2022
Benefits and harms of oral anticoagulants for atrial fibrillation in nursing home residents with advanced dementia
Ouellet GM, O'Leary JR, Leggett CG, Skinner J, Tinetti ME, Cohen AB. Benefits and harms of oral anticoagulants for atrial fibrillation in nursing home residents with advanced dementia. Journal Of The American Geriatrics Society 2022, 71: 561-568. PMID: 36310367, PMCID: PMC9957933, DOI: 10.1111/jgs.18108.Peer-Reviewed Original ResearchConceptsNursing home residentsAtrial fibrillationAdvanced dementiaHome residentsStroke riskLong-stay nursing home residentsMedicare Part D claimsDementia-related mortalityGuideline-recommended thresholdHarms of anticoagulationRetrospective cohort studyMultivariable survival analysisValvular heart diseaseRisk of deathPart D claimsMonths of lifeMinimum Data SetAnticoagulant discontinuationAnticoagulated individualsMean CHAVASc scoreCause mortalityMultivariable adjustmentOral anticoagulantsCohort studyThe association between beta‐blockers and outcomes in patients with heart failure and concurrent Alzheimer's disease and related dementias
Gilstrap L, Cohen A, Ouellet GM, Goyal P, Gladders B, Flint D, Skinner J. The association between beta‐blockers and outcomes in patients with heart failure and concurrent Alzheimer's disease and related dementias. Journal Of The American Geriatrics Society 2022, 71: 404-413. PMID: 36240493, DOI: 10.1111/jgs.18086.Peer-Reviewed Original ResearchMeSH KeywordsAdrenergic beta-AntagonistsAgedAlzheimer DiseaseHeart FailureHospitalizationHumansMedicareStroke VolumeUnited StatesConceptsHigh riskBB useHeart failureAlzheimer's diseaseLong-term mortality ratesConcurrent Alzheimer's diseaseBeta-blocker useReduced ejection fractionMedicare Part ARisk/benefitBB therapyEjection fractionContemporary patientsHFrEFHigh prevalenceSimilar riskMortality ratePatientsCognitive impairmentMortalityDiseaseADRDRiskTherapyOutcomes
2021
Anticoagulant Use for Atrial Fibrillation Among Persons With Advanced Dementia at the End of Life
Ouellet GM, Fried TR, Gilstrap LG, O’Leary J, Austin AM, Skinner JS, Cohen AB. Anticoagulant Use for Atrial Fibrillation Among Persons With Advanced Dementia at the End of Life. JAMA Internal Medicine 2021, 181: 1121-1123. PMID: 33970197, PMCID: PMC8111560, DOI: 10.1001/jamainternmed.2021.1819.Peer-Reviewed Original Research180-day readmission risk model for older adults with acute myocardial infarction: the SILVER-AMI study
Dodson JA, Hajduk AM, Murphy TE, Geda M, Krumholz HM, Tsang S, Nanna MG, Tinetti ME, Ouellet G, Sybrant D, Gill TM, Chaudhry SI. 180-day readmission risk model for older adults with acute myocardial infarction: the SILVER-AMI study. Open Heart 2021, 8: e001442. PMID: 33452007, PMCID: PMC7813425, DOI: 10.1136/openhrt-2020-001442.Peer-Reviewed Original ResearchConceptsAcute myocardial infarctionReadmission risk modelSelf-reported health statusMyocardial infarctionFunctional mobilityOlder adultsHealth statusDays of AMIFirst diastolic blood pressureChronic obstructive pulmonary diseaseIschemic ECG changesProspective cohort studyDiastolic blood pressureObstructive pulmonary diseaseLength of stayInitial heart rateFinal risk modelSILVER-AMI StudyRisk modelInitial hemoglobinCohort studyReadmission ratesBlood pressureEjection fractionHeart failure
2019
Hospital Readmission From Skilled Nursing Facilities (SNFs): Perspectives of Hospital and SNF Providers
