Research Topics
| Judd E HollanderSummaryAffiliation: University of Pennsylvania Country: USA Publications
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Publications
Computed tomography coronary angiography for rapid disposition of low-risk emergency department patients with chest pain syndromesJudd E Hollander
Department of Emergency Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA, USA
Acad Emerg Med 14:112-6. 2007..Therefore, the investigators' emergency department (ED) incorporated CT coronary angiography into the evaluation of low-risk patients with chest pain...
Hospitals with and without percutaneous coronary intervention capability: considerations for treating acute coronary syndromesJudd E Hollander
Department of Emergency Medicine, University of Pennsylvania, School of Medicine, Philadelphia, PA 19104 4283, USA
Am J Emerg Med 27:595-606. 2009..Bivalirudin can be used in non-ST-segment elevation myocardial infarction patients who are managed invasively...
One-year outcomes following coronary computerized tomographic angiography for evaluation of emergency department patients with potential acute coronary syndromeJudd E Hollander
Department of Emergency Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA, USA
Acad Emerg Med 16:693-8. 2009..The long-term outcome of patients discharged from the ED with negative coronary CTA has not been well studied...
Relationship between a clear-cut alternative noncardiac diagnosis and 30-day outcome in emergency department patients with chest painJudd E Hollander
Department of Emergency Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA, USA
Acad Emerg Med 14:210-5. 2007..Studies have not been able to identify a cohort of patients that are safe for immediate ED discharge; however, prior studies have not examined the utility of a clear-cut alternative noncardiac diagnosis...
The elder patient with suspected acute coronary syndromes in the emergency departmentJin H Han
Department of Emergency Medicine, Vanderbilt University Medical Center, Nashville, TN, USA
Acad Emerg Med 14:732-9. 2007..To describe the evaluation and outcomes of elder patients with suspected acute coronary syndromes (ACS) presenting to the emergency department (ED)...
The role of cardiac risk factor burden in diagnosing acute coronary syndromes in the emergency department settingJin H Han
Vanderbilt University Medical Center, Department of Emergency Medicine, Nashville, TN 37232 4700, USA
Ann Emerg Med 49:145-52, 152.e1. 2007..We seek to determine whether cardiac risk factor burden (defined as the number of conventional cardiac risk factors present) is useful for the diagnosis of acute coronary syndromes in the emergency department (ED) setting...
Relation between thrombolysis in myocardial infarction risk score and one-year outcomes for patients presenting at the emergency department with potential acute coronary syndromeBenjamin M Weisenthal
Department of Emergency Medicine, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA
Am J Cardiol 105:441-4. 2010..001). In conclusion, in addition to risk stratifying ED patients with chest pain at the initial ED evaluation, the TIMI score can also predict the 1-year cardiovascular events in this patient population...
The impact of trauma activations on the care of emergency department patients with potential acute coronary syndromesPeter E Fishman
Department of Emergency Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA 19104-4283, USA
Ann Emerg Med 48:347-53. 2006..Although trauma activations improve the care of trauma patients, they may be associated with a negative impact on the care of other patients requiring contemporaneous resources...
Performance of a population-based cardiac risk stratification tool in Asian patients with chest painChadwick D Miller
Department of Emergency Medicine, Wake Forest University Health Sciences, Medical Center Boulevard, Winston Salem, NC 27157 1089, USA
Acad Emerg Med 12:423-30. 2005..Their validity in single-race populations has not been tested. The authors sought to compare the performance of a risk stratification tool between a mixed-race U.S. patient population and an Asian patient population...
Application of the TIMI risk score for unstable angina and non-ST elevation acute coronary syndrome to an unselected emergency department chest pain populationCharles V Pollack
Department of Emergency Medicine, Pennsylvania Hospital, University of Pennsylvania Health System, Philadelphia, PA, USA
Acad Emerg Med 13:13-8. 2006....
Non-ST-elevation myocardial infarction patients who present during off hours have higher risk profiles and are treated less aggressively, but their outcomes are not worse: a report from Can Rapid Risk Stratification of Unstable Angina Patients Suppress ADCharles V Pollack
Department of Emergency Medicine, University of Pennsylvania Hospital, Philadelphia, PA 19107, USA
Crit Pathw Cardiol 8:29-33. 2009..Although intensity of medical management was similar between groups, it was generally lower than current guidelines recommend, indicating potential for improvement in NSTEMI outcomes, regardless of time of presentation...
