2021
Awareness of Diabetic Retinopathy: Insight From the National Health and Nutrition Examination Survey
Nwanyanwu KMJH, Nunez-Smith M, Gardner TW, Desai MM. Awareness of Diabetic Retinopathy: Insight From the National Health and Nutrition Examination Survey. American Journal Of Preventive Medicine 2021, 61: 900-909. PMID: 34426057, PMCID: PMC8608699, DOI: 10.1016/j.amepre.2021.05.018.Peer-Reviewed Original ResearchConceptsSelf-reported diabetesNutrition Examination SurveyDiabetic retinopathyExamination SurveyNational HealthDiabetic retinopathy diagnosisHispanic race/ethnicityUndiagnosed diabetic retinopathyElevated blood pressureHistory of strokeSelf-reported hypertensionRetinopathy diagnosisRace/ethnicityCurrent smokingBlood pressureMale sexBlack raceFundus photographyDecreased oddsRetinopathyPreventable blindnessDiabetesOlder ageLogistic regressionDiagnosis
2020
Updating insights into rosiglitazone and cardiovascular risk through shared data: individual patient and summary level meta-analyses
Wallach JD, Wang K, Zhang AD, Cheng D, Grossetta Nardini HK, Lin H, Bracken MB, Desai M, Krumholz HM, Ross JS. Updating insights into rosiglitazone and cardiovascular risk through shared data: individual patient and summary level meta-analyses. The BMJ 2020, 368: l7078. PMID: 32024657, PMCID: PMC7190063, DOI: 10.1136/bmj.l7078.Peer-Reviewed Original ResearchConceptsIndividual patient-level dataCardiovascular related deathsCardiovascular riskMyocardial infarctionRelated deathsSummary-level dataHeart failureOdds ratioSystematic reviewIncreased cardiovascular riskMore myocardial infarctionsHeart failure eventsCochrane Central RegistryAcute myocardial infarctionMyocardial infarction eventsPatient-level dataRandom-effects modelWeb of ScienceAnalysis of trialsEligible trialsComposite outcomeAdverse eventsContinuity correctionControlled TrialsRosiglitazone treatment
2018
All-cause mortality among people with HIV released from an integrated system of jails and prisons in Connecticut, USA, 2007–14: a retrospective observational cohort study
Loeliger KB, Altice FL, Ciarleglio MM, Rich KM, Chandra DK, Gallagher C, Desai MM, Meyer JP. All-cause mortality among people with HIV released from an integrated system of jails and prisons in Connecticut, USA, 2007–14: a retrospective observational cohort study. The Lancet HIV 2018, 5: e617-e628. PMID: 30197101, PMCID: PMC6279524, DOI: 10.1016/s2352-3018(18)30175-9.Peer-Reviewed Original ResearchConceptsIndex releaseCause mortalityMortality rateRetrospective observational cohort studyCox proportional hazards modelLow CD4 countObservational cohort studyHIV surveillance dataCrude mortality rateGeneral US populationProportional hazards modelStandardised mortality ratiosSubstance use disordersSystems of careHIV/AIDSSurvival of peopleVirological failureAntiretroviral therapyCD4 countMedical comorbiditiesCohort studyRetrospective cohortMedian ageLiver diseaseViral load
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
2014
Usual Source of Care and Outcomes Following Acute Myocardial Infarction
Spatz ES, Sheth SD, Gosch KL, Desai MM, Spertus JA, Krumholz HM, Ross JS. Usual Source of Care and Outcomes Following Acute Myocardial Infarction. Journal Of General Internal Medicine 2014, 29: 862-869. PMID: 24553957, PMCID: PMC4026492, DOI: 10.1007/s11606-014-2794-0.Peer-Reviewed Original ResearchConceptsAcute myocardial infarctionUsual sourceMyocardial infarctionMortality rateBaseline risk factorsAcute clinical eventsMain outcome measuresAMI severityAMI patientsMultivariable analysisKey ResultsAmongClinical eventsSocio-demographic characteristicsRisk factorsOutcome measuresReadmissionHigh mortalityPatientsMortalityCareMonthsInfarctionAdultsOutcomesAssociation
2012
Active Transportation and Cardiovascular Disease Risk Factors in U.S. Adults
Furie GL, Desai MM. Active Transportation and Cardiovascular Disease Risk Factors in U.S. Adults. American Journal Of Preventive Medicine 2012, 43: 621-628. PMID: 23159257, DOI: 10.1016/j.amepre.2012.06.034.Peer-Reviewed Original ResearchConceptsCardiovascular disease risk factorsDisease risk factorsRisk factorsPhysical activityFavorable cardiovascular risk factor profileCardiovascular risk factor profileHigh-density lipoprotein levelsU.S. adultsOdds of hypertensionRisk factor profileActive transportationNutrition Examination SurveyMinutes/weekLogistic regression analysisTransportation physical activityEvidence of associationWaist circumferenceLipoprotein levelsSmoking statusExamination SurveyNational HealthLower oddsHealth outcomesFactor profileSociodemographic characteristicsOutcomes for Mitral Valve Surgery Among Medicare Fee-for-Service Beneficiaries, 1999 to 2008
