2025
Medicaid Costs and Outcomes for Patients Treated in an Outpatient Telepsychiatry Clinic
Havlik J, Ghomi R, An N, Budhiraja P, Arzubi E. Medicaid Costs and Outcomes for Patients Treated in an Outpatient Telepsychiatry Clinic. JAMA Network Open 2025, 8: e258558. PMID: 40323598, DOI: 10.1001/jamanetworkopen.2025.8558.Peer-Reviewed Original ResearchConceptsTelepsychiatry clinicRate of admissionCross-sectional studyMedicaid costsEmergency departmentClinical servicesMedicaid patientsHospitalization ratesTelepsychiatry patientsEvidence of cost savingsReduce hospital admissionsInpatient hospitalization ratesClinic patientsAnnual hospitalization rateOutcomes associated with useTelepsychiatry carePropensity-matched controlsTimely carePsychiatric careMain OutcomesCare costsPMPM costsHospital readmissionInpatient hospitalizationTelepsychiatryChanging Surgeons for Revision Hip Arthroscopic Surgery Is Associated With Insurance Status, Geography, and Diagnosis of Anxiety or Depression
Gillinov S, Jonnalagadda A, Girardi K, Sabzevari S, Moran J, Moore H, Lee M, Mahatme R, Grauer J, Jimenez A. Changing Surgeons for Revision Hip Arthroscopic Surgery Is Associated With Insurance Status, Geography, and Diagnosis of Anxiety or Depression. Orthopaedic Journal Of Sports Medicine 2025, 13: 23259671251332604. PMID: 40322751, PMCID: PMC12046141, DOI: 10.1177/23259671251332604.Peer-Reviewed Original ResearchRevision hip arthroscopic surgeryHip arthroscopic surgeryConversion to THASwitching surgeonsAdverse eventsArthroscopic surgeryIndex surgeonRates of postoperative ED visitsPrimary hip arthroscopic surgeryED visitsTotal hip arthroplastyRevision arthroscopic surgeryAssociated with clinical factorsEmergency departmentNational administrative claims databasePostoperative ED visitsPostoperative emergency departmentLevel of evidenceHip arthroscopic proceduresAdministrative claims databaseAssociated with insurance statusCross-sectional studyDiagnosis of depressionClinical factorsLabral tearsEffect of Peer Mentorship on Hospitalizations among Patients Receiving Maintenance Hemodialysis: A Pragmatic Randomized Controlled Trial.
Golestaneh L, Kim R, Roach C, Norris K, Fox A, Melamed M, Cavanaugh K. Effect of Peer Mentorship on Hospitalizations among Patients Receiving Maintenance Hemodialysis: A Pragmatic Randomized Controlled Trial. Journal Of The American Society Of Nephrology 2025 PMID: 40232855, DOI: 10.1681/asn.0000000709.Peer-Reviewed Original ResearchPatient participationPeer mentorshipUsual careEmergency departmentPragmatic randomized controlled trialPromote self-managementControlled trialsPrimary outcomePeer mentoring interventionTreat analysisIncidence rate ratiosEffects of peer mentoringCost of careRates of hospitalizationRandomized controlled trialsReduce hospitalization ratesSelf-managementIntervention periodED visitsTelephone contactTelephone callsRate ratiosHospitalization ratesPeer mentoringCareCannabis legalization and increasing cannabis use in the United States: Data from urine toxicology testing in emergency room patients
Fink D, Samples H, Malte C, Olfson M, Wall M, Alschuler D, Simpson T, Mannes Z, Saxon A, Hasin D. Cannabis legalization and increasing cannabis use in the United States: Data from urine toxicology testing in emergency room patients. International Journal Of Drug Policy 2025, 138: 104765. PMID: 40058102, PMCID: PMC11967342, DOI: 10.1016/j.drugpo.2025.104765.Peer-Reviewed Original ResearchConceptsUrine drug screensCannabis use disorderMedical cannabis lawsVeterans Health AdministrationCannabis useRecreational cannabis lawsRates of cannabis use disordersCannabis lawsEmergency departmentIndicators of cannabis useUrine toxicology testsIncreased cannabis useDifference-in-differences analysisLegalized cannabis useEmergency room patientsSelf-reported dataBinomial regression modelsED visitsED patientsHealth AdministrationCannabis involvementPatient samplesPatientsUse disorderCannabisDetectability of acute ischemic stroke with thin (3 mm) axial versus thin (3 mm) coronal diffusion-weighted imaging in patients presenting to the emergency department with acute dizziness