Evaluation of a clinical decision rule for young adult patients with chest painRobert J Marsan
Department of Emergency Medicine, Ground Floor Ravdin Building, Hospital of the University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104-4293, USA
Acad Emerg Med 12:26-31. 2005..1% to 0.2%). CONCLUSIONS: A modified clinical decision rule described a group of patients with a 0.14% risk of ACS that was free from 30-day adverse CV events...
Lack of utility of telemetry monitoring for identification of cardiac death and life-threatening ventricular dysrhythmias in low-risk patients with chest painJudd E Hollander
Department of Emergency Medicine, Hospital of the University of Pennsylvania, Philadelphia 19104 4283, USA
Ann Emerg Med 43:71-6. 2004..We tested the hypothesis that monitoring admitted low-risk patients with chest pain for dysrhythmia is low yield (<1% detection of life-threatening dysrhythmias requiring treatment)...
The Internet Tracking Registry of Acute Coronary Syndromes (i*trACS): a multicenter registry of patients with suspicion of acute coronary syndromes reported using the standardized reporting guidelines for emergency department chest pain studiesChristopher J Lindsell
Department of Emergency Medicine, University of Cincinnati Medical Center, Cincinnati, OH 45267 0769, USA
Ann Emerg Med 48:666-77, 677.e1-9. 2006..We describe the methods for data collection and the ED population enrolled in a multicenter registry of patients with chest pain...
Postdischarge adverse events for 1-day hospital admissions in older adults admitted from the emergency departmentJesse M Pines
School of Public Health and Health Services, Department of Emergency Medicine, George Washington University, 2121 K Street NW, Washington, DC 20037, USA
Ann Emerg Med 56:253-7. 2010..We assess hospital readmission and death within 60 days in older adults admitted from the emergency department (ED) and discharged by an inpatient service within 24 hours...
ED crowding is associated with variable perceptions of care compromiseJesse M Pines
Department of Emergency Medicine, University of Pennsylvania School of Medicine, Philadelphia, PA, USA
Acad Emerg Med 14:1176-81. 2007..The authors measured the association between emergency department (ED) crowding and patient and provider perceptions about whether patient care was compromised...
Coronary computed tomographic angiography for rapid discharge of low-risk patients with potential acute coronary syndromesJudd E Hollander
Department of Emergency Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA 19104 4283, USA
Ann Emerg Med 53:295-304. 2009....
Standardized reporting guidelines for studies evaluating risk stratification of ED patients with potential acute coronary syndromesJudd E Hollander
Department of Emergency Medicine, Ground Floor, Ravdin Building, Hospital of the University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104-4293, USA
Acad Emerg Med 11:1331-40. 2004
Is the initial diagnostic impression of "noncardiac chest pain" adequate to exclude cardiac disease?Chadwick D Miller
Department of Emergency Medicine, Wake Forest University, Winston Salem, NC 27157 1089, USA
Ann Emerg Med 44:565-74. 2004..In patients presenting to the emergency department (ED) with an initial diagnostic impression of noncardiac chest pain, we determine the 30-day incidence of adverse cardiac events and characteristics associated with those events...
The impact of crowding on time until abdominal CT interpretation in emergency department patients with acute abdominal painAngela M Mills
Department of Emergency Medicine, Hospital of the University of Pennsylvania, 3400Spruce Street, Philadelphia, PA 19104 4283, USA
Postgrad Med 122:75-81. 2010..We assessed the relationship between emergency department (ED) crowding and delays in care in patients presenting with abdominal pain who receive abdominal computed tomography (CT)...
Gender disparity in analgesic treatment of emergency department patients with acute abdominal painEsther H Chen
Department of Emergency Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA, USA
Acad Emerg Med 15:414-8. 2008..The authors assessed whether a gender disparity exists in the administration of analgesia for acute abdominal pain...
Predictors of 30-day cardiovascular events in patients with prior percutaneous coronary intervention or coronary artery bypass graftingEmily C Esposito
Department of Emergency Medicine, University of Pennsylvania, Philadelphia, USA
Acad Emerg Med 18:613-8. 2011....
Discordant cardiac biomarkers: frequency and outcomes in emergency department patients with chest painAlan B Storrow
Department of Emergency Medicine, Vanderbilt University Medical Center, Nashville, TN 37232 4700, USA
Ann Emerg Med 48:660-5. 2006....
The effect of physician risk tolerance and the presence of an observation unit on decision making for ED patients with chest painJesse M Pines
Department of Emergency Medicine, University of Pennsylvania School of Medicine, Philadelphia, PA 19104, USA
Am J Emerg Med 28:771-9. 2010..We also studied if the opening of an ED-based observation unit affected the relationship between risk scales and admission decisions...
