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Post-ICU Ambulatory Care

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181. Identifying and Assessing Core Components of Collaborative-care Models for Treating Mental and Physical Health Conditions

from Ontario found that individuals with schizophrenia and diabetes received diabetes care that was significantly sub-optimal compared with those without schizophrenia in relation to guideline-concordant testing for HbA1c, lipid testing and eye exams);(16) • overuse of some types of services (such as increased rates of intensive-care-unit admissions, ambulatory care, and emergency department visits);(14; 16) and • high risk of medical errors.(17) While there are a number of reasons for the delivery (...) (e.g., veterans), could be beneficial for those with post-myocardial infarction, stroke and other common comorbid conditions.(36; 79) Second, assessing and documenting baseline symptoms using valid instruments for mental health was most frequently implemented in primary-care interventions, as well as in interventions for depression or anxiety and a physical health condition. The most frequently cited tool for taking baseline assessments for mental health conditions was the use of the Patient Health

2017 McMaster Health Forum

182. Identifying the Effects of Using Telecommunications Technology to Provide Clinical Care at a Distance

outcomes for the use of videoconference among individuals diagnosed with post-traumatic stress disorder.(4) • One recent medium-quality review reported that providing patients with telerehabilitation at home via audio-video technology improved physical functioning following surgery, as compared to usual care.(3) • One recent high-quality review found the connection of audio-visual communication between a hospital and remote critical care unit • One older medium-quality review found that both (...) reduction in the cost of care in favour of the intervention.(20) Identifying the Effects of Using Telecommunications Technology to Provide Clinical Care at a Distance 10 Evidence >> Insight >> Action Web-based intervention • One recent medium-quality review found providing post-operative patients recovering from cardiac or orthopedic surgery with access to an educational and supportive website in addition to regular physiotherapy resulted in significant improvements in physical functioning

2017 McMaster Health Forum

183. Best Practices for Pain Management in Infants, Children, Adolescents, and Individuals with Special Health Care Needs

Best Practices for Pain Management in Infants, Children, Adolescents, and Individuals with Special Health Care Needs AMERICAN ACADEMY OF PEDIATRIC DENTISTRY RECOMMENDATIONS: BEST PRACTICES 321 Purpose The American Academy of Pediatric Dentistry ( AAPD) recognizes that infants, children, adolescents, and individuals with special health care needs can and do experience pain due to dental/orofacial injury, infection, and dental procedures, and that inadequate pain management may have significant (...) nervous system. FDA: Food and Drug Administration. IV: Intravenous. NSAIDs: Nonsteroidal anti-inflammatory drugs. VAS: Visual analogue scale. Pain Management in Infants, Children, Adolescents and Individuals with Special Health Care Needs322 RECOMMENDATIONS: BEST PRACTICES REFERENCE MANUAL V 40 / NO 6 18 / 19 the area of tissue damage, and allodynia, which refers to pain perception following innocuous stimuli such as light touch, are characteristics of central sensitization. 13 Pain modulation

2018 American Academy of Pediatric Dentistry

184. Use of patient-reported outcome and experience measures in patient care and policy

months or later after treatment (e.g. full effect of knee surgery is believed to be reached after 6 months only). Moreover, the longer the time window, the more difficult it becomes to attribute outcomes to the healthcare practice (e.g. Is pain 6 months after hip prosthesis due to pre-operative assessment, surgeon competency, rehabilitation protocols, access to post-acute care?). The timing issue is also important for PREMs. To attribute PREM results to the correct providers it is important to ask (...) Use of patient-reported outcome and experience measures in patient care and policy 2018 www.kce.fgov.be KCE REPORT 303 USE OF PATIENT-REPORTED OUTCOME AND EXPERIENCE MEASURES IN PATIENT CARE AND POLICY 2018 www.kce.fgov.be KCE REPORT 303 HEALTH SERVICES RESEARCH USE OF PATIENT-REPORTED OUTCOME AND EXPERIENCE MEASURES IN PATIENT CARE AND POLICY ANJA DESOMER, KOEN VAN DEN HEEDE, MATTANJA TRIEMSTRA, JOHN PAGET, DOLF DE BOER, LAURENCE KOHN, IRINA CLEEMPUT COLOPHON Title: Use of patient-reported

