2023
Emergency Department Point‐of‐Care Echocardiography and Lung Ultrasound in Predicting COVID‐19 Severity
Baloescu C, Weingart G, Moore C. Emergency Department Point‐of‐Care Echocardiography and Lung Ultrasound in Predicting COVID‐19 Severity. Journal Of Ultrasound In Medicine 2023, 42: 1841-1850. PMID: 36840721, DOI: 10.1002/jum.16205.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedCOVID-19EchocardiographyEmergency Service, HospitalFemaleHumansLungMalePoint-of-Care SystemsRetrospective StudiesStroke VolumeUltrasonographyVentricular Function, LeftConceptsLeft ventricular ejection fractionPleural line abnormalitiesSevere COVID-19Emergency departmentSevere COVIDPOCUS findingsCOVID-19Decreased LVEFEmergency department pointHypoxemic respiratory failureRetrospective cohort studyAdult ED patientsRight ventricular dilationVentricular ejection fractionWeeks of presentationSevere clinical courseCOVID-19 severityLung POCUSRespiratory failureCohort studyCare echocardiographyClinical courseDisease courseEjection fractionHospital admission
2017
Predictors of Hospital Admission and Urological Intervention in Adult Emergency Department Patients with Computerized Tomography Confirmed Ureteral Stones
Daniels B, Schoenfeld E, Taylor A, Weisenthal K, Singh D, Moore CL. Predictors of Hospital Admission and Urological Intervention in Adult Emergency Department Patients with Computerized Tomography Confirmed Ureteral Stones. Journal Of Urology 2017, 198: 1359-1366. PMID: 28652122, PMCID: PMC5693671, DOI: 10.1016/j.juro.2017.06.077.Peer-Reviewed Original ResearchConceptsComputerized tomography findingsUrological interventionPredictors of interventionTomography findingsHospital admissionRenal ultrasoundC-statisticEmergency departmentUreteral stonesPrior proceduresAdult emergency department patientsLonger pain durationSimilar C-statisticsEmergency department patientsPredictors of admissionLarge stonesObstructing ureteral stonePatients 66Kidney injuryPain durationDepartment patientsRegression modelsSymptomatic stonesProspective dataDiagnostic pathwayRight Upper Quadrant Pain: Ultrasound First!
Revzin MV, Scoutt LM, Garner JG, Moore CL. Right Upper Quadrant Pain: Ultrasound First! Journal Of Ultrasound In Medicine 2017, 36: 1975-1985. PMID: 28586152, DOI: 10.1002/jum.14274.Peer-Reviewed Original ResearchConceptsUpper quadrant painQuadrant painRight upper quadrant painFirst-line imaging modalityUpper abdominal pathologyCommon presenting symptomInitial imaging modalityDiagnosis of gallstonesImaging modalitiesLimitations of ultrasoundOutpatient medical practicePresenting symptomSurgical causesAbdominal pathologyEmergency departmentHepatic pathologyUltrasound examinationPatient managementCorrect diagnosisPathologyPainMedical practiceDiagnosisUltrasoundModalities
2016
Ureteral Stones: Implementation of a Reduced-Dose CT Protocol in Patients in the Emergency Department with Moderate to High Likelihood of Calculi on the Basis of STONE Score.
