Publications by authors named "Arona I Ragins"
Objectives: To evaluate process metrics and outcomes after implementation of the "Rethinking Critical Care" ICU care bundle in a community setting.
Design: Retrospective interrupted time-series analysis.
Setting: Three hospitals in the Kaiser Permanente Northern California integrated healthcare delivery system.
Objective: Risk adjustment is essential in evaluating the performance of an ICU; however, assigning scores is time-consuming. We sought to create an automated ICU risk adjustment score, based on the Simplified Acute Physiology Score 3, using only data available within the electronic medical record (Kaiser Permanente HealthConnect).
Design, Setting, And Patients: The eSimplified Acute Physiology Score 3 was developed by adapting Kaiser Permanente HealthConnect structured data to Simplified Acute Physiology Score 3 criteria.
Background: Bronchiolitis is common in the first two years of life and is the most frequent cause of hospitalization in this age group. No previous studies have used an episode-of-care analysis to describe the frequency, duration, and predictors of bronchiolitis episodes of care during the first two years.
Methods: We conducted a retrospective cohort study of 123,264 infants ≥32 weeks gestation born at 6 Northern California Kaiser Permanente hospitals between 1996 and 2002.
Aims: To examine the association between specific events during vaginal deliveries and urinary incontinence later in life.
Methods: A retrospective cohort study of 1,521 middle-aged and older women with at least one vaginal delivery who were long-term members of an integrated health delivery system. Age, race/ethnicity, current incontinence status, medical, surgical history, pregnancy and parturition history, menopausal status, hormone replacement, health habits, and general health were obtained by questionnaire.
Purpose: Urinary incontinence is a dynamic condition that can progress and regress but few groups have examined risk factors for change in incontinence status.
Material And Methods: We used stratified random sampling to construct a racially and ethnically diverse, population based cohort of 2,109 women 40 to 69 years old. Data were collected by questionnaires and medical record review.
Objectives: To examine factors influencing sexual activity and functioning in racially and ethnically diverse middle-aged and older women.
Design: Cross-sectional cohort study.
Setting: Integrated healthcare delivery system.
Purpose: We compared the impact of mixed, stress and urge urinary incontinence on quality of life in middle-aged or older women.
Materials And Methods: We analyzed cross-sectional data from a population based cohort of 2,109 ethnically diverse middle-aged or older women. Among participants reporting weekly incontinence, clinical type of incontinence was assessed by self-reported questionnaires and disease specific quality of life impact was evaluated using the Incontinence Impact Questionnaire.
Objective: To identify the factors associated with greater quality-of-life impact, treatment seeking, and use of treatments for urinary incontinence in ethnically diverse older women.
Methods: Cross-sectional analysis of a population-based cohort of 2109 middle-aged and older women who were randomly selected from age and race/ethnicity strata. Data were collected by self-report questionnaires and in-person interviews.
Purpose: We compared the prevalence of urinary incontinence by type among white, black, Hispanic and Asian-American women.
Materials And Methods: The RRISK is a population based cohort study of 2,109 randomly selected middle-aged and older women. Incontinence and other variables were assessed by self-report questionnaires and in person interviews.