Publications by authors named "Holden Caplan"

Article Synopsis
  • The study investigates the risks of stopping versus continuing anticoagulant and/or antiplatelet medications (ACAP) before cervical and thoracic epidural steroid injections, focusing on the incidence of epidural hematomas (EHs).
  • Data from 591 patients scheduled for interlaminar cervical and/or thoracic epidural steroid injections between 2009 and 2017 was analyzed, revealing that 351 patients stopped their ACAP medications, while 240 continued them without any clinically relevant cases of EHs.
  • The findings suggest that there is a minimal risk of EHs regardless of whether patients ceased or maintained their ACAP, prompting a re-evaluation of current practices regarding these medications before the
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Increasing palliative care presence in the intensive care unit (ICU) improves symptom management, increases goals-of-care discussion, and reduces unnecessary procedures in ICU patients. An interdisciplinary study team developed a palliative care trigger program in a 17-bed surgical ICU (SICU). Surgical ICU patients who met 3 triggers (ICU length of stay > 10 days, repeat ICU admission, and metastatic cancer) automatically received a palliative care consult.

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Background: Previous studies have noted that participation in advanced care planning (ACP) and end-of-life (EOL) discussions remain low among Latino communities. Various studies have found that interventions within Latino communities can positively improve engagement in ACP, however, minimal research exists regarding patient satisfaction of ACP discussions with healthcare providers outside of preorganized educational interventions. Our study aims to understand how conversations about ACP are perceived by Latino patients in a primary care setting.

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Although palliative care focuses on supporting patients and families through serious illness, it is underutilized in the surgical intensive care unit (SICU). In 2020, patients in the SICU represented only 2.75% of our palliative team's consults.

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In response to the increase in non-medical vaccine exemptions (NME), many states have adopted education mandates (EM), required vaccine education for parents requesting NMEs for their school-age children, but these EMs vary greatly in implementation. In order to learn about the administrative aspects of each state's EM, we interviewed fourteen health department officials from nine states with EMs. Interviews were conducted over the phone, transcribed by a professional transcription service, and double-coded using NVivo 12 by two members of the study staff.

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