Moore CL, Daniels B, Singh D, Luty S, Gunabushanam G, Ghita M, Molinaro A, Gross CP. Ureteral Stones: Implementation of a Reduced-Dose CT Protocol in Patients in the Emergency Department with Moderate to High Likelihood of Calculi on the Basis of STONE Score. Radiology 2016, 280: 743-51. PMID: 26943230, PMCID: PMC5341691, DOI: 10.1148/radiol.2016151691.Peer-Reviewed Original ResearchConceptsReduced-dose CTEmergency departmentUrologic interventionUreteral stonesHigher likelihoodDose CTAverage dose-length productSingle-center studyClinical prediction ruleDose-length productComputed tomography protocolStandard-dose CTInstitutional review boardHIPAA authorizationNonurologic causesPrimary outcomeClinical courseClinician's discretionDose reductionClinical reportsPatientsSTONE scoreCT protocolInformed consentReview boardImpact of point-of-care ultrasonography on ED time to disposition for patients with nontraumatic shock
Hall MK, Taylor RA, Luty S, Allen IE, Moore CL. Impact of point-of-care ultrasonography on ED time to disposition for patients with nontraumatic shock. The American Journal Of Emergency Medicine 2016, 34: 1022-1030. PMID: 26988105, DOI: 10.1016/j.ajem.2016.02.059.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedAged, 80 and overEmergency Service, HospitalFemaleHumansMaleMiddle AgedPoint-of-Care TestingPropensity ScoreRetrospective StudiesShockUltrasonographyYoung AdultConceptsPOC ultrasonographyEmergency departmentNontraumatic shockCare ultrasonographyPropensity scorePropensity score matchElectronic health recordsHospital mortalityShock patientsPrompt diagnosisED arrivalED patientsED physiciansPoint of careRetrospective studyUnique patientsImpact of pointMean reductionPropensity score modelPatientsUltrasonographyED timeDiagnostic ultrasonographyCovariates of timeEvidence of reduction
2015
STONE PLUS: Evaluation of Emergency Department Patients With Suspected Renal Colic, Using a Clinical Prediction Tool Combined With Point-of-Care Limited Ultrasonography
Daniels B, Gross CP, Molinaro A, Singh D, Luty S, Jessey R, Moore CL. STONE PLUS: Evaluation of Emergency Department Patients With Suspected Renal Colic, Using a Clinical Prediction Tool Combined With Point-of-Care Limited Ultrasonography. Annals Of Emergency Medicine 2015, 67: 439-448. PMID: 26747219, PMCID: PMC5074842, DOI: 10.1016/j.annemergmed.2015.10.020.Peer-Reviewed Original ResearchConceptsHigh-risk patientsEmergency department patientsSymptomatic stonesUrologic interventionUreteral stonesComputed tomographyDepartment patientsUncomplicated ureteral stonesAbsence of hydronephrosisAdult ED patientsModerate-risk patientsProspective observational studyClinical prediction toolPresence of hydronephrosisClinical prediction scoreSymptomatic ureteral stonesAlternative findingsRenal pointSecondary outcomesPrimary outcomeED patientsRecord reviewRenal colicRisk stratificationScore patientsEmergency Department Diagnostic Imaging: The Journey to Quality
Kanzaria HK, Hall MK, Moore CL, Burstin H. Emergency Department Diagnostic Imaging: The Journey to Quality. Academic Emergency Medicine 2015, 22: 1380-1384. PMID: 26575420, DOI: 10.1111/acem.12817.Peer-Reviewed Original ResearchMeSH KeywordsDiagnostic ImagingEmergency Service, HospitalHumansPatient-Centered CareQuality Indicators, Health CareQuality of Health CareComparative Effectiveness Research: Alternatives to “Traditional” Computed Tomography Use in the Acute Care Setting
Moore CL, Broder J, Gunn ML, Bhargavan‐Chatfield M, Cody D, Cullison K, Daniels B, Gans B, Hall M, Gaines BA, Goldman S, Heil J, Liu R, Marin JR, Melnick ER, Novelline RA, Pare J, Repplinger MD, Taylor RA, Sodickson AD. Comparative Effectiveness Research: Alternatives to “Traditional” Computed Tomography Use in the Acute Care Setting. Academic Emergency Medicine 2015, 22: 1465-1473. PMID: 26576033, DOI: 10.1111/acem.12831.Peer-Reviewed Original ResearchConceptsAcute care settingCare settingsComputed tomography (CT) useCare of patientsAlternative diagnostic strategiesComputed tomography scanningEssential diagnostic toolTomography useCT useEmergency physiciansEmergency radiologistsComparative effectivenessTomography scanningDiagnostic strategiesDiagnostic toolDelphi techniqueSettingPatientsMedical physicistsPhysiciansCareCTThe “5Es” of Emergency Physician–performed Focused Cardiac Ultrasound: A Protocol for Rapid Identification of Effusion, Ejection, Equality, Exit, and Entrance
