Chad E. Darling
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View article: Injuries and Outcomes of Ground-level Falls Among Older Patients: A Retrospective Cohort Study
Injuries and Outcomes of Ground-level Falls Among Older Patients: A Retrospective Cohort Study Open
Study Objective: We sought to determine the overall rates of traumatic injuries and whether the rates of traumatic injuries and various clinical outcomes differed among older patients presenting to a tertiary-care emergency department (ED)…
View article: Racial Disparities and Trends in Anticoagulant Use among Ambulatory Care Patients with Atrial Fibrillation and Atrial Flutter in the United States from 2007-2019
Racial Disparities and Trends in Anticoagulant Use among Ambulatory Care Patients with Atrial Fibrillation and Atrial Flutter in the United States from 2007-2019 Open
Introduction Atrial fibrillation (AF) is the most common sustained cardiac arrhythmia, significantly increasing the risk of stroke. The introduction of direct oral anticoagulants (DOACs) since 2010 has transformed anticoagulation therapy, …
View article: Optical projection tomography implemented for accessibility and low cost ( <i>OPTImAL</i> )
Optical projection tomography implemented for accessibility and low cost ( <i>OPTImAL</i> ) Open
Optical projection tomography (OPT) is a three-dimensional mesoscopic imaging modality that can use absorption or fluorescence contrast, and is widely applied to fixed and live samples in the mm–cm scale. For fluorescence OPT, we present O…
View article: An Emergency Department Delirium Screening and Management Initiative: The Development and Refinement of the SCREENED-ED Intervention
An Emergency Department Delirium Screening and Management Initiative: The Development and Refinement of the SCREENED-ED Intervention Open
The current article describes an intervention aimed at emergency department (ED) nurses and physicians that was designed to address the challenges of managing delirium in the ED environment. The intervention development process followed th…
View article: Machine Learning Model Based on Transthoracic Bioimpedance and Heart Rate Variability for Lung Fluid Accumulation Detection: Prospective Clinical Study
Machine Learning Model Based on Transthoracic Bioimpedance and Heart Rate Variability for Lung Fluid Accumulation Detection: Prospective Clinical Study Open
Background Accumulation of excess body fluid and autonomic dysregulation are clinically important characteristics of acute decompensated heart failure. We hypothesized that transthoracic bioimpedance, a noninvasive, simple method for measu…
View article: Patients as partners in readiness for COVID‐19: using ‘live simulation’ to implement infection prevention and control procedures in the maternity operating theatre
Patients as partners in readiness for COVID‐19: using ‘live simulation’ to implement infection prevention and control procedures in the maternity operating theatre Open
Summary Insitu simulation can be used to improve care within a particular setting and has specific value in developing and testing guidelines and procedures. However, it can be challenging to undertake simulation when clinical work is ongo…
View article: Transthoracic Bioimpedance Monitoring Predicts Heart Failure Decompensation and Early Readmission after Heart Failure Hospitalization: Preliminary Data from SENTINEL-HF
Transthoracic Bioimpedance Monitoring Predicts Heart Failure Decompensation and Early Readmission after Heart Failure Hospitalization: Preliminary Data from SENTINEL-HF Open
Background: Patients, providers, and health systems are focused on reducing readmissions for patients with acute decompensated heart failure (ADHF). Readmission after hospitalization is common and often secondary to HF decompensation, but …
View article: Family Identification of Delirium in the Emergency Department in Patients With and Without Dementia: Validity of the <scp>Family Confusion Assessment Method (FAM‐CAM)</scp>
Family Identification of Delirium in the Emergency Department in Patients With and Without Dementia: Validity of the <span>Family Confusion Assessment Method (FAM‐CAM)</span> Open
OBJECTIVE To examine the ability of the family‐rated Family Confusion Assessment Method (FAM‐CAM) to identify delirium in the emergency department (ED) among patients with and without dementia, as compared to the reference‐standard Confusi…
View article: An Emergency Medicine–focused Summary of the HFSA/SAEM/ISHLT Clinical Consensus Document on the Emergency Management of Patients With Ventricular Assist Devices
An Emergency Medicine–focused Summary of the HFSA/SAEM/ISHLT Clinical Consensus Document on the Emergency Management of Patients With Ventricular Assist Devices Open
Mechanical circulatory support is increasingly used as a long‐term treatment option for patients with end‐stage heart failure. Patients with implanted ventricular assist devices are at high risk for a range of diverse medical urgencies and…
View article: Machine Learning Model Based on Transthoracic Bioimpedance and Heart Rate Variability for Lung Fluid Accumulation Detection: Prospective Clinical Study (Preprint)