Application of the TIMI risk score in ED patients with cocaine-associated chest painMaureen Chase
Department of Emergency Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA 19104, USA
Am J Emerg Med 25:1015-8. 2007..The goal of this study was to assess its ability to predict adverse cardiovascular outcomes in cocaine-associated chest pain...
Preferences for cardiac tests and procedures may partially explain sex but not race disparitiesKevin M Takakuwa
Department of Emergency Medicine, Thomas Jefferson University, Philadelphia, PA 19107 5004, USA
Am J Emerg Med 26:545-50. 2008..There are known race and sex differences in emergent cardiac care. Many feel these differences reflect a bias from the physician. We hypothesized these differences may be the result of patient preferences...
Gender bias in cardiovascular testing persists after adjustment for presenting characteristics and cardiac riskAnna Marie Chang
Department of Emergency Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA, USA
Acad Emerg Med 14:599-605. 2007..The authors assessed whether different clinical characteristics at emergency department presentation account for this gender bias...
The association between emergency department crowding and analgesia administration in acute abdominal pain patientsAngela M Mills
Department of Emergency Medicine, University of Pennsylvania, Philadelphia, PA, USA
Acad Emerg Med 16:603-8. 2009..The authors assessed the effect of emergency department (ED) crowding on the nontreatment and delay in treatment for analgesia in patients who had acute abdominal pain...
The association between emergency department crowding and adverse cardiovascular outcomes in patients with chest painJesse M Pines
Department of Emergency Medicine, University of Pennsylvania School of Medicine, Philadelphia, PA, USA
Acad Emerg Med 16:617-25. 2009..The authors examined whether ED crowding was associated with adverse cardiovascular outcomes in patients with chest pain syndromes (chest pain or related complaints of possible cardiac origin)...
The impact of B-type natriuretic peptide in addition to troponin I, creatine kinase-MB, and myoglobin on the risk stratification of emergency department chest pain patients with potential acute coronary syndromeAaron M Brown
Department of Emergency Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA 19104, USA
Ann Emerg Med 49:153-63. 2007....
The incremental benefit of a shortness-of-breath biomarker panel in emergency department patients with dyspneaAdam J Singer
Department of Emergency Medicine, Stony Brook University, Stony Brook, NY, USA
Acad Emerg Med 16:488-94. 2009..The objective was to determine the incremental benefit of a shortness-of-breath (SOB) point-of-care biomarker panel on the diagnostic accuracy of emergency department (ED) patients presenting with dyspnea...
The influence of race and gender on time to initial electrocardiogram for patients with chest painKevin M Takakuwa
Department of Emergency Medicine, Thomas Jefferson University, Philadelphia, PA 19107, USA
Acad Emerg Med 13:867-72. 2006..To determine whether race or gender affected time to initial electrocardiogram (ECG) for patients who presented to an emergency department with chest pain...
Prognostic value of symptoms during a normal or nonspecific electrocardiogram in emergency department patients with potential acute coronary syndromeMaureen Chase
Department of Emergency Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA, USA
Acad Emerg Med 13:1034-9. 2006..The authors hypothesized that patients with a normal or nonspecific ECG during symptoms have a lower risk for ACS than do those who are asymptomatic...
Pretest probability assessment derived from attribute matchingJeffrey A Kline
Department of Emergency Medicine, Carolinas Medical Center, Charlotte, NC, USA
BMC Med Inform Decis Mak 5:26. 2005..This report compares a novel attribute-matching method to generate a PTP for acute coronary syndrome (ACS). We compare the new method with a validated logistic regression equation (LRE)...
Diagnosis of heart failureAnna Marie Chang
Department of Emergency Medicine, University of Pennsylvania, Philadelphia, PA 19104 4283, USA
Heart Fail Clin 5:25-35, vi. 2009..Invasive and noninvasive impedance cardiography can be used to diagnose or even predict development of heart failure, but its role in clinical practice still needs to be better defined...
Combining Thrombolysis in Myocardial Infarction risk score and clear-cut alternative diagnosis for chest pain risk stratificationCaren F Campbell
Department of Emergency Medicine, Ground Ravdin, Hospital of the University of Pennsylvania, Philadelphia, PA 19104, USA
Am J Emerg Med 27:37-42. 2009..We hypothesized that the presence of an alternative diagnosis in patients with a TIMI risk score less than 2 might identify a cohort of patients safe for ED discharge...
The impact of emergency department crowding measures on time to antibiotics for patients with community-acquired pneumoniaJesse M Pines
Department of Emergency Medicine, University of Pennsylvania School of Medicine, Philadelphia, PA, USA
Ann Emerg Med 50:510-6. 2007..We seek to determine the impact of emergency department (ED) crowding on delays in antibiotic administration for patients with community-acquired pneumonia...