Hall M, Coffey EC, Herbst M, Liu R, Pare JR, Taylor R, Thomas S, Moore CL. The “5Es” of Emergency Physician–performed Focused Cardiac Ultrasound: A Protocol for Rapid Identification of Effusion, Ejection, Equality, Exit, and Entrance. Academic Emergency Medicine 2015, 22: 583-593. PMID: 25903585, DOI: 10.1111/acem.12652.Peer-Reviewed Original ResearchMeSH KeywordsClinical CompetenceEchocardiographyEmergency Medical ServicesEmergency Service, HospitalHeart VentriclesHumansPericardial EffusionPoint-of-Care SystemsUnited StatesVena Cava, InferiorConceptsEmergency physiciansCardiac ultrasoundLife-threatening conditionLeft ventricular ejectionAcademic emergency departmentFocused cardiac ultrasoundRelevant clinical informationEmergency medicine literaturePericardial effusionEmergency departmentVentricular ejectionEmergency settingClinical informationFOCUS findingsMedicine literatureYears of experienceEffusionPhysiciansSpecific assessmentUltrasoundIncidental Findings on CT for Suspected Renal Colic in Emergency Department Patients: Prevalence and Types in 5,383 Consecutive Examinations
Samim M, Goss S, Luty S, Weinreb J, Moore C. Incidental Findings on CT for Suspected Renal Colic in Emergency Department Patients: Prevalence and Types in 5,383 Consecutive Examinations. Journal Of The American College Of Radiology 2015, 12: 63-69. PMID: 25557571, DOI: 10.1016/j.jacr.2014.07.026.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAge DistributionAgedAged, 80 and overComorbidityConnecticutEmergency Medical ServicesEmergency Service, HospitalFemaleHumansIncidental FindingsLung DiseasesMaleMiddle AgedPelvic Inflammatory DiseasePrevalenceRenal ColicRisk AssessmentSex DistributionTomography, X-Ray ComputedUrolithiasisYoung AdultConceptsImportant incidental findingsNon-enhanced CT scansIncidental findingRenal colicEmergency departmentCT scanSuspected Renal ColicEmergency department patientsSubstantial inter-rater agreementSubset of reportsACR White PaperAdult patientsDepartment patientsRetrospective reviewProspective studyHigh prevalenceConsensus recommendationsInter-rater agreementConsecutive examinationsInter-rater variabilityOlder individualsColicPrevalencePatientsScans
2014
Research Priorities for the Influence of Gender on Diagnostic Imaging Choices in the Emergency Department Setting
Ashurst JV, Cherney AR, Evans EM, Hall M, Hess EP, Kline JA, Mitchell AM, Mills AM, Weigner MB, Moore CL. Research Priorities for the Influence of Gender on Diagnostic Imaging Choices in the Emergency Department Setting. Academic Emergency Medicine 2014, 21: 1431-1437. PMID: 25420885, DOI: 10.1111/acem.12537.Peer-Reviewed Original ResearchConceptsAcute care settingCare settingsDiagnostic imaging decisionsLower abdominal painCoronary artery diseaseEmergency department settingGender-specific researchAcademic Emergency Medicine consensus conferenceAbdominal painChest painPulmonary embolismArtery diseaseEmergency departmentPatient evaluationDepartment settingPatient outcomesImaging decisionsConsensus conferenceEmergency careRole of sexResearch prioritiesExpert consensusImaging choiceNominal group techniqueDiagnostic imagingUse of Point-of-Care Ultrasound in Connecticut Emergency Departments
Herbst MK, Camargo CA, Perez A, Moore CL. Use of Point-of-Care Ultrasound in Connecticut Emergency Departments. Journal Of Emergency Medicine 2014, 48: 191-196.e2. PMID: 25440859, DOI: 10.1016/j.jemermed.2014.09.017.Peer-Reviewed Original ResearchConceptsEmergency departmentPOC-USCare ultrasoundCommunity ED settingEmergency Physicians guidelinesRespondents' emergency departmentsAbdominal aortic aneurysmAcademic emergency departmentPhysicians guidelinesED settingUse of pointAortic aneurysmED directorsACEP guidelinesEmergency physiciansAmerican CollegeResponse rateTrauma (FAST) examinationUS machineFocused assessmentBilling patternsHospital privilegesMinority useQuality assurance programUS performanceAccuracy of Reduced-Dose Computed Tomography for Ureteral Stones in Emergency Department Patients