Lozano R, Shareef F, Neupane A, Siddique Z, Joshi R, Pasquini L, Tu L, Mahajan A. Detectability of acute ischemic stroke with thin (3 mm) axial versus thin (3 mm) coronal diffusion-weighted imaging in patients presenting to the emergency department with acute dizziness. Emergency Radiology 2025, 1-7. PMID: 40053160, DOI: 10.1007/s10140-025-02327-4.Peer-Reviewed Original ResearchAxial DWIIschemic lesionsMRI examinationsDetection of brain ischemiaEmergency departmentIschemic strokeMiddle cerebellar peduncleRetrospective cohort studyDiffusion-weighted imagingAcute ischemic strokeDetection of acute ischemic strokeDetection of ischemiaMethodsRetrospective studyPosterior circulationAxial MRIDWI sequencesAcute dizzinessCerebellar pedunclePurposeIschemic strokeCoronal sequencesCohort studyDiagnostic utilityMRI protocolMcNemar testBrain ischemiaUnderstanding oncologic emergencies and related emergency department visits and hospitalizations: a systematic review
Yilmaz S, Aryal K, King J, Bischof J, Hong A, Wood N, Gould Rothberg B, Hudson M, Heinert S, Wattana M, Coyne C, Reyes-Gibby C, Todd K, Lyman G, Klotz A, Abar B, Grudzen C, Bastani A, Baugh C, Henning D, Bernstein S, Rico J, Ryan R, Yeung S, Qdaisat A, Padela A, Madsen T, Liu R, Adler D. Understanding oncologic emergencies and related emergency department visits and hospitalizations: a systematic review. BMC Emergency Medicine 2025, 25: 40. PMID: 40045233, PMCID: PMC11883922, DOI: 10.1186/s12873-025-01183-2.Peer-Reviewed Original ResearchConceptsEmergency departmentEmergency visitsPredictors of ED usePeer-reviewed original research studiesSystematic reviewOncologic emergencyCancer incidence ratesCare delivery pathwaysGeriatric oncology researchManagement of oncologic emergenciesEmergency department visitsResultsThe search strategyTreatment side effectsOriginal research studiesCancer patientsVulnerable patient populationAcute careSingle-site studyWeb of ScienceCare venuesED useDepartment visitsHealth systemED visitsED presentationsHigh-Risk Patient Refusals in the Prehospital Setting—Clinical and Legal Considerations
McNeilly B, Maggiore W, Goebel M, O’Brien M, Cozzi N, Ariyaprakai N, Lardaro T, Weinstock M. High-Risk Patient Refusals in the Prehospital Setting—Clinical and Legal Considerations. Journal Of The American College Of Emergency Physicians Open 2025, 6: 100083. PMID: 40125342, PMCID: PMC11927591, DOI: 10.1016/j.acepjo.2025.100083.Peer-Reviewed Original ResearchEmergency medical servicesEmergency medical services medical directorsMedical directorsEmergency Medical Services ProfessionsEmergency medical services systemIn-hospital physiciansDecline careQuality assessment effortsMedical oversightMedical servicesEmergency departmentQuality improvementRisk of morbidityLife-threatening emergencyHigh-risk procedureDeclined treatmentHigh riskPatient refusalDeliberate trainingLegal counselState statutesLegal considerationsLegal risksRiskStandard policyClinical Practice Patterns of the Emergency Physician Workforce Before and After Attrition
