- Stroke Rehabilitation and Recovery
- Acute Ischemic Stroke Management
- Cardiac, Anesthesia and Surgical Outcomes
- Musculoskeletal pain and rehabilitation
- Clinical practice guidelines implementation
- Prostate Cancer Diagnosis and Treatment
- Cerebral Palsy and Movement Disorders
- Hospital Admissions and Outcomes
- Cerebrovascular and Carotid Artery Diseases
- Urological Disorders and Treatments
- Uterine Myomas and Treatments
- Breast Cancer Treatment Studies
- Urinary Bladder and Prostate Research
- Breast Implant and Reconstruction
- Pelvic floor disorders treatments
- Hyperglycemia and glycemic control in critically ill and hospitalized patients
- Dementia and Cognitive Impairment Research
- Opioid Use Disorder Treatment
- Health Systems, Economic Evaluations, Quality of Life
- Kidney Stones and Urolithiasis Treatments
- Pediatric Urology and Nephrology Studies
- Anesthesia and Pain Management
- Gastric Cancer Management and Outcomes
- Urinary Tract Infections Management
- Healthcare cost, quality, practices
London Health Sciences Centre
2012-2024
Western University
2012-2023
Institute for Clinical Evaluative Sciences
2015-2022
Ontario Medical Association
2022
University of Toronto
2016-2020
University Health Network
2020
Yukon University
2017
Lawson Health Research Institute
2009-2016
Sinai Hospital
2016
McMaster University
2016
Canada's Best Practice Recommendations for Stroke Care state that a minimum of one hour per day each the relevant core therapies be provided to patients admitted inpatient rehabilitation. We examined whether this standard was met on single, specialized stroke rehabilitation unit and if amount therapy an independent contributor functional improvement.One-hundred twenty-three, consecutive 30-bed program over 6-month period with confirmed diagnosis stroke, were included. Workload measurement...
<h3>Background:</h3> It is generally accepted that surgical training associated with increased duration. The purpose of this study was to determine the magnitude increase for common procedures by comparing surgery duration in teaching and nonteaching hospitals. <h3>Methods:</h3> This retrospective population-based cohort included all adult residents Ontario, Canada, who underwent 1 14 between 2002 2012. We used several linked administrative databases identify addition patient-, surgeon-...
In the last decade, there has been an increase in women undergoing immediate breast reconstruction (IBR) at time of mastectomy. Recent literature suggests a shift practice: Surgeons are becoming more comfortable with IBR setting possible postoperative adjuvant radiotherapy, despite known complications. This study sought to investigate, population level, patient and surgeon characteristics associated use which these factors were predictive radiotherapy. retrospective population-based cohort...
Purpose: To determine the predictive value of age, stroke severity and caregiver availability for discharge destination individuals with severe following inpatient rehabilitation. Methods: Telephone interviews were conducted recovering from a (Rehabilitation Patient Groups 1100 1110), who discharged specialized rehabilitation unit between April 2005 December 2009, to at time discharge. Age Functional Independence Measure (FIM®) scores obtained retrospectively by chart review. These three...
<h3>BACKGROUND:</h3> In prior studies, higher mortality was observed among patients who had elective surgery on a Friday rather than earlier in the week. We investigated whether after associated with day of week Canadian population and association influenced by surgeon experience volume. <h3>METHODS:</h3> conducted population-based retrospective cohort study province Ontario, Canada. included adults underwent 1 12 daytime surgical procedures from Apr. 1, 2002, to Dec. 31, 2012. The primary...
Importance The pregnancy safety and teratogenicity of overactive bladder (OAB) anticholinergic medications in humans are unknown. Objective aim this study was to determine if the use OAB anticholinergics during associated with adverse outcomes or congenital malformation. Study Design Using routinely collected health care data from Ontario, Canada, we conducted a retrospective cohort identified women aged 18–45 years who gave birth between 2004 2022 were eligible for provincial drug benefits....
• A 22-year-old homosexual man had persistent systemic lymphadenopathy and a three-week history of rapid swelling induration his right upper eyelid. Acquired immune deficiency leading to the development lymphoma was suspected. biopsy specimen mass revealed Burkitt's treatment with chemotherapy radiation therapy resulted in remission. significant number patients acquired are developing lymphoma. The three separate syndromes their associated ophthalmic manifestations discussed.
Background: Periprosthetic infections after total hip arthroplasty (THA) or knee (TKA) are substantial complications, and there conflicting reports of their association with urologic complications. Our objective was to determine whether urinary tract infection (UTI) acute retention (AUR) significant risk factors for joint THA TKA. Methods: We performed a population-based, retrospective cohort study patients who were ≥66 years old when they underwent an initial TKA between April 2003 March...
Purpose. In Ontario, stroke patients with relatively mild functional deficits are admitted to inpatient rehabilitation programmes. Despite apparently minor impairments, many of these remain in for prolonged periods time. The objective the present study is identify variables that predict length stay (LOS) within this population high functioning patients.
Background: The Canadian Best Practice Recommendations for Stroke Care suggest that (1) all patients with stroke should be screened cognitive impairment and (2) persons who are detected as having on a screening test receive additional assessment. purpose of this study is to determine whether care in an Ontario inpatient rehabilitation facility consistent these recommendations. Methods: discharged from program located Southwestern Ontario, Canada, May October 2009 were included study. Charts...
Recommendations regarding the daily minimum dose of therapy that patients should receive following stroke are included in many clinical practice guidelines. We examined related literature to determine whether a specific evidence-based recommendation could be supported.Six guidelines were retrieved and what recommendation, if any, had been made provision during inpatient rehabilitation. All studies cited by guideline authors support their recommendations identified retrieved. Studies which...