A5049763002- Cardiac, Anesthesia and Surgical Outcomes
- Frailty in Older Adults
- Hip and Femur Fractures
- Health Systems, Economic Evaluations, Quality of Life
- Healthcare Systems and Practices
- Pelvic and Acetabular Injuries
- Migration, Identity, and Health
- Chronic Disease Management Strategies
- Geriatric Care and Nursing Homes
- Emergency and Acute Care Studies
- Health, Medicine and Society
Montfort Hospital
2016-2024
Institut du Savoir Montfort
2021-2024
Ottawa Hospital
2018-2024
Ottawa Hospital Research Institute
2018-2024
University of Ottawa
2024
Bruyère
2024
Objective: To compare the accuracy of modified Fried Index (mFI) and Clinical Frailty Scale (CFS) to predict death or patient-reported new disability 90 days after major elective surgery. Background: The association frailty with outcomes, comparisons between preoperative instruments are poorly described. Methods: This was a prospective multicenter cohort study. We determined status in individuals ≥65 years having noncardiac surgery using mFI CFS. Outcomes included (primary); safety...
BACKGROUND: Guidelines recommend routine preoperative frailty assessment for older people. However, the degree to which instruments improve predictive accuracy when added traditional risk factors is poorly described. Our objective was measure gained in predicting outcomes important patients adding Clinical Frailty Scale (CFS), Fried Phenotype (FP), or Index (FI) factors. METHODS: This an analysis of a multicenter prospective cohort elective noncardiac surgery ≥65 years age. Each instrument...
Frailty is an aggregate expression of susceptibility to poor outcomes, owing age-, and disease-related deficits that accumulate within multiple domains. Older patients who are frail before surgery at increased risk morbidity mortality, use a disproportionately high amount healthcare resources. While frailty now well-established factor for adverse postoperative the perioperative literature lacks studies that: 1) compare predictive accuracy different instruments; 2) consider impact on...
Older adults often present with multiple comorbidities and face significant postoperative complications. This study aimed to describe the role of Nurse Practitioner (NP)-led orthogeriatric services in managing hip fracture patients. We conducted a review health records older proximal femoral fractures between July 2017 June 2018, presenting descriptive statistics on patient characteristics, surgical outcomes, involvement services. A total 197 participants were included, majority being female...
Research has shown that models of care involving geriatric in orthopedics decrease hospitalizations, mortality, length stay and post-operative complications. This article presents an example a nurse practitioner-led orthogeriatric model large academic hospital Ontario. The overall goal was to explore staff perspectives regarding the care.We conducted mixed methods approach consisting online questionnaire, semi-structured interviews, focus group with staff.Questionnaire showed support for...
Objective: Documenting multimorbidity profiles and resource use across hospital sectors can help inform improve healthcare delivery. The purpose of this cohort study (2013-2017) was to describe among patients at an acute care in Ontario, Canada.Methods: This a retrospective over five fiscal years. Data from who were admitted as inpatients, visited the emergency department (ED), or received day surgeries Ottawa, Canada between 2013 2017 obtained two individual-level administrative databases....
In 2016, two Canadian hospitals participated in a quality improvement (QI) program, the International Acute Care for Elders (ACE) Collaborative, and sought to adapt implement transition coach intervention (TCI). Both were challenged provide optimal continuity of care an increasing number older adults. The received initial funding, coaching, educational materials, tools TCI their local contexts, but QI project teams achieved different results. We aimed compare implementation ACE these...