SelectedWorks - Paul Visintainer

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Selected Works of Paul Visintainer

Director of Epidemiology and Biostatistics Core

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About Paul Visintainer

Present	Director of Epidemiology and Biostatistics Core, Baystate Health ‐ Research & Education
Institution Organization Position Type Position Title Time Period to Options Current Position Affiliate my profile with this Institution

Medicine and Health Sciences

Medicine at UMMS-Baystate

Baystate Health Regional Campus

759 Chestnut Street

Springfield MA 01199

Phone

413-794-7686

Children with Attention Deficit Hyperactivity Disorder Are More Likely to Fail Growth Hormone Stimulation Testing than Children without Attention Deficit Hyperactivity Disorder: A Retrospective Chart Review (Ksenia Tonyushkina, Obiageli Obi, Paul Visintainer, et al.) All Scholarly Works (2023)

Introduction: Children with ADHD often present to pediatric endocrinologists due to growth concerns. Growth hormone stimulation testing (GHST) may be utilized as part of the workup. We evaluate whether children with ADHD and short stature ...

Outcomes of a Multidisciplinary Team in the Management of Patients with Early-Stage Breast Cancer Undergoing Neoadjuvant Chemotherapy at a Community Cancer Center (Prarthna Bhardwaj, Holly Mason, Seth Kaufman, et al.) All Scholarly Works (2023)

Background: The utilization of neoadjuvant chemotherapy (NAC) remains highly variable in clinical practice. The implementation of NAC requires coordination of handoffs between a multidisciplinary team (MDT). This study aims to assess the outcomes of an ...

A Prospective Study to Characterize Symptoms and Symptom Severity in Adult Patients with Extracutaneous Manifestations of Lyme Disease: Extracutaneous Lyme Disease (Paul Visintainer) All Scholarly Works (2023)

Background: Systematic assessments of the presence and severity of particular symptoms over time are relatively uncommon for Lyme disease patients in the United States, and especially for Lyme disease patients with extracutaneous manifestations (ECLD). Methods: ...

Implementation of an automated, user-centered point-of-care ultrasound workflow improves documentation and billing (Brian Thompson, Elizabeth Schoenfeld, Lauren Westafer, et al.) All Scholarly Works (2023)

Background: Point-of-care ultrasound (POCUS) is a central component of emergency medical care. However, clinicians often fail to adequately document their exams, causing problems for downstream clinicians and quality assurance (QA) processes as well as loss ...

Association of autism with lead poisoning in an environmental health clinic (Paul Visintainer and Hillary Branch) All Scholarly Works (2022)

INCIDENCE AND PATTERNS OF FALLS IN CARDIAC REHABILITATION (Maryam Naser, Patrick Schilling, Heidi Szalai, et al.) All Scholarly Works (2022)

Feasibility and Acceptance of a Tele-Trauma Surgery Consult Service to Rural and Community Hospitals: A Pilot Study (Tovy Kamine, Margaret Siu, Kristina Kramer, et al.) All Scholarly Works (2022)

Background: Many trauma patients currently transferred from rural and community hospitals (RCH) to Level 1 trauma centers (L1TC) for trauma surgery evaluation may instead be appropriate for immediate discharge or admission to the local facility ...

At what frequency of vaccination do the vaccinated potentially pose an equal risk to the unvaccinated for transmission of SARS-CoV-2 inside restaurants in New York City? (Paul Visintainer) All Scholarly Works (2022)

From August 2021 to 7 March 2022, New York City prohibited indoor dining in restaurants selectively for persons who had not received a Coronavirus disease 2019 (COVID-19) vaccine. However, vaccinated persons may also be actively ...

Mode of Detection of Second Events in Routine Surveillance of Early Stage Breast Cancer Patients (Soe Min Tun, Sunitha Alluri, Vida Rastegar, et al.) All Scholarly Works (2022)

Introduction: NCCN and ASCO guidelines recommend breast cancer (BC) follow-up to include clinical breast examination (CBE) every 6 months and annual mammography (AM) for 5 years. Given limited data to support CBE, we evaluated the ...

PAP therapy and readmission rates after in-hospital laboratory titration polysomnography in patients with hypoventilation (Karin Johnson, Vida Rastegar, Nicholas Scuderi, et al.) All Scholarly Works (2022)

Study objectives: Hypoventilation associated with sleep disordered breathing in inpatients is associated with higher risk of morbidity, hospitalizations and death. In-hospital titration polysomnography qualifies patients for positive airway pressure (PAP) therapy and optimizes settings, but ...

Utilizing near infra-red spectroscopy to identify physiologic variations during digital retinal imaging in preterm infants (Ruben Vaidya, Edward Zitnik, Timothy Kita, et al.) All Scholarly Works (2022)

Objective: Evaluate physiologic changes during digital retinal imaging (DRI) using near infra-red spectroscopy (NIRS). Study design: Prospective observational study of preterm infants undergoing retinopathy of prematurity screening via DRI using wide-field retinal camera. Cardiorespiratory (CR) ...

A Collaborative Approach Intended to Reduce the Duration of Short Term Urinary Catheters in Adult Patients at a Tertiary Care Medical Center Also Significantly Reduced the Duration of Hospitalization (Paul Visintainer) All Scholarly Works (2021)

Background: Urinary tract infections (UTIs) are the leading cause of nosocomial infections in the United States. The major contributing factor is the placement of indwelling urinary catheters. Methods: Following a chart review of adult patients ...

