
David Kim
· Assistant Professor Of Emergency MedicineStanford University · Rheumatology
Active 1981–2024
About
David Kim is an Assistant Professor of Emergency Medicine at Stanford University and is affiliated with the Center for Artificial Intelligence in Medicine & Imaging (AIMI). His work focuses on the application of artificial intelligence in healthcare, particularly in emergency medicine. As a faculty member at Stanford, he contributes to advancing research in medical imaging and AI-driven healthcare solutions, supporting the center's mission to innovate and improve medical practices through cutting-edge technology.
Research topics
- Medicine
- Internal medicine
- Physical therapy
- Pathology
- Virology
- Environmental health
- Gastroenterology
- Pediatrics
Selected publications
Journal of Hepatology · 2021 · 414 citations
1st authorCorresponding- Medicine
- Internal medicine
Hepatology · 2020 · 161 citations
1st authorCorresponding- Medicine
- Internal medicine
- Physical therapy
BACKGROUND AND AIMS: In general, physical activity (PA) and nonalcoholic fatty liver disease (NAFLD) have an inverse association. However, studies assessing the impact of the widely accepted Physical Activity Guidelines for Americans (PA Guidelines) on NAFLD are lacking. APPROACH AND RESULTS: We performed a serial, cross-sectional analysis among adults by using the 2007-2016 US National Health and Nutrition Examination Survey. NAFLD and advanced fibrosis were defined by using various noninvasive panels. A PA questionnaire assessed the leisure-time PA, occupation-related PA, transportation-related PA, and total sitting time as sedentary behavior. PA was categorized according to the PA Guidelines. Of the 24,588 individuals (mean age, 47.4 years; 47.9% males), leisure-time PA (≥150 minutes per week) demonstrated 40% lower odds of NAFLD, whereas transportation-related PA was associated with a 33% risk reduction in NAFLD. Analysis of total PA and sitting times simultaneously showed a dose-response association between sitting time and NAFLD (P for trend < 0.001). Compliance with the PA Guidelines was lower in individuals with NAFLD versus those without NAFLD. The trends in compliance with the PA Guidelines for any type of PA remained stable in individuals with NAFLD except for a downtrend in transportation-related PA. In contrast, an improvement in compliance with the PA Guidelines for leisure time was noted in the cohort without NAFLD. Although PA demonstrated a 10% stronger association with risk reduction of NAFLD in women, women showed a lower tendency of meeting the PA Guidelines. Trends in total sitting time increased significantly regardless of NAFLD status. CONCLUSIONS: Sedentary behavior emerged as an independent predictor of NAFLD. Overall compliance with the PA Guidelines was lower in the cohort with NAFLD, with sex- and ethnicity-based differences. Implementation of these observations in clinical practice may improve our understanding as well as clinical outcomes.
Gastroenterology · 2020 · 218 citations
- Medicine
- Internal medicine
- Pediatrics
Predictors of Outcomes of COVID-19 in Patients With Chronic Liver Disease: US Multi-center Study
Clinical Gastroenterology and Hepatology · 2020 · 251 citations
1st authorCorresponding- Medicine
- Internal medicine
- Gastroenterology
BACKGROUND & AIMS: Chronic liver disease (CLD) represents a major global health burden. We undertook this study to identify the factors associated with adverse outcomes in patients with CLD who acquire the novel coronavirus-2019 (COVID-19). METHODS: We conducted a multi-center, observational cohort study across 21 institutions in the United States (US) of adult patients with CLD and laboratory-confirmed diagnosis of COVID-19 between March 1, 2020 and May 30, 2020. We performed survival analysis to identify independent predictors of all-cause mortality and COVID-19 related mortality, and multivariate logistic regression to determine the risk of severe COVID-19 in patients with CLD. RESULTS: Of the 978 patients in our cohort, 867 patients (mean age 56.9 ± 14.5 years, 55% male) met inclusion criteria. The overall all-cause mortality was 14.0% (n = 121), and 61.7% (n = 535) had severe COVID-19. Patients presenting with diarrhea or nausea/vomiting were more likely to have severe COVID-19. The liver-specific factors associated with independent risk of higher overall mortality were alcohol-related liver disease (ALD) (hazard ratio [HR] 2.42, 95% confidence interval [CI] 1.29-4.55), decompensated cirrhosis (HR 2.91 [1.70-5.00]) and hepatocellular carcinoma (HCC) (HR 3.31 [1.53-7.16]). Other factors were increasing age, diabetes, hypertension, chronic obstructive pulmonary disease and current smoker. Hispanic ethnicity (odds ratio [OR] 2.33 [1.47-3.70]) and decompensated cirrhosis (OR 2.50 [1.20-5.21]) were independently associated with risk for severe COVID-19. CONCLUSIONS: The risk factors which predict higher overall mortality among patients with CLD and COVID-19 are ALD, decompensated cirrhosis and HCC. Hispanic ethnicity and decompensated cirrhosis are associated with severe COVID-19. Our results will enable risk stratification and personalization of the management of patients with CLD and COVID-19. Clinicaltrials.gov number NCT04439084.
Recent grants
NIH · $498k · 1994
Frequent coauthors
- 146 shared
Aijaz Ahmed
Stanford University
- 113 shared
Won Kim
Boramae Medical Center
- 96 shared
George Cholankeril
Baylor College of Medicine
- 82 shared
Karn Wijarnpreecha
Banner - University Medical Center Phoenix
- 75 shared
Young Sun Kim
Seoul National University Hospital
- 75 shared
Seon Hee Lim
Seoul National University Hospital
- 69 shared
Hyun Chae Jung
- 66 shared
Jeong Yoon Yim
Seoul National University Hospital
Education
- 2011
Certificate, Clinical and Translational Science
Mayo Clinic Minnesota
- 2010
PhD, Medical Science
Seoul National University
- 2005
MS, Medical Science
Seoul National University
- 1996
MD, BA, College of Medicine
Seoul National University
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