Agboh D, Venkatesh A, Rothenberg C, Pines J, Bellolio F, Jeffery M, Courtney D, Gettel C. Clinical Practice Patterns of the Emergency Physician Workforce Before and After Attrition. Annals Of Emergency Medicine 2025 PMID: 40047774, DOI: 10.1016/j.annemergmed.2025.01.023.Peer-Reviewed Original ResearchEmergency physician workforceWorkforce attritionPhysician workforceED servicesOffice-based settingUrgent careEmergency departmentBill MedicareEmergency medicine workforcePractice patternsHealth care workforceEmergency medicine practiceService volumeClinical practice patternsCross-sectional analysisCare workforceAnnual attrition rateClinical servicesMedicare dataPractice settingsEmergency physiciansMedicine practiceMedicareNon-ED settingsAttrition ratesPatients with fibromyalgia have increased risk of 90-day postoperative adverse events following arthroscopic rotator cuff repair
Rancu A, Katsnelson B, Sanchez J, Winter A, Vasudevan R, Grauer J. Patients with fibromyalgia have increased risk of 90-day postoperative adverse events following arthroscopic rotator cuff repair. JSES International 2025, 9: 360-365. DOI: 10.1016/j.jseint.2024.09.018.Peer-Reviewed Original ResearchRotator cuff repairPostoperative adverse eventsAdverse eventsArthroscopic rotator cuff repairCurrent Procedural TerminologyElixhauser Comorbidity IndexOccurrence of wound dehiscenceEmergency departmentUrinary tract infectionSymptomatic rotator cuff tearsAssociated with increased riskCuff repairLog-rank testYear of surgerySurgical site infectionSevere adverse eventsKaplan-Meier curvesAcute kidney injuryOccurrence of sepsisDeep vein thrombosisMinor adverse eventsRotator cuff repair patientsIndividual adverse eventsOdds of ED utilizationDiagnosis of fibromyalgiaEvaluating the effect of routine lethal means counseling in the emergency department on suicide mortality among mental health patients
Marcus S, Cullen S, Xie M, Bridge J, Caterino J, Schmutte T, Olfson M. Evaluating the effect of routine lethal means counseling in the emergency department on suicide mortality among mental health patients. AJPM Focus 2025, 100336. DOI: 10.1016/j.focus.2025.100336.Peer-Reviewed Original ResearchLethal means counselingMental health disordersEmergency departmentHealth disordersNational Medicaid claims dataSuicide deathsMental health patientsPeriod post-dischargeStorage of firearmsOdds ratio of deathMedicaid claims dataRisk of suicideHealth patientsObservational cohort studyRatio of deathED episodesED visitsSuicide mortalityPost-dischargeLethal meansOdds ratioED patientsStored firearmsCohort studyED managementUsing Radiology as a Screening Tool to Identify Intimate Partner Violence
Lenehan P, Tang A, Watane G, Gujrathi R, Park H, Gosangi B, Thomas R, Franco F, Patel K, Warsofsky I, Rosner B, Khurana B. Using Radiology as a Screening Tool to Identify Intimate Partner Violence. Journal Of The American College Of Radiology 2025, 22: 395-404. PMID: 40044319, PMCID: PMC11887577, DOI: 10.1016/j.jacr.2025.01.003.Peer-Reviewed Original ResearchConceptsAdjusted incidence rate ratiosEmergency departmentRetrospective case-control studyImaging utilization patternsEvident injuriesCox proportional hazards regressionRace-matched controlsCase-control studyTime-to-event analysisProportional hazards regressionImaging utilizationIncidence rate ratiosCumulative incidenceAnatomical sitesScreening mammogramsHazards regressionOdds ratioImaging studiesIntimate partner violencePatientsInjury patternsLogistic regressionInjuryOrgan systemsPoisson regressionChildren's Emergency Department Provider Experiences With Lethal Means Restriction Counseling and Firearm Access.