Moore CL, Daniels B, Ghita M, Gunabushanam G, Luty S, Molinaro AM, Singh D, Gross CP. Accuracy of Reduced-Dose Computed Tomography for Ureteral Stones in Emergency Department Patients. Annals Of Emergency Medicine 2014, 65: 189-198.e2. PMID: 25441242, PMCID: PMC5131573, DOI: 10.1016/j.annemergmed.2014.09.008.Peer-Reviewed Original ResearchMeSH KeywordsAcademic Medical CentersAdultBody Mass IndexEmergency Service, HospitalFemaleHumansMaleMiddle AgedProspective StudiesRadiation DosageTomography, X-Ray ComputedUreterUreteral CalculiConceptsUreteral stonesReduced-dose CT protocolDose CTBlinded observational studyEmergency department patientsSize-specific dose estimateEmergency department settingComputed tomography scanSymptomatic ureteral stonesReduced-dose CTDose computed tomography (CT) scansAcademic medical centerDose CT scansReduced-dose protocolObese patientsSubstantial dose reductionDepartment patientsPrimary outcomeED patientsAbdominal diameterDepartment settingTomography scanObservational studyMedical CenterCT scan
2013
Accuracy of emergency physician-performed limited echocardiography for right ventricular strain
Taylor RA, Moore CL. Accuracy of emergency physician-performed limited echocardiography for right ventricular strain. The American Journal Of Emergency Medicine 2013, 32: 371-374. PMID: 24559906, DOI: 10.1016/j.ajem.2013.12.043.Peer-Reviewed Original ResearchMeSH KeywordsClinical CompetenceEchocardiographyEmergency Service, HospitalFemaleHumansMaleMiddle AgedPulmonary EmbolismRetrospective StudiesSensitivity and SpecificityVentricular Dysfunction, RightConceptsRight ventricular strainRight ventricular dilationRetrospective cohort studyEcho examinationPulmonary embolismCohort studyVentricular strainVentricular dilationLevel of agreementTest characteristicsCommon emergency department (ED) diagnosisConsecutive ED patientsEmergency department diagnosisChest painED patientsLimited echocardiographyED providersMortality rateLimited echoEfficient careModerate agreementEchocardiographyExaminationFocused examinationDilationPoint-of-Care Focused Cardiac Ultrasound for Prediction of Pulmonary Embolism Adverse Outcomes
Taylor RA, Davis J, Liu R, Gupta V, Dziura J, Moore CL. Point-of-Care Focused Cardiac Ultrasound for Prediction of Pulmonary Embolism Adverse Outcomes. Journal Of Emergency Medicine 2013, 45: 392-399. PMID: 23827166, DOI: 10.1016/j.jemermed.2013.04.014.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAged, 80 and overEchocardiographyEmergency Service, HospitalFemaleHemorrhageHospital MortalityHumansMaleMiddle AgedPoint-of-Care SystemsPredictive Value of TestsPrognosisPulmonary EmbolismRecurrenceRespiratory InsufficiencyRetrospective StudiesRisk FactorsShockVenous ThromboembolismVentricular Dysfunction, RightConceptsRight ventricular strainHospital adverse outcomesRetrospective chart reviewPulmonary embolismAdverse outcomesEmergency departmentChart reviewCardiac ultrasoundHighest positive likelihood ratioRecurrent venous thromboembolismLow negative likelihood ratioSignificant predictorsEmergency care practitionersFocused cardiac ultrasoundFOCUS examinationPositive likelihood ratioNegative likelihood ratioMajor bleedingLikelihood ratioRespiratory failureVenous thromboembolismTransthoracic echocardiographyHospital admissionIndependent predictorsVentricular strainBedside optic nerve sheath diameter ultrasound for the evaluation of suspected pediatric ventriculoperitoneal shunt failure in the emergency department
Hall MK, Spiro DM, Sabbaj A, Moore CL, Hopkins KL, Meckler GD. Bedside optic nerve sheath diameter ultrasound for the evaluation of suspected pediatric ventriculoperitoneal shunt failure in the emergency department. Child's Nervous System 2013, 29: 2275-2280. PMID: 23728433, DOI: 10.1007/s00381-013-2172-y.Peer-Reviewed Original ResearchConceptsOptic nerve sheath diameterMean optic nerve sheath diameterVentriculoperitoneal shunt failureShunt failureVPS failureEmergency departmentOptic nerve sheath diameter ultrasoundScreening toolAcademic pediatric emergency departmentEmergency department evaluationMethodsProspective observational studyNerve sheath diameterPediatric emergency departmentYears of agePrimary screening toolDepartment evaluationOcular ultrasoundResultsA totalONSD measurementsSheath diameterObservational studyChildren 6ONSD ultrasoundTest characteristicsConvenience samplePrevalence and Clinical Importance of Alternative Causes of Symptoms Using a Renal Colic Computed Tomography Protocol in Patients With Flank or Back Pain and Absence of Pyuria
