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Your search keyword '"Kheradia, Tarang"' showing total 11 results
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11 results on '"Kheradia, Tarang"'

2. Intravenous diltiazem infusions for rapid atrial fibrillation or flutter in the emergency department: A retrospective, exploratory analysis.

Author

Zitek, Tony, Pagano, Kristina, Fernandez, Carolina, Zajd, Sarah, Akhter, Murtaza, Kheradia, Tarang, Vaidean, Georgeta, and Farcy, David A.

Subjects
ELECTRIC countershock, PATIENT safety, PATIENTS, DILTIAZEM, HOSPITAL emergency services, TREATMENT effectiveness, RETROSPECTIVE studies, EMERGENCY medical services, HOSPITAL mortality, DESCRIPTIVE statistics, INTRAVENOUS therapy, HEART beat, LONGITUDINAL method, ODDS ratio, ATRIAL fibrillation, RESEARCH, ATRIAL flutter, COMPARATIVE studies, LENGTH of stay in hospitals, VASOCONSTRICTORS, CONFIDENCE intervals
Abstract

Background: Emergency physicians commonly treat patients with atrial fibrillation (AF) or atrial flutter (AFL) with rapid ventricular response, and intravenous (IV) diltiazem is the most commonly used medication for rate control of such patients. We sought to compare rate control success and safety outcomes for emergency department (ED) patients with AF or AFL who, after a diltiazem bolus, received a diltiazem drip compared to those who did not receive a drip. Methods: We performed a retrospective cohort study comparing outcomes of ED patients from a single hospital system with AF and AFL and a heart rate (HR) > 100 beats/min who received a diltiazem drip after an IV diltiazem bolus to those who received no drip. The primary outcome was a HR < 100 beats/min at the time of ED disposition. Secondary outcomes were hospital length of stay and safety (hypotension, electrical cardioversion, vasopressor use, and death). We compared groups using propensity score matching. Results: Between January 1, 2020, and November 8, 2022, there were 746 AF or AFL patients eligible for analysis. Of those, 382 (51.2%) received a diltiazem drip and 364 (48.8%) did not. In the unadjusted analysis, the last recorded ED HR was <100 beats/min in 55.2% of patients in the drip group compared to 65.9% in the no‐drip group (difference 10.7%, 95% confidence interval [CI] 3.7 to 17.7). After propensity matching, diltiazem drip use was associated with lower likelihood of rate control in the ED (OR 0.69, 95% CI 0.48–0.99) and 22.5 h (95% CI 12.2–36.8) longer hospital stay. Conclusions: For patients with AF or AFL, the use of a diltiazem drip after an IV diltiazem bolus was associated with less rate control in the ED. [ABSTRACT FROM AUTHOR]

Published
2024
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8. Secondhand Smoke Exposure Reduction Intervention in Chinese Households of Young Children: A Randomized Controlled Trial

Author

Abu S. Abdullah, Xiao Xia, Fu Hua, Qi Bing, Hafiz M. R. Khan, Jonathan P. Winickoff, and Kheradia Tarang

Subjects
Male, Parents, China, Passive smoking, media_common.quotation_subject, medicine.medical_treatment, Smoking Prevention, medicine.disease_cause, law.invention, Nicotine, chemistry.chemical_compound, Randomized controlled trial, Hygiene, law, Environmental health, Intervention (counseling), Medicine, Humans, Cotinine, media_common, Community Health Workers, Family Characteristics, business.industry, Smoking, Infant, Newborn, Infant, Smoke-Free Policy, chemistry, Child, Preschool, Pediatrics, Perinatology and Child Health, Community health, Smoking cessation, Female, Smoking Cessation, Tobacco Smoke Pollution, business, medicine.drug
Abstract

To assess whether a theory-based, community health worker-delivered intervention for household smokers will lead to reduced secondhand smoke exposure to children in Chinese families.Smoking parents or caregivers who had a child aged 5 years or younger at home were randomized to the intervention group (n = 164) to receive smoking hygiene intervention or to the comparison group (n = 154). The intervention was delivered by trained community health workers. Outcomes were assessed at 2- and 6- month follow-up.Of the 318 families randomized, 98 (60%) of 164 intervention group and 82 (53%) of 154 of controls completed 6-month follow-up assessment. At the 6-month follow-up, 62% of intervention and 45% of comparison group households adopted complete smoking restrictions at home (P = .022); total exposure (mean number of cigarettes per week ± standard deviation) from all smokers at home in the past 7 days was significantly lower among children in the intervention (3.29 ± 9.06) than the comparison (7.41 ± 14.63) group (P = .021); and mean urine cotinine level (ng/mL) was significantly lower in the intervention (0.030 ± .065) than the comparison (0.087 ± .027) group, P.001). Participants rating of the overall usefulness of the intervention was 4.8 + 0.8 (1 standard deviation) on the 5 point scale (1 not at all and 5 = very useful).The findings of this very first study in China showed that smoking hygiene intervention was effective in reducing children's exposure to secondhand smoke. These findings have implications for the development of primary health care-based secondhand smoke exposure reduction and family oriented smoking cessation interventions as China moves toward a smoke-free society.

Published
2014

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