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3. Significant Mortality Associated With COVID-19 and Comorbid Cerebrovascular Disease: A Quantitative Systematic Review

Author

Sursal, Tolga, Gandhi, Chirag D., Clare, Kevin, Feldstein, Eric, Frid, Ilya, Kefina, Martin, Galluzzo, Daniela, Kamal, Haris, Nuoman, Rolla, Amuluru, Krishna, Muh, Carrie R., Pisapia, Jared M., Gulko, Edwin, Overby, Philip, Chandy, Dipak, Etienne, Mill, Kurian, Christeena, Kaur, Gurmeen, Dakay, Katarina, AlHamid, May, Al-Jehani, Hosam, Mayer, Stephan A., and Al-Mufti, Fawaz

Published
2023
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6. Mapping Progress: An analysis of trends in reporting race and ethnicity data in neuro-oncology clinical trials

Author

Maldonado-McGrath, Dalynah, primary, Mercurio, Ann C, additional, Abbate, Zachary, additional, Bloom, Emma, additional, Boyer, Angelique, additional, Katz-Lichtenstein, Hilla, additional, Lenchur, Peter, additional, Mezic, Matea, additional, Vassallo, Melanie, additional, Pandit, Maya, additional, Crorkin, Patrick J, additional, and Etienne, Mill, additional

Published
2024
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12. Mass Critical Care Surge Response During COVID-19: Implementation of Contingency Strategies – A Preliminary Report of Findings From the Task Force for Mass Critical Care

Author

Al-Awadhi, Anwar, Alptunaer, Timur, Baldisseri, Marie, Barfield, Wanda, Baum, Karyn D., Benditt, Joshua, Bowden, Kasey, Branson, Richard, Burry, Lisa D., Christian, Michael, Devereaux, Asha V., Dichter, Jeffrey R., Dominguez-Cherit, Guillermo, Downar, James, Dries, David, Einav, Sharon, Etienne, Mill, Evans, Laura, Feldman, Henry J., Geiling, James, Ghazipura, Marya, Gist, Ramon, Griffin, Kelly, Halpern, Neil, Hamele, Mitchell T., Henry, Kiersten, Hertelendy, Attila, Hick, John, Huffines, Meredith, Hupert, Nathaniel, Hossain, Tanzib, Ingbar, David, Kadri, Sameer S., Kesler, Sarah, King, Mary A., Kissoon, Niranjan, Koenig, Kristi, Lamana, Joseph, Leif, Lindsay, Levy, Deborah, Livinsky, Alicia, Martin, Christie, Martland, Anne Marie, Maves, Ryan C., Mitchell, Steven, Mukherjee, Vikramjit, Narasimhan, Mangala, Niven, Alexander, Ochoa, Juan, Ornoff, Doug, Parrish, J. Scott, Persoff, Jason, Powell, Tia, Reed, M.J., Rodriguez, Dario, Seda, Gilbert, Singh, Jaspal, Solar, Julie, Sprung, Charles L., Toner, Eric, Tosh, Pritish K., Uppal, Amit, Von-Maszewski, Marian, Ornoff, Douglas, Henry, Kiersten N., Bowden, Kasey R., Martland, Anne Marie O., Hick, John L., and Christian, Michael D.

Published
2022
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13. Diversity trends in traumatic brain injury clinical trials in the United States.

Author

Ahmed, Asim, Das, Ankita, Ming, Tiffany, Krishnan, Karishma, Lartigue, Schan, Patel, Rohan, Abbate, Zachary, Pandit, Maya, and Etienne, Mill

Subjects
DIVERSITY & inclusion policies, CLINICAL trials, SEX distribution, LOGISTIC regression analysis, AGE distribution, CHI-squared test, DESCRIPTIVE statistics, RACE, BRAIN injuries, SOCIODEMOGRAPHIC factors, HEALTH equity, DATA analysis software
Abstract

This study aims to understand the demographic representation of patients in Traumatic Brain Injury (TBI) clinical trials by evaluating the proportions of patients from various demographic categories amongst completed TBI clinical trials in the United States. ClinicalTrials.gov was queried for active TBI clinical trials. One hundred and eight completed trials in the United States were selected based on inclusion criteria, and information regarding intervention, setting, age, sex, race, and ethnicity was extracted. 2002–2006 TBI incidence data was obtained from the CDC. Chi-squared testing was applied to analyze the relationship between distributions of race and sex in the collected clinical trials and the national TBI data, and logistic regression was conducted to identify variables that may predict reporting of race or ethnicity. About 53.7% of selected clinical trials reported racial data and 34.3% reported ethnicity data. Logistic regression identified that clinical trials in defined phases were more likely to report racial data (p = 0.047 [1.015, 9.603]). Current TBI trials do not consistently report race or ethnicity data. Future efforts to ensure equitable representation in clinical trials may involve reform of recruitment processes and accountability measures implemented within the grant application process to ensure proper racial and ethnicity data reporting. [ABSTRACT FROM AUTHOR]

