 | Joseph P MD Ornato |
Prominent publications by Joseph P MD Ornato
First Documented Rhythm and Clinical Outcome From In-Hospital Cardiac Arrest Among Children and Adults
[ PUBLICATION ]
CONTEXT: Cardiac arrests in adults are often due to ventricular fibrillation (VF) or pulseless ventricular tachycardia (VT), which are associated with better outcomes than asystole or pulseless electrical activity (PEA). Cardiac arrests in children are typically asystole or PEA.
OBJECTIVE: To test the hypothesis that children have relatively fewer in-hospital cardiac arrests associated with VF or pulseless VT compared with adults and, therefore, worse survival outcomes.
DESIGN, SETTING, ...
| Also Ranks for: Children Adults | documented rhythm | cardiac arrest | asystole pea | vf pulseless |
CONTEXT: Occurrence of in-hospital cardiac arrest and survival patterns have not been characterized by time of day or day of week. Patient physiology and process of care for in-hospital cardiac arrest may be different at night and on weekends because of hospital factors unrelated to patient, event, or location variables.
OBJECTIVE: To determine whether outcomes after in-hospital cardiac arrest differ during nights and weekends compared with days/evenings and weekdays.
DESIGN AND SETTING: ...
| Also Ranks for: Cardiac Arrest | weekdays weekends | 95 hospital | time day | survival outcomes |
Serum GFAP and UCH-L1 for prediction of absence of intracranial injuries on head CT (ALERT-TBI): a multicentre observational study
[ PUBLICATION ]
BACKGROUND: More than 50 million people worldwide sustain a traumatic brain injury (TBI) annually. Detection of intracranial injuries relies on head CT, which is overused and resource intensive. Blood-based brain biomarkers hold the potential to predict absence of intracranial injury and thus reduce unnecessary head CT scanning. We sought to validate a test combining ubiquitin C-terminal hydrolase-L1 (UCH-L1) and glial fibrillary acidic protein (GFAP), at predetermined cutoff values, to ...
| Also Ranks for: Intracranial Injuries | serum gfap | patients tbi | sensitivity npv | uch l1 |
Prevalence, Clinical Characteristics, and Mortality Among Patients With Myocardial Infarction Presenting Without Chest Pain
[ PUBLICATION ]
CONTEXT: Although chest pain is widely considered a key symptom in the diagnosis of myocardial infarction (MI), not all patients with MI present with chest pain. The extent to which this phenomenon occurs is largely unknown.
OBJECTIVES: To determine the frequency with which patients with MI present without chest pain and to examine their subsequent management and outcome.
DESIGN: Prospective observational study.
SETTING AND PATIENTS: A total of 434,877 patients with confirmed MI enrolled ...
| Also Ranks for: Chest Pain | clinical characteristics | myocardial infarction | presentation hospital | diabetes mellitus |
Use of an Automated, Load-Distributing Band Chest Compression Device for Out-of-Hospital Cardiac Arrest Resuscitation
[ PUBLICATION ]
CONTEXT: Only 1% to 8% of adults with out-of-hospital cardiac arrest survive to hospital discharge.
OBJECTIVE: To compare resuscitation outcomes before and after an urban emergency medical services (EMS) system switched from manual cardiopulmonary resuscitation (CPR) to load-distributing band (LDB) CPR.
DESIGN, SETTING, AND PATIENTS: A phased, observational cohort evaluation with intention-to-treat analysis of 783 adults with out-of-hospital, nontraumatic cardiac arrest. A total of 499 ...
| Also Ranks for: Hospital Cardiac | manual cpr | arrest resuscitation | rosc survival | distributing band |
The National Registry of Cardiopulmonary Resuscitation (NRCPR) is an American Heart Association (AHA)-sponsored, prospective, multisite, observational study of in-hospital resuscitation. The NRCPR is currently the largest registry of its kind. The purpose of this article is to describe the NRCPR and to provide the first comprehensive, Utstein-based, standardized characterization of in-hospital resuscitation in the United States. All adult (>/=18 years of age) and pediatric (<18 years of ...
| Also Ranks for: Cardiopulmonary Resuscitation | national registry | cardiac arrest | adults hospital | patients vf |
BACKGROUND: The incidence of ventricular fibrillation or pulseless ventricular tachycardia as the first recorded rhythm after out-of-hospital cardiac arrest has unexpectedly declined. The success of bystander-deployed automated external defibrillators (AEDs) in public settings suggests that this may be the more common initial rhythm when out-of-hospital cardiac arrest occurs in public. We conducted a study to determine whether the location of the arrest, the type of arrhythmia, and the ...
| Also Ranks for: Cardiac Arrest | ventricular fibrillation | aeds bystanders | hospital discharge | adjusted odds ratio |
BACKGROUND: Survival following out-of-hospital cardiac arrest (OHCA) with shockable rhythms can be improved with early defibrillation. Although shockable OHCA accounts for only ≈25% of overall arrests, ≈60% of public OHCAs are shockable, offering the possibility of restoring thousands of individuals to full recovery with early defibrillation by bystanders. We sought to determine the association of bystander automated external defibrillator use with survival and functional outcomes in ...
| Also Ranks for: External Defibrillator | cardiac arrests | survival hospital | functional outcomes | bystander automated |
Survival After Intravenous Versus Intraosseous Amiodarone, Lidocaine, or Placebo in Out-of-Hospital Shock-Refractory Cardiac Arrest
[ PUBLICATION ]
BACKGROUND: Antiarrhythmic drugs have not proven to significantly improve overall survival after out-of-hospital cardiac arrest from shock-refractory ventricular fibrillation/pulseless ventricular tachycardia. How this might be influenced by the route of drug administration is not known.