Shibi Rosen A, Bechtel K. Children's Emergency Department Provider Experiences With Lethal Means Restriction Counseling and Firearm Access. Pediatric Emergency Care 2025 PMID: 40012101, DOI: 10.1097/pec.0000000000003363.Peer-Reviewed Original ResearchED providersFirearm accessEmergency departmentLethal Means Restriction CounselingBehavioral health patientsBehavioral health emergenciesChildren's Emergency DepartmentProvider experienceCaregiver implementationHealth patientsMedical clearanceMedical providersSemistructured interviewsProvider perspectiveHealth complaintsDischarge safetySafety planningHarm reductionProvidersIncreased comfortHealth emergencyClinical practiceSocial workersChildrenThemesAdaptive decision support for addiction treatment to implement initiation of buprenorphine for opioid use disorder in the emergency department: protocol for the ADAPT Multiphase Optimization Strategy trial
Iscoe M, Hooper C, Levy D, Buchanan L, Dziura J, Meeker D, Taylor R, D’Onofrio G, Oladele C, Sarpong D, Paek H, Wilson F, Heagerty P, Delgado M, Hoppe J, Melnick E. Adaptive decision support for addiction treatment to implement initiation of buprenorphine for opioid use disorder in the emergency department: protocol for the ADAPT Multiphase Optimization Strategy trial. BMJ Open 2025, 15: e098072. PMID: 39979056, PMCID: PMC11842997, DOI: 10.1136/bmjopen-2024-098072.Peer-Reviewed Original ResearchConceptsClinical decision supportMultiphase optimization strategyOpioid use disorderEmergency departmentInitiation of buprenorphineClinical decision support usePlan-Do-Study-Act cyclesLearning health system approachPlan-Do-Study-ActClinical decision support toolHealth system approachAdaptive decision supportUse disorderDecision supportAddiction treatmentPeer-reviewed journalsBuprenorphine initiationOpioid use disorder treatment initiationOpioid-related mortalityIntervention componentsED settingClinician feedbackInstitute Institutional Review BoardTreatment of opioid use disorderParticipating sitesPalliative Care Initiated in the Emergency Department
Grudzen C, Siman N, Cuthel A, Adeyemi O, Yamarik R, Goldfeld K, Abella B, Bellolio F, Bourenane S, Brody A, Cameron-Comasco L, Chodosh J, Cooper J, Deutsch A, Elie M, Elsayem A, Fernandez R, Fleischer-Black J, Gang M, Genes N, Goett R, Heaton H, Hill J, Horwitz L, Isaacs E, Jubanyik K, Lamba S, Lawrence K, Lin M, Loprinzi-Brauer C, Madsen T, Miller J, Modrek A, Otero R, Ouchi K, Richardson C, Richardson L, Ryan M, Schoenfeld E, Shaw M, Shreves A, Southerland L, Tan A, Uspal J, Venkat A, Walker L, Wittman I, Zimny E. Palliative Care Initiated in the Emergency Department. JAMA 2025, 333: 599-608. PMID: 39813042, PMCID: PMC11836764, DOI: 10.1001/jama.2024.23696.Peer-Reviewed Original ResearchConceptsInitiate palliative careLife-limiting illnessHealth care usePalliative carePostintervention periodPreintervention periodMulticomponent interventionCare useEmergency departmentOlder adultsHospital admissionRates of hospice useShort-term mortalitySecondary outcomesRate of hospital admissionsED clinical staffHome health useClinical decision supportNursing home patientsSimulation-based workshopGagne comorbidity scoreRate of admissionRisk of short-term mortalityHospice useIllness communicationAssociation between patient primary language, physical restraints, and intramuscular sedation in the emergency department
Kumar A, Ryus C, Tartak J, Nath B, Faustino I, Shah D, Robinson L, Desai R, Heckmann R, Taylor R, Wong A. Association between patient primary language, physical restraints, and intramuscular sedation in the emergency department. Academic Emergency Medicine 2025 PMID: 39948714, DOI: 10.1111/acem.70004.Peer-Reviewed Original ResearchPatient's primary languagePortuguese-speaking patientsPhysical restraintEmergency departmentPrimary languageED visitsQuality of clinical interactionsRegional health care networkHealth care networkVerbal de-escalationElectronic medical recordsLogistic regression modelsAdult patients ageLanguage speakersEnglish speakersCare networkSpanish speakersPortuguese speakersCultural interpretationRetrospective cohort analysisAgitation symptomsOdds ratioClinical interactionsEvaluate associationsPrimary outcomeSobering Overview of Traumatic Craniofacial Injuries Involving Drugs and Alcohol: A Comprehensive Analysis of the NEISS Database