Minges KE, Campbell Britton M, Clark BW, Ouellet GM, Hodshon B, Chaudhry SI. Hospital Readmission From Skilled Nursing Facilities (SNFs): Perspectives of Hospital and SNF Providers. Journal Of The American Medical Directors Association 2019, 20: 1050-1051. PMID: 31043356, DOI: 10.1016/j.jamda.2019.03.005.Peer-Reviewed Original Research
2018
National Prescribing Trends for High‐Risk Anticholinergic Medications in Older Adults
Rhee TG, Choi YC, Ouellet GM, Ross JS. National Prescribing Trends for High‐Risk Anticholinergic Medications in Older Adults. Journal Of The American Geriatrics Society 2018, 66: 1382-1387. PMID: 29582410, PMCID: PMC6097908, DOI: 10.1111/jgs.15357.Peer-Reviewed Original ResearchConceptsNational Ambulatory Medical Care SurveyAnticholinergic prescriptionsPhysician specialtyDrug classesPrescribing trendsOffice-based outpatient visitsOffice-based physician visitsAmbulatory Medical Care SurveyMultivariable logistic regression analysisOlder adultsNational prescribing trendsCommon drug classesLogistic regression analysisCross-sectional analysisSpecific physician specialtiesAnticholinergic medicationsPhysician visitsOutpatient visitsQuality prescribingCare SurveyFemale sexStratified analysisSouthern geographic regionsGreater oddsTotal visits
2017
Care Transitions Between Hospitals and Skilled Nursing Facilities: Perspectives of Sending and Receiving Providers
Britton MC, Ouellet GM, Minges KE, Gawel M, Hodshon B, Chaudhry SI. Care Transitions Between Hospitals and Skilled Nursing Facilities: Perspectives of Sending and Receiving Providers. The Joint Commission Journal On Quality And Patient Safety 2017, 43: 565-572. PMID: 29056176, PMCID: PMC5693352, DOI: 10.1016/j.jcjq.2017.06.004.Peer-Reviewed Original ResearchMeSH KeywordsAcademic Medical CentersAttitude of Health PersonnelCommunicationHospital AdministrationHumansInsurance, Health, ReimbursementInterviews as TopicPatient DischargePatient ReadmissionPatient TransferQualitative ResearchQuality ImprovementRisk FactorsSeverity of Illness IndexSkilled Nursing FacilitiesUnited StatesConceptsSkilled nursing facilitiesCare transitionsNursing facilitiesSNF providersPatient-level risk factorsOptimal care settingAcute medical illnessUnplanned hospital readmissionComprehensive care planCost of careHospital readmissionMedical illnessComplex patientsRisk factorsMedicare patientsCare settingsCare plansPatient complexityHealth care institutionsPatient transferPsychosocial issuesHospitalPatientsSeparate hospitalsCare institutions
2010
Long QT Syndrome in African‐Americans
Fugate T, Moss AJ, Jons C, McNitt S, Mullally J, Ouellet G, Goldenberg I, Zareba W, Robinson JL, Investigators F. Long QT Syndrome in African‐Americans. Annals Of Noninvasive Electrocardiology 2010, 15: 73-76. PMID: 20146785, PMCID: PMC4028024, DOI: 10.1111/j.1542-474x.2009.00342.x.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdrenergic beta-AntagonistsAdultAge DistributionBlack or African AmericanChildChild, PreschoolDeath, Sudden, CardiacFemaleHeart ArrestHumansInfantInfant, NewbornKaplan-Meier EstimateLong QT SyndromeMaleProportional Hazards ModelsRegistriesRisk FactorsSyncopeUnited StatesWhite PeopleYoung AdultConceptsLong QT syndromeClinical courseRisk factorsQT syndromeAfrican AmericansBeta-blocker therapyCardiac event rateComparable risk factorsKaplan-Meier timeSudden cardiac deathAge 40 yearsAfrican American patientsCox regression modelInternational LQTS RegistryOccurrence of syncopeRisk factor evaluationDecade of birthCardiac eventsCardiac deathCox analysisCardiac arrestLQTS RegistryMedical historyRacial groupsLQTS patients