CT angiography for safe discharge of patients with possible acute coronary syndromesHarold I Litt
Department of Radiology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA 19104, USA
N Engl J Med 366:1393-403. 2012....
TIMI risk score: does it work equally well in both males and females?Marianna Karounos
Department of Emergency Medicine, Hospital of the University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104 4293, USA
Emerg Med J 24:471-4. 2007..We hypothesised that it might have different prognostic abilities in male and female patients...
Does sex matter? Effect of screener sex in intimate partner violence screeningLauren B Gerlach
Department of Emergency Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA
Am J Emerg Med 25:1047-50. 2007..The sex of the individual performing screening affects the willingness of adult male and female ED patients to disclose incidents of intimate partner violence (IPV)...
Prospective validation of the Thrombolysis in Myocardial Infarction Risk Score in the emergency department chest pain populationMaureen Chase
Department of Emergency Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA 19104-4283, USA
Ann Emerg Med 48:252-9. 2006..Also, patients with the lowest risk as defined by a TIMI score of zero had a 1.7% incidence of adverse events. Therefore, the TIMI risk score should not be used in isolation to determine disposition of ED chest pain patients...
Derivation of a clinical prediction rule for evaluating patients with abdominal pain and diarrheaEsther H Chen
Department of Emergency Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA 19104 4283, USA
Am J Emerg Med 26:450-3. 2008..The objective of the study was to develop a simple prediction rule to reliably identify abdominal pain patients with diarrhea who may require surgical intervention...
The impact of a concurrent trauma alert evaluation on time to head computed tomography in patients with suspected strokeEsther H Chen
Department of Emergency Medicine, University of Pennsylvania, Philadelphia, PA, USA
Acad Emerg Med 13:349-52. 2006..Emergency department (ED) overcrowding threatens quality of care by delaying the time to diagnosis and treatment of patients with time-sensitive diseases, such as acute stroke...
Sex bias in cardiovascular testing: the contribution of patient preferenceBryn E Mumma
Hospital of the University of Pennsylvania, Philadelphia, PA 19104, USA
Ann Emerg Med 57:551-560.e4. 2011..Women with potential acute coronary syndromes are less likely to receive cardiac catheterization or revascularization than men. We hypothesize that this may be due to different diagnostic test preferences of female and male patients...
Defining the outcomes of risk stratification studies of ED patients with chest pain: the marginal value of adding revascularization to the composite end pointEsther H Chen
Department of Emergency Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA 19104 4283, USA
Am J Emerg Med 23:848-51. 2005..We assessed whether adding revascularization to a strictly defined composite end point of death, acute myocardial infarction (AMI), and unstable angina (UA) impacts the likelihood of patients attaining the composite end point...
Impact of a negative evaluation for underlying coronary artery disease on one-year resource utilization for patients admitted with potential acute coronary syndromesKyle J Shaver
Department of Emergency Medicine, Ground Floor Ravdin Building, Hospital of the University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104-4293, USA
Acad Emerg Med 11:1272-7. 2004....
The effect of ED crowding on educationJesse M Pines
Department of Emergency Medicine, University of Pennsylvania School of Medicine, Philadelphia, PA 19104, USA
Am J Emerg Med 28:217-20. 2010..We studied if emergency department (ED) crowding affects the quality of resident and medical student education on individual patient encounters...
Does coronary artery calcium scoring add to the predictive value of coronary computed tomography angiography for adverse cardiovascular events in low-risk chest pain patients?Anna Marie Chang
Department of Emergency Medicine, Hospital of the University of Pennsylvania, Philadelphia, USA
Acad Emerg Med 18:1065-71. 2011....
Actual financial comparison of four strategies to evaluate patients with potential acute coronary syndromesAnna Marie Chang
Department of Emergency Medicine, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA
Acad Emerg Med 15:649-55. 2008..The authors hypothesized that an immediate CTA strategy would be as effective but less costly than alternative strategies for evaluation of patients with potential acute coronary syndrome (ACS)...
The risk for acute coronary syndrome associated with atrial fibrillation among ED patients with chest pain syndromesAaron M Brown
Department of Emergency Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA 19104, USA
Am J Emerg Med 25:523-8. 2007..We sought to determine if atrial fibrillation is associated with an increased risk for an acute coronary syndrome (ACS) among emergency department (ED) patients with chest pain syndromes...
