MedStar Health Researches Jockey Injuries at Maryland Racetracks

Researchers across MedStar Health recently published collaborative research which characterized jockey injuries at Maryland racetracks during thoroughbred racing activities over 4 years. This research study examines types and mechanisms of injury among jockeys at Maryland thoroughbred racetracks.  “Injuries Among Maryland Jockeys During Thoroughbred Racing: 2015-2019” was published in BMJ Open Sport & Exercise Medicine.

MedStar Health sports medicine physicians gathered injury data over 4 years to evaluate and treat injuries experienced by the jockeys. There were 670 jockeys that participated in the 4-year study across 590 races days, and nearly 5600 races and 45,000 mounts. Among these jockeys, there were 204 injuries involving 184 incidents and 131 falls. The vast majority of injuries (80%) was related to soft tissue, while 4% were concussions. Most injuries involved the lower extremity (31%) or upper extremity (26%) and typically resulted from a fall from the horse. Among all falls, 76.3% (n=100) resulted in an injury.

The results showed a significant proportion of injuries (41%) in and around the starting gate. Over a quarter of injuries required further medical care in a hospital or other medical facility, while surgery was required in only 2.5% of injuries.

The research team hopes that more sports medicine clinicians coordinate care with local racing tracks to improve injury data collection to benefit riders’ health and safety internationally.

Kelly D. Ryan, DO from the Family Health Center at MedStar Franklin Square Medical Center said, “This study is important because there is limited jockey injury data that has been reported or published in the United States over the past 20 years. Injury data is important to give us a better understanding of our athlete and the consequences of their sport. It also gives us insight into areas that we can focus on improving to try to decrease injuries. Our ability to collect and publish this data as well as manage all of these injuries shows the benefit of integrating a sport medicine team at the racetrack to improve the care and health of jockeys and other workers."

The research team included Kelly Ryan from MedStar Franklin Square Medical Center; Kezia Alexander from MedStar Sports Medicine Research Center; Andrew E. Lincoln from Rehabilitation Medicine, Georgetown University Medical Center and MedStar Sports Medicine Research Center; Gabrielle Garrruppo from Johns Hopkins University Bloomberg School of Public Health; and Christine M Hluchan from Johns Hopkins University School of Medicine.

BMJ Open Sport & Exercise Medicine, DOI: 10.1136/bmjsem-2020-000926






December Peer-Reviewed Publications from MedStar Health

Congratulations to all MedStar researchers who had articles published in December 2020. The selected articles and link to PubMed provided below represent the body of work completed by MedStar Health investigators, physicians, and associates and published in peer-reviewed journals last month. The list is compiled from PubMed for any author using “MedStar” in the author affiliation. Congratulations to this month’s authors. We look forward to seeing your future research.

View the full list of publications on PubMed.gov here.

Selected research:

 

  1. Offset in Reverse Shoulder Arthroplasty: Where, When, and How Much
    Journal of the American Academy of Orthopaedic Surgeons, 2020.
    DOI: 10.5435/JAAOS-D-20-00671
    Wright MA, Murthi AM.

  2. Comparison of Characteristics and Outcomes of Patients with Acute Myocardial Infarction with versus without Coronarvirus-19
    The American Journal of Cardiology, 2020. DOI: 10.1016/j.amjcard.2020.12.059
    Case BC, Yerasi C, Forrestal BJ, Shea C, Rappaport H, Medranda GA, Zhang C, Satler LF, Ben-Dor I, Hashim H, Rogers T, Waksman R.

  3. Race Differences in Reported Harmful Patient Safety Events in Healthcare System High Reliability Organizations
    Journal of Patient Safety, 2020. DOI: 10.1097/PTS.0000000000000563
    Thomas AD, Pandit C, Krevat SA.

  4. Inpatient and Outpatient Technologies to Assist in the Management of Insulin Dosing
    DOI: 10.2337/cd20-0054
    Cui L, Schroeder PR, Sack PA.

