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 HospitalThe 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 IndexAnalgesicsOpioidsMedications
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
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
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
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