Ula Hwang, MD, MPH
Professor Adjunct of Emergency MedicineCards
About
Research
Overview
Medical Research Interests
Geriatrics
Publications
Featured Publications
Detecting Cognitive Impairment and Dementia in the Emergency Department: A Scoping Review
Nowroozpoor A, Dussetschleger J, Perry W, Sano M, Aloysi A, Belleville M, Brackett A, Hirshon JM, Hung W, Moccia JM, Ohuabunwa U, Shah MN, Hwang U, Network G, Aggarwal N, Bellolio M, Betz M, Biese K, Brandt C, Bruursema S, Carnahan R, Carpenter C, Carr D, Chin-Hansen J, Daven M, Degesys N, Dresden S, Ellenbogen M, Falvey J, Foster B, Gettel C, Gilmore-Bykovskyi A, Goldberg E, Han J, Hardy J, Hastings S, Hogan T, Isaacs E, Jaspal N, Johnson J, Kelly K, Kennedy M, Kind A, Malone M, Moreno M, Morrow-Howell N, Oiyemhonlan B, Resendez J, Rising K, Savage B, Suyama J, Swartzberg J, Tolia V, Vann A, Webb T, Weintraub S. Detecting Cognitive Impairment and Dementia in the Emergency Department: A Scoping Review. Journal Of The American Medical Directors Association 2022, 23: 1314-1315.e55. PMID: 35940682, PMCID: PMC10804640, DOI: 10.1016/j.jamda.2022.03.019.Peer-Reviewed Original ResearchConceptsSix-Item ScreenerEmergency departmentCognitive impairmentED settingConsensus conferenceScoping ReviewHigh negative predictive valueAdult ED patientsNegative predictive valueMedical research databasesOttawa 3DYSystematic scoping reviewED patientsResearch funding prioritiesClinical careResearch DatabasePredictive valueCare partnersResearch prioritiesDementiaImpairmentConsensus processPractice gapTask ForceFuture research prioritiesAdapting Emergency Care for Persons Living With Dementia: Results of the Geriatric Emergency Care Applied Research Network Scoping Review and Consensus Conference
Carpenter CR, Dresden SM, Shah MN, Hwang U. Adapting Emergency Care for Persons Living With Dementia: Results of the Geriatric Emergency Care Applied Research Network Scoping Review and Consensus Conference. Journal Of The American Medical Directors Association 2022, 23: 1286-1287. PMID: 35940679, DOI: 10.1016/j.jamda.2022.05.016.Peer-Reviewed Original ResearchThe Geriatric Emergency Care Applied Research (GEAR) network approach: a protocol to advance stakeholder consensus and research priorities in geriatrics and dementia care in the emergency department
Hwang U, Carpenter C, Dresden S, Dussetschleger J, Gifford A, Hoang L, Leggett J, Nowroozpoor A, Taylor Z, Shah M, Bellolio M, Biese K, Binkley C, Bott N, Brody A, Carpenter C, Clark S, Dresden S, Forester S, Gettel C, Goldberg E, Greenberg A, Hammouda N, Han J, Hastings N, Hogan T, Hung W, Hwang U, Kayser J, Kennedy M, Ko K, Lesser A, Linton E, Liu S, Malsch A, Melady C, Morrow-Howell N, Nassisi D, Nerbonne L, Nyamu S, Ohuabunwa U, Platts-Mills T, Ragsdale L, Richardson L, Ringer T, Rosen A, Rosenberg M, Shah M, Skains R, Skees S, Souffront K, Stabler L, Sullivan C, Suyama J, Vargas S, Vaughan E, Voils C, Wei D, Allore H, Aloysi A, Belleville M, Bellolio M, Betz M, Biese K, Brandt C, Carnahan R, Carr D, Chin-Hansen J, Daven M, Degesys N, Ellenbogen M, Escobedo M, Falvey J, Gill T, Gilmore-Bykovskyi A, Goldberg E, Han J, Hardy J, Hastings S, Hirshon J, Hogan T, Hung W, Isaacs E, Kelly K, Kennedy M, Kind A, Malicki C, Malone M, Marottoli R, Moccia M, Mor V, Morris J, Howell N, Nowroozpoor A, Ohuabunwa U, Oiyemhonlan B, Perry W, Raven M, Rising K, Sano M, Stabler L, Sullivan C, Suyama J, Swartzberg J, Tolia V, Vann A, Weintraub S, Zieman