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Article: Practice Patterns and Management Protocols in Trauma across Indian Settings: A Nationwide Cross-sectional Survey.

Sodhi, Kanwalpreet / Khasne, Ruchira Wasudeo / Chanchalani, Gunjan / Jagathkar, Ganshyam / Kola, Venkat Raman / Mishra, Mahesh / Sahasrabudhe, Shrikant / Mishra, Rajesh C / Patel, Amrish / Bhavsa, Ankur R / Abbas, Haider / Routray, Pragyan Kumar / Sood, Pramod / Rajhans, Prasad Anant / Gupta, Reshu / Soni, Kapil Dev / Kumar, Manender

Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine

2023 Volume 27, Issue 1, Page(s) 38–51

Abstract: Background: Trauma is the leading cause of death in India resulting in a significant public health burden. Indian Society of Critical Care Medicine (ISCCM) has established a trauma network committee to understand current practices and identify the gaps ... ...

Abstract	Background: Trauma is the leading cause of death in India resulting in a significant public health burden. Indian Society of Critical Care Medicine (ISCCM) has established a trauma network committee to understand current practices and identify the gaps and challenges in trauma management in Indian settings. Material and methods: An online survey-based, cross-sectional, descriptive study was conducted with high-priority research questions based on hospital profile, resource availability, and trauma management protocols. Results: Data from 483 centers were analyzed. A significant difference was observed in infrastructure, resource utilization, and management protocols in different types of hospitals and between small and big size hospitals across different tier cities in India ( Conclusion: We found that majority of the centers are well equipped with optimal infrastructure, ATLS-trained physician, and management protocols. Still many aspects of trauma management need to be prioritized. There should be proactive involvement at an organizational level to manage trauma patients with a multidisciplinary approach. This survey gives us a deep insight into the current scenario of trauma care and can guide to strengthen across the country. How to cite this article: Sodhi K, Khasne RW, Chanchalani G, Jagathkar G, Kola VR, Mishra M
Language	English
Publishing date	2023-02-04
Publishing country	India
Document type	Journal Article
ZDB-ID	2121263-6
ISSN	1998-359X ; 0972-5229
ISSN (online)	1998-359X
ISSN	0972-5229
DOI	10.5005/jp-journals-10071-24384
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Article ; Online: The influence of patient perception of physician empathy on patient satisfaction among attending physicians working with residents in an emergent care setting.

Kirby, Ryan / Knowles, Heidi C / Patel, Anant / Alanis, Naomi / Rice, Colton / d'Etienne, James P / Schrader, Chet D / Zenarosa, Nestor R / Wang, Hao

Health science reports

2021 Volume 4, Issue 3, Page(s) e337

Abstract: Background: It is unclear whether the patient's perception of attending physician empathy and the patient's satisfaction can be affected when attending physicians work alongside residents. We aim to determine the influence residents may have on (1) ... ...

Abstract	Background: It is unclear whether the patient's perception of attending physician empathy and the patient's satisfaction can be affected when attending physicians work alongside residents. We aim to determine the influence residents may have on (1) patient perception of attending physician empathy and (2) patient satisfaction as it relates to their respective attending physicians. Methods: This is a prospective single-center observational study. Patient perception of physician empathy was measured using Jefferson Scale of Patient Perception of Physician Empathy (JSPPPE) in both attendings and residents in the Emergency Department. Patient satisfaction with attending physicians and residents was measured by real-time patient satisfaction survey. Multivariate logistic regressions were performed to determine the association between patient satisfaction and JSPPPE after patient demographics, attending physician different experience, and residents with different years of training were adjusted. Results: A total of 351 patients were enrolled. Mean JSPPPE scores were 30.1 among attending working alone, 30.1 in attending working with PGY-1 EM residents, 29.6 in attending working with PGY-2, and 27.8 in attending working with PGY-3 ( Conclusion: Empathy has strong correlation with patient satisfaction. Decreased patient perception of attending physician empathy was found when working with senior residents in comparison to working alone or with junior residents.
Language	English
Publishing date	2021-08-17
Publishing country	United States
Document type	Journal Article
ISSN	2398-8835
ISSN (online)	2398-8835
DOI	10.1002/hsr2.337
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Article ; Online: The influence of patient perception of physician empathy on patient satisfaction among attending physicians working with residents in an emergent care setting