Insurance status and the treatment of myocardial infarction at academic centersBrian C Hiestand
Department of Emergency Medicine, The Ohio State University, 149 Means Hall, 1654 Upham Drive, Columbus, OH 43210 1270, USA
Acad Emerg Med 11:343-8. 2004..Numerous studies have documented treatment disparities in patients with acute coronary syndromes based on race and gender. Other causes for treatment disparities may exist...
Prospective evaluation of emergency department patients with potential coronary syndromes using initial absolute CK-MB vs. CK-MB relative indexOtilia Capellan
Department of Emergency Medicine, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania 19104-4283, USA
J Emerg Med 24:361-7. 2003..The optimal test depends upon the relative importance of the sensitivity or specificity for clinical decision-making in an individual patient...
2007 focused update to the ACC/AHA guidelines for the management of patients with ST-segment elevation myocardial infarction: implications for emergency department practiceCharles V Pollack
Department of Emergency Medicine, Pennsylvania Hospital, University of Pennsylvania, Philadelphia, PA 19107, USA
Ann Emerg Med 52:344-355.e1. 2008....
Aspirin administration in ED patients who presented with undifferentiated chest pain: age, race, and sex effectsKevin M Takakuwa
Department of Emergency Medicine, Thomas Jefferson University Hospital, Philadelphia, PA 19107 5004, USA
Am J Emerg Med 28:318-24. 2010..The study aimed to determine whether aspirin therapy was differentially administered according to race, sex, or age in patients with undifferentiated chest pain who presented to an urban academic emergency department...
Racial disparities in emergency department length of stay for admitted patients in the United StatesJesse M Pines
Department of Emergency Medicine, University of Pennsylvania, Philadelphia, PA, USA
Acad Emerg Med 16:403-10. 2009..Specifically, the study estimated both the within- and among-hospital effects of black versus non-black race on LOS for admitted patients...
Trends in boarding of admitted patients in US Emergency Departments 2003-2005Brendan G Carr
Department of Emergency Medicine, University of Pennsylvania School of Medicine, Philadelphia, PA 19104 6021, USA
J Emerg Med 39:506-11. 2010..Boarding of admitted patients in the Emergency Department (ED) is common and is associated with poor patient outcomes...
The association between physician risk tolerance and imaging use in abdominal painJesse M Pines
Department of Emergency Medicine, University of Pennsylvania School of Medicine, Philadelphia, PA 19104, USA
Am J Emerg Med 27:552-7. 2009..We sought to determine the impact of 3 validated scales of physician risk behavior on imaging use in emergency department (ED) patients with abdominal pain...
Standardized reporting guidelines for studies evaluating risk stratification of emergency department patients with potential acute coronary syndromesJudd E Hollander
University of Pennsylvania, Philadelphia, PA, USA
Ann Emerg Med 44:589-98. 2004
Improving resource utilization in a teaching hospital: development of a nonteaching service for chest pain admissionsJennifer S Myers
Division of General Internal Medicine, University of Pennsylvania, Philadelphia, Pennsylvania 19104, USA
Acad Med 81:432-5. 2006..The authors hypothesized that a nonteaching service designed to identify and admit low-risk chest pain patients should reduce those pressures...
Assessment of the standardized reporting guidelines ECG classification system: the presenting ECG predicts 30-day outcomesRhonda S Forest
Department of Emergency Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA 19104-4283, USA
Ann Emerg Med 44:206-12. 2004..7%, depending on ECG classification category. CONCLUSION: The ECG classification system that is being recommended in the standardized guidelines predicts 30-day composite rates of death, acute myocardial infarction, and revascularization...
Rapid Emergency Department Heart Failure Outpatients Trial (REDHOT II): a randomized controlled trial of the effect of serial B-type natriuretic peptide testing on patient managementAdam J Singer
Department of Emergency Medicine, University of Pennsylvania, Philadelphia, PA, USA
Circ Heart Fail 2:287-93. 2009..B-type natriuretic peptide is useful to diagnose heart failure. We determined whether the use of serial B-type natriuretic peptide measurements to guide treatment improves the outcome in patients with acute heart failure...
Lack of association between left bundle-branch block and acute myocardial infarction in symptomatic ED patientsAnna Marie Chang
Department of Emergency Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA 19104 4283, USA
Am J Emerg Med 27:916-21. 2009..Our null hypothesis was that in ED patients with potential AMI, the presence of a new or presumed new LBBB would not predict an increased likelihood of AMI...
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...
The effect of emergency department crowding on patient satisfaction for admitted patientsJesse M Pines
Department of Emergency Medicine, Center for Clinical Epidemiology and Biostatistics, The Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA, USA
Acad Emerg Med 15:825-31. 2008..The objective was to study the association between factors related to emergency department (ED) crowding and patient satisfaction...
