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 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 ResearchConceptsPain score reductionScore reductionAbdominal painSurgical consultAnalgesic administrationAnalgesic medicationConsult patientsEmergency departmentOlder adultsAdministration of analgesicsProspective cohort studyEmergency Severity IndexRace/ethnicityDecreased administrationCohort studyOlder patientsSecondary data analysisPatientsPainAdministrationConsultsSeverity IndexAnalgesicsOpioidsMedicationsThe 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 ageUsability Evaluation of a Clinical Decision Support System for Geriatric ED Pain Treatment
Genes N, Kim MS, Thum FL, Rivera L, Beato R, Song C, Soriano J, Kannry J, Baumlin K, Hwang U. Usability Evaluation of a Clinical Decision Support System for Geriatric ED Pain Treatment. Applied Clinical Informatics 2016, 07: 128-142. PMID: 27081412, PMCID: PMC4817340, DOI: 10.4338/aci-2015-08-ra-0108.Peer-Reviewed Original ResearchMeSH KeywordsAgedDecision Support Systems, ClinicalEmergency Service, HospitalGeriatricsHumansPain ManagementPhysiciansConceptsClinical decision support systemElectronic health recordsPain careCDSS interventionClinical careSystem usability scoreUnrelieved acute painRate of physiciansCare clinical decision support systemAcute painPain treatmentPoor outcomeCare interventionsEmergency physiciansClinicians' usePatient carePatient scenariosOlder adultsCDS interventionsCareHealth recordsPhysiciansInterventionTest sessionsRounds of testing
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 CityA 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
2013
Acute Pain Management in Older Adults in the Emergency Department
Hwang U, Platts-Mills TF. Acute Pain Management in Older Adults in the Emergency Department. Clinics In Geriatric Medicine 2013, 29: 151-164. PMID: 23177605, DOI: 10.1016/j.cger.2012.10.006.Peer-Reviewed Original ResearchConceptsAcute painOlder adultsAcute pain careAcute pain managementPresence of painPatient-specific riskSystemic analgesicsAdverse eventsOlder patientsPain managementPain treatmentPain careEmergency departmentEmergency providersEffective treatmentFrequent reassessmentPainInitial assessmentAnalgesicsAdultsTreatmentCurrent knowledgeRiskPatientsRetreatment
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
2009
Quality Indicators for Geriatric Emergency Care
Terrell KM, Hustey FM, Hwang U, Gerson LW, Wenger NS, Miller DK, Force O. Quality Indicators for Geriatric Emergency Care. Academic Emergency Medicine 2009, 16: 441-449. PMID: 19344452, DOI: 10.1111/j.1553-2712.2009.00382.x.Peer-Reviewed Original ResearchConceptsEmergency departmentOlder patientsQuality improvement effortsPain managementNursing homesCognitive AssessmentCandidate quality indicatorsGeriatric emergency carePotential quality indicatorsTask ForceED usersTransitional careMedical recordsEmergency physiciansAmerican CollegeEmergency careVulnerable subsetPatient careSystematic reviewHealth care environmentPatientsEmergency practiceImprovement effortsQuality indicatorsAnnual Meeting
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 care