Publications by authors named "Sajid Haque"
Context: As patients approach the end of life, discussion of their treatment goals is essential to avoid unnecessary suffering and deliver care in a manner consistent with their overall values.
Objectives: Implement a multipronged approach to improve the rates of advance care planning (ACP) documentation among providers admitting patients with cancer to the intensive care unit (ICU) from the emergency department (ED).
Methods: We developed multiple interventions including the development of a best-practice advisory to alert providers when patients had previous do-not-resuscitate orders; standardization of ACP documentation; early oncologist involvement in goals-of-care conversations with patients; a survey of ED providers to identify barriers to success; and positive reinforcement strategies aimed at improving the rates of ACP documentation in patients admitted from the ED to the ICU.
Article Synopsis
- The study evaluated the effects of a multicomponent interdisciplinary goals-of-care program on ICU and hospital outcomes for cancer patients during and after the COVID-19 pandemic.
- Results indicated a significant reduction in ICU mortality (from 28.2% to 21.9%) and decreased lengths of ICU stay and overall hospital mortality rates after the program's implementation.
- Additionally, there was an increased proportion of patients with do-not-resuscitate orders, established earlier in their hospital stay (mean difference of 3 days).
Purpose: Intensive care triage practices and end-user interpretation of triage guidelines have rarely been assessed. We evaluated agreement between providers on the prioritization of patients for ICU admission using different triage guidelines.
Materials And Methods: A multi-centered randomized study on providers from 18 different countries was conducted using clinical vignettes of oncological patients.
Incidence of Bleeding Complications With Flexible Bronchoscopy in Cancer Patients With Thrombocytopenia.
J Bronchology Interv Pulmonol
October 2019
Background: Bronchoscopy is a safe procedure, but current guidelines recommend transfusion for platelets <20 K/μL. Studies of bronchoscopy in thrombocytopenia are limited.
Objectives: Our objective was to evaluate the incidence of bleeding with flexible bronchoscopy in those with thrombocytopenia especially those <20 K/μL.
Purpose: The objective was to describe the characteristics and outcomes of critically ill cancer patients who received noninvasive positive pressure ventilation (NIPPV) vs invasive mechanical ventilation as first-line therapy for acute hypoxemic respiratory failure.
Material And Methods: A retrospective cohort study of consecutive adult intensive care unit (ICU) cancer patients who received either conventional invasive mechanical ventilation or NIPPV as first-line therapy for hypoxemic respiratory failure.
Results: Of the 1614 patients included, the NIPPV failure group had the greatest hospital length of stay, ICU length of stay, ICU mortality (71.
Objective: To investigate ICU utilization and hospital outcomes of oncological patients admitted to a comprehensive cancer center.
Design: Observational cohort study.
Setting: The University of Texas MD Anderson Cancer Center.
Objective: Pulmonary embolism often causes cardiac arrest. When this occurs, thrombolytic therapy is not routinely administered. There are multiple reasons for this, including difficulty with rapidly adequately diagnosing the embolus, the lack of good data supporting the use of thrombolytics during resuscitation, the belief that thrombolytic therapy is ineffective once a patient has already arrested, the difficulty of obtaining thrombolytics at the bedside rapidly enough to administer during a code, and the increased risks of bleeding, particularly with ongoing chest compressions.
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- The study investigates the characteristics of hospitalized cancer patients who died in different hospital settings (ICU, post-ICU, or other hospital areas) to understand their end-of-life care.
- It analyzed data from over 105,000 hospital discharges from a major cancer center between 2003 and 2007, finding that 3.7% of patients died in the hospital, with 42% in the ICU.
- Key findings suggest that factors like residence, type of cancer, and admission type influence the likelihood of dying in the ICU, while early palliative care consultations may help patients avoid unwanted ICU admissions.
Context: Obesity is associated with sleep disordered breathing and cardiovascular morbidity, but the relationship between pulmonary hypertension, heart disease, and obesity is unknown.
Objective: To determine the prevalence of pulmonary and cardiovascular disease in obese subjects undergoing autopsy at a large medical center.
Design: A search through autopsy records from an 11-year period identified 76 subjects with a body mass index greater than 30 kg/m(2) and 46 age-matched, nonobese controls.
Body position and obstructive sleep apnea in 8-12-month-old infants.
Int J Pediatr Otorhinolaryngol
June 2008
Aim: To determine the association between body position and obstructive events during sleep as determined by polysomnography (PSG) in infants of ages 8-12 months with obstructive sleep apnea (OSA).
Methods: Consecutive nocturnal polysomnograms (NPSGs) of 50 children ages 8-12 months old referred to the sleep disorders center between 1 January 2003 and 1 June 2006 for possible sleep-disordered breathing were retrospectively reviewed. Data on total obstructive apnea index (AI), total obstructive apnea-hypopnea index (AHI), AI by body position, AHI by body position, rapid eye movement (REM) and non-REM sleep AHI and REM and non-REM AI were recorded.