Published
2024
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14. Digital Pathology, Deep Learning, and Cancer: A Narrative Review

Author

Williams, Darnell K Adrian, primary, Graifman, Gillian, additional, Hussain, Nowair, additional, Amiel, Maytal, additional, Priscilla, Tran, additional, Reddy, Arjun, additional, Haider, Ali, additional, Kavitesh, Bali Kumar, additional, Li, Austin, additional, Alishahian, Leael, additional, Perera, Nichelle, additional, Efros, Corey, additional, Babu, Myoungmee, additional, Tharakan, Mathew, additional, Etienne, Mill, additional, and Babu, Benson, additional

Published
2024
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17. Prediction of Mortality After Convulsive Status Epilepticus: The Status Epilepticus M3A2S2H Score

Author

Al-Mufti, Fawaz, primary, Patel, Smit D., additional, Ogulnick, Jonathan, additional, Subah, Galadu, additional, Nolan, Bridget, additional, Uddin, Anaz, additional, Blowes, Leah, additional, Bloomfield, Jessica, additional, Raghavendran, Keshav, additional, Marikunte, Sanjana, additional, Feldstein, Eric, additional, Nuoman, Rolla, additional, Rosenberg, Jon, additional, Bauerschmidt, Andrew, additional, Overby, Philip, additional, Ramani, Venkat, additional, Wolf, Steven M., additional, Milligan, Tracey, additional, Holmes, Manisha, additional, Gandhi, Chirag D., additional, Etienne, Mill, additional, and Mayer, Stephan A., additional

Published
2023
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20. 64. Using Standardized Patient Encounters to Prepare Medical Students to Address Microaggressions in a Clinical Setting

Author

Levy, Lior, primary, Alnifaidy, Redab, additional, Weber, Harli, additional, Thommen, Rachel, additional, Lo, Katherine, additional, Ayhan, Deelan, additional, Vellek, John, additional, Smith, Sarah, additional, Vargas, Danielle, additional, Yamulla, Katie, additional, Etienne, Mill, additional, and Ludmer, Pamela, additional

Published
2023
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26. Acute ischemic strokes in patients with developmental disabilities: A cross-sectional analysis.

Author

Lui, Aiden, Feldstein, Eric, Clare, Kevin, Dicpinigaitis, Alis J, Reddy, Medha, Khan, Farzana, Semaan, Rosa, Galluzzo, Daniela, Shapiro, Steve, Kamal, Haris, Yaghi, Shadi, Pisapia, Jared, Muh, Carrie, Nuoman, Rolla, Overby, Philip, Etienne, Mill, Chong, Ji, Mayer, Stephan, Gandhi, Chirag D, and Al-Mufti, Fawaz

Subjects
STROKE patients, DEVELOPMENTAL disabilities, TISSUE plasminogen activator, CHILDREN with developmental disabilities, CROSS-sectional method, ISCHEMIC stroke, APHASIC persons
Abstract

Objective: Patients with developmental disabilities (DD) are frequently excluded from acute ischemic stroke (AIS) randomized control trials. We sought to evaluate the impact of having DD on this patient cohort Methods: The National Inpatient Sample was analyzed to explore the impact of AIS and treatment on discharge dispositions in patients with DD. Clinical characteristics, treatments, and outcomes were compared to fully-abled patients with AIS. Results: 1,605,723 patients with AIS were identified from 2010–2019, of whom 4094 (0.30%) had a DD. AIS patients with DD were younger (60.31 vs 70.93 years, p < 0.01), less likely to be Caucasian (66.37%vs 68.09%, p = 0.01), and had higher AIS severity (0.63 vs 0.58, p < 0.01). Tissue plasminogen activator (tPA) was administered in 99,739 (6.2%) fully-abled patients and 196 (4.79%) of patients with DD (p < 0.01). Endovascular thrombectomy (EVT) was performed in 21,066 (1.31%) of fully-abled patients and 35 (0.85%) of patients with DD (p < 0.01). The presence of developmental disabilities were predictive of lower rates of tPA (OR:0.71,CI:0.56–0.87,p < 0.01) and EVT (OR:0.24,CI:0.16–0.36,p < 0.01). In a propensity score-matched cohort of all AIS patients who underwent EVT, there was no difference in functional outcome (p = 0.41), in-hospital mortality (0.10), and LOS (p = 0.79). Conclusion: AIS patients with DD were less likely to receive tPA and EVT compared to fully-abled patients. Individuals with DD had higher mortality and worse discharge disposition. There was no significant difference in post-EVT outcomes between fully-abled patients and patients with developmental disabilities. In the absence of prospective clinical trials, population based cross-sectional analyses such as the present study provide valuable clinical insight. [ABSTRACT FROM AUTHOR]

Published
2023
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30. The Need for Improved End-of-Life Care Medical Education: Causes, Consequences, and Strategies for Enhancement and Integration.

