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Publications (30)
Objectives
Evaluate literature on the dying process in children after withdrawal of life sustaining measures (WLSM) in the PICU. We focused on the physiology of dying, prediction of time to death, impact of time to death, and uncertainty of the dying process on families, healthcare workers, and organ donation.
Data Sources
MEDLINE, Embase, Cochran...
Background:
Overweight and obesity and their consequent morbidities are important worldwide health problems. Some research suggests excess adiposity origins may begin in fetal life, but unknown is whether this applies to infants born preterm.
Objective:
The objective of the study was to assess the association between small for gestational age (S...
Health professionals, such as nurses and social workers, are often the first professionals to encounter individuals experiencing intimate partner violence(IPV) yet often feel inadequately prepared to respond appropriately. Responding to IPV demands a multidisciplinary approach, however, IPV education often is addressed in a silo manner. With IPV be...
Gender-based violence (GBV) is global issue, requiring specialized knowledge, attitudes, and skills. The most effective responses are interdisciplinary, involving social work, healthcare, and the justice system. While GBV was exacerbated during the pandemic, many students faced a reduced availability of practice opportunities to learn how to respon...
Purpose
Intimate partner violence (IPV) involves any form of emotional, physical, and sexual abuse including controlling behaviors by an intimate partner. Front line service workers such as social workers, nurses, lawyers, and physicians are often the first professionals to come into contact with individuals experiencing IPV but are often inadequat...
Purpose:
There is lack of consensus regarding the minimum arterial pulse pressure required for confirming permanent cessation of circulation for death determination by circulatory criteria in organ donors. We assessed direct and indirect evidence supporting whether one should use an arterial pulse pressure of 0 mm Hg vs more than 0 (5, 10, 20, 40)...
Purpose:
Current practice in organ donation after death determination by circulatory criteria (DCD) advises a five-minute observation period following circulatory arrest, monitoring for unassisted resumption of spontaneous circulation (i.e., autoresuscitation). In light of newer data, the objective of this updated systematic review was to determin...
Objectives:
Unplanned extubations are an infrequent but life-threatening adverse event in pediatric critical care. Due to the rarity of these events, previous studies have been small, limiting the generalizability of findings and the ability to detect associations. Our objectives were to describe unplanned extubations and explore predictors of unp...
Background:
Historical reports suggest that infants born small for gestational age (SGA) are at increased risk for high blood pressure (BP) at older ages after adjustment for later age body size. Such adjustment may be inappropriate since adiposity is a known cause of cardiovascular and metabolic disease.
Objectives:
To assess the association be...
Background
An unplanned extubation is the uncontrolled and accidental removal of a breathing tube and is an important quality indicator in pediatric critical care. The objective of this review was to comprehensively synthesize literature published on quality improvement (QI) practices implemented to reduce the rate of unplanned extubations in criti...
The purpose of this study was to describe the care of intubated patients in pediatric critical care. Acknowledging there are several perceived factors that contribute to unplanned extubations, a secondary objective was to describe how practice variation may relate to observed differences in unplanned extubation rates. A survey about practices relat...
Background:
Underrepresented voices and perspectives are missing from academic and clinical health sciences. We aimed to define the unique opportunities and challenges of pediatric clinician-scientists related to equity, diversity and inclusion; and to identify key components of training needed to support people from equity-seeking groups as emerg...
Purpose:
To describe the literature on clinician-scientist training programs to inform the development of contemporary and inclusive training models.
Method:
The authors conducted a scoping review, searching the PubMed/MEDLINE, CINAHL, and Embase databases from database inception until May 25, 2020. Studies presenting primary research that descr...
Rationale, aims, and objectives:
While paediatric clinician-scientists are ideally positioned to generate clinically relevant research and translate research evidence into practice, they face challenges in this dual role. The authors sought to explore the unique contributions, opportunities, and challenges of paediatric clinician-scientists, inclu...
