A5015314269- Frailty in Older Adults
- Emergency and Acute Care Studies
- Family and Patient Care in Intensive Care Units
- Intensive Care Unit Cognitive Disorders
- Hip and Femur Fractures
- Cardiac, Anesthesia and Surgical Outcomes
- Cardiac Arrest and Resuscitation
- Palliative Care and End-of-Life Issues
- Health Systems, Economic Evaluations, Quality of Life
- Child and Adolescent Health
- Healthcare Policy and Management
- Healthcare cost, quality, practices
- Nosocomial Infections in ICU
- Music Therapy and Health
- Sepsis Diagnosis and Treatment
- Ethics in medical practice
- Healthcare professionals’ stress and burnout
- Healthcare Decision-Making and Restraints
- Disaster Response and Management
- Healthcare Operations and Scheduling Optimization
- Nursing education and management
- Sleep and Work-Related Fatigue
- Central Venous Catheters and Hemodialysis
- Nursing Diagnosis and Documentation
- Primary Care and Health Outcomes
University of Alberta
2009-2024
Alberta Health Services
2012-2023
University College Dublin
2023
Institute of Health Economics
2021
University of Calgary
2021
Alberta Health
2021
Health Sciences Centre
2020
Alberta Hospital Edmonton
2019
Northwell Health
2018
Long Island Jewish Medical Center
2018
Abstract Background This large-scale analysis pools individual data about the Clinical Frailty Scale (CFS) to predict outcome in intensive care unit (ICU). Methods A systematic search identified all clinical trials that used CFS ICU (PubMed searched until 24th June 2020). All patients who were electively admitted excluded. The primary was mortality. Regression models estimated on complete set, and for missing data, multiple imputations utilised. Cox adjusted age, sex, illness acuity score...
Nurses are the primary activators of medical emergency team (MET). Although MET system can empower nurses to seek help in managing acutely ill patients, few data on nurses' beliefs about available.To evaluate and behaviors system.Nurses from a large academic hospital Canada were surveyed (2 demography-related questions 17 Likert-scale questions).Of 614 employed units participating system, 293 (47.7%) approached 275 completed survey (response rate, 93.9%). Most respondents (84.2%) believed...
<h3>Background:</h3> The identification of frailty before complex and invasive procedures may have relevance for prognostic recovery purposes, to optimally inform patients, caregivers clinicians about perioperative risk postoperative care needs. aim this study was estimate the prevalence describe associated clinical course outcomes patients referred nonemergent cardiac surgery. <h3>Methods:</h3> A prospective cohort aged 50 years older surgery in Alberta, Canada, from November 2011 March...
The prevalence of frailty, an important risk factor for short- and long-term outcomes in hospitalized adults, differs by sex. Studies critically ill adults have also found differences mortality organ support rates males females. objective this study was to determine if these observed can be explained sex frailty alone, or the interaction between is factor.This a retrospective multi-centre population-based cohort all adult patients (≥ 18 years) admitted seventeen intensive care units (ICUs)...
Emergency departments use triage to ensure that patients with the highest level of acuity receive care quickly and safely. Triage is typically a nursing process documented as structured unstructured (free text) data. Free-text narratives have been studied for specific conditions but never reviewed in comprehensive manner.The objective this paper was identify map academic literature examines narratives. The described types research conducted, identified gaps research, determined where...
Background Overcrowding and long wait times in the emergency department (ED) have resulted decreased patient satisfaction quality of care. One solutions proposed to address is introduction nurse practitioner (NP) role ED. We present a systematic mixed studies review protocol that aims gather analyze available knowledge on impact NP ED patients, other healthcare providers, organizations. Methods The will employ analysis approach. Data be gathered from peer-reviewed grey literature English...
Background Pre-admission frailty has been associated with higher hospital mortality in patients critical illness. We aimed to measure the prevalence of and its outcomes COVID-19 Methods A historical cohort study all adults admitted ICU a pneumonia diagnosis Alberta, Canada between May 1, 2020, October 31, 2020. At admission were routinely assessed for using Clinical Frailty Scale (CFS). was defined as CFS score ≥5. Primary pre-admission mortality. Results The (n=521) 34.2% (n=178), mean (SD)...
There is limited information about the impact of frailty on public payer costs in cardiac surgery. This study aimed to determine quality-adjusted life-years (QALYs) and associated with preoperative patients referred for We retrospectively compared a cohort 529 aged ≥ 50 years who were nonemergent surgery Alberta. Patients screened preoperatively frailty, defined as score 5 or greater Clinical Frailty Scale. The primary outcome measure was attributable calculated difference-in-difference...
The impact of developing guidelines for laboratory testing in an Intensive Care Unit (ICU) was examined. Targeted blood tests were recorded on fifty cardiac surgery and general intensive care patients retrospectively. Following the introduction guidelines, study repeated with prospective data collection. Comparison samples before after intervention showed a 25.9% reduction all 17.1% arterial gases post group. In ICU patients, drop 16.6% 21.9%. cost savings from sample N.Z.$3,637 N.Z.$3,166,...
The hypothesis that direct nursing hours correlate with the cost of a patient stay in intensive care was tested. One hundred and thirty-nine patients were studied data collected included: (a) applied to each patient; (b) daily TISS score: (c) detailed costing (all costs are shown N.Z.$). There strong correlation between total per (r2 = 0.98) (total 54 x + 344). Also existed scores 0.96) 67.13 TISS). Direct offer relatively simple logical method allocating patient.
Palliative and end-of-life patients in their homes are at risk of developing symptom crises requiring urgent care. The usual care for these involves transport to an Emergency Department (ED) despite the preference most palliative stay home. objective this initiative was develop innovative strategy provide collaborative home alleviate symptoms avoid transport. A partnership created among Medical Services Community Care staff, physicians, leaders enable with existing resources during crisis....
Background: The COVID-19 pandemic has had a significant impact on healthcare systems worldwide, leading to changes in presentation types, service utilization, and admission rates emergency departments (ED). This study examines ED visit patterns triage misclassifications during the Alberta, Canada. Methods: We conducted retrospective population-level time-series analysis of all patients who presented 12 EDs Edmonton Alberta Zone between March 3, 2019, 2022. Routinely collected electronic...
Background: The Coronavirus (Sars-CoV-2, COVID-19) has been evolving its viral strains, prevalence, symptomatology, and sequelae of disease for the past three years. Although most recognized COVID-19 symptoms involve respiratory tract; neurological have documented. Specifically, seizures specifically discussed in literature but remain both under-recognized under-reported clinical practice. Aim: To review adult patients with integrate into practice acute care environment; from presentation to...
Background Post Intensive Care Unit (ICU) survivors face physical, psychological, and cognitive impairments during their recovery phase, adversely affecting quality of life. Given the scarcity barriers to access post-ICU care worldwide, patient-centered adjuncts are worth exploring. Although music interventions have gained recognition as non-pharmacological approaches in acute phase critical illness; exploration potential benefits is scarce. Objective This paper examines sound an adjunct...