Research Topics
| Sean P CollinsSummaryAffiliation: University of Cincinnati Country: USA Publications
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Publications
Cost-effectiveness analysis of ED decision making in patients with non-high-risk heart failureSean P Collins
Department of Emergency Medicine, University of Cincinnati, Cincinnati, OH 45267, USA
Am J Emerg Med 27:293-302. 2009..The ED disposition of patients with non-high-risk acute decompensated heart failure (ADHF) is challenging. To help address this problem, we investigated the cost-effectiveness of different ED disposition strategies...
Utility of a bedside acoustic cardiographic model to predict elevated left ventricular filling pressureSean P Collins
University of Cincinnati, Department of Emergency Medicine, 231 Albert Sabin Way, Cincinnati, OH 45267 0769, USA
Emerg Med J 27:677-82. 2010..This study evaluated this bedside acoustic cardiographic model against invasive measurements of LV filling pressure...
Beyond pulmonary edema: diagnostic, risk stratification, and treatment challenges of acute heart failure management in the emergency departmentSean Collins
University of Cincinnati, Department of Emergency Medicine, Cincinnati, OH 45267, USA
Ann Emerg Med 51:45-57. 2008..This article proposes such a paradigm shift in acute heart failure syndrome care and discusses areas of further research that are necessary to promote this change in approach...
Prevalence of negative chest radiography results in the emergency department patient with decompensated heart failureSean P Collins
Department of Emergency Medicine, University of Cincinnati, Cincinnati, OH 45267, USA
Ann Emerg Med 47:13-8. 2006..This study determines the rate of negative chest radiography results in patients found to have disease and the potential contribution of negative findings to a diagnosis discordant with heart failure by an emergency physician...
Low-risk acute heart failure patients: external validation of the Society of Chest Pain Center's recommendationsSean P Collins
Department of Emergency Medicine, University of Cincinnati, Cincinnati, OH 45267 0769, USA
Crit Pathw Cardiol 8:99-103. 2009..The goal of this analysis was to report on the outcomes experienced by ED patients with AHFS who do not have any of these high-risk criteria...
The effect of treatment on the presence of abnormal heart sounds in emergency department patients with heart failureSean P Collins
Department of Emergency Medicine, University of Cincinnati, OH 45267 0769, USA
Am J Emerg Med 24:25-32. 2006..We sought to assess the proportion of ED patients with an electronically detected S(3) or S(4), determine the relation of these heart sounds to heart failure (HF), and analyze how the proportion changes with ED treatment...
Prevalence of the third and fourth heart sound in asymptomatic adultsSean P Collins
Department of Emergency Medicine, and the Institute of Health Policy and Health Sciences Research, University of Cincinnati, Cincinnati, OH 45267, USA
Congest Heart Fail 11:242-7. 2005..04; 95% CI, 1.03-1.05). We conclude that the prevalence of an S3 is increased earlier in life, that an S4 is less common than previous studies suggest, and that its detection, even in the elderly, should not be ignored...
Acute heart failure risk stratification: can we define low risk?Sean P Collins
Department of Emergency Medicine, University of Cincinnati School of Medicine, Cincinnati, OH 45267, USA
Heart Fail Clin 5:75-83, vii. 2009..This article reviews the available literature and describes patient features that need to be accounted for in disposition decision-making...
S3 detection as a diagnostic and prognostic aid in emergency department patients with acute dyspneaSean P Collins
Department of Emergency Medicine, University of Cincinnati, OH 45267 0769, USA
Ann Emerg Med 53:748-57. 2009..This study evaluates the effect of an S3 captured by acoustic cardiography on emergency physician diagnostic accuracy and confidence in their diagnosis of acute decompensated heart failure, as well as the patient's prognosis...
Diagnostic and prognostic usefulness of natriuretic peptides in emergency department patients with dyspneaSean P Collins
Department of Emergency Medicine, University of Cincinnati, Cincinnati, OH, USA
Ann Emerg Med 41:532-45. 2003..This article discusses each of the natriuretic peptides and attempts to delineate their potential diagnostic and prognostic roles in the ED...