S, Dussetschleger J, Gifford A, Leggett J, Nowroozpoor A, Taylor Z. The Geriatric Emergency Care Applied Research (GEAR) network approach: a protocol to advance stakeholder consensus and research priorities in geriatrics and dementia care in the emergency department. BMJ Open 2022, 12: e060974. PMID: 35459682, PMCID: PMC9036447, DOI: 10.1136/bmjopen-2022-060974.Peer-Reviewed Original ResearchConceptsEmergency departmentOlder adultsEmergency careEmergency care needsGeriatric emergency carePriority topic areasPeer-reviewed journalsClinical gapsCare needsResearch prioritiesCare partnersConsensus workshopSystematic reviewHealthcare needsDementia careIntervention impactDissemination of findingsTrial evaluationCareImplementation scienceAdultsResearch NetworkReviewStandardised searchHuman subjects researchAssociation 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
2025
The PRO‐AGE Tool and Its Association With Post Discharge Outcomes in Older Adults Admitted From the Emergency Department
Cohen I, Curiati P, Morinaga C, Han L, Gandhi T, Araujo K, Avelino‐Silva T, Bianco L, Brandt C, Capelli S, Carpenter C, Cruz D, Dresden S, Fishman I, Gipson K, Gray E, Hastings S, Hung W, Kang R, Lockhart M, Meeker D, Ohuabunwa U, Ottilie‐Kovelman S, Platts‐Mills T, Sandoval J, Sifnugel N, Taylor Z, Tomasino D, Vaughan C, Aliberti M, Hwang U. The PRO‐AGE Tool and Its Association With Post Discharge Outcomes in Older Adults Admitted From the Emergency Department. Journal Of The American Geriatrics Society 2025 PMID: 39843218, DOI: 10.1111/jgs.19374.Peer-Reviewed Original ResearchActivities of daily livingEmergency departmentFunctional declineActivities of daily living disabilityInstrumental activities of daily livingRisk scorePro-agingPatients admitted to hospitalPost-discharge outcomesUnited StatesInstrumental ADLRisk of deathProportional hazards modelDaily livingAssociated with mortalityCharlson comorbidity scoreOlder adultsDischarge outcomesDecline outcomesDiverse populationsMultiple hospitalsComorbidity scoreHazards modelOlder patientsMulticenter observational studyAnti-Amyloid Therapies for Alzheimer’s Disease and Amyloid-Related Imaging Abnormalities: Implications for the Emergency Medicine Clinician
Rech M, Carpenter C, Aggarwal N, Hwang U. Anti-Amyloid Therapies for Alzheimer’s Disease and Amyloid-Related Imaging Abnormalities: Implications for the Emergency Medicine Clinician. Annals Of Emergency Medicine 2025 PMID: 39818674, DOI: 10.1016/j.annemergmed.2024.12.002.Peer-Reviewed Original ResearchEmergency medicine cliniciansAnti-amyloid therapiesCases of dementiaEmergency department visitsAlzheimer's diseaseDepartment visitsIschemic stroke patientsStroke patientsIncreased riskAlzheimer's disease progressionCliniciansRisk of adverse effectsAnti-amyloidDisease-modifying treatmentsAmyloid-relatedNeurodegenerative disordersImaging abnormalitiesAlzheimerAdverse effectsEmergencyDementiaAmyloid-related imaging abnormalities
2024
CARE TRANSITION EXPERIENCES OF HISPANIC PATIENTS WITH DEMENTIA FOLLOWING EMERGENCY DEPARTMENT DISCHARGE
