Publications by authors named "A Binnie"

Background: In Canada, academic hospitals are the principal drivers of research and medical education, while community hospitals provide patient care to a majority of the population. Benefits of increasing community hospital research include improved patient outcomes and access to research, enhanced staff satisfaction and retention and increased research efficiency and generalizability. While the resources required to build Canadian community hospital research capacity have been identified, strategies for strengthening organizational research culture in these settings are not well defined.

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Purpose: During the COVID-19 pandemic, neighbourhoods with high material deprivation and high proportions of racialized Canadians were disproportionately affected by COVID-19. Many of these neighbourhoods were served by community hospitals. We sought to compare the burden of COVID-19 care in community and academic intensive care units (ICUs) in Ontario, Canada.

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Article Synopsis
  • Health research in Canada mainly occurs in academic hospitals, but community hospitals serve most patients; enhancing research in these settings can lead to better patient outcomes and organizational efficiency.
  • The Canadian Community Intensive Care Unit Research Network (CCIRNet) created a toolkit to help community hospital professionals launch and maintain their research programs, drawing on insights from experienced clinician-researchers and qualitative feedback.
  • The CCIRNet toolkit details five stages for developing a research program, using a question-and-answer format to provide practical guidance and resources tailored to help hospitals effectively engage in clinical research.
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Article Synopsis
  • Patients with chronic critical illness (CCI) often experience acquired muscle weakness, making optimal protein intake crucial for their recovery, but guidelines on the ideal protein levels remain unclear.
  • A systematic review was conducted by searching major databases for studies comparing high versus low protein intake in critically ill adults who had been in the ICU for more than a week.
  • The analysis included four studies with over 1,700 patients, revealing that higher protein intake (greater than 1.3g/kg/day) significantly reduced early mortality rates in these patients.
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