A5080240597- Interpreting and Communication in Healthcare
- Emergency and Acute Care Studies
- Geriatric Care and Nursing Homes
- Migration, Health and Trauma
- Dementia and Cognitive Impairment Research
- Neurosurgical Procedures and Complications
- Intracerebral and Subarachnoid Hemorrhage Research
- Acute Ischemic Stroke Management
- Palliative Care and End-of-Life Issues
- Patient-Provider Communication in Healthcare
- Healthcare Systems and Practices
- Frailty in Older Adults
- Pharmaceutical Practices and Patient Outcomes
- linguistics and terminology studies
- Skin and Cellular Biology Research
- Gastrointestinal motility and disorders
- Hereditary Neurological Disorders
- Meta-analysis and systematic reviews
- Microscopic Colitis
- Autoimmune and Inflammatory Disorders
- Racial and Ethnic Identity Research
- Amyotrophic Lateral Sclerosis Research
- Translation Studies and Practices
- Peripheral Neuropathies and Disorders
- Multiple Sclerosis Research Studies
University of Ottawa
2016-2025
University of Manitoba
2022-2024
Ottawa Hospital Research Institute
2018-2022
Ottawa Hospital
2016-2022
Bruyère
2022
Institut du Savoir Montfort
2020-2022
Université de Moncton
2022
Heart and Stroke Foundation
2020
Weatherford College
2020
Western Michigan University
2017
<h3>Background:</h3> When patients and physicians speak the same language, it may improve quality safety of care delivered. We sought to determine whether patient–physician language concordance is associated with in-hospital postdischarge outcomes among home recipients who were admitted hospital. <h3>Methods:</h3> conducted a population-based study retrospective cohort 189 690 hospital in Ontario, Canada, between 2010 2018. defined patient (obtained from assessments) as English (Anglophone),...
BackgroundOne-off serum levels of neurofilament light chain (sNfL) is an established predictor emerging disease activity in multiple sclerosis (MS). However, the importance longitudinal increases sNfL yet to be enumerated, important consideration as this test translated for serial monitoring. Glial Fibrillary Acidic Protein (sGFAP) another biomarker predictive interest. Our objective was assess association between changes and prediction future relapses, well a possible role...
Importance Patients who live in minority language communities often receive health care services of lower quality and safety compared with patients speak the majority language. Yet outcomes associated provided by physicians a patient’s primary remain unknown. Objective To examine patient-physician concordance risk major adverse cardiovascular events (MACEs) among hypertension. Design, Setting, Participants This retrospective cohort study identified adults self-reported hypertension Canadian...
Abstract Background Language barriers can impact health care and outcomes. Valid reliable language data is central to studying inequalities in linguistic minorities. In Canada, variables are available administrative databases; however, the validity of these has not been studied. This study assessed concordance between from databases Canadian Community Health Survey (CCHS) identify Francophones Ontario. Methods An Ontario combined sample CCHS cycles 2000 2012 (from participants who consented...
ObjectiveWe have proposed that three scientific criteria are important for the ethical justification of randomized clinical trials (RCTs): (1) they should be designed around a clear hypothesis; (2) uncertainty exist (3) as established through systematic review. We hypothesized majority sample recently published RCTs would not explicitly incorporate these criteria, therefore rendering them potentially unjustified on grounds.Study Design and SettingCross-sectional analysis all in New England...
As the world's linguistic diversity continues to increase at an unprecedented rate, a growing proportion of patients will be risk experiencing language barriers in primary care settings. We sought examine whether patient-family physician concordance setting is associated with lower rates hospital-based healthcare utilisation and mortality. conducted population-based retrospective cohort study 497 227 home recipients living Ontario, Canada. Patient was obtained from assessments while College...
Patients who live in minority language situations are generally more likely to experience poor health outcomes, including harmful events. The delivery of healthcare services a language-concordant environment has been shown mitigate the risk outcomes related chronic disease management primary care. However, data assessing impact language-concordance on in-hospital harm lacking. We conducted population-based study determine whether admission language-discordant hospital is factor for harm.We...
