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and Women's Hospital
Project Description: The goal of this project was to improve and standardize the management of Acute Lower Intestinal Bleeding (ALIB) by comparing the impact of colonoscopy versus radiographic interventions for ALIB on rebleeding, morality and resource utilization, and assessing physicians' practices and factors that influence clinical decision making. Three complementary studies addressed these aims:
Career Goals: Dr. Strate is an Assistant Professor in the School of Medicine at the University of Washington. She received her MD from the University of California, San Francisco and was a Clinical Fellow in the Gastroenterology Division at Brigham and Women's Hospital. She went on to earn her MPH from Harvard School of Public Health in Boston. The K-research enabled Dr. Strate to pursue independent career in health services research in the field of gastroenterology by performing studies to improve and standardize the management of acute lower intestinal bleeding.
Progress to Date: This grant has been completed. Dr. Strate found that motality in ALIB was low. Advanced age, intestinal ischemia and comorbid illness were the strongest predictors of mortality suggesting supportive care of comorbid conditions may improve inpatient mortality more than therapeutic interventions.
Highlights and Specific Accomplishments:
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