A5060410985- Intensive Care Unit Cognitive Disorders
- Cardiac Arrest and Resuscitation
- Family and Patient Care in Intensive Care Units
- Sepsis Diagnosis and Treatment
- Respiratory Support and Mechanisms
- Mechanical Circulatory Support Devices
- Cardiac, Anesthesia and Surgical Outcomes
- Tracheal and airway disorders
- Healthcare Decision-Making and Restraints
- Patient Safety and Medication Errors
- Healthcare cost, quality, practices
- Long-Term Effects of COVID-19
- Atrial Fibrillation Management and Outcomes
- Airway Management and Intubation Techniques
- Healthcare Systems and Technology
- Trauma Management and Diagnosis
- Disaster Response and Management
- Acute Ischemic Stroke Management
- Palliative Care and End-of-Life Issues
University of Michigan
2020-2023
Michigan Medicine
2023
Pulmonary and Critical Care Associates
2020
Malcom Randall VA Medical Center
2020
Albany Medical Center Hospital
2014
Sepsis is a common cause of hospital mortality, as well new morbidity among survivors. Clinical practice guidelines recommend assessing goals care (GoC) during sepsis hospitalization to ensure goal-concordant provided. To determine how often GoC are assessed in routine practice. Cohort study adult patients hospitalized with community-onset at 66 hospitals (2020-2023) participating the Michigan Hospital Medicine Safety Consortium's initiative (HMS-sepsis). The primary outcomes were discussion...
Abstract Aim We sought to explore unmet needs in transitions of care for critical illness survivors that concern primary physicians. Findings Semi-structured interviews with physicians identified three categories concerns about transition after patients’ ICU stays: understanding their stay and potential complications, treatments or support not covered by insurance, starting maintaining needed rehabilitation assistance across care. Conclusion Given current constraints access coordinated...
RationaleNearly 3 in 5 in-hospital cardiac arrests (IHCAs) occur the intensive care unit (ICU), yet large-scale data on outcomes of in-ICU have not been published for over a decade. ObjectivesWe sought to examine arrests, evaluating both achievement return spontaneous circulation (ROSC) and subsequent survival hospital discharge how these changed time by type arrest. MethodsThis was an observational study using Get With The Guidelines-Resuscitation registry, American Heart...
The use of extracorporeal membrane oxygenation (ECMO) in patients with COVID-19 has been supported by major healthcare organizations, yet the role specific management strategies during ECMO requires further study. We sought to characterize tracheostomy practices, complications, and outcomes ECMO-supported acute respiratory failure related COVID-19.Retrospective cohort study.ECMO centers contributing Extracorporeal Life Support Organization Registry.Patients 16 years or older receiving...
The extent to which postintensive care unit (ICU) clinics may improve patient safety for those discharged after receiving intensive remains unclear. This observational cohort study conducted at an academic, tertiary medical center used qualitative survey data analyzed via conventional content analysis describe threats encountered in the post-ICU clinic. For 83 included patients, were identified 60 patients resulting 96 separate threats. These categorized into 7 themes: medication errors...
Background: and hypothesis: We sought to develop validate the long-term non-hemorrhagic stroke outcome prediction model based on demographic, clinical, echocardiographic parameters. Material Methods: Univariate multivariate logistic regression modeling of survival data was performed in 325 consecutive subjects (original cohort). ANOVA, chi-square, Kaplan-Meier, tests were employed. Prediction rules developed applied 1305 patients (validation The study approved by institutional IRB. Results:...
Background: We hypothesized that patients with new onset atrial fibrillation (AFib) following cardiac or non-cardiac surgery have similar echocardiographic features, regardless of the type surgery. Methods: Study cohort included 4562 consecutive without history undergoing general, thoracic cardiovascular surgeries at a single tertiary academic medical center. Retrospective chart and echocardiogram review was performed. Chi-square, logistic regression, analysis variance were Long-term all...
Background Preprocedural cardiac evaluation is a common reason for outpatient cardiology visits. Many patients who are referred to clinics preprocedural at low risk of perioperative events and do not require any further management. Our facility treats over large geographic area; avoiding low-value consultations reduces time travel burdens patients. Objective study objective was assess the impact novel algorithm in electronic order entry system aimed guide clinicians toward may benefit from...