, Kang R, Zhu CW, Vargas‐Torres C, Grudzen CR, Richardson LD, Investigators T. Geriatric Emergency Department Innovations: Transitional Care Nurses and Hospital Use. Journal Of The American Geriatrics Society 2018, 66: 459-466. PMID: 29318583, PMCID: PMC6764445, DOI: 10.1111/jgs.15235.Peer-Reviewed Original ResearchConceptsTransitional care nursesIndex ED visitED revisitsED visitsCare nursesInpatient admissionsHospital useProspective observational cohortU.S. EDsClinical characteristicsObservational cohortSecondary outcomesPrimary outcomeEmergency departmentObserved selection biasLower riskAdmissionCare staffGreater riskStudy periodRiskOutcomesSelection biasNursesVisits
2017
Bouncing Back Elsewhere: Multilevel Analysis of Return Visits to the Same or a Different Hospital After Initial Emergency Department Presentation
Shy BD, Loo GT, Lowry T, Kim EY, Hwang U, Richardson LD, Shapiro JS. Bouncing Back Elsewhere: Multilevel Analysis of Return Visits to the Same or a Different Hospital After Initial Emergency Department Presentation. Annals Of Emergency Medicine 2017, 71: 555-563.e1. PMID: 28967514, DOI: 10.1016/j.annemergmed.2017.08.023.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedAged, 80 and overChildChild, PreschoolEmergency Service, HospitalFemaleHealth Information ExchangeHumansInfantInfant, NewbornMaleMiddle AgedMultilevel AnalysisOdds RatioPatient ReadmissionQuality Assurance, Health CareQuality ImprovementRetrospective StudiesTime FactorsYoung AdultConceptsED visitsSame hospitalReturn visitsOdds ratioHealth information exchangeInitial emergency department presentationEmergency department return visitsInitial ED visitED return visitsInitial ED presentationEmergency department presentationsConfidence intervalsHospital-level dataEarly revisitsED presentationsInitial visitMale sexSecond HospitalStudy EDPatient visitsAcademic hospitalHospital variablesHealth information exchange networkDifferent hospitalsHospital
2016
Regional Nerve Blocks Improve Pain and Functional Outcomes in Hip Fracture: A Randomized Controlled Trial
Morrison RS, Dickman E, Hwang U, Akhtar S, Ferguson T, Huang J, Jeng CL, Nelson BP, Rosenblatt MA, Silverstein JH, Strayer RJ, Torrillo TM, Todd KH. Regional Nerve Blocks Improve Pain and Functional Outcomes in Hip Fracture: A Randomized Controlled Trial. Journal Of The American Geriatrics Society 2016, 64: 2433-2439. PMID: 27787895, PMCID: PMC5173407, DOI: 10.1111/jgs.14386.Peer-Reviewed Original ResearchConceptsContinuous fascia iliaca blockFascia iliaca blockOpioid side effectsFemoral nerve blockNerve blockRegional nerve blocksHip fractureIntervention participantsPOD 3Emergency physiciansSide effectsMorphine sulfate equivalentsPostoperative day 3Emergency department admissionsNew York HospitalStair climbing abilityConventional analgesicsPain scoresED presentationsStandard analgesicsControlled TrialsDepartment admissionsFunctional outcomeIntervention groupYork HospitalA 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 likelihoodThe musculoskeletal diagnosis cohort
Goulet JL, Kerns RD, Bair M, Becker W, Brennan P, Burgess DJ, Carroll CM, Dobscha S, Driscoll M, Fenton BT, Fraenkel L, Haskell S, Heapy A, Higgins D, Hoff RA, Hwang U, Justice AC, Piette JD, Sinnott P, Wandner L, Womack J, Brandt CA. The musculoskeletal diagnosis cohort. Pain 2016, 157: 1696-1703. PMID: 27023420, PMCID: PMC4949131, DOI: 10.1097/j.pain.0000000000000567.Peer-Reviewed Original ResearchConceptsMSD diagnosisMusculoskeletal disordersMSD cohortIndex dateVeterans Health Administration (VHA) careNumeric rating scale scoreICD-9-CM codesCohort inclusion criteriaNontraumatic joint disordersPain-related treatmentsMore outpatient visitsVeterans Health AdministrationMental health diagnosesRating Scale scoresHigher NRS scoresHealth services researchElectronic health recordsDiagnosis cohortSevere painInpatient visitsNRS scoresOutpatient visitsNeck disordersFirst diagnosisMean age
2015
Ultrasound-guided nerve blocks for intracapsular and extracapsular hip fractures
Dickman E, Pushkar I, Likourezos A, Todd K, Hwang U, Akhter S, Morrison S. Ultrasound-guided nerve blocks for intracapsular and extracapsular hip fractures. The American Journal Of Emergency Medicine 2015, 34: 586-589. PMID: 26809928, PMCID: PMC4799725, DOI: 10.1016/j.ajem.2015.12.016.Peer-Reviewed Original ResearchConceptsUltrasound-guided femoral nerve blockExtracapsular hip fracturesMean pain scoreFemoral nerve blockHip fracturePain scoresNerve blockPain reliefExtracapsular groupIntracapsular groupEmergency departmentUltrasound-guided nerve blocksSubgroup analysisClinical trialsExtracapsular hipAcademic hospitalPatientsSimilar reductionPainScoresReliefHoursFracturesGroupNew York City
2014
Is all pain is treated equally? A multicenter evaluation of acute pain care by age
Hwang U, Belland LK, Handel DA, Yadav K, Heard K, Rivera-Reyes L, Eisenberg A, Noble MJ, Mekala S, Valley M, Winkel G, Todd KH, Morrison R. Is all pain is treated equally? A multicenter evaluation of acute pain care by age. Pain 2014, 155: 2568-2574. PMID: 25244947, PMCID: PMC4250377, DOI: 10.1016/j.pain.2014.09.017.Peer-Reviewed Original ResearchConceptsAcute pain careFinal pain scoreOlder patientsYounger patientsPain carePain scoresCross-sectional observation studyType of painPatient-related characteristicsHealth care settingsFracture painAbdominal painPain medicationPain conditionsPain treatmentEmergency departmentCare treatmentCare settingsMulticenter evaluationPainPatientsOlder adultsCareAnalgesicsGreater reduction
