2024
COVID‐19 Infection Is Associated With Poor Outcomes in Patients With Intracerebral Hemorrhage
Renedo D, Leasure A, Young R, Rivier C, Alhanti B, Mac Grory B, Messe S, Reeves M, Hassan A, Schwamm L, de Havenon A, Matouk C, Sheth K, Falcone G. COVID‐19 Infection Is Associated With Poor Outcomes in Patients With Intracerebral Hemorrhage. Journal Of The American Heart Association 2024, 13: e030999. PMID: 38293940, PMCID: PMC11056169, DOI: 10.1161/jaha.123.030999.Peer-Reviewed Original ResearchConceptsOdds of poor outcomeIntracerebral hemorrhageCOVID-19 infectionPoor outcomeHealth care deliverySkilled nursing facilityMultivariate analysisOdds of mortalityConcomitant COVID-19 infectionAssociated with poor outcomesCare deliveryNursing facilitiesPoor functional outcomeCOVID-19OddsICH outcomeImpact of COVID-19No significant differenceObservational studyHemorrhagic strokeWorsen outcomesPatient populationFunctional outcomesStroke dataPatients
2023
Variation in patterns of telestroke usage during the COVID-19 pandemic
Nakamoto C, Wilcock A, Schwamm L, Zachrison K, Uscher-Pines L, Mehrotra A. Variation in patterns of telestroke usage during the COVID-19 pandemic. Journal Of Stroke And Cerebrovascular Diseases 2023, 32: 107036. PMID: 36791674, PMCID: PMC9899774, DOI: 10.1016/j.jstrokecerebrovasdis.2023.107036.Peer-Reviewed Original Research
2022
Crossing the Virtual Chasm: Practical Considerations for Rethinking Curriculum, Competency, and Culture in the Virtual Care Era
Bolster M, Chandra S, Demaerschalk B, Esper C, Genkins J, Hayden E, Tan-McGrory A, Schwamm L, Group F. Crossing the Virtual Chasm: Practical Considerations for Rethinking Curriculum, Competency, and Culture in the Virtual Care Era. Academic Medicine 2022, 97: 839-846. PMID: 35263303, DOI: 10.1097/acm.0000000000004660.Peer-Reviewed Original ResearchConceptsVirtual care environmentsLearning environmentRelated learning environmentsEducational toolCommunication skillsPhysical examination techniquesCore competenciesCurriculumWebside mannerCOVID-19 pandemicDemonstration of empathyCompetenciesPurposeful approachCare environmentEducatorsLearnersFoundational elementsPatient encountersDelivery modelAssessment toolVirtual environmentAssessment methodsDeliberate stepsOpportunitiesPandemicLegislation Increased Medicare Telestroke Billing, But Underbilling And Erroneous Billing Remain Common
Wilcock A, Schwamm L, Zubizarreta J, Zachrison K, Uscher-Pines L, Majersik J, Richard J, Mehrotra A. Legislation Increased Medicare Telestroke Billing, But Underbilling And Erroneous Billing Remain Common. Health Affairs 2022, 41: 350-359. PMID: 35254931, PMCID: PMC9188431, DOI: 10.1377/hlthaff.2021.00791.Peer-Reviewed Original ResearchAddressing virtual care disparities for patients with limited English proficiency.