Dodson JA, Wang Y, Desai MM, Barreto-Filho JA, Sugeng L, Hashim SW, Krumholz HM. Outcomes for Mitral Valve Surgery Among Medicare Fee-for-Service Beneficiaries, 1999 to 2008. Circulation Cardiovascular Quality And Outcomes 2012, 5: 298-307. PMID: 22576847, PMCID: PMC3400109, DOI: 10.1161/circoutcomes.112.966077.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overChi-Square DistributionFee-for-Service PlansFemaleHealthcare DisparitiesHeart Valve DiseasesHeart Valve Prosthesis ImplantationHospital MortalityHospitalizationHumansLinear ModelsMaleMedicareMitral ValveOdds RatioPatient ReadmissionQuality ImprovementRisk AssessmentRisk FactorsTime FactorsTreatment OutcomeUnited StatesConceptsMitral valve surgeryValve surgeryMitral valve repairFFS patientsHospitalization ratesValve repairMedicare feeMedicare Standard Analytic FilesMedicare FFS patientsRisk-standardized ratesProportion of patientsStandard Analytic FilesVital Status filesNational surveillance dataMedicare administrative dataSubstantial morbidityMortality outcomesService patientsAnalytic FilesMortality riskMortality rateSurgeryPatientsDenominator fileReadmission
2011
An Administrative Claims Measure Suitable for Profiling Hospital Performance Based on 30-Day All-Cause Readmission Rates Among Patients With Acute Myocardial Infarction
Krumholz HM, Lin Z, Drye EE, Desai MM, Han LF, Rapp MT, Mattera JA, Normand SL. An Administrative Claims Measure Suitable for Profiling Hospital Performance Based on 30-Day All-Cause Readmission Rates Among Patients With Acute Myocardial Infarction. Circulation Cardiovascular Quality And Outcomes 2011, 4: 243-252. PMID: 21406673, PMCID: PMC3350811, DOI: 10.1161/circoutcomes.110.957498.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overCohort StudiesFemaleHumansInsurance Claim ReviewLogistic ModelsMaleMedicareModels, StatisticalMyocardial InfarctionOutcome and Process Assessment, Health CareOutcome Assessment, Health CarePatient ReadmissionQuality of Health CareReproducibility of ResultsRisk FactorsTime FactorsUnited States
2009
Gender Differences in the Association Between Body Mass Index and Psychopathology
Desai RA, Manley M, Desai MM, Potenza MN. Gender Differences in the Association Between Body Mass Index and Psychopathology. CNS Spectrums 2009, 14: 372-383. PMID: 19773713, PMCID: PMC3708686, DOI: 10.1017/s1092852900023026.Peer-Reviewed Original ResearchConceptsPsychiatric disordersWeight groupHigh body mass index groupBody mass index groupsPersonality disorderBody mass indexNormal weight respondentsAxis II psychopathologyAxis II disordersNational Epidemiologic SurveyLogistic regression modelsObese patientsObese womenMass indexWeight managementAxis IDiagnostic criteriaEpidemiologic SurveyGender differencesIndex groupMeeting criteriaPrevalence estimatesRelated conditionsAnxiety disordersDisordersFrom Here to JUPITER
Spatz ES, Canavan ME, Desai MM. From Here to JUPITER. Circulation Cardiovascular Quality And Outcomes 2009, 2: 41-48. PMID: 20031811, DOI: 10.1161/circoutcomes.108.832592.Peer-Reviewed Original ResearchMeSH KeywordsAgedBiomarkersC-Reactive ProteinCardiovascular DiseasesEvidence-Based MedicineFemaleHealth SurveysHumansHydroxymethylglutaryl-CoA Reductase InhibitorsInflammation MediatorsLipoproteins, LDLMaleMiddle AgedNutrition SurveysPatient SelectionPractice Guidelines as TopicRandomized Controlled Trials as TopicRisk AssessmentRisk FactorsTime FactorsConceptsHigh-sensitivity C-reactive proteinLow-density lipoproteinStatin therapyC-reactive proteinElevated high-sensitivity C-reactive protein levelsHigh-sensitivity C-reactive protein levelsElevated low-density lipoprotein levelsGoal low-density lipoproteinIntervention Trial Evaluating RosuvastatinC-reactive protein levelsOlder personsLow-density lipoprotein levelsUse of statinsNutrition Examination SurveyCardiovascular riskMetabolic syndromeLipoprotein levelsPrimary preventionExamination SurveyTreatment recommendationsNational HealthElderly adultsTherapyStatinsOlder adults