Author

Hirani, Rahim, Khuram, Hassan, Elahi, Aria, Maddox, Parker Alan, Pandit, Maya, Issani, Ali, and Etienne, Mill

Abstract

End-of-life (EOL) care is a unique area of medicine that emphasizes holistic patient-centered care. It requires clinicians to consider a patients' mental, emotional, spiritual, social and physical comforts and engage patients and their families in complex discussions and decisions. It is an area of medicine that requires sensitivity in communication in order to respond to a wide range of emotions from patients and their families. Given these intricacies, it is essential that healthcare professional trainees are exposed early in their careers so they can be better equipped to address EOL situations effectively. While many medical schools have integrated this important element in pre-clinical education, a formalized and standardized curriculum could allow for students to better engage in EOLcare scenarios that they will face as future physicians. In this editorial, we discuss potential strategies to incorporate EOL care didactics and experiential learning earlier in medical education as well as the consequences of inadequate EOL care education, particularly in medical schools, in its current state. [ABSTRACT FROM AUTHOR]

Published
2024
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32. Significant Mortality Associated With COVID-19 and Comorbid Cerebrovascular Disease

Author

Sursal, Tolga, primary, Gandhi, Chirag D., additional, Clare, Kevin, additional, Feldstein, Eric, additional, Frid, Ilya, additional, Kefina, Martin, additional, Galluzzo, Daniela, additional, Kamal, Haris, additional, Nuoman, Rolla, additional, Amuluru, Krishna, additional, Muh, Carrie R., additional, Pisapia, Jared M., additional, Gulko, Edwin, additional, Overby, Philip, additional, Chandy, Dipak, additional, Etienne, Mill, additional, Kurian, Christeena, additional, Kaur, Gurmeen, additional, Dakay, Katarina, additional, AlHamid, May, additional, Al-Jehani, Hosam, additional, Mayer, Stephan A., additional, and Al-Mufti, Fawaz, additional

Published
2022
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34. Acute ischemic strokes in patients with developmental disabilities: A cross-sectional analysis

Author

Lui, Aiden, primary, Feldstein, Eric, additional, Clare, Kevin, additional, Dicpinigaitis, Alis J, additional, Reddy, Medha, additional, Khan, Farzana, additional, Semaan, Rosa, additional, Galluzzo, Daniela, additional, Shapiro, Steve, additional, Kamal, Haris, additional, Yaghi, Shadi, additional, Pisapia, Jared, additional, Muh, Carrie, additional, Nuoman, Rolla, additional, Overby, Philip, additional, Etienne, Mill, additional, Chong, Ji, additional, Mayer, Stephan, additional, Gandhi, Chirag D, additional, and Al-Mufti, Fawaz, additional

Published
2022
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35. sj-docx-1-ine-10.1177_15910199221110327 - Supplemental material for Acute ischemic strokes in patients with developmental disabilities: A cross-sectional analysis

Author

Lui, Aiden, Feldstein, Eric, Clare, Kevin, Dicpinigaitis, Alis J, Reddy, Medha, Khan, Farzana, Semaan, Rosa, Galluzzo, Daniela, Shapiro, Steve, Kamal, Haris, Yaghi, Shadi, Pisapia, Jared, Muh, Carrie, Nuoman, Rolla, Overby, Philip, Etienne, Mill, Chong, Ji, Mayer, Stephan, Gandhi, Chirag D, and Al-Mufti, Fawaz

Subjects
FOS: Clinical medicine, 110904 Neurology and Neuromuscular Diseases, Neuroscience
Abstract

Supplemental material, sj-docx-1-ine-10.1177_15910199221110327 for Acute ischemic strokes in patients with developmental disabilities: A cross-sectional analysis by Aiden Lui, Eric Feldstein, Kevin Clare, Alis J Dicpinigaitis, Medha Reddy, Farzana Khan, Rosa Semaan, Daniela Galluzzo, Steve Shapiro, Haris Kamal, Shadi Yaghi, Jared Pisapia, Carrie Muh, Rolla Nuoman, Philip Overby, Mill Etienne, Ji Chong, Stephan Mayer, Chirag D Gandhi and Fawaz Al-Mufti in Interventional Neuroradiology

Published
2022
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36. Mass Critical Care Surge Response During COVID-19