METHODS: In this prespecified analysis of a randomized, placebo-controlled clinical trial, we compared the differences in survival to hospital discharge in adults with shock-refractory ventricular ...
| Also Ranks for: Cardiac Arrest | lidocaine placebo | survival hospital | intraosseous route | drug administration |
OBJECTIVES: The purpose of this study was to assess the effectiveness of contemporary automatic external defibrillator (AED) use.
BACKGROUND: In the PAD (Public Access Defibrillation) trial, survival was doubled by focused training of lay volunteers to use an AED in high-risk public settings.
METHODS: We performed a population-based cohort study of persons with nontraumatic out-of-hospital cardiac arrest before emergency medical system (EMS) arrival at Resuscitation Outcomes Consortium ...
| Also Ranks for: Aed Survival | emergency medical | ems arrival | external defibrillators | hospital discharge |
Value of Acute Rest Sestamibi Perfusion Imaging for Evaluation of Patients Admitted to the Emergency Department With Chest Pain
[ PUBLICATION ]
OBJECTIVES: This study sought to determine the ability of early perfusion imaging using technetium-99m sestamibi to predict adverse cardiac outcomes in patients who present to the emergency department with possible cardiac ischemia and nondiagnostic electrocardiograms (ECGs).
BACKGROUND: Evaluation of patients presenting to the emergency department with possible acute coronary syndromes and nondiagnostic ECGs is problematic. Accurate risk stratification is necessary to prevent serious ...
| Also Ranks for: Perfusion Imaging | emergency department | chest pain | acute rest | myocardial ischemia |
BACKGROUND: The rate and effect of coronary interventions and induced hypothermia after out-of-hospital cardiac arrest (OHCA) are unknown. We measured the association of early (≤24h after arrival) coronary angiography, reperfusion, and induced hypothermia with favorable outcome after OHCA.
METHODS: We performed a secondary analysis of a multicenter clinical trial (NCT00394706) conducted between 2007 and 2009 in 10 North American regions. Subjects were adults (≥18 years) hospitalized ...
| Also Ranks for: Early Coronary Angiography | induced hypothermia | hospital cardiac | favorable outcome | functional recovery |
Comparison of Myocardial Perfusion Imaging and Cardiac Troponin I in Patients Admitted to the Emergency Department With Chest Pain
[ PUBLICATION ]
BACKGROUND: Identification of patients with acute coronary syndromes (ACS) among those who present to emergency departments with possible myocardial ischemia is difficult. Myocardial perfusion imaging with 99mTc sestamibi and measurement of serum cardiac troponin I (cTnI) both can identify patients with ACS.
METHODS AND RESULTS: Patients considered at low to moderate risk for ACS underwent gated single-photon emission CT sestamibi imaging and serial myocardial marker measurements of ...
| Also Ranks for: Perfusion Imaging | cardiac troponin | myocardial infarction | chest pain | coronary disease |
Joseph P MD Ornato: Influence Statistics
| Concept | World rank |
|---|---|
| strategy health facilities | #1 |
| hospitalized patients factors | #1 |
| 46414 ± | #1 |
| 772 586 patients | #1 |
| hypothermia centers prevalence | #1 |
| national policy treatment | #1 |
| documentation cpr | #1 |
| 1mg dose epinephrine | #1 |
| eightylead bsm ecg | #1 |
| complications cocaine | #1 |
| cardiac arrest authors | #1 |
| documentation confirmation | #1 |
| control mcc950 | #1 |
| new alternative techniques | #1 |
| emergency department respondents | #1 |
| ann emerg healthcare | #1 |
| predictive ejection fraction | #1 |
| implication cardiac troponin | #1 |
| manual cpr ldb | #1 |
| patients tni elevations | #1 |
| defibrillation defibrillations | #1 |
| cacl atropine | #1 |
| troponindefined | #1 |
| pad decade | #1 |
| complications 17 | #1 |
| function ω3 | #1 |
| etco2 01 | #1 |
| color return | #1 |
| mortality tni elevations | #1 |
| dose epinephrine epinephrine | #1 |
| cardiac arrest aha | #1 |
| hospital aid hotlines | #1 |
| gency efibrillation | #1 |
| 1992 national conference | #1 |
| pending expert consultation | #1 |
| pulmonary hours | #1 |
| periodic chart reviews | #1 |
| determinant rosc | #1 |
| michigan eds | #1 |
| proactive medical direction | #1 |
| cpr 6 s100β | #1 |
| ccl2b | #1 |
| aa pufa | #1 |
| ldlc level 50 | #1 |
| 551 pmol | #1 |
| positive perfusion | #1 |
| guidelines advanced management | #1 |
| 2 equations mortality | #1 |
| oneyear unadjusted mortality | #1 |
| 1119 illinois patients | #1 |
Key People For Cardiac Arrest
Joseph P MD Ornato:Expert Impact
Concepts for whichJoseph P MD Ornatohas direct influence:Cardiac arrest, Myocardial infarction, Cardiopulmonary resuscitation, Chest pain, Emergency department, Acute myocardial infarction, Myocardial function, Heart association.
Joseph P MD Ornato:KOL impact
Concepts related to the work of other authors for whichfor which Joseph P MD Ornato has influence:Cardiac arrest, Myocardial infarction, Cardiopulmonary resuscitation, Cardiogenic shock, Chest pain, Acute coronary syndrome, Emergency department.
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