Publications by authors named "Casey Whitman"
Background: Goal-concordant care (GCC) is recognized as the highest quality of care and most important outcome measure for serious illness research, yet there is no agreed-upon or validated method to measure it.
Objective: Assess feasibility of measuring GCC using clinical documentation in the electronic health record (EHR).
Design: Retrospective chart review study.
Background: The ability to classify patients' goals of care (GOC) from clinical documentation would facilitate serious illness communication quality improvement efforts and pragmatic measurement of goal-concordant care. Feasibility of this approach remains unknown.
Objective: To evaluate the feasibility of classifying patients' GOC from clinical documentation in the electronic health record (EHR), describe the frequency and patterns of changes in patients' goals over time, and identify barriers to reliable goal classification.
Importance: Increasing inpatient palliative care delivery is prioritized, but large-scale, experimental evidence of its effectiveness is lacking.
Objective: To determine whether ordering palliative care consultation by default for seriously ill hospitalized patients without requiring greater palliative care staffing increased consultations and improved outcomes.
Design, Setting, And Participants: A pragmatic, stepped-wedge, cluster randomized trial was conducted among patients 65 years or older with advanced chronic obstructive pulmonary disease, dementia, or kidney failure admitted from March 21, 2016, through November 14, 2018, to 11 US hospitals.
Article Synopsis
- The study investigates how inaccuracies in patients' expectations of their health affect their quality of life, focusing on those with severe COPD over a 24-month period.
- It found that many patients held overly optimistic views about their future symptoms, which led to a decline in their health-related quality of life within the first 3 months.
- Despite a diverse group of 207 participants, there was no clear link between demographic factors and the accuracy of health expectations, suggesting that communication with healthcare providers may be inadequate.
Small trials and professional recommendations support mobilization interventions to improve recovery among critically ill patients, but their real-world effectiveness is unknown. To evaluate a low-cost, multifaceted mobilization intervention. We conducted a stepped-wedge cluster-randomized trial across 12 ICUs with diverse case mixes.
View Article and Find Full Text PDFWe conducted a population-based case-control study to examine newborn polyunsaturated fatty acid (PUFA) levels in association with autism spectrum disorder (ASD) and assess PUFA correlation across two time points. ASD cases (n = 200) were identified through the Department of Developmental Services and matched to live-birth population controls (n = 200) on birth month, year (2010-2011), and sex. Nonesterified PUFAs were measured by isotope dilution liquid chromatography-high resolution mass spectrometry from archived newborn dried blood spots and maternal mid-pregnancy serum samples.
View Article and Find Full Text PDFArticle Synopsis
- The study investigated how eating fish during pregnancy affects autism traits in children, using data from two pregnancy cohorts in the U.S.
- Results showed that mothers who ate more fish in the second half of pregnancy had children with higher autism traits, especially with certain types of fish like shellfish and large fish increasing scores, while salmon seemed to decrease them.
- The research suggests the need for further studies to explore the timing of fish intake during pregnancy and how different fish types may influence autism-related outcomes in children.