Publications by authors named "Andrea McCall"
Article Synopsis
- The study investigates nutrition support for critically ill children after they leave the pediatric intensive care unit (PICU), focusing on their recovery phase and identifying current nutrition practices.
- Data was collected from children admitted to nine PICUs over two weeks, looking at their nutrition intake from the first full day in the ward and at various intervals up to 28 days post-admission.
- Results show that a significant number of children were not meeting their estimated energy and protein needs, despite receiving nutritional support like enteral nutrition (EN) and parenteral nutrition (PN) during their recovery.
Background: Children who are critically ill are often reliant on enteral and oral nutrition support. However, there is limited evidence to guide "what" to prescribe, and current practice is unknown. The primary objective of this study was to describe enteral nutrition prescription in children ≤2 years of age in the pediatric intensive care unit (PICU).
View Article and Find Full Text PDFObjectives: The main aim of this study was to describe nutrition provision in Australian and New Zealand (ANZ) pediatric intensive care units (PICUs), including mode of nutrition and adequacy of enteral nutrition (EN) to PICU day 28. Secondary aims were to determine the proportion of children undergoing dietetics assessment, the average time to this intervention, and the methods for estimation of energy and protein requirements.
Methods: This observational study was conducted in all ANZ tertiary-affiliated specialist PICUs.
Study Objectives: The current value-based medical climate has led to scrutiny of all medical costs. Given the relationship between obstructive sleep apnea (OSA) and many significant comorbid medical conditions, treating patients with OSA via positive airway pressure (PAP) therapy might reduce health care expenditures. Our goal was to determine the relationship between PAP use and acute care utilization and costs.
View Article and Find Full Text PDFHospital care is the single, largest contributor to health spending, yet evidence to guide value transformation is lacking. The large, real-world studies required to fill this void are challenging to conduct in the complex and fast-paced acute care environment. To address these challenges, we created a framework that combines Lean manufacturing methodology and Applied Research principles.
View Article and Find Full Text PDFBackground: Inpatient palliative care consultation (PCC) may reduce 30-day readmissions and inpatient mortality among seriously ill patients.
Objective: To evaluate the impact of timing of PCC on 30-day readmissions and inpatient mortality.
Design: Retrospective, observational study comparing risk-adjusted, observed-to-expected (O/E) 30-day readmissions and inpatient mortality among patients receiving inpatient PCC to all other inpatients.