A5046211913- Palliative Care and End-of-Life Issues
- Family and Patient Care in Intensive Care Units
- Grief, Bereavement, and Mental Health
- Intensive Care Unit Cognitive Disorders
- Dialysis and Renal Disease Management
- Healthcare Decision-Making and Restraints
- Artificial Intelligence in Healthcare and Education
- Migration, Health and Trauma
- Cardiovascular Syncope and Autonomic Disorders
- Pediatric health and respiratory diseases
- Religion, Spirituality, and Psychology
- Health disparities and outcomes
- Family Support in Illness
- Advanced Causal Inference Techniques
- Frailty in Older Adults
- Explainable Artificial Intelligence (XAI)
- Emergency and Acute Care Studies
- Psychosomatic Disorders and Their Treatments
- Childhood Cancer Survivors' Quality of Life
- Medical Practices and Rehabilitation
- Health, Environment, Cognitive Aging
- Patient Dignity and Privacy
- Digitalization, Law, and Regulation
- Maternal Mental Health During Pregnancy and Postpartum
- Diabetic Foot Ulcer Assessment and Management
Harvard University
2023-2025
Weill Cornell Medicine
2019-2023
Cornell University
2019-2023
New York Hospital Queens
2019
Duke University
2019
University College London
2019
Memorial Sloan Kettering Cancer Center
2019
Rogers (United States)
2019
Columbia College
2019
Royal College of Physicians
2019
Journal Article Accepted manuscript Rituximab vs cyclophosphamide for cancer risk in ANCA-associated vasculitis Get access Arjun Mahajan, Mahajan Harvard Medical School, Boston, MA, USADivision of Rheumatology, Inflammation, and Immunity, Brigham & Women's Hospital, USA Search other works by this author on: Oxford Academic PubMed Google Scholar Martin Viola, Viola Jacob Ellen, Ellen Evan W Piette, Piette USADepartment Dermatology, Avery H LaChance, LaChance Jeffrey A Sparks Corresponding...
Background Benefits of advance care planning (ACP) have recently been questioned by experts, but ACP is comprised discrete activities. Little known about which, if any, activities are associated with patients’ greater likelihood receiving value-concordant end-of-life (EoL) care. Objectives To determine which [Do-Not-Resuscitate (DNR) order completion, designation a healthcare proxy (HCP), and/or EoL discussions physicians], individually and in combination, the greatest care, how results may...
Abstract Objective The objectives of this study were to develop and refine EMPOWER (Enhancing Mobilizing the POtential for Wellness Resilience), a brief manualized cognitive-behavioral, acceptance-based intervention surrogate decision-makers critically ill patients evaluate its preliminary feasibility, acceptability, promise in improving surrogates’ mental health patient outcomes. Method Part 1 involved obtaining qualitative stakeholder feedback from 5 bereaved surrogates 10 critical care...
Critical illness increases the risk for poor mental health outcomes among both patients and their informal caregivers, especially surrogate decision-makers. Surrogates who must make life-and-death medical decisions on behalf of incapacitated may experience additional distress. EMPOWER (Enhancing & Mobilizing POtential Wellness Emotional Resilience) is a novel cognitive-behavioral, acceptance-based intervention delivered in intensive care unit (ICU) setting to decision-makers designed improve...
Background: Dementia is a leading cause of death among US older adults. Little known about end-of-life care intensity and do-not-resuscitate orders (DNRs) patients with dementia who die in hospital. Aim: Examine the relationship between dementia, DNR timing, intensity. Design: Observational cohort study. Setting/Participants: Inpatient electronic health record extraction for 2,566 persons age 65 died 2 New York City hospitals United States from 2015 to 2017. Results: Multivariable logistic...
Purpose To examine associations between financial hardship and suicidal ideation among bereaved informal caregivers of cancer patients.Design Longitudinal cohort studySample 173 advanced patientsMethods Caregivers were interviewed a median 3.1 months before 6.5 after the death patient they cared for. Logistic regression models estimated caregiver-perceived pre-loss post-loss due to patient's illness ideation.Findings Suicidal was identified in 12% (n = 21) sample pre-loss, rising 20% 34)...
We know little about the end-of-life suffering and symptoms of intensive care unit (ICU) decedents in general those who undergo renal replacement therapy (RRT) particular.To examine differences various symptoms' contribution to between ICU did not RRT, underwent RRT for end-stage kidney disease (ESKD), acute injury (AKI).This is a cross-sectional study conducted at quaternary-level referral hospital September 2015-March 2017. Nurses completed interviews patients' their final week....
The death of a close other is major life stressor that disrupts mental and physical health. Beta-blocker medications are indicated treatments for cardiovascular conditions may also mitigate psychological distress in the context stressors by reducing adrenergic activity. We sought to examine observational links between beta-blocker medication use during bereavement. Using publicly available data from Midlife United States Refresher study, we examined associations general distress, depressive...
Little is known about end-of-life intensive care provided to patients with intellectual disabilities (ID).
Abstract Background: Critical illness increases the risk for poor mental health outcomes among both patients and their informal caregivers, especially surrogate decision-makers. Surrogates who must make life-and-death medical decisions on behalf of incapacitated may experience additional distress. EMPOWER (Enhancing & Mobilizing POtential Wellness Emotional Resilience Surrogate Decision-Makers ICU Patients) is a novel cognitive-behavioral, acceptance-based intervention delivered in...
Abstract Biases in sample creation can arise at any study phase, including initial patient recruitment, exclusion criteria, input-level and outcome-level exclusion, often reflect the underrepresentation or of demographic groups historically disadvantaged medical research. The use non-representative samples to construct clinical algorithms artificial intelligence (AI) machine learning (ML) applications may further amplify this selection bias. Building on “Data Cards” initiative for...
Abstract Background Critical illness increases the risk for poor mental health outcomes among both patients and their informal caregivers or surrogate decision-makers. Surrogates who must make life-and-death medical decisions on behalf of incapacitated may experience additional distress. EMPOWER (Enhancing & Mobilizing POtential Wellness Emotional Resilience Surrogate Decision-Makers ICU Patients) is a novel cognitive-behavioral, acceptance-based intervention delivered in intensive care...
Journal of the American Society Nephrology 31(10S):p 534, October 2020. | DOI: 10.1681/ASN.20203110S1534b