Publications by authors named "H Vollbrecht"
Management of sedation during weaning from mechanical ventilation.
Curr Opin Crit Care
February 2025
Article Synopsis
- Critically ill patients often need mechanical ventilation and sedation for comfort, and managing sedation is crucial for successful weaning from ventilation.
- There is evidence supporting light sedation practices and simultaneous spontaneous awakening and breathing trials, yet these methods are not consistently applied in clinical settings.
- Prioritizing analgesia over sedatives and using tools like dexmedetomidine can aid in the weaning process, but more research is needed, especially for patients with acute respiratory distress syndrome (ARDS).
Article Synopsis
- The study investigated how to identify hospitalized patients who might benefit from serious illness conversations (SICs) by combining Epic's Risk of Readmission Score (RRS) with a simple question about expected mortality ("Would you be surprised if the patient died in the next 12 months?").
- Researchers analyzed patient encounters from January 2019 to October 2021, finding that 77.2% of patients with a high RRS were considered unlikely to survive the next year, and these patients had higher rates of documented SICs.
- Despite a significant portion of these patients needing SICs, the overall rates of having these conversations were very low, suggesting that using both EHR data and
Article Synopsis
- - The study investigates how adults with insufficient vision access and use technology compared to those with normal vision, emphasizing the growing importance of eHealth in managing chronic diseases.
- - Conducted at an academic urban hospital, the research utilized surveys to measure patients' technology access, willingness to use eHealth, and overall eHealth literacy, while also assessing visual acuity and demographic characteristics.
- - Out of 59 participants, the majority were Black women with at least some college education, and most owned technology and used the internet, indicating potential for integrating eHealth into their post-discharge self-management despite vision challenges.
Background: Medicare coverage for audio-only telehealth is slated to end this year after the public health emergency concludes. When the time comes, many patients may be unable to make the transition from audio-only to video telehealth due to digital inexperience. This study explores the second digital divide within video telehealth use, which is primarily characterized by skills and capabilities rather than access, by measuring eHealth literacy (eHL) and video capabilities in hospitalized patients.
View Article and Find Full Text PDFBackground: Throughout the COVID-19 pandemic, patient portals have become more widely used tools of patient care delivery. However, not all individuals have equivalent access or ability to use patient portals.
Objective: The aim of this study is to evaluate the relationships between eHealth literacy (eHL) and patient portal awareness, use, and attitudes among hospitalized patients.