2006
Case-Finding for Depression Among Medical Outpatients in the Veterans Health Administration
Desai MM, Rosenheck RA, Craig TJ. Case-Finding for Depression Among Medical Outpatients in the Veterans Health Administration. Medical Care 2006, 44: 175-181. PMID: 16434917, DOI: 10.1097/01.mlr.0000196962.97345.21.Peer-Reviewed Original ResearchConceptsMedical comorbiditiesMedical outpatientsExternal Peer Review ProgramGreater medical comorbidityPredictors of screeningMental health visitsChart review dataVeterans Health AdministrationCase-finding activitiesCross-sectional studyMental health careAdministrative dataEligible patientsHealth visitsMale patientsDepression screeningMale genderPositive screenDepressive disorderDecreased oddsDepression diagnosisSubsequent diagnosisMedical CenterHealth AdministrationPositive cases
2005
Screening for Alcohol Use Disorders Among Medical Outpatients: The Influence of Individual and Facility Characteristics
Desai MM, Rosenheck RA, Craig TJ. Screening for Alcohol Use Disorders Among Medical Outpatients: The Influence of Individual and Facility Characteristics. American Journal Of Psychiatry 2005, 162: 1521-1526. PMID: 16055775, DOI: 10.1176/appi.ajp.162.8.1521.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAlcohol-Related DisordersAmbulatory CareDiagnosis, Dual (Psychiatry)FemaleFollow-Up StudiesHealth Facility SizeHospitals, VeteransHumansMaleMass ScreeningMedical RecordsMental DisordersMiddle AgedPrevalenceRisk FactorsUnited StatesUnited States Department of Veterans AffairsVeteransConceptsAlcohol use disorderAlcohol screeningMedical outpatientsUse disordersExternal Peer Review ProgramRoutine alcohol screeningMultivariate logistic regressionCase-finding activitiesSystem-level barriersQuality improvement dataLarge medical centerEligible patientsPsychiatric comorbidityPrimary careMedical CenterPositive screeningVA facilitiesAlcohol misusePositive casesDecreased likelihoodGreater riskLogistic regressionFacility characteristicsOutpatientsPatients
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 effectsBurden of Illness Score for Elderly Persons
Inouye SK, Bogardus ST, Vitagliano G, Desai MM, Williams CS, Grady JN, Scinto JD. Burden of Illness Score for Elderly Persons. Medical Care 2003, 41: 70-83. PMID: 12544545, DOI: 10.1097/00005650-200301000-00010.Peer-Reviewed Original ResearchMeSH KeywordsAge FactorsAgedAged, 80 and overCohort StudiesComorbidityCost of IllnessFemaleFollow-Up StudiesForecastingGeriatric AssessmentHealth StatusHospitalizationHospitals, TeachingHumansMaleMortalityPneumoniaProbabilityProportional Hazards ModelsRisk AdjustmentRisk FactorsSeverity of Illness IndexSex FactorsSurvival AnalysisTime FactorsConceptsGroup IHazard ratioIllness scoresOverall mortalityC-statisticElderly personsHospitalized older personsHigh-risk diagnosesRisk adjustment indexProspective cohortValidation cohortDevelopment cohortUniversity HospitalPhysiologic abnormalitiesRisk factorsFunctional impairmentRisk groupsMedicine serviceMortality predictionMortality rateGroup IICohortOlder personsFinal modelGroup III
2001
Restricted activity among community-living older persons: incidence, precipitants, and health care utilization.
Gill T, Desai M, Gahbauer E, Holford T, Williams C. Restricted activity among community-living older persons: incidence, precipitants, and health care utilization. Annals Of Internal Medicine 2001, 135: 313-21. PMID: 11529694, DOI: 10.7326/0003-4819-135-5-200109040-00007.Peer-Reviewed Original ResearchConceptsCommunity-living older personsHealth care utilizationCare utilizationRestricted activityOlder personsProspective cohort studyEmergency department visitsMonthly telephone interviewsPhysician office visitsLarge health planYears of ageHealth-related problemsCohort studyDepartment visitsHospital admissionOffice visitsFunctional statusMedical attentionHigh riskHealth plansTelephone interviewsMonthsConsecutive monthsEpisodesDisabilityTrends in vision and hearing among older Americans.
Desai M, Pratt L, Lentzner H, Robinson K. Trends in vision and hearing among older Americans. Aging Trends 2001, 1-8. PMID: 11894223, DOI: 10.1037/e620682007-001.Peer-Reviewed Original Research