Boroumand S, Ajjawi I, Boroumand T, Allam O, Huelsboemer L, Stögner V, Kauke-Navarro M, Haykal S, Alperovich M, Pomahac B. Sobering Overview of Traumatic Craniofacial Injuries Involving Drugs and Alcohol: A Comprehensive Analysis of the NEISS Database. Craniomaxillofacial Trauma & Reconstruction 2025, 18: 13. DOI: 10.3390/cmtr18010013.Peer-Reviewed Original ResearchCraniofacial injuriesTraumatic craniofacial injuriesEmergency departmentOdds of hospital admissionTwo-proportion z-testFrequent presentationNEISS databaseED presentationsIntoxicated patientsCraniofacial anatomyHospital admissionPatientsEpidemiological findingsTraumatic injuryDemographic variablesInjuryDrugDrugs/alcoholContext of drugZ-testInternal injuriesStairs/stepsHematomaAlcoholOdds“He was not listening to hear me”: Parent experiences with communication, inclusion, and marginalization in the pediatric emergency department
Gutman C, McFarlane A, Fernandez R, Lion K, Aronson P, Bylund C, Joseph N, Mecias M, Fisher C. “He was not listening to hear me”: Parent experiences with communication, inclusion, and marginalization in the pediatric emergency department. Academic Emergency Medicine 2025 PMID: 39912698, DOI: 10.1111/acem.15091.Peer-Reviewed Original ResearchPatient-centered communicationPediatric emergency departmentEmergency departmentED visitsPublic Health Critical Race PraxisPromote health equityChild's ED visitClinician communication behaviorsHealth care encountersProactive communicationPediatric ED visitsPediatric ED patientsPerspective of parentsEthnic backgroundCritical Race PraxisHealth equityClinician communicationThematic saturationCare encountersMedical encountersThematic analysisExperiences of racismPartnership buildingEmpathic communicationED patientsIncidence and predictors of nonresponse to intranasal midazolam in children undergoing laceration repair
Martin S, Bauer K, Heyming T, Zhu J, Lee H, Kain Z. Incidence and predictors of nonresponse to intranasal midazolam in children undergoing laceration repair. Academic Emergency Medicine 2025 PMID: 39901057, DOI: 10.1111/acem.15106.Peer-Reviewed Original ResearchSociable temperamentClinical practice implicationsIntranasal midazolam administrationAnxiety ScaleModified Yale Preoperative Anxiety ScaleTemperamentAnxietyLaceration repairIntranasal midazolamProcedural anxietyEmergency departmentChild ageExtremity lacerationsYoung childrenMultivariate logistic regression analysisChildrenAssociated with likelihoodLogistic regression analysisLong delayYale Preoperative Anxiety ScaleNonrespondersLaceration locationCross-sectional studyProportion of childrenNonresponsePOCUS the Pelvis: A Case Series of Timely Diagnoses in Pediatric Patients With Abdominal Pain.
Leviter J, Shah R, Constantine E, Riera A. POCUS the Pelvis: A Case Series of Timely Diagnoses in Pediatric Patients With Abdominal Pain. Pediatric Emergency Care 2025 PMID: 39895170, DOI: 10.1097/pec.0000000000003348.Peer-Reviewed Original ResearchHeterogeneous associations between short-term ambient ozone exposure and morbidities from infants to seniors: A nationwide case-crossover study in South Korea
Ahn S, Kang C, Oh J, Yun H, Ahn S, Kim A, Kwon D, Park J, Jang H, Kim E, Bell M, Kim H, Lee W. Heterogeneous associations between short-term ambient ozone exposure and morbidities from infants to seniors: A nationwide case-crossover study in South Korea. Journal Of Hazardous Materials Advances 2025, 17: 100531. DOI: 10.1016/j.hazadv.2024.100531.Peer-Reviewed Original ResearchED admissionMental disordersWarm-season ozoneTargeted public health policiesCase-crossover designNational Health Insurance databaseCase-crossover studyMiddle-aged populationPublic health policiesIndividuals aged 0Health Insurance DatabaseED admission dataHealth policyExcess riskRespiratory diseaseAmbient ozoneAmbient ozone exposureShort-term ozoneEmergency departmentAdmission dataAdmission costsInsurance DatabaseAged 0Heterogeneous associationsAdult age
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