Publications by authors named "C M O'Rielly"

Purpose: To understand the epidemiology and healthcare use of critically ill patients experiencing homelessness compared to critically ill patients with stable housing.

Methods: This retrospective population-based cohort study included adults admitted to any ICU in Alberta, Canada, for a 3-year period. Administrative and clinical data from the hospital, ICU and emergency department were used to examine healthcare resource use (processes of care, ICU and hospital length of stay, hospital readmission and emergency room visits).

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Background: Chest pain is a common cause for emergency department (ED) presentations. After myocardial infarction (MI) has been ruled out by means of electrocardiography and troponin testing, decisions around anatomic or functional testing may be informed by clinical risk scores. We conducted a systematic review to synthesize evidence of the prognostic performance of chest pain risk scores among ED patients who have had MI ruled out by means of a high-sensitivity troponin assay.

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Article Synopsis
  • - This scoping review focuses on the challenges and postoperative outcomes for people with chronic kidney disease and dialysis (CKD-G5D) when they undergo surgery, highlighting the need for tailored perioperative management strategies.
  • - Researchers analyzed 183 studies, mainly randomized controlled trials, finding that most if focused on kidney transplantation and dialysis vascular access, with key areas like fluid management and imaging being emphasized.
  • - The review indicates there are significant gaps in perioperative research for CKD-G5D patients but notes a growing body of evidence, mainly from non-randomized studies, which could help improve perioperative care pathways in the future.
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Background: Subarachnoid hemorrhage has been traditionally ruled-out in the emergency department (ED) through computed tomography (CT) followed by lumbar puncture if indicated. Mounting evidence suggests that non-contrast CT with CT angiography (CTA) can safely rule-out subarachnoid hemorrhage and obviate the need for lumbar puncture, but adoption of this approach is hindered by concerns of identifying incidental aneurysms. This study aims to estimate the incidence of incidental aneurysms identified on CTA head and neck in an ED population.

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