2018 Belgian Health Care Knowledge Centre

185. Standard of Care for Fibrotic Interstitial Lung Disease

AJ, Young IH, Alison JA. Bicycle endurance performance of patients with interstitial lung disease breathing air and oxygen. Am Rev Respir Dis. 1982;126(6):1005–1012. 47. Harris-Eze AO, Sridhar G, Clemens RE, Gallagher CG, Marciniuk DD. Oxygen improves maximal exercise perform- ance in interstitial lung disease. Am J Respir Crit Care Med. 1994;150(6Pt 1):1616–1622. 48. Visca D, Montgomery A, de Lauretis A, et al. Ambulatory oxy- gen in interstitial lung disease. Eur Respir J. 2011;38(4):987–990 (...) Standard of Care for Fibrotic Interstitial Lung Disease Full Terms & Conditions of access and use can be found at https://www.tandfonline.com/action/journalInformation?journalCode=ucts20 Canadian Journal of Respiratory, Critical Care, and Sleep Medicine Revue canadienne des soins respiratoires et critiques et de la médecine du sommeil ISSN: 2474-5332 (Print) 2474-5340 (Online) Journal homepage: https://www.tandfonline.com/loi/ucts20 Comprehensive management of fibrotic interstitial lung

2018 Canadian Thoracic Society

186. An intervention to improve transitions from NICU to ambulatory care: quasi-experimental study. (PubMed)

An intervention to improve transitions from NICU to ambulatory care: quasi-experimental study. Infants born prematurely or with complex medical problems are surviving to discharge in growing numbers and often require significant monitoring and coordination of care in the ambulatory setting. Using Healthcare Failure Modes and Effects Analysis (HFMEA), we identified a large number of potentially serious error points in this transition of care. PURPOSE To test whether a multifaceted intervention (...) ). At 24–48 h post discharge, caregivers in the intervention group had significantly higher scores on the adapted care transitions measure (3.51 vs 3.27, p<0.0001); however, at 30 days, the difference was no longer significant (3.45 vs 3.40, p=0.27).A multicomponent discharge intervention designed to address specific problems identified using HFMEA did not reduce certain adverse outcomes in the post-discharge period.NCT01088945.

2014 BMJ quality & safety

187. Comparative Effectiveness of Ambulatory Blood Pressure Monitoring vs Usual Care for Diagnosing and Managing Hypertension: A Pilot Study

number of saved studies (100). Please remove one or more studies before adding more. Ambulatory vs Office BP Management Usual Care for Diagnosing and Managing Hypertension: A Pilot Study The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT02121041 Recruitment Status : Completed First Posted : April 23 (...) , 2014 Results First Posted : December 19, 2016 Last Update Posted : February 10, 2017 Sponsor: Anthony J Viera, MD, MPH Collaborator: North Carolina Translational and Clinical Sciences Institute Information provided by (Responsible Party): Anthony J Viera, MD, MPH, University of North Carolina, Chapel Hill Study Details Study Description Go to Brief Summary: The purpose of this study is to compare the effectiveness of ambulatory blood pressure monitoring to usual care (blood pressure measurement

2014 Clinical Trials

188. Comparison of cognitive, ambulatory, and psychomotor recovery profiles after day care anesthesia with propofol and sevoflurane. (PubMed)

recovery in terms of cognitive and ambulatory functions was recorded. Psychomotor testing, in the form of Trieger dot test and digit symbol substitution test, were performed before surgery and in the post-anesthesia care unit at 15 min, 30 min, 1 h, 2 h, and 4 h following nitrous oxide switch-off to evaluate intermediate recovery.There were no significant differences in recovery of early cognitive functions between the two groups, except that patients in the sevoflurane group were more responsive (...) Comparison of cognitive, ambulatory, and psychomotor recovery profiles after day care anesthesia with propofol and sevoflurane. We compared the recovery profile of propofol and sevoflurane when used for maintenance of anesthesia in elective day care operative procedures.One hundred ASA physical status I and II patients, aged between 18 and 50 years, were randomly assigned to receive either propofol-nitrous oxide or sevoflurane-nitrous oxide maintenance of anesthesia. Early and intermediate