Emergency department patient preferences for boarding locations when hospitals are at full capacityChad Garson
Department of Emergency Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA, USA
Ann Emerg Med 51:9-12, 12.e1-3. 2008..One alternative is to board admitted patients in inpatient hallways. We assess ED patient preferences for boarding location...
The impact of race on the acute management of chest painArvind Venkat
Department of Emergency Medicine, University of Cincinnati College of Medicine, Cincinnati, OH 45267, USA
Acad Emerg Med 10:1199-208. 2003..40 to 0.68 and OR, 0.68; 95% CI = 0.47 to 0.99). CONCLUSIONS: Racial disparities in acute chest pain management extend beyond cardiac catheterization. Poor compliance with recommended treatments for ACS may be an explanation...
Diagnostic accuracy of the TIMI risk score in patients with chest pain in the emergency department: a meta-analysisErik P Hess
Department of Emergency Medicine, Division of Emergency Medicine Research, Mayo Clinic College of Medicine, Rochester, MN 55905, USA
CMAJ 182:1039-44. 2010..We sought to expand the clinical application of the TIMI risk score by assessing its prognostic accuracy in patients in the emergency department with potential acute coronary syndromes...
Predictive value of T-wave abnormalities at the time of emergency department presentation in patients with potential acute coronary syndromesKathy B Lin
Department of Emergency Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA 19104 4283, USA
Acad Emerg Med 15:537-43. 2008..The authors determined the association between T-wave abnormalities on the presenting ECG and cardiovascular outcomes within 30 days of presentation in patients with potential acute coronary syndromes (ACSs)...
Interrater reliability and accuracy of clinicians and trained research assistants performing prospective data collection in emergency department patients with potential acute coronary syndromeCarlos O Cruz
Department of Emergency Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA, USA
Ann Emerg Med 54:1-7. 2009..We hypothesize that they would be at least as accurate because they would not be distracted by clinical requirements...
Evaluation and management of the patient who has cocaine-associated chest painJudd E Hollander
Department of Emergency Medicine, University of Pennsylvania, Ground Floor, Ravdin Building, 3400 Spruce Street Philadelphia, PA 19104-4283, USA
Cardiol Clin 24:103-14. 2006....
Incomplete data reporting in studies of emergency department patients with potential acute coronary syndromes using troponinsBradford Glavan
Department of Emergency Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA 19104, USA
Acad Emerg Med 10:943-8. 2003..There seems to be a need for standardized reporting guidelines because important information is not currently being reported...
When do patients need admission to a telemetry bed?Esther H Chen
Department of Emergency Medicine, University of Pennsylvania, Philadelphia, Pennsylvania 19104, USA
J Emerg Med 33:53-60. 2007..Finally, telemetry is not indicated for patients requiring minor blood transfusion, low risk chest pain patients with normal electrocardiography, and stable patients receiving anticoagulation for pulmonary embolism...
An innovative strategy for conducting clinical research: the academic associate programJudd E Hollander
Department of Emergency Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA 19104 4283, USA
Acad Emerg Med 9:134-7. 2002..Similar programs can be developed in a variety of outpatient and inpatient settings allowing the performance of high-quality clinical research in a time-efficient and cost-effective manner...
Universal screening for interpersonal violence: inability to prove universal screening improves provision of servicesElizabeth M Datner
Department of Emergency Medicine, University of Pennsylvania, Philadelphia, PA, USA
Eur J Emerg Med 11:35-8. 2004..Universal screening for interpersonal violence is recommended despite a lack of confirmed efficacy. We hypothesized that the detection of violence via universal screening would result in high intervention rates for victims...
Antiplatelet therapy in acute coronary syndromes: the emergency physician's perspectiveCharles V Pollack
Department of Emergency Medicine, Pennsylvania Hospital, University of Pennsylvania Health System, Philadelphia, Pennsylvania 19107, USA
J Emerg Med 35:5-13. 2008..For patients presenting to the emergency department with ACS, the benefits and risks of initiating clopidogrel or GP IIb/IIIa inhibitor therapy need to be considered on an individual basis...
Impact of stress testing on 30-day cardiovascular outcomes for low-risk patients with chest pain admitted to floor telemetry bedsGrace Wu Chan
Department of Emergency Medicine, Hospital of the University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104-4283, USA
Am J Emerg Med 21:282-7. 2003..This suggests that patients with chest pain who are admitted to non-intensive-care telemetry (or observation unit) beds might not need stress testing before hospital release...