Ryan Kirby / Heidi C. Knowles / Anant Patel / Naomi Alanis / Colton Rice / James P. d'Etienne / Chet D. Schrader / Nestor R. Zenarosa / Hao Wang

Health Science Reports, Vol 4, Iss 3, Pp n/a-n/a (2021)

2021

Abstract: Abstract Background It is unclear whether the patient's perception of attending physician empathy and the patient's satisfaction can be affected when attending physicians work alongside residents. We aim to determine the influence residents may have on ( ... ...

Abstract	Abstract Background It is unclear whether the patient's perception of attending physician empathy and the patient's satisfaction can be affected when attending physicians work alongside residents. We aim to determine the influence residents may have on (1) patient perception of attending physician empathy and (2) patient satisfaction as it relates to their respective attending physicians. Methods This is a prospective single‐center observational study. Patient perception of physician empathy was measured using Jefferson Scale of Patient Perception of Physician Empathy (JSPPPE) in both attendings and residents in the Emergency Department. Patient satisfaction with attending physicians and residents was measured by real‐time patient satisfaction survey. Multivariate logistic regressions were performed to determine the association between patient satisfaction and JSPPPE after patient demographics, attending physician different experience, and residents with different years of training were adjusted. Results A total of 351 patients were enrolled. Mean JSPPPE scores were 30.1 among attending working alone, 30.1 in attending working with PGY‐1 EM residents, 29.6 in attending working with PGY‐2, and 27.8 in attending working with PGY‐3 (p < 0.05). Strong correlation occurred between attending JSPPPE score and patient satisfaction to attending physicians (ρ > 0.5). The adjusted odds ratio was 1.32 (95% CI 1.23‐1.41, p < 0.001) on attending's JSPPPE score predicting patient satisfaction to the attending physicians. However, there were no significant differences on patient satisfaction among four different groups. Conclusion Empathy has strong correlation with patient satisfaction. Decreased patient perception of attending physician empathy was found when working with senior residents in comparison to working alone or with junior residents.
Keywords	attending physicians ; empathy ; residents ; satisfaction ; Medicine ; R
Subject code	616
Language	English
Publishing date	2021-09-01T00:00:00Z
Publisher	Wiley
Document type	Article ; Online
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Article ; Online: Reduced lung-cancer mortality with CT screening.

Patel, Anant R C / Wedzicha, Jadwiga A / Hurst, John R

The New England journal of medicine

2011 Volume 365, Issue 21, Page(s) 2035; author reply 2037–8

MeSH term(s)	Female ; Humans ; Lung Neoplasms/diagnostic imaging ; Lung Neoplasms/mortality ; Male ; Tomography, X-Ray Computed
Language	English
Publishing date	2011-11-30
Publishing country	United States
Document type	Letter ; Comment
ZDB-ID	207154-x
ISSN	1533-4406 ; 0028-4793
ISSN (online)	1533-4406
ISSN	0028-4793
DOI	10.1056/NEJMc1110293
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Article ; Online: Comment on: Modified hydrodissection to prevent intraoperative iris prolapse.

Bonshahi, Anosh / Patel, Ravi / Gizzi, Corrado / Sharma, Anant

Journal of cataract and refractive surgery

2021 Volume 47, Issue 3, Page(s) 425

MeSH term(s)	Eye Injuries ; Humans ; Iris/surgery ; Iris Diseases/etiology ; Iris Diseases/prevention & control ; Prolapse
Language	English
Publishing date	2021-04-26
Publishing country	United States
Document type	Letter ; Comment
ZDB-ID	632744-8
ISSN	1873-4502 ; 0886-3350
ISSN (online)	1873-4502
ISSN	0886-3350
DOI	10.1097/j.jcrs.0000000000000597
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Article ; Online: Extrapulmonary comorbidities in chronic obstructive pulmonary disease: state of the art.

