2021
The Incidence and Cumulative Risk of Major Surgery in Older Persons in the United States
Becher RD, Vander Wyk B, Leo-Summers L, Desai MM, Gill TM. The Incidence and Cumulative Risk of Major Surgery in Older Persons in the United States. Annals Of Surgery 2021, 277: 87-92. PMID: 34261884, PMCID: PMC8758792, DOI: 10.1097/sla.0000000000005077.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overDementiaHumansIncidenceLongitudinal StudiesMedicareProspective StudiesUnited StatesConceptsMajor surgeryOlder personsCumulative riskNational HealthCommunity-living older personsHigh-quality surgical careNon-frail groupPopulation-based incidenceService Medicare beneficiariesMedicaid Services dataCumulative risk estimatesProspective longitudinal studyUnited States agesAging Trends StudyGeriatric characteristicsRepresentative incidenceFrail groupAdjusted incidenceGeriatric populationProbable dementiaSurgical carePersons 85Medicare beneficiariesSurgeryVulnerable subgroups
2017
Clinical and parasitological factors in parasite persistence after treatment and clinical cure of cutaneous leishmaniasis
Martínez-Valencia AJ, Daza-Rivera CF, Rosales-Chilama M, Cossio A, Rincón E, Desai MM, Saravia NG, Gómez MA. Clinical and parasitological factors in parasite persistence after treatment and clinical cure of cutaneous leishmaniasis. PLOS Neglected Tropical Diseases 2017, 11: e0005713. PMID: 28704369, PMCID: PMC5526576, DOI: 10.1371/journal.pntd.0005713.Peer-Reviewed Original ResearchConceptsCutaneous leishmaniasisParasite persistencePercent of patientsInitiation of treatmentEnd of treatmentViability of LeishmaniaDisease reactivationTonsillar mucosaClinical cureClinical resolutionTreatment initiationProtective immunityMeglumine antimoniatePersistent infectionMucosal tissuesPrevious episodesTherapeutic cureParasitological factorsProtective factorsPatientsParasitological parametersTreatmentLeishmaniasisWeeksHigher proportion
2015
The Value of Continuous ST-Segment Monitoring in the Emergency Department
Bovino LR, Funk M, Pelter MM, Desai MM, Jefferson V, Andrews LK, Forte K. The Value of Continuous ST-Segment Monitoring in the Emergency Department. Advanced Emergency Nursing Journal 2015, 37: 290-300. PMID: 26509726, PMCID: PMC4644066, DOI: 10.1097/tme.0000000000000080.Peer-Reviewed Original ResearchConceptsContinuous ST-segment monitoringAcute coronary syndromeST-segment monitoringEmergency departmentAdverse eventsDiagnostic accuracyRisk-stratified analysisLikelihood ratioSingle emergency departmentHigh-risk participantsCoronary syndromeElectrocardiographic monitoringMedian timeTroponin (HEART) scoreMyocardial ischemiaRisk factorsHigh riskDiagnostic benefitIschemiaIntervention phaseDiagnosisBedside monitorsInfarctionPatientsSymptoms
2004
HIV Testing and Receipt of Test Results Among Homeless Persons With Serious Mental Illness
Desai MM, Rosenheck RA. HIV Testing and Receipt of Test Results Among Homeless Persons With Serious Mental Illness. American Journal Of Psychiatry 2004, 161: 2287-2294. PMID: 15569902, DOI: 10.1176/appi.ajp.161.12.2287.Peer-Reviewed Original ResearchConceptsSerious mental illnessHIV testingReceipt of resultsCase management programMental illnessService utilizationCommunity-based case management programIntensive case management programHomeless personsTargeting of strategiesHealth service utilizationSevere psychiatric symptomsMedical service utilizationProgram entryIll homeless personsHIV resultsHIV serostatusPsychiatric symptomsGreater social supportCommunity careLevel of worryYounger ageDrug abuse problemsIllnessLess education
2003
The effects of a targeted multicomponent delirium intervention on postdischarge outcomes for hospitalized older adults
Bogardus ST, Desai MM, Williams CS, Leo-Summers L, Acampora D, Inouye SK. The effects of a targeted multicomponent delirium intervention on postdischarge outcomes for hospitalized older adults. The American Journal Of Medicine 2003, 114: 383-390. PMID: 12714128, DOI: 10.1016/s0002-9343(02)01569-3.Peer-Reviewed Original ResearchMeSH KeywordsAgedDeliriumHumansOutcome Assessment, Health CarePatient DischargeProspective StudiesRisk FactorsTime FactorsConceptsSelf-rated healthFunctional statusIntervention groupMulticomponent interventionBetter functional statusHigh-risk patientsGood self-rated healthHospital-based interventionsHospitalized older adultsHealth care utilizationHigh-risk subgroupsHome health visitsOutcomes 6 monthsNursing home placementAcademic medical centerDelirium interventionPostdischarge outcomesHospital dischargeHealth visitsCare utilizationRisk factorsMedical CenterControl groupCognitive statusBeneficial effectsDeterminants of Receipt of Ambulatory Medical Care in a National Sample of Mentally Ill Homeless Veterans
Desai MM, Rosenheck RA, Kasprow WJ. Determinants of Receipt of Ambulatory Medical Care in a National Sample of Mentally Ill Homeless Veterans. Medical Care 2003, 41: 275-287. PMID: 12555055, DOI: 10.1097/01.mlr.0000044907.31129.0a.Peer-Reviewed Original ResearchMeSH KeywordsAdultAmbulatory Care FacilitiesData Interpretation, StatisticalFemaleHealth Services Needs and DemandHumansIll-Housed PersonsInterviews as TopicLogistic ModelsMaleMentally Ill PersonsMiddle AgedModels, PsychologicalMultivariate AnalysisOutcome Assessment, Health CarePatient Acceptance of Health CareProspective StudiesSampling StudiesUnited StatesVeteransConceptsDeterminants of receiptMedical careHomeless veteransMore visitsVeterans Affairs administrative dataProgram intakeMedical service useAmbulatory medical careMedical servicesOutpatient medical careLogistic regression modelingIll homeless personsProspective studyMedical visitsFemale genderDuration of homelessnessService useMedical treatmentMental illnessMultivariate analysisDecreased likelihoodSubstance abuseCareVulnerable populationsHomeless Program
2002
Development and Validation of a Risk‐Adjustment Index for Older Patients: The High‐Risk Diagnoses for the Elderly Scale
Desai MM, Bogardus ST, Williams CS, Vitagliano G, Inouye SK. Development and Validation of a Risk‐Adjustment Index for Older Patients: The High‐Risk Diagnoses for the Elderly Scale. Journal Of The American Geriatrics Society 2002, 50: 474-481. PMID: 11943043, DOI: 10.1046/j.1532-5415.2002.50113.x.Peer-Reviewed Original ResearchMeSH KeywordsAgedFemaleGeriatricsHealth Status IndicatorsHumansMaleProspective StudiesRisk AdjustmentConceptsRisk adjustment indexDevelopment cohortElderly ScaleRisk diagnosisProspective cohort studyGeneral medical patientsGeneral medicine serviceUniversity Teaching HospitalCox proportional hazardsCharacteristic curve analysisComparable patientsCohort studyOlder patientsStrength of associationDischarge diagnosisMedical patientsValidation cohortRisk groupsTeaching hospitalInitial cohortMortality riskSeparate cohortMedicine serviceMortality ratePatients