2014 Journal of anesthesia Controlled trial quality: uncertain

189. Effect of pre-warmed intravenous fluids on perioperative hypothermia and shivering after ambulatory surgery under monitored anesthesia care. (PubMed)

Effect of pre-warmed intravenous fluids on perioperative hypothermia and shivering after ambulatory surgery under monitored anesthesia care. The aim of this study was to evaluate the effects of pre-warmed (approximately 41 °C) intravenous fluids (IV) on perioperative hypothermia and postoperative shivering in female patients undergoing short, ambulatory urological surgery under monitored anesthesia care (MAC).Patients between the ages of 35 and 80 years were randomly assigned to either the pre (...) -warmed (n = 27) or the room temperature (n = 26) group. According to group allocation, either pre-warmed IV fluids that had been stored in a warming cabinet for at least 8 h or room temperature IV fluids were administered intraoperatively up to approximately 600-700 ml, including a bolus infusion of 10 ml/kg within 20 min. Perioperative core temperatures at the tympanic membrane, postoperative shivering, subjective thermal comfort, and the use of forced-air warming interventions in the post

2014 Journal of anesthesia Controlled trial quality: uncertain

190. The Society for Vascular Surgery practice guidelines on the care of patients with an abdominal aortic aneurysm

with a ruptured aneurysm. Level of recommendation 1 (Strong) Quality of evidence A (High) Should repair of a symptomatic AAA be delayed to optimize coexisting medical conditions, we recommend that the patient be monitored in an intensive care unit (ICU) setting with blood products available. Level of recommendation 1 (Strong) Quality of evidence C (Low) Assessment of operative risk and life expectancy We suggest informing patients contemplating open repair or EVAR of their Vascular Quality Initiative (VQI (...) The Society for Vascular Surgery practice guidelines on the care of patients with an abdominal aortic aneurysm The Society for Vascular Surgery practice guidelines on the care of patients with an abdominal aortic aneurysm - Journal of Vascular Surgery Email/Username: Password: Remember me Search JVS Journals Search Terms Search within Search Access provided by Volume 67, Issue 1, Pages 2–77.e2 The Society for Vascular Surgery practice guidelines on the care of patients with an abdominal aortic

2018 Society for Vascular Surgery

191. Level of Care for Musculoskeletal Surgery

(Appendix A), Charleston Comorbidity Score, or other validated surgical risk score. This guideline does not address the clinical appropriateness of the procedure. The AIM prior authorization process for clinical appropriateness of the surgical procedure is completed separately and precedes the level of care determination. An outpatient surgical procedure is defined as one where a patient arrives at an ambulatory surgery center (ASC) or hospital-based outpatient department (HOPD) on the same day (...) - related issues, aims of surgery, postoperative symptoms, and expectations • Appropriate outpatient facility o Capability for 23-hour observation or is a hospital outpatient center on the main hospital campus. • Appropriate post-surgical disposition o Responsible adult (caregiver) living with, or staying with the patient who is available to care for them for at least 24 hours after surgery o Patient resides within a reasonable distance (30-minute drive) of an emergency medical facility Copyright © 2018

2018 AIM Specialty Health

192. End-of-Life Care for People Experiencing Homelessness

End-of-Life Care for People Experiencing Homelessness Adapting Your Practice Recommendations for End-of-Life Care for People Experiencing Homelessness Health Care for the Homeless Clinicians’ Network 2018 Health Care for the Homeless Clinicians’ Network ADAPTING YOUR PRACTICE: Recommendations for End-of-Life Care for People Experiencing Homelessness i Adapting Your Practice: Recommendations for End-of-Life Care for People Experiencing Homelessness was developed with support from the Bureau (...) of Primary Health Care, Health Resources and Services Administration, U.S. Department of Health and Human Services. All material in this document is in the public domain and may be used and reprinted without special permission. Citation as to source, however, is appreciated. Health Care for the Homeless Clinicians’ Network ADAPTING YOUR PRACTICE: Recommendations for End-of-Life Care for People Experiencing Homelessness ii Disclaimer This project was supported by the Health Resources and Services