Maureen McNulty is Awarded MedStar Health Nursing Impact Award

Maureen McNulty, RN, Compliance Assurance Associate was awarded the MedStar Health Nursing Impact Award for MedStar Health for the second quarter of 2020. This award honors nurses who have led efforts at process improvement or practice development through their role as representatives to MedStar Health Nursing committees and councils at each entity.  Maureen was presented with the award at the quarterly nursing leadership meeting on behalf of the MedStar Health Nursing Leadership by Joan K. Bardsley, Assistant Vice President, Research and Nursing Integration, MedStar Health Research Institute.

The Impact Award recognizes a nurse who makes an effort to communicate and implement MedStar Health nursing goals at their entity, including reduction in unit or service line Hospital Acquired Pressure Injuries or Falls, achieving Magnet designation, contributing to or supporting research, focus on quality and safety or improvement in continuity of care index.

Maureen has been an expert resource in assessing and ensuring quality and safety for research and regulatory compliance in all areas of research with audits, trainings, and support of investigator-initiated trials during her time with the Research Institute. Throughout the pandemic, Maureen has volunteered to work with Occupational Health to support the need for screening, disposition of results and plan of care for associates affected by COVID-19. In this role, Maureen has identified areas of process improvement opportunities for Occupational Health and continues to ensure that the voices of the associates are heard, particularly in the area of quality improvement.

Joan Bardsley said, “I strongly believe Maureen has made a local and system wide impact on both quality of research and the health of our associates. Her knowledge, adaptability and approachability are attributes that support her effectiveness and contributions to MedStar Health.”

Congratulations to Maureen on receiving this important award for her continued dedication to MedStar Health, our patients, and our associates.






MedStar Health Policy and Procedure Updates

MedStar Health regularly updates, revises and creates new policies for the operational efficiency of the organization.

A new policy and associated procedure related to the application of Uniform Guidance or Federal Acquisition Regulations to grants and contracts awarded to MedStar Health Research Institute. The Research Institute Office of Contracts and Grants Management has been following the appropriate federal regulations; this policy brings the Research Institutes official policy in line with regulations.

The new procedure closes the gap between billing and payment for contracts and grants to ensure that accounting practices are in line with regulations. 

Please be advised, the following policies and procedures are now in effect.
OCG.O-004.01 Cash Management
OCG.O-004 Uniform Guidance and FAR

Any questions regarding the new policy and procedure should be directed to [email protected].

MedStar Health Research Evaluates Risk Factors for Emergency Department Visits After Upper Extremity Surgery

Recently published research evaluated pre-op and post-op patient questionnaires to identify if patient responses were related to subsequent emergency department visits 90-days after surgery. “Risk Factors for Emergency Department Visits After Upper Extremity Surgery” was published in Plastic and Reconstructive Surgery - Global Open. The research team included Pragna N. Shetty, MPH; Kavya K. Sanghavi, MPH; and Aviram M. Giladi, MD, MS, from The Curtis National Hand Center at MedStar Union Memorial Hospital.

The researchers reviewed more than 2,000 medical records and collected the patient’s presenting diagnosis, preoperative and postoperative questionnaires, pain scores, and postoperative satisfaction scores.  The results show that sixty-one (3.0%) patients presented to the emergency department with hand-related or surgery-related complaints within 90 days after surgery. Preoperative pain scores were higher in the group that presented to the ED compared to those that did not. Patients who presented to the emergency department had significantly worse preoperative questionnaire scores, and significantly lower postoperative satisfaction scores.

The research team concluded that those patients with worse preoperative questionnaire scores and lower postoperative satisfaction were associated with an increased likelihood of presenting to the emergency department for management of a hand or postoperative issue during the global period. These patients should be identified early and educated on their healthcare options in order to improve value-based care and decrease healthcare utilization.

This research abstract was awarded “Best Hand Abstract” at the 89th Annual Plastic Surgery The Meeting, attended virtually this year.

Plastic and Reconstructive Surgery – Global Open, 2020. DOI: 10.1097/01.GOX.0000720836.06040.bd






Introducing “Food and Friends” to the MedStar Health Research Community

Throughout the national health systems, social determinants of health are frequently present which negatively impact health-related outcomes despite excellent medical care.  Four of these determinants, namely food insecurity and access to housing, medications and transportation are prevalent in our region as cited by MedStar Health Community Health report. Because of the impact of these social determinates of health, Medstar Health is testing this new initiative. Food and Friends is a community-based NGO which provides nutrition consultation services and 3 medically tailored meals per day for several months to eligible clients with chronic complex medical conditions, including diabetes.