Research examining the impact of language barriers on patient safety is limited. We conducted a population-based study to determine whether patients whose primary not English are more likely experience harm when admitted hospitals in Ontario, Canada.We used linked administrative health records establish retrospective cohort home care recipients (from 2010 2015) who were subsequently hospital. Patient (obtained from assessments) was coded as English, French, or other. Harmful events...
Adolescent mental health is an emergent clinical and public priority in Canada. Gender-based differences are well established. The objective of this study was to evaluate a new data mining technique identify social locations young Canadians where between adolescent males females were most pronounced.We examined reports from 21,221 aged 11-15 years (10,349 males, 10,872 females) who had responded 2018 national behaviours survey. Using recursive partitioning for subgroup identification...
Research considering the impact of language on health care utilization is limited. We conducted a population-based study to: (1) investigate association between residents' preferred and hospital-based utilization; (2) determine whether this modified by dementia, condition which can exacerbate communication barriers.We used administrative databases to establish retrospective cohort home recipients (2015-2017) in Ontario, Canada, where predominant English. Residents' (obtained from in-person...
Abstract Background Hospitalizations carry considerable risks for frail, elderly patients; this is especially true patients with dementia, who are more likely to experience delirium, falls, functional decline, iatrogenic complications, and infections when compared their peers without dementia. Since up two thirds of in long-term care (LTC) facilities have there interest identifying factors associated transitions from LTC hospitals. The purpose study was investigate the association between...
Background Dynamic CT angiography (dCTA) contrast extravasation, known as the "dynamic spot sign", can predict hematoma expansion (HE) in intracerebral hemorrhage (ICH). Recent reports suggest phase of sign appearance is related to magnitude HE. We used dCTA explore association between and HE, clinical outcome, extravasation rates. Methods assessed consecutive patients who presented with primary ICH within 4.5 hours from symptom onset underwent a standardized protocol were positive. The...
Appropriate use of medication is a key indicator the quality care provided in long-term (LTC). The objective this study was to determine whether resident-facility language concordance/discordance associated with odds potentially inappropriate prescribing antipsychotics (PIP-AP) LTC.
<title>Abstract</title> Background Appropriate use of medication is a key indicator the quality care provided in long-term (LTC). The objective this study was to determine whether resident-facility language concordance/discordance associated with odds potentially inappropriate prescribing antipsychotics (PIP-AP) LTC. Methods We conducted population-based, retrospective cohort LTC residents Ontario, Canada from 2010 2019. obtained resident standardized assessments, and derived facility by...
<h3>Context:</h3> Appropriate use of medication is a key indicator the quality care provided in long-term (LTC). <h3>Objective:</h3> To determine whether resident-facility language concordance/discordance associated with odds potentially inappropriate prescribing antipsychotics (PIP-AP) LTC. <h3>Study Design and Analysis:</h3> A population-based, retrospective cohort study. The association between linguistic factors PIP-AP was assessed using adjusted multivariable logistic regression...
<h3>Context:</h3> Home care is a cost-effective solution for patients with dementia. There an important need to strengthen formal home systems meet the increasing prevalence of dementia in Canada. <h3>Objective:</h3> This study aims describe utilization patterns Canadians aged 50 and older compared those without. further seeks understand impact geography (rural, small population centre (PC), medium PC, large PC) on among <h3>Study design analysis:</h3> used cross-sectional design. Variables...
Abstract The CT-angiography (CTA) spot sign is a predictor of hematoma expansion (HE). We have previously reported on the use dynamic CTA (dCTA) to detect sign, and study its formation over acquisition period. In this study, we report frequency dCTA in acute intracerebral hemorrhage, sensitivity specificity predict HE, explore rate contrast extravasation relation growth. enrolled consecutive patients presenting with primary hemorrhage within 4.5 hours. All underwent protocol acquired 60...
Lorsque les patients et médecins parlent la même langue, cela peut améliorer qualité sécurité des soins. Nous avons voulu vérifier si concordance linguistique patient–médecin est associée à résultats en milieu hospitalier posthospitaliers chez bénéficiaires de soins domicile qui doivent être hospitalisés. MÉTHODES: procédé une étude population auprès d’une cohorte rétrospective 189 690 ont été admis l’hôpital Ontario, au Canada, entre 2010 2018. défini langue (obtenue partir évaluations pour...