- Cardiovascular Health and Disease Prevention
- Cardiac Arrest and Resuscitation
- Geriatric Care and Nursing Homes
- Cerebrovascular and Carotid Artery Diseases
- Transplantation: Methods and Outcomes
- Cardiovascular Health and Risk Factors
- Healthcare Technology and Patient Monitoring
- Liver Disease and Transplantation
- COVID-19 and healthcare impacts
- Organ Transplantation Techniques and Outcomes
- Cardiac, Anesthesia and Surgical Outcomes
- Enhanced Recovery After Surgery
- COVID-19 Clinical Research Studies
- Aortic aneurysm repair treatments
- Intensive Care Unit Cognitive Disorders
- Long-Term Effects of COVID-19
- Patient Satisfaction in Healthcare
- Telemedicine and Telehealth Implementation
- Acute Ischemic Stroke Management
- Cardiovascular Disease and Adiposity
- Respiratory Support and Mechanisms
- Hepatitis Viruses Studies and Epidemiology
- Cardiomyopathy and Myosin Studies
- Surgical Simulation and Training
- Nosocomial Infections in ICU
Mayo Clinic in Florida
2014-2023
Mayo Clinic Hospital
2018-2022
Mayo Clinic in Arizona
2015-2020
Jacksonville College
2016-2020
WinnMed
2014-2016
St. Luke's Hospital
2015
Mayo Clinic
2015
As providers look to scale high-acuity care in the patient home setting, hospital-at-home is becoming more prevalent. The traditional model of usually relies on delivery by in-home providers, caring for patients urban communities through academic medical centers. Our objective describe process and outcomes Mayo Clinic's Advanced Care at Home (ACH) program, a hybrid virtual in-person combining single, provider-staffed command center with vendor-mediated supply chain simultaneously deliver...
Healthcare provider's experience with new models of care is crucial for long-term success. In July 2020, Mayo Clinic implemented a novel virtual hybrid hospital at home program called Advanced Care Home (ACH). This model allows providers in command center to high-acuity patients the setting through collaboration vendor-mediated supply chain. study aims describe outcomes obtained from survey applied ACH determine their acceptance quality and safety model, perception towards decision-making...
ObjectiveTo report the Mayo Clinic experience with coronavirus disease 2019 (COVID-19) related to patient outcomes.MethodsWe conducted a retrospective chart review of patients COVID-19 diagnosed between March 1, 2020, and July 31, at any sites. We abstracted pertinent comorbid conditions such as age, sex, body mass index, Charlson Comorbidity Index variables, treatments received. Factors associated hospitalization mortality were assessed in univariate multivariate models.ResultsA total 7891...
Abstract Background In July 2020, Mayo Clinic launched Advanced Care at Home (ACH), a high-acuity virtual hybrid hospital-at-home model (HaH) of care Florida and Northwest Wisconsin, an urban destination medical center rural community practice respectively. This study aims to describe demographic characteristics ACH patients as well their acuity illness using severity (SOI) risk mortality (ROM), illustrate the complexity in program, taking into account different diagnostic related groups....
Information on the associations among arterial stiffness, carotid intima-media thickness (cIMT) and plaques as biomarkers of atherosclerosis is limited in diverse populations. We aimed to assess whether aortic pulse wave velocity (aPWV) - a surrogate stiffness associated with increased cIMT presence cohort older adults Amerindian ancestry.Atahualpa residents aged ≥60 years (n = 320) underwent aPWV determinations, ultrasounds for plaque assessment. Multivariate models were fitted independent...
Abstract High healthcare utilizers are often chronically ill patients who require aggressive hospital and outpatient care. We describe a patient with septic shock was stabilized in the intensive care unit, then transitioned to virtual hybrid hospital‐at‐home complete both inpatient as well wound rehabilitation therapy.
Background Patients with mild to severe chronic systemic disease undergoing low-risk procedures are often hospitalized for observation. The Care Hotel is a novel virtual medicine hybrid model of care that offers patients comfortable, out hospital environment where they can receive both in-person and after surgery or procedure. This study aimed analyze if post-procedure in hotel could be conducted on accepted by patients, even those moderate diseases. Methods retrospective cohort was between...
In July 2020, Mayo Clinic introduced a hospital-at-home program, known as Advanced Care at Home (ACH) an alternate option for clinically stable medical patients requiring hospital-level care. This retrospective cohort study evaluates the impact of addition dedicated ACH patient acquisition Practice Provider (APP) on average length stay (ALOS) and number admitted into program between in Florida Wisconsin 6 2020 31 January 2022. Patient volumes ALOS 755 were analyzed two sites both before...
Our study assesses the utility of telemetry in identifying decompensation patients with documented cardiopulmonary arrest.A retrospective review inpatients who experienced a arrest from May 1, 2008, until June 30, 2014, was performed. Telemetry records 24 hours prior to and immediately preceding were reviewed. Patient subanalyses based on clinical demographics made as well analyses survival comparing identifiable rhythm changes those without.Of 242 included study, 75 (31.0%) 110 (45.5%) at...
The earlobe crease (ELC) has been linked to coronary artery disease, but there is limited information on the association between ELC and extracranial atherosclerosis. Using Atahualpa Project cohort, we aimed assess increased carotid intima-media thickness (cIMT). residents aged ≥40 years underwent visual inspection of both earlobes evaluate presence, ultrasound examinations arteries calculate cIMT. variables was assessed by logistic regression predictive models, after adjusting for relevant...
The carotid intima media thickness (cIMT) is a predictor of cardiovascular events. neck circumference (NC) has been investigated as risk factor for increased cIMT with contradictory results. This study assessed the relationship between NC and in Atahualpa residents aged ≥40 years who had sonographic examination arteries (n = 590). We also discussed on potential pathogenetic mechanisms underlying this association. Participants belonged to Native Ecuadorian (Amerindians) ethnic group....
Introduction: Guidelines recommend discussing code status with patients on hospital admission. No study has evaluated the feasibility of a full do not intubate (DNI) status.Methods: A retrospective analysis who experienced cardiopulmonary arrest was performed between May 1, 2008 and June 20, 2014. descriptive created based whether required mechanical ventilatory support during hospitalization comparisons were made both patient subsets.Results: total 239 included. Almost all (n = 218, 91.2%)...
The atherosclerotic origin of abdominal aorta (AA) aneurysms is controversial. Using the Atahualpa Project Cohort, we aimed to assess relationship between AA diameter and two surrogates cervicocephalic atherosclerosis, including carotid intima-media thickness (cIMT) presence siphon calcifications (CSC). residents aged ≥60 years undergoing ultrasound examinations arteries (to calculate cIMT), head CT CSC severity) were included. Associations cIMT severity assessed by generalized linear...
The Care Hotel is a virtual hybrid care model for postoperative patients after low-risk procedures which allow recovery in an outpatient environment. This study aimed to analyze if the American Society of Anesthesiologists Physical Status (ASA PS) Classification System can be used as predictive factor staying at Mayo Clinic's Hotel.This retrospective cohort was conducted between July 23, 2020, and June 4, 2021, Clinic Florida, 306-bed community academic hospital. ASA PS Class post-procedure...