The use of noninvasive ventilation in emergency department patients with acute cardiogenic pulmonary edema: a systematic reviewSean P Collins
Department of Emergency Medicine, University of Cincinnati, Cincinnati, OH 45267 0769, USA
Ann Emerg Med 48:260-9, 269.e1-4. 2006..We critically evaluate the evidence for the use of noninvasive ventilation on rates of hospital mortality and endotracheal intubation...
Bedside prediction of increased filling pressure using acoustic electrocardiographySean P Collins
University of Cincinnati, Cincinnati, OH, USA
Am J Emerg Med 27:397-408. 2009..A bedside tool that accurately and rapidly identifies increased left ventricular (LV) filling pressure would be helpful. We evaluated acoustic electrocardiography for this purpose...
The rationale for an acute heart failure syndromes clinical trials networkSean P Collins
University of Cincinnati, Cincinnati, OH 45267 0769, USA
J Card Fail 15:467-74. 2009....
The combined utility of an S3 heart sound and B-type natriuretic peptide levels in emergency department patients with dyspneaSean P Collins
Department of Emergency Medicine, University of Cincinnati, Cincinnati, OH 45267, USA
J Card Fail 12:286-92. 2006..9; the positive predictive value from 53% to 80%. CONCLUSION: An S3 is highly specific for primary HF and it is ideally suited for use in combination with BNP to improve diagnostic accuracy in ED patients with dyspnea of unclear etiology...
International variations in the clinical, diagnostic, and treatment characteristics of emergency department patients with acute heart failure syndromesSean P Collins
Department of Emergency Medicine, University of Cincinnati, Cincinnati, OH, USA
Eur J Heart Fail 12:1253-60. 2010..We examine differences in the presentation and management of emergency department (ED) patients with dyspnoea from acute heart failure syndromes (AHFS) between the USA, Western Europe, and Eastern Europe...
Disparity of care in the acute care of patients with heart failureDeborah B Diercks
Department of Emergency Medicine, University of California at Davis, Davis, CA, USA
Acad Emerg Med 18:15-21. 2011....
Emergency department observation of heart failure: preliminary analysis of safety and costAlan B Storrow
Department of Emergency Medicine, University of Cincinnati, Cincinnati, OH 45267 0769, USA
Congest Heart Fail 11:68-72. 2005..These findings need to be further evaluated in a randomized clinical trial...
A proposal to standardize dyspnoea measurement in clinical trials of acute heart failure syndromes: the need for a uniform approachPeter S Pang
Department of Emergency Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA
Eur Heart J 29:816-24. 2008..This proposed tool requires detailed validation but has face validity for the uniform assessment of dyspnoea...
Early changes in clinical characteristics after emergency department therapy for acute heart failure syndromes: identifying patients who do not respond to standard therapySean P Collins
Department of Emergency Medicine, Vanderbilt University, 1313 21 st Ave South, 312 Oxford House, Nashville, TN, 47232, USA
Heart Fail Rev 17:387-94. 2012..Future clinical trials may need to consider targeting these patients, as they may be the most likely to benefit from experimental therapy...
Design and rationale of the URGENT Dyspnea study: an international, multicenter, prospective studyPeter S Pang
Department of Emergency Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA
Am J Ther 15:299-303. 2008..URGENT Dyspnea (Ularitide Global Evaluation in Acute Decompensated Heart Failure) is a prospective multicenter study designed to address these issues...
Evaluation of chest pain and heart failure in the emergency department: impact of multimarker strategies and B-type natriuretic peptideW Brian Gibler
Department of Emergency Medicine, University of Cincinnati, Cincinnati, Ohio, USA
Rev Cardiovasc Med 4:S47-55. 2003..This article reviews the use of cardiac biomarkers in the emergency department to evaluate acute coronary syndrome and congestive heart failure...
Assessment of stroke index using impedance cardiography: comparison with traditional vital signs for detection of moderate acute blood loss in healthy volunteersJoshua M Kosowsky
Department of Emergency Medicine, Brigham and Women s Hospital, Boston, MA 02115, USA
Acad Emerg Med 9:775-80. 2002....