2018 National Health Care for the Homeless Council

193. Guidance for pathologists conducting post-mortem examinations on individuals with implanted electronic and medical devices

such device is fully deactivated before a post mortem is started. PUB 080615 4 V7 Final In a similar way, care should be taken to ensure no implantable device of any type poses any form of risk to those conducting a post mortem or handling the body. The team responsible for the implantable device or the manufacturers may need to be consulted to allow a thorough risk assessment to occur in such cases and to facilitate full deactivation of the device. If there is any history of an implantable device within (...) the guidance of the pathologist performing the autopsy. Care must be taken when any such device is removed to reduce the risk of artifactual damage to the device or its leads. Both the device itself and its leads should be examined to exclude the possibility of damage to them being responsible for any device malfunction. As part of documenting the post-mortem examination, the location of any device should be described in the report and a statement made as to whether or not it was felt that the device may

2015 Royal College of Pathologists

194. Post-Discharge Cardiac Monitoring of Stroke Patients

Post-Discharge Cardiac Monitoring of Stroke Patients Disclaimer: The Rapid Response Service is an information service for those involved in planning and providing health care in Canada. Rapid responses are based on a limited literature search and are not comprehensive, systematic reviews. The intent is to provide a list of sources of the best evidence on the topic that CADTH could identify using all reasonable efforts within the time allowed. Rapid responses should be considered along (...) to English language documents published between January 1, 2010 and May 11, 2015. Internet links were provided, where available. SELECTION CRITERIA One reviewer screened citations and selected studies based on the inclusion criteria presented in Table 1. Post-Discharge Cardiac Monitoring of Stroke Patients 2 Table 1: Selection Criteria Population Patients who are discharged from hospital following an ischemic stroke or transient ischemic attack Intervention Portable (ambulatory) electrocardiogram devices

2015 Canadian Agency for Drugs and Technologies in Health - Rapid Review

195. Thromboprophylaxis reduces venous thromboembolism rate in ambulatory patients immobilised in above knee plaster cast.

Thromboprophylaxis reduces venous thromboembolism rate in ambulatory patients immobilised in above knee plaster cast. BestBets: Thromboprophylaxis reduces venous thromboembolism rate in ambulatory patients immobilised in above knee plaster cast. Thromboprophylaxis reduces venous thromboembolism rate in ambulatory patients immobilised in above knee plaster cast. Report By: Catherine Roberts - SpR in Emergency Medicine & Critical Care Search checked by Daniel Horner - StR in Emergency Medicine (...) and Critical Care Institution: Lancashire Teaching Hospitals NHS Trust Date Submitted: 5th July 2011 Date Completed: 13th June 2012 Last Modified: 13th June 2012 Status: Green (complete) Three Part Question In [patients with lower extremity injury requiring temporary immobilisation with above knee plaster of paris] does [prophylactic anticoagulation with LMWH] reduce the risk of [venous thromboembolic disease within the next three months] Clinical Scenario You see a 27 year old male who has ruptured his

2012 BestBETS

196. Thromboprophylaxis significantly reduces venous thromboembolism rate in ambulatory patients immobilised in below knee plaster cast.

Thromboprophylaxis significantly reduces venous thromboembolism rate in ambulatory patients immobilised in below knee plaster cast. BestBets: Thromboprophylaxis significantly reduces venous thromboembolism rate in ambulatory patients immobilised in below knee plaster cast. Thromboprophylaxis significantly reduces venous thromboembolism rate in ambulatory patients immobilised in below knee plaster cast. Report By: Dr Catherine Roberts - SpR in Emergency Medicine & Critical Care Search checked (...) by Dr Daniel Horner - SpR in Emergency Medicine & Critical Care Institution: Lancashire Teaching Hospitals NHS Trust Date Submitted: 4th June 2011 Date Completed: 13th June 2012 Last Modified: 13th June 2012 Status: Green (complete) Three Part Question In [ambulatory patients with acute lower extremity injury requiring temporary immobilisation with below-knee plaster cast] does [prophylactic dose anticoagulation with LMWH] reduce the risk of [venous thromboembolic disease within 90 days] Clinical