Sandoval J, Brook J, Lien Z, Monin J, Gettel C, Hagaman A, Hwang U. CARE TRANSITION EXPERIENCES OF HISPANIC PATIENTS WITH DEMENTIA FOLLOWING EMERGENCY DEPARTMENT DISCHARGE. Innovation In Aging 2024, 8: 1193-1193. PMCID: PMC11692411, DOI: 10.1093/geroni/igae098.3820.Peer-Reviewed Original ResearchCare transition experiencesCare partnersEmergency departmentED transitionsCognitive impairmentExperience of careTransitions of carePost-discharge experiencesResearch team membersNon-English-speaking populationsDeductive-inductive approachTransition experiencesAccessibility of servicesSemi-structured interviewsCare coordinationCare transitionsDementia diagnosisDischarge careThematic saturationInadequate referralsOutpatient carePartner prioritiesQuality measurement frameworkHispanic patientsCareDaily care hours among older emergency department patients with dementia and undiagnosed cognitive impairment: a cross‐sectional study
Galske J, Chera T, Hwang U, Monin J, Venkatesh A, Lam K, Leggett A, Gettel C. Daily care hours among older emergency department patients with dementia and undiagnosed cognitive impairment: a cross‐sectional study. Alzheimer's & Dementia 2024, 20: e084065. PMCID: PMC11713880, DOI: 10.1002/alz.084065.Peer-Reviewed Original ResearchUndiagnosed cognitive impairmentDaily care hoursOlder ED patientsHours of careDiagnosing dementiaOlder adultsCare hoursInformal caregiversED patientsIntact cognitionEmergency careCaregivers of community-dwelling older adultsCognitive impairmentCaregivers of older adultsOlder emergency department patientsEmergency departmentCommunity-dwelling older adultsElectronic health recordsDiagnosis of dementiaIncreased emergency departmentCross-sectional studyCross-sectional analysisEmergency department patientsDegree of cognitive impairmentSupport caregiversCognitive screening in the emergency department: Agreement between the patient‐ and caregiver‐completed AD8
Galske J, Sather A, Chera T, Hwang U, Carpenter C, Gettel C. Cognitive screening in the emergency department: Agreement between the patient‐ and caregiver‐completed AD8. Alzheimer's & Dementia 2024, 20: e087105. PMCID: PMC11710470, DOI: 10.1002/alz.087105.Peer-Reviewed Original ResearchAscertain Dementia 8Intraclass correlation coefficientEmergency departmentOlder adultsCognitive impairmentCommunity-dwelling older adultsSelf-administered screening toolElectronic health recordsTrained research assistantsDiagnosis of dementiaChanges associated with dementiaOlder adult patientsAbsence of cognitive impairmentDementia diagnosisEmergency careED settingHealth recordsCognitive screeningCaregiversAnalytic sampleResearch assistantsScreening toolDementiaModerate agreementImpaired cognitionGEAR 2.0 ‐ Detection of Dementia and Cognitive Impairment
Hwang U. GEAR 2.0 ‐ Detection of Dementia and Cognitive Impairment. Alzheimer's & Dementia 2024, 20: e091835. PMCID: PMC11711980, DOI: 10.1002/alz.091835.Peer-Reviewed Original ResearchDetection of dementiaEmergency departmentOlder adultsED-based careImprove care coordinationUnder-recognitionAcute medical careIncreased health care costsRate of cognitive declineLower patient satisfactionCognitive declineHealth care costsAccelerated cognitive declineCare coordinationCare partnersEmergency carePatient safetyAvoidable visitsImplement interventionsInpatient servicesStaff's abilityCare costsMedical carePatient satisfactionCare
Academic Achievements & Community Involvement
News
News
- July 10, 2024
Iscoe Receives YCCI Scholar Award for AI Research on Drug Reactions
- May 25, 2023
Yale Community Showcased at AGS Conference
- March 29, 2023
Yale Emergency Medicine Ranks First for NIH Grants Funding According to National Report
- August 04, 2022
Hwang spearheads Yale New Haven Health System hospitals earning special geriatric accreditation
Get In Touch
Contacts
Email