Silas W. Smith
New York University
Publications 62
Abstract Purpose The aim of this study was to determine rates of and possible reasons for guideline-discordant ordering of CT pulmonary angiography for the evaluation of suspected pulmonary embolism (PE) in the emergency department. Methods A retrospective review was performed of 212 consecutive encounters (January 6, 2016, to February 25, 2016) with 208 unique patients in the emergency department that resulted in CT pulmonary angiography orders. For each encounter, the revised Geneva score and ...
#1Maryann Mazer Amirshahi (Georgetown University)
#2Michael J. Moss (UofU: University of Utah)H-Index: 2
Last.Andrew Stolbach (JHUSOM: Johns Hopkins University School of Medicine)H-Index: 6
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#1R.S. Wightman (Brown University)H-Index: 1
#2Lewis S. Nelson (RU: Rutgers University)H-Index: 12
Last.Silas W. Smith (NYU: New York University)H-Index: 13
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Abstract The risk of severe precipitated opioid withdrawal (POW) is amplified when precipitated by a long-acting opioid antagonist. IM extended release naltrexone (XRNTX;Vivitrol®) is an FDA approved therapy to prevent relapse of opioid and alcohol abuse. Two cases of precipitated opioid withdrawal from XRNTX are presented that illustrate different patient reactions to POW. A 56-year-old woman developed a hypertensive emergency and required continuous intravenous vasodilator, clonidine, and inte...
#1Sidrah Malik (NYU: New York University)H-Index: 2
#2David C. Lee (NYU: New York University)H-Index: 8
Last.Silas W. Smith (NYU: New York University)H-Index: 13
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OBJECTIVE:Older adults are a potentially medically vulnerable population with increased mortality rates during and after disasters. To evaluate the impact of a natural disaster on this population, we performed a temporal and geospatial analysis of emergency department (ED) use by adults aged 65 years and older in New York City (NYC) following Hurricane Sandy's landfall. METHODS:We used an all-payer claims database to analyze demographics, insurance status, geographic distribution, and health con...
#1Soterios Gyftopoulos (NYU: New York University)H-Index: 13
#2Silas W. Smith (NYU: New York University)H-Index: 13
Last.Danil V. Makarov (NYU: New York University)H-Index: 28
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Abstract Purpose To better understand the decision making behind the ordering of CT pulmonary angiography (CTPA) for the diagnosis of pulmonary embolism (PE) in the emergency department. Methods We conducted semistructured interviews with our institution's emergency medicine (EM) providers and radiologists who read CTPAs performed in the emergency department. We employed the Theoretical Domains Framework—a formal, structured approach used to better understand the motivations and beliefs of physi...
#1Mark Neavyn (UMMS: University of Massachusetts Medical School)H-Index: 3
#2Andrew Stolbach (Johns Hopkins University)H-Index: 6
Last.Laura M. Tormoehlen (IU: Indiana University)H-Index: 6
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#1Jordan Swartz (NYU: New York University)H-Index: 2
#2Christian Koziatek (NYU: New York University)H-Index: 1
Last.Eduardo Iturrate (NYU: New York University)H-Index: 3
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Abstract Background Testing for venous thromboembolism (VTE) is associated with cost and risk to patients (e.g. radiation). To assess the appropriateness of imaging utilization at the provider level, it is important to know that provider’s diagnostic yield (percentage of tests positive for the diagnostic entity of interest). However, determining diagnostic yield typically requires either time-consuming, manual review of radiology reports or the use of complex and/or proprietary natural language ...