SAEMF Research Large Project Grant - $150,000
"An Intervention to Engage Older Adults in Emergency Department Admission Decisions"
Pulmonary embolism (PE) is a major cause of mortality and is the most frequently missed cardiovascular diagnosis in acute care. Despite the harms of missed diagnoses, D-dimer screening by emergency physicians is limited due to its low specificity. Recent protocols improved D-dimer specificity for some patients by adjusting the test threshold based on age or PE risk. Our pilot data suggest D-dimer levels differ by sex and that sex-specific criteria could improve D-dimer specificity for all patients. This grant will generate data for a multicenter validation trial.
Recipient(s)
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Anita Chary, MD, PhD
Baylor College of Medicine
"An Intervention to Engage Older Adults in Emergency Department Admission Decisions"
Anita Chary, MD, PhD, is an emergency physician and health services researcher at Baylor College of Medicine. She earned a medical degree from Washington University School of Medicine and served as chief resident at the Harvard Affiliated Emergency Medicine Residency. Dr. Chary is a PhD-trained anthropologist and qualitative methods expert whose research focuses on health disparities, equity, and health care delivery for vulnerable populations. Dr. Chary is an active research mentor and serves as the associate program director of the Medical Scientist Training Program at Baylor College of Medicine. Her domestic emergency department-based research aims to improve health care delivery for older adults, specifically those who are socioeconomically marginalized and those with cognitive impairment. Her international work in health care program development and implementation of evidence-based interventions spans child nutrition, reproductive health, chronic disease management, and specialty care referral and navigation in rural areas.