Feasibility and efficacy of a decision aid for emergency department patients with suspected ureterolithiasis: protocol for an adaptive randomized controlled trial (Elizabeth Schoenfeld, Kye Poronsky, Lauren Westafer, et al.) All Scholarly Works (2021)

Background: Approximately 2 million patients present to emergency departments in the USA annually with signs and symptoms of ureterolithiasis (or renal colic, the pain from an obstructing kidney stone). Both ultrasound and CT scan can ...

Evaluation of the American Association of Cardiovascular and Pulmonary Rehabilitation Exercise Risk Stratification Classification Tool Without Exercise Testing (Anusha Bhat, Heidi Szalai, Tara Lagu, et al.) All Scholarly Works (2021)

Purpose: The American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR) recommends that patients starting cardiac rehabilitation (CR) undergo stratification to identify risk for exercise-related adverse events (AE), but this tool has not been recently evaluated. ...

Supine Parasympathetic Withdrawal and Upright Sympathetic Activation Underly Abnormalities of the Baroreflex in Postural Tachycardia Syndrome: Effects of Pyridostigmine and Digoxin (Paul Visintainer) All Scholarly Works (2021)

Upright postural tachycardia syndrome (POTS) resembles hemorrhage with reduced central blood volume, parasympathetic withdrawal, and sympathetic activation. Baroreflex dysfunction causes low heart rate variability, enhanced blood pressure variability, and decreased maximum baroreflex gain (Gmax) putatively ...

Aggregation of data from 4 clinical studies demonstrating efficacy of single-dose doxycycline postexposure for prevention of the spirochetal infections: Lyme disease, syphilis, and tick-borne relapsing fever (Paul Visintainer) All Scholarly Works (2020)

Single-dose doxycycline, given within 72 hours of exposure, has been evaluated in 4 clinical studies for postexposure prophylaxis of 3 spirochetal infections: Lyme disease, syphilis, and tick-borne relapsing fever. In this study, data from the ...

Safety Assessment of a Noninvasive Respiratory Protocol for Adults with COVID-19 (William Soares, Elizabeth Schoenfeld, Paul Visintainer, et al.) All Scholarly Works (2020)

As evidence emerged supporting noninvasive strategies for coronavirus disease 2019 (COVID-19)-related respiratory distress, we implemented a noninvasive COVID-19 respiratory protocol (NCRP) that encouraged high-flow nasal cannula (HFNC) and self-proning across our healthcare system. To assess ...

Patients with Erythema Migrans: Characterizing the Impact of Initiation of Antibiotic Therapy Prior to Study Enrollment (Paul Visintainer) All Scholarly Works (2020)

Erythema migrans is the most common clinical manifestation of Lyme disease, with concomitant subjective symptoms occurring in ∼65% of cases in the USA. We evaluated the impact on 12 particular symptoms of having been started ...

Development of a Simple Clinical Tool for Predicting Early Dropout in Cardiac Rehabilitation: A SINGLE-CENTER RISK MODEL (Quinn Pack, Paul Visintainer, Michel Farah, et al.) All Scholarly Works (2020)

Background: Nonadherence to cardiac rehabilitation (CR) is common despite the benefits of completing a full program. Adherence might be improved if patients at risk of early dropout were identified and received an intervention. Methods: Using ...

Efficacy of Fosphenytoin as First-Line Antiseizure Medication for Neonatal Seizures Compared to Phenobarbital (Veronica Alix, Mansi James, Anthony Jackson, et al.) All Scholarly Works (2020)

Currently used treatment protocols for neonatal seizures vary among centers with limited evidence to support the choice of a given antiseizure medication. Because of concerns about the potential negative impact of phenobarbital on long-term neurodevelopment ...

Patient Characteristics and Clinical Process Predictors of Patients Leaving Without Being Seen from the Emergency Department (Niels Rathlev, Paul Visintainer, Joseph Schmidt, et al.) All Scholarly Works (2020)

Introduction: Delays in patient flow in the emergency department (ED) result in patients leaving without being seen (LWBS). This compromises patient experience and quality of care. Our primary goal was to develop a predictive model ...

Cardiovascular and Somatic Comorbidities and Sleep Measures Using Three Hypopnea Criteria in Mild Obstructive Sleep-Disordered Breathing: Sex, Age and Body Mass Index Differences in a Retrospective Sleep Clinic Cohort (Karin Johnson, Douglas Johnson, Vida Rastegar, et al.) All Scholarly Works (2020)

Study objectives: To describe sex, age and body mass index (BMI) differences in comorbidities and polysomnography (PSG) measures, categorized using three different apnea-hypopnea index (AHI) criterion, in sleep clinic patients with mild obstructive sleep-disordered breathing ...

Combination Foley catheter and prostaglandins or Foley and oxytocin for cervical ripening: a network meta-analysis (Keith Reisinger-Kindle, Paul Visintainer and Corina Schoen) All Scholarly Works (2020)

BACKGROUND: Trial and meta-analysis data show a reduction in time to delivery for Foley and prostaglandins or Foley and oxytocin versus Foley alone. However, there is scant data for comparison of the two combination methods ...

Invited Expert Opinion: Moving Beyond Significance Testing: Confidence Intervals in Clinical Research (Paul Visintainer) All Scholarly Works (2020)

Partnering with parents to improve outcomes for substance exposed newborns-a pilot program (Rachana Singh, Robert Rothstein, Karen Ricci, et al.) All Scholarly Works (2020)

OBJECTIVE: Assess impact of parental involvement in care provision for term substance exposed newborns (SENs). STUDY DESIGN: Prospective observational cohort study included mothers with opioid use disorder and their SENs over 4 year study period. ...