Tan-McGrory A, Schwamm L, Kirwan C, Betancourt J, Barreto E. Addressing virtual care disparities for patients with limited English proficiency. The American Journal Of Managed Care 2022, 28: 36-40. PMID: 35049259, DOI: 10.37765/ajmc.2022.88814.Peer-Reviewed Original ResearchConceptsVirtual platformPrivacy concernsSoftware interfacePrivacy regulationsVirtual visitsMultiple languagesThird partyPlatformPatient portalsUse of tabletsVirtual careVideoconferencing platformTechnologyInterpretersComputerAccessPhonesPortalScriptsLanguageHealth care organizationsPortal enrollmentInterfaceRolloutApplications
2021
Changes in Virtual and In-Person Health Care Utilization in a Large Health System During the COVID-19 Pandemic
Zachrison K, Yan Z, Schwamm L. Changes in Virtual and In-Person Health Care Utilization in a Large Health System During the COVID-19 Pandemic. JAMA Network Open 2021, 4: e2129973. PMID: 34705016, PMCID: PMC8552053, DOI: 10.1001/jamanetworkopen.2021.29973.Peer-Reviewed Original ResearchNational Trends in Telestroke Utilization in a US Commercial Platform Prior to the COVID-19 Pandemic
Zachrison KS, Sharma R, Wang Y, Mehrotra A, Schwamm LH. National Trends in Telestroke Utilization in a US Commercial Platform Prior to the COVID-19 Pandemic. Journal Of Stroke And Cerebrovascular Diseases 2021, 30: 106035. PMID: 34419836, PMCID: PMC8494566, DOI: 10.1016/j.jstrokecerebrovasdis.2021.106035.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overCOVID-19Databases, FactualFemaleFibrinolytic AgentsHumansMaleMiddle AgedPractice Patterns, Physicians'Quality ImprovementQuality Indicators, Health CareRemote ConsultationStrokeThrombolytic TherapyTime FactorsTime-to-TreatmentTissue Plasminogen ActivatorTreatment OutcomeUnited StatesConceptsIschemic stroke patientsTelestroke consultationAlteplase deliveryStroke patientsNumber of patientsNumber of consultsCOVID-19 public health emergencyPublic health emergencyAlteplase useMedian doorNeedle timeStroke severityED arrivalEmergency departmentImaging reviewHospital characteristicsTelestroke networkCT scanHospital participationSpoke sitesProvider groupsPatientsHospital sizeStudy periodHealth emergencyTreatment and Outcomes of Patients With Ischemic Stroke During COVID-19
Srivastava P, Zhang S, Xian Y, Xu H, Rutan C, Alger H, Walchok J, Williams J, de Lemos J, Decker-Palmer M, Alhanti B, Elkind M, Messé S, Smith E, Schwamm L, Fonarow G. Treatment and Outcomes of Patients With Ischemic Stroke During COVID-19. Stroke 2021, 52: 3225-3232. PMID: 34192897, PMCID: PMC8478095, DOI: 10.1161/strokeaha.120.034414.Peer-Reviewed Original ResearchRising to the challenges of the pandemic: Telehealth innovations in U.S. emergency departments
Uscher-Pines L, Sousa J, Mehrotra A, Schwamm L, Zachrison K. Rising to the challenges of the pandemic: Telehealth innovations in U.S. emergency departments. Journal Of The American Medical Informatics Association 2021, 28: 1910-1918. PMID: 34022045, PMCID: PMC8194856, DOI: 10.1093/jamia/ocab092.Peer-Reviewed Original ResearchConceptsEmergency departmentTelehealth programED leadersU.S. emergency departmentsCoronavirus disease 2019 (COVID-19) pandemicDisease 2019 pandemicPersonal protective equipmentTelehealth applicationsPostdischarge assessmentsAcute careVirus exposureVisit volumeOngoing COVID-19Telehealth implementationTele-triageMaximum variation samplingProtective equipmentTelehealth innovationCOVID-19Tele-consultationCOVID-19 pandemicImplementation supportCarePandemicLiterature reviewPatient characteristics associated with the successful transition to virtual care: Lessons learned from the first million patients