Moore CL, Daniels B, Singh D, Luty S, Molinaro A. Prevalence and Clinical Importance of Alternative Causes of Symptoms Using a Renal Colic Computed Tomography Protocol in Patients With Flank or Back Pain and Absence of Pyuria. Academic Emergency Medicine 2013, 20: 470-478. PMID: 23672361, DOI: 10.1111/acem.12127.Peer-Reviewed Original ResearchConceptsCause of symptomsAbsence of pyuriaCause of painBack painUreteral stonesRecord reviewUrine infectionEmergency departmentClinical importanceUnimportant causeKidney stonesAlternative causesRetrospective observational analysisComputed tomography protocolPain protocolAdult patientsPatient's symptomsClassic symptomsCT scanStone diagnosisAlternate causePainPatientsSymptomsPyuria
2012
Evaluation of Pulmonary Embolism in the Emergency Department and Consistency With a National Quality Measure: Quantifying the Opportunity for Improvement
Venkatesh AK, Kline JA, Courtney DM, Camargo CA, Plewa MC, Nordenholz KE, Moore CL, Richman PB, Smithline HA, Beam DM, Kabrhel C. Evaluation of Pulmonary Embolism in the Emergency Department and Consistency With a National Quality Measure: Quantifying the Opportunity for Improvement. JAMA Internal Medicine 2012, 172: 1028-1032. PMID: 22664742, PMCID: PMC3775003, DOI: 10.1001/archinternmed.2012.1804.Peer-Reviewed Original ResearchMeSH KeywordsAdultAge FactorsAgedDiagnosis, DifferentialEmergency Service, HospitalFemaleFibrin Fibrinogen Degradation ProductsHumansLogistic ModelsMaleMiddle AgedMultivariate AnalysisOdds RatioProspective StudiesPulmonary EmbolismQuality ImprovementQuality of Health CareRadiation InjuriesRadiographyRisk AssessmentSensitivity and SpecificityUnited StatesUnnecessary ProceduresConceptsNegative D-dimer test resultD-dimer test resultPulmonary embolismLow pretest probabilityD-dimer testEmergency departmentNational Quality ForumED patientsPretest probabilitySecondary analysisNQF measureMulticenter observational studyLow-risk patientsPatient-level predictorsUS emergency departmentsD-dimer testingMultivariable logistic regressionNational quality measuresInappropriate imagingAdult patientsPrimary outcomeMalignant diseaseObservational studyPatientsUnnecessary irradiation
2011
Atraumatic headache in US emergency departments: recent trends in CT/MRI utilisation and factors associated with severe intracranial pathology
Gilbert JW, Johnson KM, Larkin GL, Moore CL. Atraumatic headache in US emergency departments: recent trends in CT/MRI utilisation and factors associated with severe intracranial pathology. Emergency Medicine Journal 2011, 29: 576. PMID: 21856709, DOI: 10.1136/emermed-2011-200088.Peer-Reviewed Original ResearchConceptsAtraumatic headacheCT/MRIIntracranial pathologyBlood pressureNational Hospital Ambulatory Medical Care SurveyAmbulatory Medical Care SurveyHeadache-related visitsPercentage of patientsDiastolic blood pressureEmergency department visitsSystolic blood pressureUS emergency departmentsSignificant intracranial pathologyLength of staySevere intracranial pathologyICP diagnosisClinical decision supportDepartment visitsNeurological weaknessEmergency departmentCare SurveyMotor functionEmergency careHeadachePatients
2010
Clinical Features From the History and Physical Examination That Predict the Presence or Absence of Pulmonary Embolism in Symptomatic Emergency Department Patients: Results of a Prospective, Multicenter Study
Courtney DM, Kline JA, Kabrhel C, Moore CL, Smithline HA, Nordenholz KE, Richman PB, Plewa MC. Clinical Features From the History and Physical Examination That Predict the Presence or Absence of Pulmonary Embolism in Symptomatic Emergency Department Patients: Results of a Prospective, Multicenter Study. Annals Of Emergency Medicine 2010, 55: 307-315.e1. PMID: 20045580, PMCID: PMC2847003, DOI: 10.1016/j.annemergmed.2009.11.010.Peer-Reviewed Original ResearchMeSH KeywordsAdultChest PainConfidence IntervalsEmergency Service, HospitalFemaleHumansLogistic ModelsMaleMedical History TakingMiddle AgedOdds RatioPhysical ExaminationPredictive Value of TestsProspective StudiesPulmonary EmbolismRisk FactorsSex FactorsThrombophiliaTomography, X-Ray ComputedVenous ThromboembolismVenous ThrombosisConceptsPleuritic chest painDeep venous thrombosisPulmonary embolismEmergency department patientsVenous thromboembolismChest painOdds ratioDepartment patientsVenous thrombosisFamily historySymptomatic emergency department (ED) patientsUS emergency department patientsPrediction rulePossible pulmonary embolismSubsternal chest painUnilateral leg swellingVenous thromboembolism outcomesProspective cohort studyAdjusted odds ratioActive malignancyRecent surgeryCohort studyLeg swellingPrimary outcomeFemale patients