2019
Geriatric Emergency Department Innovations: The Impact of Transitional Care Nurses on 30‐day Readmissions for Older Adults
Dresden SM, Hwang U, Garrido MM, Sze J, Kang R, Vargas‐Torres C, Courtney DM, Loo G, Rosenberg M, Richardson L. Geriatric Emergency Department Innovations: The Impact of Transitional Care Nurses on 30‐day Readmissions for Older Adults. Academic Emergency Medicine 2019, 27: 43-53. PMID: 31663245, DOI: 10.1111/acem.13880.Peer-Reviewed Original ResearchConceptsIndex ED visitMount Sinai Medical CenterSt. Joseph's Regional Medical CenterNorthwestern Memorial HospitalPrior hospital dischargeEmergency departmentED visitsRegional Medical CenterOlder adultsHospital dischargeGeriatric patientsNurse careMedical CenterTransitional care nursesRisk of admissionEmergency Severity IndexSinai Medical CenterDecreased hospitalizationsDecreased readmissionsPrior hospitalizationProspective cohortED patientsCare nursesMemorial HospitalInpatient discharges30‐Day Emergency Department Revisit Rates among Older Adults with Documented Dementia
Kent T, Lesser A, Israni J, Hwang U, Carpenter C, Ko KJ. 30‐Day Emergency Department Revisit Rates among Older Adults with Documented Dementia. Journal Of The American Geriatrics Society 2019, 67: 2254-2259. PMID: 31403717, PMCID: PMC6899685, DOI: 10.1111/jgs.16114.Peer-Reviewed Original ResearchConceptsIndex ED visitED revisitsEmergency departmentED visitsDementia diagnosisIndex encounterOdds ratioOlder adultsMedicare beneficiariesEmergency department revisit rateRevisit ratesED revisit ratesHigh ED utilizationSignificant predictorsNational emergency departmentSkilled nursing facilitiesLogistic regression modelsDementia codesED utilizationMedicaid statusOutpatient claimsRepresentative sampleContinuous feeClaims dataDementia patients
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
2015
Assessing geriatric vulnerability for post emergency department adverse outcomes: challenges abound while progress is slow
Hwang U, Carpenter C. Assessing geriatric vulnerability for post emergency department adverse outcomes: challenges abound while progress is slow. Emergency Medicine Journal 2015, 33: 2. PMID: 26311417, DOI: 10.1136/emermed-2015-204983.Peer-Reviewed Original ResearchRedesigned Geriatric Emergency Care May Have Helped Reduce Admissions Of Older Adults To Intensive Care Units
Grudzen C, Richardson LD, Baumlin KM, Winkel G, Davila C, Ng K, Hwang U, investigators T. Redesigned Geriatric Emergency Care May Have Helped Reduce Admissions Of Older Adults To Intensive Care Units. Health Affairs 2015, 34: 788-795. PMID: 25941280, DOI: 10.1377/hlthaff.2014.0790.Peer-Reviewed Original ResearchConceptsGeriatric emergency careMount Sinai Medical CenterPalliative care principlesIntensive care unitEmergency careCare unitEmergency departmentCare principlesHigh-risk patientsED triage nursesSinai Medical CenterWise programED nurse practitionersED visitorsED revisitsED admissionHospital readmissionMedical CenterNurse practitionersTriage nursesHigh riskHospice careAdmissionOlder adultsStudy period