Author

Dichter, Jeffrey R., primary, Devereaux, Asha V., additional, Sprung, Charles L., additional, Mukherjee, Vikramjit, additional, Persoff, Jason, additional, Baum, Karyn D., additional, Ornoff, Douglas, additional, Uppal, Amit, additional, Hossain, Tanzib, additional, Henry, Kiersten N., additional, Ghazipura, Marya, additional, Bowden, Kasey R., additional, Feldman, Henry J., additional, Hamele, Mitchell T., additional, Burry, Lisa D., additional, Martland, Anne Marie O., additional, Huffines, Meredith, additional, Tosh, Pritish K., additional, Downar, James, additional, Hick, John L., additional, Christian, Michael D., additional, Maves, Ryan C., additional, Al-Awadhi, Anwar, additional, Alptunaer, Timur, additional, Baldisseri, Marie, additional, Barfield, Wanda, additional, Benditt, Joshua, additional, Bowden, Kasey, additional, Branson, Richard, additional, Christian, Michael, additional, Dichter, Jeffrey R., additional, Dominguez-Cherit, Guillermo, additional, Dries, David, additional, Einav, Sharon, additional, Etienne, Mill, additional, Evans, Laura, additional, Geiling, James, additional, Gist, Ramon, additional, Griffin, Kelly, additional, Halpern, Neil, additional, Henry, Kiersten, additional, Hertelendy, Attila, additional, Hick, John, additional, Hupert, Nathaniel, additional, Ingbar, David, additional, Kadri, Sameer S., additional, Kesler, Sarah, additional, King, Mary A., additional, Kissoon, Niranjan, additional, Koenig, Kristi, additional, Lamana, Joseph, additional, Leif, Lindsay, additional, Levy, Deborah, additional, Livinsky, Alicia, additional, Martin, Christie, additional, Martland, Anne Marie, additional, Mitchell, Steven, additional, Narasimhan, Mangala, additional, Niven, Alexander, additional, Ochoa, Juan, additional, Ornoff, Doug, additional, Parrish, J. Scott, additional, Powell, Tia, additional, Reed, M.J., additional, Rodriguez, Dario, additional, Seda, Gilbert, additional, Singh, Jaspal, additional, Solar, Julie, additional, Toner, Eric, additional, and Von-Maszewski, Marian, additional

Published
2022
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41. Segmental Analysis of Racial and Ethnic Diversity in the Pipeline to Anesthesiology Fellowship from 2012-2022

Author

Dyce, Candice S, Darrell, Megan, and Etienne, Mill

Abstract

Racial and ethnic minorities have historically experienced inequities in pain assessment and analgesia delivery, as well as worse perioperative outcomes. An equally diverse physician workforce is necessary to care for the needs of this population. Despite ACGME's interest in prioritizing expansion and support of a diverse workforce, the percentage of URiM Anesthesiology trainees is lagging behind the demographic shift in the US.

Published
2024
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50. The epidemiology of sport related concussion in Brazilian Jiu-Jitsu

Author

Spano Matthew and Etienne Mill

Subjects
medicine.medical_specialty, Demographics, business.industry, Concussion, Epidemiology, medicine, Neurology (clinical), medicine.disease, business, Sport related concussion, Return to play, Clinical psychology
Abstract

Brazilian Jiu-Jitsu (BJJ) is a rapidly growing grappling sport with a wide spectrum of participants. This study aimed to analyze the prevalence of concussions among BJJ practitioners while determining potential predictive factors. A 17-question survey was distributed via email to BJJ practitioners in the United States. The survey included questions on practitioners; demographics and the development of a concussion doing BJJ. Among those with a concussion during BJJ, further information was elucidated on symptoms, return to play, and the development of a second concussion. A total of 780 survey responses were analyzed, ranging in age from 18 to 67 with females representing 11.8% of respondents. 25.2% of practitioners reported a concussion doing BJJ. Forty-three percent of females reported a concussion doing BJJ compared to 22.9% of males (X2 [1, n = 740] = 15.129, p = < 0.001). This gender difference did not exist in the prevalence of concussions before starting BJJ (X2 [1, n = 774] = 1.930, p = 0.381). Logistic regression indicated several factors predictive for developing a concussion from participating in BJJ including: having a prior concussion (odds-ratio = 1.691, p = 0.017, 95% CI 1.097, 2.606), the number of competitions in which an athlete participated (odds-ratio = 1.023, p = 0.016, 95% CI 1.004, 1.042), and female gender (odds-ratio = 1.863, p = 0.048, 95% CI 1.006, 3.450). Logistic regression indicated competing more times per year was predictive for developing a second concussion [odds-ratio = 1.038, p = 0.016). After a concussion, the median time to return to BJJ was 3 days. This included 30.8% of participants returning the day of their concussion. The present study represents the first epidemiologic research examining concussions in Brazilian Jiu-Jitsu. The results underscore the need for increased education on concussions and return to play guidelines among BJJ coaches and practitioners.

Published
2018

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