Publications by authors named "D Willson"
Investigate sleep health for student servicemember/veterans (SSM/Vs). Data from the National College Health Assessment was used, including 88,178 participants in 2018 and 67,972 in 2019. Propensity score matching was used to compare SSM/Vs ( = 2984) to their most similar non-SSM/V counterparts ( = 1,355).
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- Delivering optimal care in clinical settings is complicated by limited evidence from costly clinical trials, leaving many healthcare questions unanswered.
- Underserved regions often struggle to access and implement advanced evidence-based guidelines due to a lack of resources and training for care providers.
- The use of eActions, or validated clinical decision support systems, could enhance decision-making in busy healthcare environments, but requires overcoming technical and cultural challenges, as well as better data management systems.
Context: Respiratory dysfunction is a component of every organ failure scoring system developed, reflecting the significance of the lung in multiple organ dysfunction syndrome. However, existing systems do not reflect current practice and are not consistently evidence based.
Objective: We aimed to review the literature to identify the components of respiratory failure associated with outcomes in children, with the purpose of developing an operational and evidence-based definition of respiratory dysfunction.
Prior criteria for organ dysfunction in critically ill children were based mainly on expert opinion. We convened the Pediatric Organ Dysfunction Information Update Mandate (PODIUM) expert panel to summarize data characterizing single and multiple organ dysfunction and to derive contemporary criteria for pediatric organ dysfunction. The panel was composed of 88 members representing 47 institutions and 7 countries.
View Article and Find Full Text PDFBackground: Little is known about the airway microbiome in intubated mechanically ventilated children. We sought to characterize the airway microbiome longitudinally and in association with clinical variables and possible ventilator-associated infection (VAI).
Methods: Serial tracheal aspirate samples were prospectively obtained from mechanically ventilated subjects under 3 years old from eight pediatric intensive care units in the United States from June 2017 to July 2018.