A5032430804- Intensive Care Unit Cognitive Disorders
- Cardiac Arrest and Resuscitation
- Family and Patient Care in Intensive Care Units
- Respiratory Support and Mechanisms
- Palliative Care and End-of-Life Issues
- Injury Epidemiology and Prevention
- Geriatric Care and Nursing Homes
- Tracheal and airway disorders
- Esophageal and GI Pathology
- Frailty in Older Adults
- Cardiac, Anesthesia and Surgical Outcomes
- Sepsis Diagnosis and Treatment
- Dysphagia Assessment and Management
- Healthcare Policy and Management
- Healthcare Operations and Scheduling Optimization
- Appendicitis Diagnosis and Management
- Ethics in medical practice
- HIV, Drug Use, Sexual Risk
- Mechanical Circulatory Support Devices
- Trauma and Emergency Care Studies
- HIV/AIDS Research and Interventions
- Traumatic Brain Injury Research
- Rabies epidemiology and control
- Neuroscience of respiration and sleep
- Disaster Response and Management
UW Health University Hospital
2006-2025
University of Wisconsin–Madison
2014-2023
University of Pennsylvania
2019
University of Washington
2008-2015
University of Wisconsin–Milwaukee
2015
Geriatric Research Education and Clinical Center
2014
University of Pittsburgh
2014
Pulmonary and Critical Care Associates
2009-2013
University of Michigan
2013
Health Services Research & Development
2010
Measures of socioeconomic disadvantage may enable improved targeting programs to prevent rehospitalizations, but obtaining such information directly from patients can be difficult. U.S. neighborhood are more readily available rarely used clinically.To evaluate the association between at census block group level, as measured by Singh validated area deprivation index (ADI), and 30-day rehospitalization.Retrospective cohort study.United States.Random 5% national sample Medicare discharged with...
<h3>Context</h3>Studies suggest that many survivors of critical illness experience long-term cognitive impairment but have not included premorbid measures functioning and evaluated risk for dementia associated with illness.<h3>Objectives</h3>To determine whether decline in function was greater among older individuals who experienced acute care or hospitalizations relative to those hospitalized the incident differed by these exposures.<h3>Design, Setting, Participants</h3>Analysis data from a...
It is unknown whether the rate of survival after in-hospital cardiopulmonary resuscitation (CPR) improving and which characteristics patients hospitals predict survival.We examined fee-for-service Medicare data from 1992 through 2005 to identify beneficiaries 65 years age or older who underwent CPR in U.S. hospitals. We temporal trends incidence CPR, as well patient- hospital-level predictors discharge.We identified 433,985 CPR; 18.3% these (95% confidence interval [CI], 18.2 18.5) survived...
Objective To determine the extent to which hospitals vary in use of intensive care, and proportion variation attributable differences hospital practice that is independent known patient factors. Data Source Hospital discharge data State Inpatient Database for Maryland Washington States 2006. Study Design Cross‐sectional analysis 90 short‐term, acute care with critical capabilities. Collection/Methods We quantified using intraclass correlation coefficients derived from mixed‐effects logistic...
To investigate associations between acute care and critical illness hospitalizations performance on physical functional measures activities of daily living (ADLs).Prospective cohort study.Large health maintenance organization.Two thousand nine hundred twenty-six participants in Adult Changes Thought, a study aging enrolling dementia-free individuals aged 65 older not nursing home from 1994 to September 30, 2008 (N = 2,926).The exposure interest was hospitalization during participation,...
The proportion of low and very birth weight births is increasing. Infants children with a history have an increased risk respiratory illnesses, but it unknown if clinically significant disease persists into adulthood.To determine associated hospitalization for illness in adulthood.This study was population-based, case-control study. Cases were adults 18 to 27 years age who hospitalized from 1998 2007 within Washington State could be linked certificate the 1980 1988. Four control subjects,...
Section:ChooseTop of pageAbstract <<ContentsOverviewIntroductionMethodsEthical Analysis COs i...RecommendationsKey Components Institu...ConclusionsReferencesCITING ARTICLES
The purpose of this study was to determine the sensitivity and specificity Yale Swallow Protocol (YSP) in detecting aspiration recently extubated patients. One hundred fifty-four participants referred for swallowing evaluation underwent YSP fiberoptic endoscopic (FEES) random order within 48 hr extubation. included orientation questions, an oral motor exam, a 3-oz water swallow test. Failure defined as interrupted drinking or immediate cough after drinking. FEES exams were rated using...
Survivors of critical illness report impaired health-related quality life (HRQoL) after hospital discharge, but the degree to which these impairments are attributable is unknown.We sought examine changes in HRQoL associated with an intensive care unit (ICU) stay and differential association type hospitalization (critical versus noncritical illness) on HRQoL.We identified 11,243 participants Ambulatory Care Quality Improvement Project (a multicenter randomized trial Veterans conducted March...
Objective To determine whether clinical scoring systems or physician gestalt can obviate the need for computed tomography (CT) in patients with possible appendicitis. Methods Prospective, observational study of abdominal pain at an academic emergency department (ED) from February 2012 to 2014. Patients over 11 years old who had a CT ordered appendicitis were eligible. All parameters needed calculate scores recorded on standardised forms prior CT. Physicians also estimated likelihood Test...
While most people living with HIV who are incarcerated in United States receive appropriate care while they prison, interruptions antiretroviral therapy and virologic failure extremely common after released. The purpose of this study was to describe whether how stigma influences continuity for transition from prison community settings. We conducted semi-structured, telephone-based interviews 32 adults received residing a Wisconsin state followed by second interview 6 months returned their...
Severe sepsis survivors frequently experience cognitive and physical functional impairment. The degree of impairment its association with mortality is understudied, particularly among those discharged to a skilled nursing facility. Our objective was quantify the severe facility investigate relationship between long-term mortality.Retrospective cohort study.United States.Random 5% sample Medicare patients following hospitalization, 2005-2009 (n = 135,370).Medicare data were linked Minimum...
Surgical patients often receive routine postoperative mechanical ventilation with excellent outcomes. However, older who prolonged may have a significantly different long-term trajectory not fully captured in 30-day metrics. The objective of this study is to describe patterns mortality and hospitalization for Medicare beneficiaries 66 years old major surgery without ventilation.Retrospective cohort study.Hospitals throughout the United States.Five percent random national sample elderly (age...
Objectives: Many survivors of sepsis suffer long-term cognitive impairment, but the mechanisms this association remain unknown. The objective study was to determine whether is associated with cerebral microinfarcts on brain autopsy. Design: Retrospective cohort study. Setting and Subjects: Five-hundred twenty-nine participants Adult Changes in Thought, a population-based prospective older adults carried out Kaiser Permanente Washington greater than or equal 65 years old without dementia at...
BACKGROUND Dysphagia following extubation is common in intensive care unit (ICU) patients. Diagnosing postextubation dysphagia allows identification of patients who are at highest risk for aspiration and its associated adverse outcomes. Older adults an increased complications due to multiple comorbidities, a higher baseline dysphagia, pneumonia. OBJECTIVES We aimed investigate the association between 1‐year mortality older Secondary outcomes included ICU hospital lengths stay, readmission,...
Early mobility interventions in the intensive care unit can improve patients' outcomes, yet they are not routinely implemented many units. In an effort to identify opportunities implement and sustain evidence-based practice, prior work has demonstrated that understanding decision-making process of health professionals is critical for identifying program implementation. Nurses often responsible mobilizing patients, but how overcome barriers make decisions mobilize patients understood.To...