Patel, Anant R C / Hurst, John R

Expert review of respiratory medicine

2011 Volume 5, Issue 5, Page(s) 647–662

Abstract: Extrapulmonary comorbidities are common and significant in chronic obstructive pulmonary disease (COPD), often contributing to symptoms, exacerbations, hospital admissions and mortality. Cardiovascular, musculoskeletal and psychological conditions are ... ...

Abstract	Extrapulmonary comorbidities are common and significant in chronic obstructive pulmonary disease (COPD), often contributing to symptoms, exacerbations, hospital admissions and mortality. Cardiovascular, musculoskeletal and psychological conditions are among the most prevalent and important of these. In particular, ischemic heart disease is a leading cause of death in the COPD population as a whole. Here, we provide a state-of-the-art summary of key comorbidities observed in COPD patients in terms of their prevalence, impact, pathophysiology and prognosis. In addition, we review clinical, diagnostic and management strategies that may differ in COPD patients from the rest of the population.
MeSH term(s)	Cardiovascular Diseases/epidemiology ; Comorbidity ; Humans ; Mental Disorders/epidemiology ; Musculoskeletal Diseases/epidemiology ; Prevalence ; Prognosis ; Pulmonary Disease, Chronic Obstructive/epidemiology ; Pulmonary Disease, Chronic Obstructive/mortality ; Pulmonary Disease, Chronic Obstructive/physiopathology ; Risk Assessment ; Risk Factors
Language	English
Publishing date	2011-09-28
Publishing country	England
Document type	Journal Article ; Review
ZDB-ID	2479146-5
ISSN	1747-6356 ; 1747-6348
ISSN (online)	1747-6356
ISSN	1747-6348
DOI	10.1586/ers.11.62
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Article ; Online: The potential value of biomarkers in diagnosis and staging of COPD and exacerbations.

Patel, Anant R C / Hurst, John R / Wedzicha, Jadwiga A

Seminars in respiratory and critical care medicine

2010 Volume 31, Issue 3, Page(s) 267–275

Abstract: ... Although serum C-reactive protein (CRP) is not specific to COPD, its use as a molecular biomarker in the stable ...

Abstract	There is an unmet need in the diagnosis, phenotyping, and staging of COPD that could potentially be fulfilled by a validated molecular biomarker. Many promising candidates have been investigated, and some have been shown to be useful in certain situations. However, to date there is no outstanding disease-specific biomarker for widespread clinical application for patients in the stable state. Given the functional, social, and financial importance of exacerbations of COPD, it would be very useful to be able to employ a biomarker to aid optimal treatment and predict clinical outcome from the acute episode. Although serum C-reactive protein (CRP) is not specific to COPD, its use as a molecular biomarker in the stable state and at exacerbation has been studied extensively, and it remains the most commonly measured molecular biomarker in routine secondary care practice. Utilizing biomarkers in combinations may ultimately prove more useful. Airway-derived biomarkers and their relationships with outcome measures require further longitudinal study as well as refinement of sampling techniques to make them more broadly applicable. There is substantial ongoing investigation of many biomarkers that we are hopeful will advance the field for the benefit of our patients.
MeSH term(s)	Biomarkers/metabolism ; C-Reactive Protein/metabolism ; Humans ; Phenotype ; Pulmonary Disease, Chronic Obstructive/diagnosis ; Pulmonary Disease, Chronic Obstructive/physiopathology ; Severity of Illness Index
Chemical Substances	Biomarkers ; C-Reactive Protein (9007-41-4)
Language	English
Publishing date	2010-05-21
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	1183617-9
ISSN	1098-9048 ; 1069-3424
ISSN (online)	1098-9048
ISSN	1069-3424
DOI	10.1055/s-0030-1254067
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Article ; Online: Randomized Double-Blind Controlled Trial of Roflumilast at Acute Exacerbations of Chronic Obstructive Pulmonary Disease.

