2022
Feasibility of the Transport PLUS intervention to improve the transitions of care for patients transported home by ambulance: a non-randomized pilot study
Munjal KG, Yeturu SK, Chapin HH, Tan N, Gregoriou D, Garcia D, Grudzen C, Hwang U, Morano B, Neher H, Gorbenko K, Youngblood G, Misra A, Dietrich S, Gonzalez C, Appel G, Jacobs E, Siu A, Richardson LD. Feasibility of the Transport PLUS intervention to improve the transitions of care for patients transported home by ambulance: a non-randomized pilot study. Pilot And Feasibility Studies 2022, 8: 169. PMID: 35932067, PMCID: PMC9354351, DOI: 10.1186/s40814-022-01138-5.Peer-Reviewed Original ResearchCommunity health workersEmergency medical techniciansPatient acceptanceNon-randomized pilot studyRate of readmissionMajority of patientsPopulation of patientsEmergency room visitsTransitions of careRandomized control trialElectronic health recordsEligible patientsED revisitsFeasibility outcomesClinical outcomesRoom visitsDischarge instructionsGeriatric populationHealth workersHigh riskControl trialHome visitsPatientsPatient encountersCommunity paramedicine
2021
Geriatric emergency department revisits after discharge with Potentially Inappropriate Medications: A retrospective cohort study
Hammouda N, Vargas-Torres C, Doucette J, Hwang U. Geriatric emergency department revisits after discharge with Potentially Inappropriate Medications: A retrospective cohort study. The American Journal Of Emergency Medicine 2021, 44: 148-156. PMID: 33621716, DOI: 10.1016/j.ajem.2021.02.004.Peer-Reviewed Original ResearchConceptsCharlson Comorbidity Index scoreComorbidity Index scoreED revisitsEmergency Severity Index scoreEmergency departmentAcademic emergency departmentInappropriate medicationsHospital admissionChief complaintIndex scoreBeers criteriaMedicaid statusRisk factorsMedicare beneficiaries 65 yearsDay ED visitsUpdated Beers CriteriaRetrospective cohort studyEmergency department revisitsRetrospective chart reviewSeverity Index scoreBeneficiaries 65 yearsCovariate risk factorsMedicare beneficiaries 65Multiple logistic regressionEmergency Severity Index
2019
30‐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 patientsACE Model for Older Adults in ED
Sanon M, Hwang U, Abraham G, Goldhirsch S, Richardson LD, . ACE Model for Older Adults in ED. Geriatrics 2019, 4: 24. PMID: 31023992, PMCID: PMC6473391, DOI: 10.3390/geriatrics4010024.Peer-Reviewed Original ResearchTransitional care nursesEmergency departmentGeriatric Emergency DepartmentOlder adultsHospital admissionNurse practitionersPhysical therapistsIdentification of SeniorsCommon geriatric syndromesHigh-risk patientsAvoidable hospital admissionsComprehensive care planGeriatric nurse practitionerHospital emergency departmentInterdisciplinary team meetingsVulnerable older adultsED revisitsGeriatric assessmentGeriatric syndromesAcute careCare nursesCare transitionsED nursesMedication managementPharmacological assessment
2018
Geriatric Emergency Department Innovations: Transitional Care Nurses and Hospital Use
Hwang U, Dresden SM, Rosenberg MS, Garrido MM, Loo G, Sze J, Gravenor S, Courtney DM, Kang R, Zhu CW, Vargas‐Torres C, Grudzen CR, Richardson LD, Investigators T. Geriatric Emergency Department Innovations: Transitional Care Nurses and Hospital Use. Journal Of The American Geriatrics Society 2018, 66: 459-466. PMID: 29318583, PMCID: PMC6764445, DOI: 10.1111/jgs.15235.Peer-Reviewed Original ResearchConceptsTransitional care nursesIndex ED visitED revisitsED visitsCare nursesInpatient admissionsHospital useProspective observational cohortU.S. EDsClinical characteristicsObservational cohortSecondary outcomesPrimary outcomeEmergency departmentObserved selection biasLower riskAdmissionCare staffGreater riskStudy periodRiskOutcomesSelection biasNursesVisits
2015
Redesigned 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