2019
Polysomnography Utilization in Veterans Presenting Acutely with Ischemic Stroke or Transient Ischemic Attack
Koo BB, Sico JJ, Myers LJ, Perkins AJ, Levine D, Miech EJ, Damush TM, Rattray N, Homoya B, Ferguson J, Myers J, Zhang Y, Bravata DM. Polysomnography Utilization in Veterans Presenting Acutely with Ischemic Stroke or Transient Ischemic Attack. Cerebrovascular Diseases 2019, 48: 179-183. PMID: 31722335, DOI: 10.1159/000504406.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overBrain IschemiaComorbidityFemaleHealth Services AccessibilityHealth StatusHumansIschemic Attack, TransientMaleMiddle AgedPolysomnographyPractice Guidelines as TopicPractice Patterns, Physicians'Predictive Value of TestsPrognosisRisk FactorsSleep Apnea, ObstructiveStrokeTime FactorsUnited StatesUnited States Department of Veterans AffairsVeterans HealthConceptsTransient ischemic attackAcute ischemic strokeObstructive sleep apneaVeterans Administration Medical CenterTreatment of OSAIschemic strokeIschemic attackClinical dataExact testVA Corporate Data WarehouseCerebrovascular risk factorsMixed-effects logistic regressionFisher's exact testCorporate Data WarehouseEffects logistic regressionTwo-sample t-testAcute strokeClinical characteristicsHospital dischargeHeart failureSleep apneaFunctional outcomeRisk factorsUS veteransRecent guidelinesAmerican Academy of Neurology members' preparedness to treat sexual and gender minorities.
Rosendale N, Ostendorf T, Evans DA, Weathers A, Sico JJ, Randall J, Hinson HE. American Academy of Neurology members' preparedness to treat sexual and gender minorities. Neurology 2019, 93: 159-166. PMID: 31201295, DOI: 10.1212/wnl.0000000000007829.Peer-Reviewed Original ResearchMeSH KeywordsAdultAttitude of Health PersonnelClinical CompetenceFemaleHealth Services AccessibilityHumansMaleMiddle AgedNeurologistsNeurologySexual and Gender MinoritiesSocieties, MedicalUnited StatesConceptsNeurologic careSGM patientsAmerican AcademyHealth care servicesGender minority patientsNeurologic healthNeurologic illnessMost neurologistsMinority patientsSelf-reported knowledgeResponse rateFuture educational offeringsCare servicesPatientsSocial determinantsClinical preparednessMinority of respondentsNeurologistsSGM individualsGender identitySGM identitiesSexual orientationAAN membersMost respondentsCare
2017
Barriers and facilitators to provide quality TIA care in the Veterans Healthcare Administration
Damush TM, Miech EJ, Sico JJ, Phipps MS, Arling G, Ferguson J, Austin C, Myers L, Baye F, Luckhurst C, Keating AB, Moran E, Bravata DM. Barriers and facilitators to provide quality TIA care in the Veterans Healthcare Administration. Neurology 2017, 89: 2422-2430. PMID: 29117959, PMCID: PMC5729798, DOI: 10.1212/wnl.0000000000004739.Peer-Reviewed Original ResearchMeSH KeywordsAftercareAttitude of Health PersonnelContinuity of Patient CareCross-Sectional StudiesEmergency MedicineGuideline AdherenceHealth Services AccessibilityHospitalistsHumansIschemic Attack, TransientLeadershipMedical Staff, HospitalNeuroimagingNeurologistsNursesOphthalmologistsPhysiciansPractice Guidelines as TopicQualitative ResearchQuality of Health CareRadiologistsSurgeonsUnited StatesUnited States Department of Veterans AffairsConceptsTIA careVeterans Health AdministrationNurse coordinatorClinical staffNational Veterans Health AdministrationInadequate staff educationSystem-level facilitatorsGuideline-based careVeterans Healthcare AdministrationHealth care facilitiesSystem-level factorsTIA patientsVHA hospitalsTimely followEmergency departmentEvidence-based practiceCare coordinationInpatient settingObservational studyIndividual patientsContinuous careStaff educationCare facilitiesHealth AdministrationPatient care
2012
Diagnosis and Treatment of Sleep Apnea in patients' homes: the rationale and methods of the "GoToSleep" randomized-controlled trial.
Bravata DM, Ferguson J, Miech EJ, Agarwal R, McClain V, Austin C, Struve F, Foresman B, Li X, Wang Z, Williams LS, Dallas MI, Couch CD, Sico J, Fragoso C, Matthias MS, Chumbler N, Myers J, Burrus N, Dube A, French DD, Schmid AA, Concato J, Yaggi HK. Diagnosis and Treatment of Sleep Apnea in patients' homes: the rationale and methods of the "GoToSleep" randomized-controlled trial. Journal Of Clinical Sleep Medicine 2012, 8: 27-35. PMID: 22334806, PMCID: PMC3266333, DOI: 10.5664/jcsm.1654.Peer-Reviewed Original ResearchConceptsContinuous positive airway pressureAuto-titrating continuous positive airway pressureTransient ischemic attackSleep apneaVeterans Health AdministrationCerebrovascular diseaseControl groupAntihypertensive medicationsIntervention groupPatient's homePressure continuous positive airway pressureUsual care control groupControl of hypertensionPositive airway pressureCare control groupLaboratory-based sleep studiesUndiagnosed sleep apneaBlood pressure assessmentInclusion of patientsRandomized-controlled trialBlood pressure measurementsHome-based polysomnographySleep laboratory polysomnographyOne-year study periodTherapeutic intervention strategies