Adam L. Sharp
YOU?
Author Swipe
View article: DIZZiness treatment through implementation and clinical strategy Tactics-2 (DIZZTINCT-2) project—a clinical trial protocol
DIZZiness treatment through implementation and clinical strategy Tactics-2 (DIZZTINCT-2) project—a clinical trial protocol Open
Background The evaluation and management of acute vertigo presentations is challenging for both patients and physicians. Benign paroxysmal positional vertigo (BPPV), acute unilateral vestibulopathy (e.g., vestibular neuritis), and stroke a…
View article: Impact of California's naloxone co‐prescription law on emergency department visits, 30‐day mortality, and prescription patterns
Impact of California's naloxone co‐prescription law on emergency department visits, 30‐day mortality, and prescription patterns Open
View article: Development and Validation of the COVID-19 Hospitalized Patient Deterioration Index
Development and Validation of the COVID-19 Hospitalized Patient Deterioration Index Open
COVID-HDI is a parsimonious, well-calibrated, and accurate model that may support clinical decision-making around discharge and escalation of care.
View article: Emergency Department Cardiac Risk Stratification With High-Sensitivity vs Conventional Troponin HEART Pathway
Emergency Department Cardiac Risk Stratification With High-Sensitivity vs Conventional Troponin HEART Pathway Open
Importance Patients presenting to the emergency department with chest pain are routinely risk stratified for major adverse cardiac events using the HEART (History, Electrocardiogram, Age, Risk factors, and Troponin) score pathway, which in…
View article: 367 Metric Impact of Embedded Emergency Department Palliative Care Provider in Patients With Unmet Palliative Care Needs
367 Metric Impact of Embedded Emergency Department Palliative Care Provider in Patients With Unmet Palliative Care Needs Open
View article: CA FIRST (California Febrile Infant Risk Stratification Tool) Algorithm Development in a Learning Health System
CA FIRST (California Febrile Infant Risk Stratification Tool) Algorithm Development in a Learning Health System Open
Introduction There is considerable variation in the approach to infants presenting to the emergency department (ED) with fever. The authors' primary aim was to develop a robust set of algorithms using community ED data to inform modificati…
View article: Patient and Visit Characteristics Associated With Physical Restraint Use in the Emergency Department
Patient and Visit Characteristics Associated With Physical Restraint Use in the Emergency Department Open
Objective Physical restraints are used in emergency departments (EDs) to address behavioral emergencies in situations in which less restrictive methods have failed. The objective of this study was to evaluate for associations between patie…
View article: Social risks and social needs in a health insurance exchange sample: a longitudinal evaluation of utilization
Social risks and social needs in a health insurance exchange sample: a longitudinal evaluation of utilization Open
Background Health systems are increasingly attempting to intervene on social adversity as a strategy to improve health care outcomes. To inform health system efforts to screen for social adversity, we sought to explore the stability of soc…
View article: Automated interpretation of stress echocardiography reports using natural language processing
Automated interpretation of stress echocardiography reports using natural language processing Open
Aims Stress echocardiography (SE) findings and interpretations are commonly documented in free-text reports. Reusing SE results requires laborious manual reviews. This study aimed to develop and validate an automated method for abstracting…
View article: The impact of stay-at-home orders on the rate of emergency department child maltreatment diagnoses
The impact of stay-at-home orders on the rate of emergency department child maltreatment diagnoses Open
View article: Clinical management and outcomes for febrile infants 29–60 days evaluated in community emergency departments
Clinical management and outcomes for febrile infants 29–60 days evaluated in community emergency departments Open
View article: Opioid and Naloxone Prescribing Following Insertion of Prompts in the Electronic Health Record to Encourage Compliance With California State Opioid Law
Opioid and Naloxone Prescribing Following Insertion of Prompts in the Electronic Health Record to Encourage Compliance With California State Opioid Law Open
This study found an association between implementation of AB 2760-based prompts and increased naloxone order rate; improved opioid prescribing measures (ie, decreased concomitant muscle relaxants orders, initial and renewal opioid orders, …
View article: Social Risk Factors and Desire for Assistance Among Patients Receiving Subsidized Health Care Insurance in a US-Based Integrated Delivery System
Social Risk Factors and Desire for Assistance Among Patients Receiving Subsidized Health Care Insurance in a US-Based Integrated Delivery System Open
Athough most survey participants believed health systems have a role in addressing social risks, a minority of those reporting a risk wanted assistance and reported more discomfort being screened for risk factors than those without risks. …
View article: Healthcare Utilization Among Patients Diagnosed with COVID-19 in a Large Integrated Health System
Healthcare Utilization Among Patients Diagnosed with COVID-19 in a Large Integrated Health System Open
View article: The Effectiveness of Neuromuscular Warmups for Lower Extremity Injury Prevention in Basketball: A Systematic Review
The Effectiveness of Neuromuscular Warmups for Lower Extremity Injury Prevention in Basketball: A Systematic Review Open
Background Neuromuscular warmups have gained increasing attention as a means of preventing sports-related injuries, but data on effectiveness in basketball are sparse. The objective of this systematic review was to evaluate evidence of the…
View article: High School Basketball Coach and Player Perspectives on Warm-Up Routines and Lower Extremity Injuries
High School Basketball Coach and Player Perspectives on Warm-Up Routines and Lower Extremity Injuries Open
View article: Does Hospital Admission/Observation for Chest Pain Improve Patient Outcomes after Emergency Department Evaluation for Suspected Acute Coronary Syndrome?