Zachrison K, Yan Z, Sequist T, Licurse A, Tan-McGrory A, Erskine A, Schwamm L. Patient characteristics associated with the successful transition to virtual care: Lessons learned from the first million patients. Journal Of Telemedicine And Telecare 2021, 29: 621-631. PMID: 34120506, DOI: 10.1177/1357633x211015547.Peer-Reviewed Original ResearchConceptsVirtual participantsVirtual participationBehavioral health visitsVirtual carePatient characteristicsHealth visitsInternet accessElectronic health record dataVideoNon-Hispanic black raceLarge integrated health systemHealth record dataAmbulatory care patientsIntegrated health systemVisit frequencyUse of telehealthOutcomes of interestPatient portalsAmbulatory visitsCare patientsBlack raceVisit typeVulnerable patientsCOVID patientsLimited English proficiencyAn Update From the American Stroke Association and the Stroke Council
Schwamm L, Panagos P, Mohl S. An Update From the American Stroke Association and the Stroke Council. Stroke 2021, 52: e269-e271. PMID: 33980043, DOI: 10.1161/strokeaha.121.034827.Peer-Reviewed Original ResearchReport of National Brain Tumor Society roundtable workshop on innovating brain tumor clinical trials: building on lessons learned from COVID-19 experience
Lee E, Selig W, Meehan C, Bacha J, Barone A, Bloomquist E, Chang S, de Groot J, Galanis E, Hassan I, Kalidas C, Khasraw M, Kvedar J, Lassman A, Puduvalli V, Sahebjam S, Schwamm L, Tamir S, Welch M, Yung W, Zadeh G, Arons D, Wen P. Report of National Brain Tumor Society roundtable workshop on innovating brain tumor clinical trials: building on lessons learned from COVID-19 experience. Neuro-Oncology 2021, 23: 1252-1260. PMID: 33822177, PMCID: PMC8083574, DOI: 10.1093/neuonc/noab082.Peer-Reviewed Original ResearchConceptsTumor clinical trialsBrain tumor clinical trialsClinical trialsNational Brain Tumor SocietyCOVID-19 experienceClinical trial designUse of telemedicineNational Cancer InstituteCommunity cliniciansBrain tumor communityNeuro-oncologyTrial designCancer InstituteUS FoodDrug AdministrationPatient advocatesClinical research organizationsTrialsCOVID-19Potential long-term impactLong-term impactReportPatientsCliniciansAdministrationAcute Ischemic Stroke in Patients With COVID-19
Srivastava P, Zhang S, Xian Y, Xu H, Rutan C, Alger H, Walchok J, Williams J, de Lemos J, Decker-Palmer M, Alhanti B, Elkind M, Messé S, Smith E, Schwamm L, Fonarow G. Acute Ischemic Stroke in Patients With COVID-19. Stroke 2021, 52: 1826-1829. PMID: 33728926, DOI: 10.1161/strokeaha.121.034301.Peer-Reviewed Original ResearchRegional Changes in Patterns of Stroke Presentation During the COVID-19 Pandemic
Etherton M, Zachrison K, Yan Z, Sveikata L, Bretzner M, Estrada J, Viswanathan A, Singhal A, Schwamm L. Regional Changes in Patterns of Stroke Presentation During the COVID-19 Pandemic. Stroke 2021, 52: 1398-1406. PMID: 33588592, PMCID: PMC8992369, DOI: 10.1161/strokeaha.120.031300.Peer-Reviewed Original Research
2020
Advances in Stroke
Silva G, Schwamm L. Advances in Stroke. Stroke 2020, 52: 351-355. PMID: 33349024, DOI: 10.1161/strokeaha.120.033239.Peer-Reviewed Original ResearchDigital triage: Novel strategies for population health management in response to the COVID-19 pandemic
Lai L, Wittbold K, Dadabhoy F, Sato R, Landman A, Schwamm L, He S, Patel R, Wei N, Zuccotti G, Lennes I, Medina D, Sequist T, Bomba G, Keschner Y, Zhang H. Digital triage: Novel strategies for population health management in response to the COVID-19 pandemic. Healthcare 2020, 8: 100493. PMID: 33129176, PMCID: PMC7586929, DOI: 10.1016/j.hjdsi.2020.100493.Peer-Reviewed Original ResearchConceptsPre-hospital triagePotential viral transmissionHealthcare system capacityPopulation health managementCOVID-19 pandemicEmergency departmentCOVID-19 casesAppropriate careU.S. healthcare systemClinical staffViral transmissionPatient demandPartners HealthCareHealthcare systemCOVID-19PatientsCareNovel strategyHealth managementArtificial intelligenceHospitalizationPandemicUnique challengesClinicCliniciansVirtual care: new models of caring for our patients and workforce
Schwamm L, Estrada J, Erskine A, Licurse A. Virtual care: new models of caring for our patients and workforce. The Lancet Digital Health 2020, 2: e282-e285. PMID: 32382724, PMCID: PMC7202848, DOI: 10.1016/s2589-7500(20)30104-7.Peer-Reviewed Original Research