2012 BestBETS

197. Use of Silver Diamine Fluoride for Dental Caries Management in Children and Adolescents, Including Those with Special Health Care Needs

carefully at post-op and re-care to evaluate arrest and consider re-application. Post-operative instructions No postoperative limitations are listed by the manufacturer. Eating and drinking immediately following application is acceptable. Patients may brush with fluoridated toothpaste as per regular routine following SDF application. Several SDF clinical trials recommended no eating or drink - ing for 30 minutes – one hour. 13,31,32 As patients are used to these recommendations for in-office topical (...) Use of Silver Diamine Fluoride for Dental Caries Management in Children and Adolescents, Including Those with Special Health Care Needs 152 RECOMMENDATIONS: CLINICAL PRACTICE GUIDELINES REFERENCE MANUAL V 40 / NO 6 18 / 19 Scope and purpose The guideline intends to inform the clinical practices involving the application of silver diamine fluoride (SDF) to enhance dental caries management outcomes in children and adolescents, including those with special health care needs. Silver diamine

2017 American Academy of Pediatric Dentistry

198. Peripheral Nerve Blocks for Post-Operative Pain Relief After Arthroscopic Knee Ligament Reconstruction

Pain Relief After Arthroscopic Knee Ligament Reconstruction: A Rapid Review. August 2014; pp. 1–23 2 Suggested Citation This report should be cited as follows: McDowell SE. Peripheral nerve blocks for post-operative pain relief after arthroscopic knee ligament reconstruction: a rapid review. Toronto: Health Quality Ontario; 2014 August. 23 p. Available from: http://www.hqontario.ca/evidence/evidence-process/episodes-of-care#knee-arthroscopy. Permission Requests All inquiries regarding permission (...) or observational studies are included, and their risk of bias is assessed. All rapid reviews are developed and finalized in consultation with experts. Peripheral Nerve Blocks for Post-Operative Pain Relief After Arthroscopic Knee Ligament Reconstruction: A Rapid Review. August 2014; pp. 1–23 3 About Health Quality Ontario Health Quality Ontario is an arms-length agency of the Ontario government. It is a partner and leader in transforming Ontario’s health care system so that it can deliver a better experience

2014 Health Quality Ontario

199. Effect of continuous positive airway pressure in patients with true refractory hypertension and sleep apnea: a post-hoc intention-to-treat analysis of the HIPARCO randomized clinical trial. (PubMed)

were randomized to receive CPAP or usual care for 3 months. They underwent a second 24-h ambulatory BP monitoring study to establish the effect of CPAP treatment on BP levels in both groups.A total of 98 patients were randomized to CPAP (19 RfH/79 resistant hypertension) and 96 to usual care (21 RfH/75 resistant hypertension). BP readings dropped more marked in patients with RfH than resistant hypertension, in both 24-h SBP (-9 vs. -1.6 mmHg, P = 0.021) and 24-h DBP (-7.3 vs. -2.3 mmHg, P = 0.074 (...) Effect of continuous positive airway pressure in patients with true refractory hypertension and sleep apnea: a post-hoc intention-to-treat analysis of the HIPARCO randomized clinical trial. Continuous positive airway pressure (CPAP) can significantly reduce blood pressure (BP) levels in patients with resistant hypertension and sleep apnea (OSA); however, the effect on patients with refractory hypertension (RfH) is not known. This study seeks to evaluate the effect of CPAP treatment on BP levels

2019 Journal of Hypertension Controlled trial quality: uncertain

200. Palliative Care in the Outpatient Setting

Palliative Care in the Outpatient Setting ©Institute for Clinical and Economic Review, 2016 Palliative Care in the Outpatient Setting A Comparative Effectiveness Report Final Report April 27, 2016 Completed by: Institute for Clinical and Economic Review ©Institute for Clinical and Economic Review, 2016 Page i AUTHORS: Courtney Cunningham, MPH Program Director Karin Travers, DSc Research Director Rick Chapman, PhD, MS Director of Health Economics Anne Loos, MA Research Associate Erin Lawler, MA (...) Program and Communications Associate Shanshan Liu, MS, MPH Research Associate Steven D. Pearson, MD, MSc President Daniel A. Ollendorf, PhD Chief Scientific Officer DATE OF PUBLICATION: April 27, 2016 ICER would like to thank Rebecca Kirch, JD, Consultant to the Center to Advance Palliative Care for her peer review of the draft report. ©Institute for Clinical and Economic Review, 2016 Page ii About ICER The Institute for Clinical and Economic Review (ICER) is an independent non-profit research

2017 California Technology Assessment Forum

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