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 medicationEmergency Department Patient Volume and Troponin Laboratory Turnaround Time
Hwang U, Baumlin K, Berman J, Chawla NK, Handel DA, Heard K, Livote E, Pines JM, Valley M, Yadav K. Emergency Department Patient Volume and Troponin Laboratory Turnaround Time. Academic Emergency Medicine 2010, 17: 501-507. PMID: 20536804, PMCID: PMC10570502, DOI: 10.1111/j.1553-2712.2010.00738.x.Peer-Reviewed Original ResearchConceptsED patient volumeLaboratory turnaround timePatient volumeTroponin testTertiary care EDRetrospective cohort reviewEmergency department visitsLength of stayEmergency department (ED) patient volumePrimary predictor variableNumber of boardersAdjusted covariatesAdult patientsCohort reviewDepartment visitsHospital-based laboratoriesPatient characteristicsAppropriate therapyIll patientsVolume measuresTurnaround timeSubstantial burdenTimely treatmentTriage severityED beds
2009
Disparities in use of computed tomography for patients presenting with headache
Harris B, Hwang U, Lee WS, Richardson LD. Disparities in use of computed tomography for patients presenting with headache. The American Journal Of Emergency Medicine 2009, 27: 333-336. PMID: 19328379, PMCID: PMC2757437, DOI: 10.1016/j.ajem.2008.03.041.Peer-Reviewed Original ResearchConceptsHead CTEmergency departmentPatient characteristics influencesPercent of patientsCommon presenting complaintRetrospective cohort reviewED medical recordsPatient demographic factorsHistory of migraineUrban emergency departmentCause of headacheDemographic factorsCharlson scoreAdult patientsCohort reviewED evaluationPresenting complaintChief complaintMultivariable analysisCT evaluationMean ageStudy eligibilityFinal diagnosisInsurance statusClinical evaluation
2008
Emergency Department Crowding and Decreased Quality of Pain Care
Hwang U, Richardson L, Livote E, Harris B, Spencer N, Morrison R. Emergency Department Crowding and Decreased Quality of Pain Care. Academic Emergency Medicine 2008, 15: 1248-1255. PMID: 18945239, PMCID: PMC2729811, DOI: 10.1111/j.1553-2712.2008.00267.x.Peer-Reviewed Original ResearchConceptsNumber of boardersPain careEmergency departmentPain assessmentED censusAnalgesic medicationTertiary care emergency departmentFinal ED diagnosisTotal ED censusRetrospective observational studyOutcomes of interestEmergency department (ED) crowdingAdult patientsChief complaintPainful conditionsCare measuresMedication administrationPatient visitsED diagnosisObservational studyED crowdingInpatient bedsPatientsMedication orderingPatient careWhat Affects Time to Care in Emergency Room Appendicitis Patients?
Bickell NA, Hwang U, Anderson RM, Rojas M, Barsky CL. What Affects Time to Care in Emergency Room Appendicitis Patients? Medical Care 2008, 46: 417-422. PMID: 18362822, DOI: 10.1097/mlr.0b013e31815c1e66.Peer-Reviewed Original ResearchConceptsEmergency departmentAppendicitis patientsED LOSQuicker careSurgeon's diagnosisPrivate insuranceRetrospective observational studyTreatment of patientsTime-sensitive conditionsNonwhite patientsED lengthPatient factorsSpecialist consultationED staffingObservational studyMinority patientsPatientsED characteristicsIll individualsPatient safetyDiagnosisED qualityAppendicitisGreater numberModest effect
2006
The Effect of Emergency Department Crowding on the Management of Pain in Older Adults with Hip Fracture
Hwang U, Richardson LD, Sonuyi TO, Morrison RS. The Effect of Emergency Department Crowding on the Management of Pain in Older Adults with Hip Fracture. Journal Of The American Geriatrics Society 2006, 54: 270-275. PMID: 16460378, DOI: 10.1111/j.1532-5415.2005.00587.x.Peer-Reviewed Original ResearchConceptsPain assessmentEmergency departmentHip fractureED censusRisk factorsOlder adultsPatient-related risk factorsUnderassessment of painProspective cohort studyTertiary medical centerManagement of painTreatment of painNursing home residencePoor pain managementEmergency department (ED) crowdingAcute PhysiologyAnalgesic administrationComorbidity scoreCohort studyPain managementPain treatmentPhysiological scoreRetrospective reviewMean ageMeperidine use
2005
Reasons for Using the Emergency Department: Results of the EMPATH Study
Ragin DF, Hwang U, Cydulka RK, Holson D, Haley LL, Richards CF, Becker BM, Richardson LD, Investigators T. Reasons for Using the Emergency Department: Results of the EMPATH Study. Academic Emergency Medicine 2005, 12: 1158-1166. PMID: 16282515, DOI: 10.1197/j.aem.2005.06.030.Peer-Reviewed Original ResearchConceptsEmergency departmentChart reviewPatients' reasonsHospital emergency departmentSource of careAdult patientsED carePatient interviewsHospital characteristicsObservational studyPatient accessLevel of agreementMedical necessityU.S. hospitalsCarePatientsAfrican AmericansLack of accessStructured interviewsInsurance dataPrincipal reasonEthnic groupsExploratory analysisLast resortDepartment