2023
Enhanced Identification of Hispanic Ethnicity Using Clinical Data
Ochoa-Allemant P, Tate J, Williams E, Gordon K, Marconi V, Bensley K, Rentsch C, Wang K, Taddei T, Justice A, Cohorts F. Enhanced Identification of Hispanic Ethnicity Using Clinical Data. Medical Care 2023, 61: 200-205. PMID: 36893404, PMCID: PMC10114212, DOI: 10.1097/mlr.0000000000001824.Peer-Reviewed Original ResearchConceptsBurden of diseaseHispanic patientsCountry of birthClinical dataHispanic ethnicityNon-Hispanic white patientsSex-adjusted prevalenceChronic liver diseaseHuman immunodeficiency virusDemographic characteristicsElectronic health record dataHealth careHealth record dataPrevalence of conditionsUS health care systemMedicare administrative dataHealth care systemWhite patientsLiver diseaseImmunodeficiency virusSelf-reported ethnicityHigh prevalenceGastric cancerHepatocellular carcinomaVeteran population
2021
Accuracy of the Veterans Health Administration COVID-19 (VACO) Index for predicting short-term mortality among 1307 US academic medical centre inpatients and 427 224 US Medicare patients
King JT, Yoon JS, Bredl ZM, Habboushe JP, Walker GA, Rentsch CT, Tate JP, Kashyap NM, Hintz RC, Chopra AP, Justice AC. Accuracy of the Veterans Health Administration COVID-19 (VACO) Index for predicting short-term mortality among 1307 US academic medical centre inpatients and 427 224 US Medicare patients. Journal Of Epidemiology & Community Health 2021, 76: 254-260. PMID: 34583962, PMCID: PMC8483922, DOI: 10.1136/jech-2021-216697.Peer-Reviewed Original ResearchConceptsVACO IndexShort-term mortalityAcademic medical centerCause mortalityMedicare inpatientMedical CenterSingle US academic medical centerCOVID-19 indexTime of diagnosisUS academic medical centersUS Medicare patientsGreater clinical attentionCOVID-19SARS-CoV-2Nationwide cohortComorbidity diagnosesMedicare cohortInpatient populationUS veteransMedicare patientsHospital dataMedicare dataOutpatient dataClinical attentionInpatients
2019
Measuring Exposure to Incarceration Using the Electronic Health Record
Wang EA, Long JB, McGinnis KA, Wang KH, Wildeman CJ, Kim C, Bucklen KB, Fiellin DA, Bates J, Brandt C, Justice AC. Measuring Exposure to Incarceration Using the Electronic Health Record. Medical Care 2019, 57: s157-s163. PMID: 31095055, PMCID: PMC8352066, DOI: 10.1097/mlr.0000000000001049.Peer-Reviewed Original ResearchMeSH KeywordsAdministrative Claims, HealthcareAdultCohort StudiesElectronic Health RecordsEthnicityFemaleHumansInformation Storage and RetrievalMaleMedicareMiddle AgedNatural Language ProcessingPrisonersSelf ReportSensitivity and SpecificityUnited StatesUnited States Department of Veterans AffairsVeteransConceptsVeterans Aging Cohort StudyElectronic health recordsHuman immunodeficiency virus-infected patientsVHA electronic health recordsNational observational cohortVirus-infected patientsHealth recordsAging Cohort StudyEHR dataHealth care disparitiesAdministrative dataRace/ethnicityIncarceration exposureObservational cohortUninfected patientsCohort studySpecificity 99.3DATA SOURCESCare disparitiesSpecificity 100Specificity 98.9Social determinantsMedicaid ServicesSpecificity 95.9Health information
2015
Medicare and Medicaid enrollment and outside hospitalizations among HIV-infected and uninfected veterans engaged in VA care: a retrospective cohort study
Chang H, Tate J, Justice AC, Ohl ME. Medicare and Medicaid enrollment and outside hospitalizations among HIV-infected and uninfected veterans engaged in VA care: a retrospective cohort study. BMC Health Services Research 2015, 15: 27. PMID: 25608566, PMCID: PMC4307747, DOI: 10.1186/s12913-015-0684-8.Peer-Reviewed Original ResearchConceptsUninfected veteransNon-VA useMedicaid enrollmentVA careLower oddsHealth systemVeterans Administration Health SystemMore frequent hospitalizationsVeterans 65 yearsCohort of HIVRetrospective cohort studyGreater illness severityNon-VA hospitalizationsHigh rateHIV careCohort studyFrequent hospitalizationsHIV infectionHospital admissionIllness severityPoor outcomeWorse outcomesHospitalizationHIVService Medicare
2013
Medical ICU Admission Diagnoses and Outcomes in Human Immunodeficiency Virus–Infected and Virus–Uninfected Veterans in the Combination Antiretroviral Era*
Akgün KM, Tate JP, Pisani M, Fried T, Butt AA, Gibert CL, Huang L, Rodriguez-Barradas MC, Rimland D, Justice AC, Crothers K. Medical ICU Admission Diagnoses and Outcomes in Human Immunodeficiency Virus–Infected and Virus–Uninfected Veterans in the Combination Antiretroviral Era*. Critical Care Medicine 2013, 41: 1458-1467. PMID: 23507717, PMCID: PMC4283206, DOI: 10.1097/ccm.0b013e31827caa46.Peer-Reviewed Original ResearchConceptsMedical ICU admissionVeterans Aging Cohort Study (VACS) IndexICU admissionAntiretroviral therapyRespiratory diagnosesMechanical ventilationVeterans Aging Cohort Study Index scoresUndetectable HIV-1 RNALogistic regressionStudy indicesVeterans Affairs Medical CenterCombination antiretroviral eraCritical care requirementsICU admission diagnosisMedical ICU careCombination antiretroviral therapyInfection/sepsisHIV-1 RNAHuman immunodeficiency virusMultivariable logistic regressionRoutine clinical biomarkersHigh mortality rateRevenue center codesAdmission diagnosisICU mortality