Head-elevated laryngoscopy position: improving laryngeal exposure during laryngoscopy by increasing head elevationRichard M Levitan
Department of Emergency Medicine, University of Pennsylvania School of Medicine, 3400 Spruce Street, Philadelphia, PA 19104, USA
Ann Emerg Med 41:322-30. 2003..The objective of this study was to determine the effect of increasing head elevation and neck flexion on the quality of laryngeal view during laryngoscopy...
A neural network aid for the early diagnosis of cardiac ischemia in patients presenting to the emergency department with chest painWilliam G Baxt
Department of Emergency Medicine, Hospital of the University of Pennsylvania, Philadelphia 19104 4283, USA
Ann Emerg Med 40:575-83. 2002..The objective of this study was to use the same registry to determine whether a network could be trained accurately to identify the larger subset of patients who have cardiac ischemia...
Bimanual laryngoscopy: a videographic study of external laryngeal manipulation by novice intubatorsRichard M Levitan
Departments of Emergency Medicine, University of Pennsylvania School of Medicine, Philadelphia, PA, USA
Ann Emerg Med 40:30-7. 2002..We perform a videographic analysis of external laryngeal manipulation (ELM) by novice intubators using a direct laryngoscopic imaging system and a validated means of assessing laryngeal view (percentage of glottic opening [POGO] score)...
Observed behaviors of subjects during informed consent for an emergency department studyJill Baren
Department of Emergency Medicine, University of Pennsylvania School of Medicine, Ground Floor Ravdin Building, 3400 Spruce Street, Philadelphia, PA 19104 4283, USA
Ann Emerg Med 55:9-14. 2010..To determine emergency department patients' behaviors during informed consent for an intimate partner violence survey...
Cognitive therapy for the prevention of suicide attempts: a randomized controlled trialGregory K Brown
Department of Psychiatry, University of Pennsylvania, Philadelphia 19104, USA
JAMA 294:563-70. 2005..Suicide attempts constitute a major risk factor for completed suicide, yet few interventions specifically designed to prevent suicide attempts have been evaluated...
Pay for performance for antibiotic timing in pneumonia: caveat emptorJesse M Pines
Department of Emergency Medicine, University of Pennsylvania, Philadelphia, USA
Jt Comm J Qual Patient Saf 32:531-5. 2006..The answer is to find measures of system throughput and/or work flow that are associated with improved patient care outcomes...
Emergency physicians do not use more resources to evaluate obese patients with acute abdominal painEsther H Chen
Department of Emergency Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA 19104 4283, USA
Am J Emerg Med 25:925-30. 2007..We hypothesized that emergency physicians would use more resources to evaluate acute abdominal pain in obese patients as compared with that in nonobese patients...
B-type natriuretic peptide (BNP) levels and ethnic disparities in perceived severity of heart failure: results from the Rapid Emergency Department Heart Failure Outpatient Trial (REDHOT) multicenter study of BNP levels and emergency department decision maLori B Daniels
University of California at San Diego, California, USA
J Card Fail 12:281-5. 2006..CONCLUSION: In patients presenting to the ED with heart failure, the disconnect between perceived severity of CHF and severity as determined by BNP levels is most pronounced in African Americans...
Interrater reliability of criteria used in assessing blunt head injury patients for intracranial injuriesJudd E Hollander
Departments of Emergency Medicine, University of Pennsylvania School of Medicine, Ravdin Building Ground Floor, 3400 Spruce Street, Philadelphia, PA 19104 4283, USA
Acad Emerg Med 10:830-5. 2003..To determine the interrater reliability of potential predictor variables that may be used to construct a clinical decision rule for emergency computed tomography of the head in blunt head injury victims...
Can electrocardiographic criteria predict adverse cardiac events and positive cardiac markers?Andra L Blomkalns
University of Cincinnati, Cincinnati, OH45267 0769, USA
Acad Emerg Med 10:205-10. 2003..The authors hypothesized that specific ECG findings, other than those previously identified in higher-risk populations, would be predictive of cardiac outcomes and positive cardiac markers...
Sexual dysfunction and cardiac risk (the Second Princeton Consensus Conference)John B Kostis
University of Medicine and Dentistry of New Jersey Robert Wood Johnson Medical School, New Brunswick, NJ, USA
Am J Cardiol 96:313-21. 2005..Finally, further research on the role of PDE-5 inhibition in treating patients with other medical or cardiovascular disorders is recommended...
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
Congestive heart failure patients with chest pain: incidence and predictors of acute coronary syndromeNadine A Lettman
Weill Medical College of Cornell University, New York, NY, USA
Acad Emerg Med 9:903-9. 2002..Strategies tailored to early identification and management of these patients would be desirable...