Background:
Respiratory syncytial virus (RSV) is the most common cause of lower respiratory tract infections in children. This study aimed to predict the prolonged length of stay in children admitted to hospital with RSV.
Methods:
Children aged <2 years with RSV in the National Inpatient Sample (NIS) were included in the analyses. The primary ou...
Background
An unplanned extubation is the uncontrolled and accidental removal of a breathing tube. The health impact of an unplanned extubation ranges from minimal to life-threatening, but this is an important quality indicator in pediatric critical care.
Objective
To comprehensively synthesize literature published on quality improvement (QI) prac...
Background
In 2016, the Academic Medical Center Neonatal Encephalopathy Task Force recommended therapeutic hypothermia (TH) as the standard-of-care for hypoxic ischemic encephalopathy (HIE). However, not all infants who meet the criteria for TH receive this treatment. The purpose of this study was to compare the risk of mortality for infants with H...
Focus of Presentation
Multivariable regression models can be used to answer a variety of clinical questions. The two main objectives of regression models are to either 1) understand an association between one or more exposures and an outcome; or 2) predict future outcomes based on certain exposures or variables. To simplify this, we will consider t...
PurposeTo understand and summarize the breadth of knowledge on comfort-holding in pediatric intensive care units (PICUs).SourcesThis scoping review was conducted using PRISMA methodology. A literature search was conducted in MEDLINE, EMBASE, PsycINFO, CINAHL, and the Cochrane CENTRAL Register of Controlled Trials. Search strategies were developed w...
The objective of this study is to analyze the effect of adjusting for body measures on the association between small for gestational age (SGA) and overweight at 3 years.
Data were obtained from the Preterm Infant Multicenter Growth Study (n = 1089). Logistic regression was used, to adjust for confounders with additional adjustments separately for w...
Background:
Medical education affects learner well-being. We explored the breadth and depth of interventions to improve the well-being of medical learners in Canada.
Methods:
We searched MEDLINE, EMBASE, CINAHL and PsycINFO from inception to July 11, 2020, using the Arksey-O'Malley, 5-stage, scoping review method. We included interventions to im...
BACKGROUND
Cesarean birth (CB) is the most common inpatient surgical procedure, and until recently, there were no internationally accepted, standardized clinical guidelines available. The Enhanced Recovery After Surgery (ERAS®) program aims to improve outcomes through the development of international guidelines (IGs). As an ERAS IG for CB was being...
Background
Informal caregivers of critically ill patients in intensive care unit (ICUs) experience negative psychological sequelae that worsen after death. We synthesized outcomes reported from ICU bereavement interventions intended to improve informal caregivers’ ability to cope with grief.
Data sources
MEDLINE, EMBASE, CINAHL and PsycINFO from i...
Objectives:
Determine effect of mental health interventions on psychologic outcomes in informal caregivers of critically ill patients.
Data sources:
Searches conducted in MEDLINE, Embase, and other databases from inception to October 31, 2019.
Study selection:
Interventions for informal caregivers of critically ill patients in adult ICU, PICU,...
Background:
The use of social media in healthcare continues to evolve. The purpose of this scoping review was to summarize existing research on the impact of social media interventions and tools among informal caregivers of critically ill patients after patient admission to the intensive care unit (ICU).
Methods:
This review followed established...
INTRODUCTION: Cesarean delivery (CD) is the most common inpatient surgical procedure; however, there are no internationally-accepted, standardized clinical guidelines. The Enhanced Recovery After Surgery (ERAS®) program aims to improve outcomes through the development of international guidelines (IG). The purpose of this study is to obtain and cons...
Purpose:
Unplanned extubation represents loss of control in the ICU, is associated with harm and is used as a measure of quality of care. We evaluated the rates and consequences of unplanned extubation.
Materials and methods:
Eligible patients were intubated, <18years, and in ICU. Patient, care-related and environmental characteristics were comp...