Machine Learning Model Based on Transthoracic Bioimpedance and Heart Rate Variability for Lung Fluid Accumulation Detection: Prospective Clinical Study (Preprint) Open
BACKGROUND Accumulation of excess body fluid and autonomic dysregulation are clinically important characteristics of acute decompensated heart failure. We hypothesized that transthoracic bioimpedance, a noninvasive, simple method for meas…
View article: Reducing Hospitalizations and Emergency Department Visits in Patients With Venous Thromboembolism Using a Multicomponent Care Transition Intervention
Reducing Hospitalizations and Emergency Department Visits in Patients With Venous Thromboembolism Using a Multicomponent Care Transition Intervention Open
Preventing utilization of hospital and emergency department after diagnosis of venous thromboembolism is a complex problem. The objective of this study is to assess the impact of a care transition intervention on hospitalizations and emerg…
View article: Supplying Pharmacist Home Visit and Anticoagulation Professional Consultation During Transition of Care for Patients With Venous Thromboembolism
Supplying Pharmacist Home Visit and Anticoagulation Professional Consultation During Transition of Care for Patients With Venous Thromboembolism Open
Objective The aim of the study was to assess the feasibility, satisfaction, and effectiveness of a care transition intervention with pharmacist home visit and subsequent anticoagulation expert consultation for patients with new episode of …
View article: Hyperglycemia and risk of ventricular tachycardia among patients hospitalized with acute myocardial infarction
Hyperglycemia and risk of ventricular tachycardia among patients hospitalized with acute myocardial infarction Open
Efforts should be made to closely monitor and treat patients who develop hyperglycemia, especially early after hospital admission, to reduce their risk of VT.
View article: Using support vector machines on photoplethysmographic signals to discriminate between hypovolemia and euvolemia
Using support vector machines on photoplethysmographic signals to discriminate between hypovolemia and euvolemia Open
Identifying trauma patients at risk of imminent hemorrhagic shock is a challenging task in intraoperative and battlefield settings given the variability of traditional vital signs, such as heart rate and blood pressure, and their inability…
View article: NR_bloodlosssvm.zip
NR_bloodlosssvm.zip Open
PPG recordings were acquired from two independent groups of participants: trauma patients with suspected hemorrhage admitted to the hospital, and healthy volunteers subjected to blood withdrawal of 0.9 L. Two minute PPG sequences at variou…
View article: Bioimpedance-Based Heart Failure Deterioration Prediction Using a Prototype Fluid Accumulation Vest-Mobile Phone Dyad: An Observational Study
Bioimpedance-Based Heart Failure Deterioration Prediction Using a Prototype Fluid Accumulation Vest-Mobile Phone Dyad: An Observational Study Open
Patients discharged after ADHF can measure and transmit daily transthoracic bioimpedance using a FAV-mobile phone dyad. Algorithms analyzing thoracic bioimpedance may help identify patients at risk for recurrent HF events after hospital di…
View article: Magnitude of and Prognostic Factors Associated With 1‐Year Mortality After Hospital Discharge for Acute Decompensated Heart Failure Based on Ejection Fraction Findings
Magnitude of and Prognostic Factors Associated With 1‐Year Mortality After Hospital Discharge for Acute Decompensated Heart Failure Based on Ejection Fraction Findings Open
Background Limited data exist about the magnitude of and the factors associated with prognosis within 1 year for patients discharged from the hospital after acute decompensated heart failure. Data are particularly limited from the more gen…
View article: Detecting Heart Failure Decompensation by Measuring Transthoracic Bioimpedance in the Outpatient Setting: Rationale and Design of the SENTINEL-HF Study
Detecting Heart Failure Decompensation by Measuring Transthoracic Bioimpedance in the Outpatient Setting: Rationale and Design of the SENTINEL-HF Study Open
Clinicaltrials.gov NCT01877369: https://clinicaltrials.gov/ct2/show/NCT01877369 (Archived by WebCite at http://www.webcitation.org/6bDYl0dGy).
View article: PULSE‐SMART: Pulse‐Based Arrhythmia Discrimination Using a Novel Smartphone Application
PULSE‐SMART: Pulse‐Based Arrhythmia Discrimination Using a Novel Smartphone Application Open
Automated Arrhythmia Discrimination Using a Smartphone Background Atrial fibrillation (AF) is a common and dangerous rhythm abnormality. Smartphones are increasingly used for mobile health applications by older patients at risk for AF and …
View article: Patient safety incident capture resulting from incident reports: a comparative observational analysis
Patient safety incident capture resulting from incident reports: a comparative observational analysis Open
HCP-generated ED incident reports were much more likely to capture PSIs than reports submitted by non-HCPs. However, HCP reports still led to PSI discovery less than half the time. Further research is warranted to develop effective strateg…