The Department of Emergency Medicine at MedStar Health Washington Hospital Center and the MedStar Health Diabetes Institute are partnering with Food & Friends on a pilot project to identify individuals with diabetes, hyperglycemia, and food insecurity, and link them to medically tailored meal delivery service for 6 months.

Food insecurity is defined as “limited or uncertain availability of nutritionally adequate and safe foods or limited or uncertain ability to acquire acceptable foods in socially acceptable ways.” Of tremendous concern, there are 700,000 people at risk of hunger in Washington, D.C. Those living with diabetes and food insecurity are at particularly high risk of adverse events, in part because of the high cost of medication and the subsequent struggle to decide whether to spend their limited financial resources on food or medication. Screening for food insecurity in patients is an important step towards finding solutions in the community. The MedStar group has described that 46% of hyperglycemic patients presenting to the MedStar Washington Hospital Center Emergency Department with a blood sugar greater than 250 g/dl screened positive for food insecurity, and that these food insecurity patients were 1.9 times more likely to be hospitalized than those without food insecurity.  Among the subset with a HgbA1c measured, the mean level was very high at 11.2% and 96% had a HgbA1c > 7.5, which would be considered a reasonable target for many of these persons.

In an emergency department study at MedStar Washington Hospital Center, senior Georgetown University medical students will enroll participants examining the impact of direct food referral for hyperglycemic patients.  The study is designed to determine the feasibility, adherence to, and impact of 6 months of no-cost, medically tailored meal delivery among diabetes patients experiencing Food insecurity directly linked from the emergency department..  

The study team members are: Munish Goyal, MD, PI, MedStar Emergency Physicians; Michelle Magee, MD, MedStar Health Diabetes Institute; Yumi Jarris, MD; Rebecca Breed, MD; Gavin Koenig; Katie Povey; Donya Enayati; Virginia Chan; Heng Nhoung and Christopher Wagner. In the attached picture, Drs Goyal and Magee are volunteering at Food and Friends to get first-hand experience!






KL2 Junior Faculty Scholars Program: Now Accepting Applications

The Georgetown-Howard Universities Center for Clinical and Translational Science (GHUCCTS) is now accepting applications for our 2021 KL2 Scholars Program. The pre-application is due December 31, 2020 with the final application due February 1, 2021. Funding is expected to begin in June 2021 pending the evolution of the COVID-19 pandemic.

During our first ten years, we have been privileged to award KL2 support to 18 junior faculty colleagues from Georgetown and Howard Universities and from MedStar Health, who have leveraged this opportunity in order to publish >500 peer-reviewed manuscripts, receive over 50 extramural grants and conduct 30 sponsored clinical trials.

This K-series career development award is nearly identical to our previous KL2 awards and analogous to individual K23, K08, or K01 awards, with a focus on developing early-career (MD or equivalent; doctorally-trained nurses, pharmacists or dentists; and clinically or translationally-oriented PhD) faculty investigators through an inter- or multi-disciplinary mentored research experience so that they can become independent, extramurally-funded investigators. Given the goals of the GHUCCTS, awards will favor those: 1) who propose novel trans-, inter-, or multi-disciplinary and collaborative/team research projects, 2) from the entire T1-T4 translational continuum, 3) which span departments, disciplines, and institutions, and 4) address significant health disparities.

After our 10th highly competitive application cycle, GHUCCTS recently announced the appointment of Dr. Haiyan He as a KL2 Scholar. Dr. He is an Assistant Professor in the Department of Biology at Georgetown University.

For more details, including application instructions, visit our KL2 Scholars page or download the RFA announcement.

QUESTIONS?
Inquiries to Ms. Cyndi Campbell [email protected], or to any member of the KL2 Executive Committee (Jason G. Umans, MD, PhD: [email protected] Kathryn Sandberg, PhD: [email protected]; Charles D. Howell, MD: [email protected])





November Peer-Reviewed Publications from MedStar Health

Congratulations to all MedStar researchers who had articles published in November 2020. The selected articles and link to PubMed provided below represent the body of work completed by MedStar Health investigators, physicians, and associates and published in peer-reviewed journals last month. The list is compiled from PubMed for any author using “MedStar” in the author affiliation. Congratulations to this month’s authors. We look forward to seeing your future research.