Rapid measurement of B-type natriuretic peptide in the emergency diagnosis of heart failureAlan S Maisel
University of California, San Diego, Veterans Affairs Medical Center, San Diego 92161, USA
N Engl J Med 347:161-7. 2002..B-type natriuretic peptide is released from the cardiac ventricles in response to increased wall tension...
Impact of the history of congestive heart failure on the utility of B-type natriuretic peptide in the emergency diagnosis of heart failure: results from the Breathing Not Properly Multinational StudyAdam Strunk
University of California, San Diego, Veterans Affairs San Diego Healthcare System, San Diego, Calif 92161, USA
Am J Med 119:69.e1-11. 2006....
Risk stratification of emergency department patients with chest pain: the need for standardized reporting guidelinesJudd E Hollander
Ann Emerg Med 43:68-70. 2004
How obesity affects the cut-points for B-type natriuretic peptide in the diagnosis of acute heart failure. Results from the Breathing Not Properly Multinational StudyLori B Daniels
University of California, San Diego, CA, USA
Am Heart J 151:999-1005. 2006..A lower cut-point (BNP > or = 54 pg/mL) should be used in severely obese patients to preserve sensitivity. A higher cut-point in lean patients (BNP > or = 170 pg/mL) could be used to increase specificity...
B-type natriuretic peptide and echocardiographic determination of ejection fraction in the diagnosis of congestive heart failure in patients with acute dyspneaPhilippe Gabriel Steg
Cardiology, Hopital Bichat Claude Bernard, Assistance Publique Hopitaux de Paris, 46 rue Henri Huchard, 75877 Paris Cedex 18, France
Chest 128:21-9. 2005..Echocardiography and B-type natriuretic peptide (BNP) are diagnostic tests for congestive heart failure (CHF), but an emergency diagnosis can be difficult...
Predictors of elevated B-type natriuretic peptide concentrations in dyspneic patients without heart failure: an analysis from the breathing not properly multinational studyCathrine W Knudsen
University of California, San Diego, Veteran's Affairs Medical Center, San Diego, CA, USA
Ann Emerg Med 45:573-80. 2005..CONCLUSION: Knowledge of these commonly obtained variables should aid clinicians in the interpretation of moderately elevated BNP results in patients presenting with acute dyspnea in the emergency department...
The financial burden of emergency department congestion and hospital crowding for chest pain patients awaiting admissionMatthew D Bayley
Department of Medicine, School of Medicine, The Wharton School
Ann Emerg Med 45:110-7. 2005..Interventions that reduce ED delays in hospital admissions have the potential to significantly increase hospital revenues...
B-type natriuretic peptide levels in patients in the emergency department with possible heart failure and previous stable angina pectoris and/or healed myocardial infarctionJames McCord
Henry Ford Health System, Detroit, Michigan, USA
Am J Cardiol 96:1370-3. 2005..However, in patients who did not have heart failure, there was a relation between BNP levels and previous stable angina pectoris and/or healed myocardial infarction but no significant independent relation in multiple regression analysis...
Relationship between obesity and B-type natriuretic peptide levelsJames McCord
Henry Ford Heart and Vascular Institute, Henry Ford Health System, Detroit, Mich, USA
Arch Intern Med 164:2247-52. 2004..When considering demographics, severity of disease, and renal function, BMI is not independently related to BNP levels in a small subgroup when detailed information about CHF severity is known...
The effect of diabetes on B-type natriuretic peptide concentrations in patients with acute dyspnea: an analysis from the Breathing Not Properly Multinational StudyAlan H B Wu
Department of Pathology and Laboratory Medicine, Hartford Hospital, Connecticut, USA
Diabetes Care 27:2398-404. 2004..We determined the effect of diabetes on B-type natriuretic peptide (BNP) concentrations in patients presenting to the emergency department with dyspnea...
Primary results of the Rapid Emergency Department Heart Failure Outpatient Trial (REDHOT). A multicenter study of B-type natriuretic peptide levels, emergency department decision making, and outcomes in patients presenting with shortness of breathAlan Maisel
University of California San Diego, Veterans Affairs Medical Center, San Diego, California 92161, USA
J Am Coll Cardiol 44:1328-33. 2004....
Impact of age, race, and sex on the ability of B-type natriuretic peptide to aid in the emergency diagnosis of heart failure: results from the Breathing Not Properly (BNP) multinational studyAlan S Maisel
University of California, San Diego, Veteran s Affairs Medical Center, San Diego, Calif 92161, USA
Am Heart J 147:1078-84. 2004..B-type natriuretic peptide (BNP) is secreted from the cardiac ventricles in response to increased wall tension...