Mackay, Alex J / Patel, Anant R C / Singh, Richa / Sapsford, Raymond J / Donaldson, Gavin C / Prasad, Niyati / Goehring, Udo-Michael / Nip, Tsz Keung / Wedzicha, Jadwiga A

American journal of respiratory and critical care medicine

2017 Volume 196, Issue 5, Page(s) 656–659

MeSH term(s)	Aged ; Aged, 80 and over ; Aminopyridines/therapeutic use ; Benzamides/therapeutic use ; Cyclopropanes/therapeutic use ; Disease Progression ; Double-Blind Method ; Female ; Forced Expiratory Volume ; Humans ; Leukocyte Count ; London ; Male ; Middle Aged ; Neutrophils/cytology ; Neutrophils/immunology ; Phosphodiesterase 4 Inhibitors/therapeutic use ; Pulmonary Disease, Chronic Obstructive/drug therapy ; Pulmonary Disease, Chronic Obstructive/immunology ; Pulmonary Disease, Chronic Obstructive/physiopathology ; Sputum/cytology ; Treatment Outcome
Chemical Substances	Aminopyridines ; Benzamides ; Cyclopropanes ; Phosphodiesterase 4 Inhibitors ; Roflumilast (0P6C6ZOP5U)
Language	English
Publishing date	2017-02-01
Publishing country	United States
Document type	Clinical Trial, Phase II ; Letter ; Randomized Controlled Trial ; Research Support, Non-U.S. Gov't
ZDB-ID	1180953-x
ISSN	1535-4970 ; 0003-0805 ; 1073-449X
ISSN (online)	1535-4970
ISSN	0003-0805 ; 1073-449X
DOI	10.1164/rccm.201612-2518LE
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Article ; Online: Physical activity and exercise capacity in patients with moderate COPD exacerbations.

Alahmari, Ayedh D / Kowlessar, Beverly S / Patel, Anant R C / Mackay, Alex J / Allinson, James P / Wedzicha, Jadwiga A / Donaldson, Gavin C

The European respiratory journal

2016 Volume 48, Issue 2, Page(s) 340–349

Abstract: ... 29.7 kg (p=0.026). Falls in 6MWD were associated with a rise in C-reactive protein (r= -0.364; p=0 ... 041) and increased Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F) (r= -0.44; p=0 ...

Abstract	Little is known about changes in physical activity during moderate (out-patient managed) exacerbations.6-min walking distance (6MWD) was measured during 50 exacerbations when the patients were stable, and at 3 and 7 days post-exacerbation presentation. At similar time points, quadriceps maximum voluntary contraction (QMVC) was measured during 47 different exacerbations. Physical activity (SenseWear; Bodymedia Inc., Pittsburgh, PA, USA) was recorded over 2 consecutive-week periods post-presentation.6MWD fell from a median 422 m when stable to 373 m on day 3 (p=0.001). Similarly, QMVC fell from 32.6 versus 29.7 kg (p=0.026). Falls in 6MWD were associated with a rise in C-reactive protein (r= -0.364; p=0.041) and increased Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F) (r= -0.44; p=0.013). Light physical activity was 2.18 h·day(-1) during the first week post-exacerbation and was less over week 2 (1.98 h·day(-1); p=0.009). Patients who had attended pulmonary rehabilitation had smaller changes in 6MWD than those who had not attended (-35.0 versus -114.9 m; p=0.013). Falls in physical activity were correlated with higher depression scores (rho= -0.51; p=0.006).These findings indicate that exercise capacity and muscle strength fall at exacerbation in chronic obstructive pulmonary disease patients who are treated at home and are free to maintain normal activity.
MeSH term(s)	Aged ; C-Reactive Protein/analysis ; Disease Progression ; Exercise ; Exercise Tolerance ; Fatigue ; Female ; Humans ; Inflammation ; London ; Male ; Middle Aged ; Monitoring, Ambulatory ; Muscle Strength ; Prospective Studies ; Pulmonary Disease, Chronic Obstructive/physiopathology ; Pulmonary Disease, Chronic Obstructive/rehabilitation ; Quadriceps Muscle/physiology ; Time Factors ; Treatment Outcome ; Walk Test
Chemical Substances	C-Reactive Protein (9007-41-4)
Language	English
Publishing date	2016-04-28
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	639359-7
ISSN	1399-3003 ; 0903-1936
ISSN (online)	1399-3003
ISSN	0903-1936
DOI	10.1183/13993003.01105-2015
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Article ; Online: Lung function, symptoms and inflammation during exacerbations of non-cystic fibrosis bronchiectasis: a prospective observational cohort study.

