A5102865068- Dementia and Cognitive Impairment Research
- Intensive Care Unit Cognitive Disorders
- Geriatric Care and Nursing Homes
- Frailty in Older Adults
- Trauma and Emergency Care Studies
- SARS-CoV-2 and COVID-19 Research
- Long-Term Effects of COVID-19
- COVID-19 Clinical Research Studies
- Vaccine Coverage and Hesitancy
- Stroke Rehabilitation and Recovery
- Hip and Femur Fractures
- Cardiac, Anesthesia and Surgical Outcomes
- Thermal Regulation in Medicine
- COVID-19 Pandemic Impacts
- Patient Satisfaction in Healthcare
- Sepsis Diagnosis and Treatment
- Cardiac Health and Mental Health
- Emergency and Acute Care Studies
- Heart Failure Treatment and Management
- Chronic Disease Management Strategies
- Anesthesia and Sedative Agents
- Urinary Tract Infections Management
- Alzheimer's disease research and treatments
- Dysphagia Assessment and Management
- Psychological and Temporal Perspectives Research
Providence VA Medical Center
2022-2025
Brown University
2015-2025
Providence College
2022-2024
RELX Group (United States)
2023
University Hospitals of Cleveland
2017-2022
Case Western Reserve University
2017-2022
Rhode Island Hospital
2015-2022
Western University of Health Sciences
2021
Cleveland FES Center
2017
Background: Acceptance of the COVID-19 vaccine will play a major role in combating pandemic. Healthcare workers (HCWs) are among first group to receive vaccination, so it is important consider their attitudes about vaccination better address barriers widespread acceptance. Methods: We conducted cross sectional study assess attitude HCWs toward vaccination. Data were collected between 7 October and 9 November 2020. received 4080 responses out which 3479 complete included final analysis....
Vaccine reluctance among healthcare workers (HCW) can have widespread negative ramifications, including modeling behavior for the general population and challenges with maintaining a healthy workforce so we respond to resurgence of pandemic. We previously reported that only one-third HCW were willing take vaccine as soon it became available prior its Emergency Use Authorization (EUA). Here, re-examine attitude toward COVID-19 vaccines several months after been made widely available. In this...
ABSTRACT Background Acceptance of the COVID-19 vaccine will play a major role in combating pandemic. Healthcare workers (HCWs) are amongst first group to receive vaccination, so it is important consider their attitudes about vaccination better address barriers widespread acceptance. Methods We conducted cross sectional study assess attitude HCWs toward vaccination. Data was collected between October 7th and November 9th, 2020. received 4080 responses out which 3479 were complete included...
ABSTRACT Objectives Infection control measures in the Department of Veterans Affairs Community Living Centers (CLCs), analogous to nursing homes, during COVID‐19 pandemic may have impacted residents' mental health. The purpose this study was examine changes depressive symptoms before and CLC residents. Methods This cross‐sectional national cohort evaluated Veteran residents from geographically diverse CLCs across four 9‐month periods pandemic: pre (before COVID‐19), early vaccine), mid...
Abstract Aim Heart failure (HF) outcomes are disproportionately worse in patients discharged to skilled nursing facilities (SNF) as opposed home. We hypothesized that dementia and delirium were key factors influencing these differences. Our aim was explore the associations of with risk hospital readmission mortality HF SNF. Methods results The study population included Veterans hospitalized for a primary diagnosis SNFs between 2010 2015. Pre‐existing identified based on International...
To encourage person-centered care, the Centers for Medicare and Medicaid require nursing homes to measure resident preferences using Preferences Assessment Tool (PAT). No known research has examined implications of respondent type (i.e., resident, proxy, staff) on preference importance; therefore, purpose this study was compare importance depending which completed PAT. Participants included 16,111 Veterans discharged community-based skilled facilities after hospitalization heart failure. A...
Abstract Background Trauma patients older than 80 years of age have higher mortality rates compared to younger peers. No studies investigated the effectiveness geriatrics comanagement on in general trauma. Methods A retrospective cohort study from 2015 2016 comparing overall and inpatient a trauma (GTC) program versus usual care (UC). Demographic outcome measures were obtained registry at an 11-bed critical unit within 719-bed Level 1 Center. One thousand five hundred seventy two patients,...
Abstract Background Alzheimer's disease and related dementias (ADRD) impact the diagnosis infection control of Severe Acute Respiratory Syndrome Coronavirus 2 (SARS‐CoV‐2) in nursing homes (NH) by influencing behavior residents their caregivers. Health system data show an association between ADRD SARS‐CoV‐2. Whether this is present NH populations remains unknown. How increased SARS‐CoV‐2 risk among with impacts greater population also Methods This retrospective cohort study used electronic...
Hospitalization with heart failure (HF) may signal an increased risk of Alzheimer's disease and related dementias (ADRD). Nursing homes routinely assess cognition but the association these results new ADRD diagnosis in a population at high is not known. To determine between nursing home cognitive assessment dementia after hospitalization. This retrospective cohort study included Veterans hospitalized for HF discharged to homes, from 2010 2015, without prior ADRD. We determined mild,...
Claims data are a valuable resource for studying Alzheimer’s disease and related dementias (ADRD). is often identified using list of claims codes fixed lookback period 3 years data. However, 1-year or an approach all-available could be beneficial based on different research questions. Thus, the purpose this study was to compare approaches ascertaining ADRD compared standard 3-year approach. Using cohort Veterans hospitalized heart failure (N = 373, 897), our results suggested high agreement...
Aims To identify factors influencing clinicians’ decisions to undertake a nonoperative hip fracture management approach among older people, and determine whether there is global heterogeneity regarding these between clinicians from high-income countries (HIC) low- middle-income (LMIC). Methods A SurveyMonkey questionnaire was electronically distributed around the world through Fragility Fracture Network (FFN)’s Perioperative Special Interest Group personal networks 24 May 25 July 2021....
Empirical antibiotic prescribing in nursing homes (NHs) is often suboptimal. The potential for antibiograms to improve empirical decision-making NHs remains poorly understood. To determine whether providing NH clinicians with a urinary antibiogram improves treatment of tract infections (UTIs). This was survey study using clinical vignettes. Participants were recruited via convenience sampling professional organization listservs practicing the US from December 2021 through April 2022. Data...
Background: In the U.S., 20% of medical hospital discharges are readmitted within 30 days. Non-medical intervention strategies, such as teaching four specific self-management skills, have demonstrated reduction in readmission risk by a third or more. Objective: To investigate whether hospitalized patients taught learn basic skills (“four skills”) during routine clinical encounters.Methods: Design: Observational study from May to October 2012 an academic hospital. Participants: Consenting...
COVID-19 has had a severe impact on morbidity and mortality among nursing home (NH) residents. Earlier detection of SARS-CoV-2 may position us to better mitigate the risk spread. Both asymptomatic pre-symptomatic transmission are common in outbreaks, threshold temperatures, such as 38C, for screening infection could miss timely majority We hypothesized that long-term care residents, temperature trends with identify individuals earlier than standard screening.We conducted retrospective cohort...
Heart failure (HF) patients often experience cognitive impairment that negatively impacts self-management ability, predisposing these individuals to worse post-hospitalization outcomes. Patient proxies may have more insight into a patient's capability especially in the context of patient impairment. Here, we incorporate proxy input evaluate associations between patient- and proxy-reported capacity for instrumental activities daily living (IADL) stratified along function an older hospitalized...