Does Hospital Admission/Observation for Chest Pain Improve Patient Outcomes after Emergency Department Evaluation for Suspected Acute Coronary Syndrome? Open
View article: Errors in Results
Errors in Results Open
Aditi P. Sen, PhD; So-Yeon Kang, MPH, MBA; Emaan Rashidi, BA; Devoja Ganguli, MA; Gerard Anderson, PhD; G. Caleb Alexander, MD, MS
View article: Single vs Serial Measurements of Cardiac Troponin Level in the Evaluation of Patients in the Emergency Department With Suspected Acute Myocardial Infarction
Single vs Serial Measurements of Cardiac Troponin Level in the Evaluation of Patients in the Emergency Department With Suspected Acute Myocardial Infarction Open
This study suggests that patients are routinely discharged from the ED after a single negative troponin test result, and when compared with serial troponin testing, a single troponin test appears safe based on current physician decision-ma…
View article: Clarification of Messages Delivered to Participants During Trial of Time-Restricted Eating
Clarification of Messages Delivered to Participants During Trial of Time-Restricted Eating Open
Effects of Time-Restricted Eating on Weight Loss and Other Parameters in Patients With Overweight and Obesity
View article: Association of Financial Worry and Material Financial Risk with Short-Term Ambulatory Healthcare Utilization in a Sample of Subsidized Exchange Patients
Association of Financial Worry and Material Financial Risk with Short-Term Ambulatory Healthcare Utilization in a Sample of Subsidized Exchange Patients Open
View article: Evaluating Sex Disparities in the Emergency Department Management of Patients With Suspected Acute Coronary Syndrome
Evaluating Sex Disparities in the Emergency Department Management of Patients With Suspected Acute Coronary Syndrome Open
View article: Higher Emergency Physician Chest Pain Hospitalization Rates Do Not Lead to Improved Patient Outcomes
Higher Emergency Physician Chest Pain Hospitalization Rates Do Not Lead to Improved Patient Outcomes Open
Background: Wide variation exists for hospital admission rates for the evaluation of possible acute coronary syndrome, but there are limited data on physician-level variation. Our aim is to describe physicians’ rates of admission for suspe…
View article: Validation of the COVAS (Comorbidities, Obesity, Vitals, Age, Sex) Score as a Practical Tool for Assessing Need for Intensive Care Services in Suspected SARS-CoV2 Patients
Validation of the COVAS (Comorbidities, Obesity, Vitals, Age, Sex) Score as a Practical Tool for Assessing Need for Intensive Care Services in Suspected SARS-CoV2 Patients Open
Background and Hypothesis Various scoring instruments have been proposed to risk-stratify patients with suspected COVID-19. Here we test prognostic system derived and tested in the Kaiser Permanente health system (the COVAS score). Experim…
View article: Not all HEART scores are created equal: identifying “low‐risk” patients at higher risk
Not all HEART scores are created equal: identifying “low‐risk” patients at higher risk Open
View article: Effect of Using an Age‐adjusted D‐dimer to Assess for Pulmonary Embolism in Community Emergency Departments
Effect of Using an Age‐adjusted D‐dimer to Assess for Pulmonary Embolism in Community Emergency Departments Open
Background The objective of this study was to evaluate the effect of changing the laboratory‐reported D‐dimer reference intervals to age‐adjusted reference intervals on the use of advanced chest imaging and 30‐day adverse events among emer…
View article: Identifying patients with symptoms suspicious for COVID-19 at elevated risk of adverse events: The COVAS score
Identifying patients with symptoms suspicious for COVID-19 at elevated risk of adverse events: The COVAS score Open
View article: Automated abstraction of myocardial perfusion imaging reports using natural language processing
Automated abstraction of myocardial perfusion imaging reports using natural language processing Open
View article: Early Noninvasive Cardiac Testing After Emergency Department Evaluation for Suspected Acute Coronary Syndrome
Early Noninvasive Cardiac Testing After Emergency Department Evaluation for Suspected Acute Coronary Syndrome Open
IMPORTANCE: Professional guidelines recommend noninvasive cardiac testing (NIT) within 72 hours of an emergency department (ED) evaluation for suspected acute coronary syndrome. However, there is inexact evidence that this strategy reduces…
View article: Obesity and Mortality Among Patients Diagnosed With COVID-19: Results From an Integrated Health Care Organization
Obesity and Mortality Among Patients Diagnosed With COVID-19: Results From an Integrated Health Care Organization Open
Roche-Genentech.