Brill, Simon E / Patel, Anant R C / Singh, Richa / Mackay, Alexander J / Brown, Jeremy S / Hurst, John R

Respiratory research

2015 Volume 16, Page(s) 16

Abstract: Background: Exacerbations of non-cystic fibrosis bronchiectasis cause significant morbidity but there are few detailed data on their clinical course and associated physiological changes. The biology of an exacerbation has not been previously described.!# ...

Abstract	Background: Exacerbations of non-cystic fibrosis bronchiectasis cause significant morbidity but there are few detailed data on their clinical course and associated physiological changes. The biology of an exacerbation has not been previously described. Methods: This was a prospective observational cohort study of 32 outpatients with non-cystic fibrosis bronchiectasis conducted between August 2010 and August 2012. Patients completed a symptom diary card and measured their peak expiratory flow rate (PEFR) daily. Exacerbations were defined as oral antibiotic treatment taken for a worsening of respiratory symptoms. Symptoms and peak flow at exacerbation were analysed, and further measurements including the COPD Assessment Test (CAT) and inflammatory markers were also compared to baseline values. Results: At baseline, health status was significantly related to lung function, prognostic severity and systemic inflammation. 51 exacerbations occurred in 22 patients. Exacerbation symptoms began a median (interquartile range) of 4 (2, 7) days before treatment started and the median exacerbation duration was 16 (10, 29) days. 16% had not recovered by 35 days. At exacerbation, mean PEFR dropped by 10.6% (95% confidence interval 6.9-14.2, p < 0.001) and mean CAT score increased by 6.3 units (3.6-9.1, p = 0.001), median symptom count by 4 (2.25, 6, p < 0.001), and mean CRP by 9.0mg/L (2.3-15.8, p = 0.011). Exacerbations where PEFR fell by ≥10% were longer with more symptoms at onset. Conclusion: Exacerbations of non-CF bronchiectasis are inflammatory events, with worsened symptoms, lung function and health status, and a prolonged recovery period. Symptom diary cards, PEFR and CAT scores are responsive to changes at exacerbation and may be useful tools for their detection and monitoring.
MeSH term(s)	Aged ; Anti-Bacterial Agents/therapeutic use ; Biomarkers/blood ; Bronchiectasis/blood ; Bronchiectasis/diagnosis ; Bronchiectasis/drug therapy ; Bronchiectasis/immunology ; Bronchiectasis/physiopathology ; Disease Progression ; Female ; Health Status ; Humans ; Inflammation Mediators/blood ; Lung/immunology ; Lung/metabolism ; Lung/physiopathology ; Male ; Middle Aged ; Peak Expiratory Flow Rate ; Pneumonia/blood ; Pneumonia/diagnosis ; Pneumonia/drug therapy ; Pneumonia/immunology ; Pneumonia/physiopathology ; Predictive Value of Tests ; Prospective Studies ; Recovery of Function ; Severity of Illness Index ; Spirometry ; Surveys and Questionnaires ; Time Factors ; Treatment Outcome
Chemical Substances	Anti-Bacterial Agents ; Biomarkers ; Inflammation Mediators
Language	English
Publishing date	2015-02-07
Publishing country	England
Document type	Journal Article ; Observational Study
ZDB-ID	2041675-1
ISSN	1465-993X ; 1465-993X
ISSN (online)	1465-993X
ISSN	1465-993X
DOI	10.1186/s12931-015-0167-9
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