View the full list of publications on PubMed.gov here.

Selected research:

1) COVID-19: associated morbidity and mitigation strategies
Infectious Diseases, 2020. DOI: 10.1080/23744235.2020.1799071
Mahmood SN, Woods CJ, Chan CM.

2) Development and validation of a simple risk score for diagnosing COVID-19 in the emergency room
Epidemiology & Infection, 2020. DOI: 10.1017/S0950268820002769
Sung J, Choudry N, Bachour R.

3) Evaluation and Treatment of Amiodarone-Induced Thyroid Disorders
The Journal of Clinical Endocrinology & Metabolism, 2020. DOI: 10.1210/clinem/dgaa686
Ylli D, Wartofsky L, Burman KD.

4) An unusual presentation of inhalation injury in a patient with high voltage electrical injury: A case report
International Journal of Surgery Case Reports, 2020. DOI: 10.1016/j.ijscr.2020.10.139
Keyloun JW, Travis TE, Johnson LS, Shupp JW.

 

 





MedStar Health Proud of SPIRIT Award Recipient Eva Hochberger

For the third quarter of 2020, we awarded two individuals with the SPIRIT Award for the first time in one quarter, Eva Hochberger and Keith Moyer. Eva Hochberger was awarded the SPIRIT of Excellence Award for the third quarter of 2020 during the MHRI Virtual Town Hall. Eva is the Communications & Planning Manager for the Office of Research Development, Planning and Communications at MedStar Health Research Institute. The award was presented by Neil Weissman, President of MedStar Health Research Institute and Chief Science Officer of MedStar Health.

Eva was recognized for how incredibly important her role is to all of us at MedStar Health Research Institute. Becky Montalvo, Executive Director of Scientific Core Services shared how appreciative she is in Eva’s timely follow-up to our MHRI Virtual Town Halls. “I want to compliment you on your organizational style, informational writing, and use of sharp graphics to convey information with clarity. I love the look – how professional it is, and how timely you are providing this important information for MHRI. Kudos!”, said Becky.   Eva ensures that she gathers information that people need, adheres to when you need it and chooses the best way to share it with you.

On a personal note, Neil Weissman shared that Eva is a “warm hearted person who cares about all of you and wants to do what will make your life better. Eva, thank you for everything you do. Congratulations!”

The SPIRIT Award is given to recognize and reward one associate (management or non-management) each quarter, who excels in Service, Patient First, Integrity, Respect, Innovation, and Teamwork.

Nominations are based on submission to the MHRI Kudos program. Each quarter, the MHRI Executive Team will review the KUDOS submissions and select an associate or manager who best exemplifies all our SPIRIT values.





MedStar Health Proud of SPIRIT Award Recipient Keith Moyer

For the third quarter of 2020, we awarded two individuals with the SPIRIT Award for the first time in one quarter, Keith Moyer and Eva Hochberger. Keith Moyer was awarded the SPIRIT of Excellence Award for the third quarter of 2020 during the MHRI Virtual Town Hall. Keith is a regulatory affairs coordinator for the Baltimore Cardiology Research team. Nominated by Colleen Kelly, CCRC, CIM, Clinical Trials Manager and the Baltimore Cardiology Team, the award was presented by Tina Stanger, Assistant Vice President of Research Administration.

Keith was recognized for being selfless and embodying a teamwork spirit. The Baltimore Cardiology team showed their appreciation and are glad to have Keith on their team.

“Keith is the true definition of team player. He makes selfless contributions to the team. Helping other people without asking in return is a special quality that Keith consistently demonstrates, and I am sincerely grateful to have him on our Baltimore Cardiology team”, said Collen Kelly.

The SPIRIT Award is given to recognize and reward one associate (management or non-management) each quarter, who excels in Service, Patient First, Integrity, Respect, Innovation, and Teamwork.

Nominations are based on submission to the MHRI Kudos program. Each quarter, the MHRI Executive Team will review the KUDOS submissions and select an associate or manager who best exemplifies all our SPIRIT values.