Critical review and recommendations for nesiritide use in the emergency departmentSean P Collins
Department of Emergency Medicine, University of Cincinnati, Cincinnati, Ohio 45267-0769, USA
J Emerg Med 29:317-29. 2005..We discuss these trials' results, suggest their relationship to the ED population, and provide recommendations for appropriate ED use...
Observation units in the management of acute heart failure syndromesGregory J Fermann
Department of Emergency Medicine, University of Cincinnati, PO Box 670769, Cincinnati, OH 45267, USA
Curr Heart Fail Rep 7:125-33. 2010..Patient education and coordination of outpatient care continues to be paramount in preventing early readmission in this patient population...
Risk stratification and short-term prognosis in acute heart failure syndromes: a review of novel biomarkersAriadne Avellino
Department of Emergency Medicine, University of Cincinnati, Ohio, USA
Biomarkers 16:379-92. 2011..Early risk stratification of patients with acute heart failure syndrome (AHFS) can guide the decision to admit the patient to hospital and the choice of therapy...
Biomarker changes during acute heart failure treatmentBrent Boyer
From the Medical University of South Carolina, Charleston, SC the Center for Clinical and Translational Science and Training CCTST the Department of Emergency Medicine, University of Cincinnati, Cincinnati, OH
Congest Heart Fail 18:91-7. 2012..A study of association with clinical course and outcomes to determine the role of these markers in risk-stratification is warranted. ©2011 Wiley Periodicals, Inc...
Management of acute decompensated heart failure in the emergency departmentW Frank Peacock
Department of Emergency Medicine, The Cleveland Clinic Foundation, Cleveland, OH 44195, USA
Congest Heart Fail . 2003....
Heart failure observation units: optimizing careW Frank Peacock
Department of Emergency Medicine, The Cleveland Clinic, Cleveland, OH 44195, USA
Ann Emerg Med 47:22-33. 2006..Aggressive follow-up is also arranged at discharge. Recent additions to the therapeutic armamentarium and future advances in diagnostics and monitoring will continue to improve patient care and prevent avoidable hospitalizations...
Society of Chest Pain Centers Recommendations for the evaluation and management of the observation stay acute heart failure patient: a report from the Society of Chest Pain Centers Acute Heart Failure CommitteeW Frank Peacock
Crit Pathw Cardiol 7:83-6. 2008
Impact of congestive heart failure in patients with non-ST-segment elevation acute coronary syndromesMatthew T Roe
Division of Cardiology and Duke Clinical Research Institute, Duke University Medical Center, Durham, North Carolina, USA
Am J Cardiol 97:1707-12. 2006..Further study is needed to determine the causes of these treatment differences and the optimal therapeutic approach for patients with NSTE ACS and concomitant CHF...
Response to: Misleading negative chest radiographs: should we ADHERE to the conclusions?Sean P Collins
Ann Emerg Med 48:341; author reply 341-2. 2006
On "Getting the right message"Sean P Collins
Ann Emerg Med 49:383-4; author reply 384. 2007
The third heart sound for diagnosis of acute heart failureMichael Johnston
Vanderbilt University Medical Center, 703 Oxford House, 1313 21st Avenue, South, Nashville, TN 37232 4700, USA
Curr Heart Fail Rep 4:164-8. 2007..Data using these technologies and their applications in the ED are reviewed as well as implications for future use and research...
Acute heart failure syndromes: current state and framework for future researchMihai Gheorghiade
Division of Cardiology, Northwestern University Feinberg School of Medicine, Chicago, IL 60611, USA
Circulation 112:3958-68. 2005
Acoustic cardiography augments prolonged QRS duration for detecting left ventricular dysfunctionMichel Zuber
Cardiology Outpatient Clinic, Othmarsingen and Frauenfeld, Switzerland
Ann Noninvasive Electrocardiol 12:316-28. 2007..The goal of this study was to compare the abilities of QRS duration and simultaneous digital ECG and heart sounds, that is acoustic cardiographic, parameters to identify patients with LV dysfunction...
