Publications by authors named "Sylvie Debigare"
Article Synopsis
- - The study aimed to define what constitutes "patient-important" upper gastrointestinal bleeding during critical illness for a randomized trial, focusing on the perspectives of ICU survivors and their family members.
- - Using interviews and focus groups, researchers gathered qualitative data, which revealed that patient-important bleeding is linked to serious outcomes like death, disability, and extended hospital stays, along with specific medical interventions.
- - Findings highlighted that patients and families view gastrointestinal bleeding differently than traditional clinical definitions, emphasizing the context and effects of treatments as crucial to understanding its importance.
Article Synopsis
- The study aimed to evaluate the impact of an early rehabilitation program on critically ill children’s functioning, health-related quality of life (HRQL), and parental stress after they leave the Pediatric Intensive Care Unit (PICU).
- Conducted at two hospitals in Ontario, Canada, the intervention involved a rehabilitation bundle including pain management, delirium prevention, and early mobilization for children expecting to stay in the PICU for 48 hours.
- The results showed that after the rehabilitation bundle was implemented, there was no significant improvement in children’s recovery or decreased parental stress, with many children still experiencing functional decline and low HRQL at discharge and follow-ups.
Early Rehabilitation in Critically ill Children: A Two Center Implementation Study.
Pediatr Crit Care Med
February 2024
Article Synopsis
- The study aimed to implement an early rehabilitation bundle in two Canadian Pediatric Intensive Care Units (PICUs), focusing on improving patient care through specific interventions.
- Key components of the intervention included prioritizing pain management, monitoring for delirium, and promoting early mobilization among children under 18 admitted to the PICU.
- While the implementation improved compliance and reduced certain sedative use without compromising patient safety or comfort, it did not have a significant impact on overall clinical outcomes like delirium rates or PICU length of stay.
Article Synopsis
- - The study aims to understand the values and preferences of patients and families regarding upper gastrointestinal bleeding treatments, challenging traditional definitions that are primarily clinical.
- - Utilizing a mixed-methods approach, the research involves interviews and focus groups with ICU survivors and their families after providing educational materials to gather their insights.
- - Approved by ethics boards, the findings will contribute to creating meaningful trial outcomes for stress ulcer prophylaxis and be published for wider dissemination.
Background: Engaging families in care leads to improved patient- and family-centreed outcomes and is recommended by cardiovascular societies. However, no validated tools are currently available to measure family engagement in acute cardiac care. We previously described the development of the FAMily Engagement (FAME) instrument.
View Article and Find Full Text PDFIntroduction: Family engagement is a goal of care delivery in the intensive care unit (ICU). However, currently, no validated instrument for the ICU is designed specifically to measure family engagement. Our objective was to develop a novel family engagement measure.
View Article and Find Full Text PDFPurpose: While patient and family engagement may improve clinical care and research, current practices for engagement in Canadian intensive care units (ICUs) are unknown.
Methods: We developed and administered a cross-sectional questionnaire to ICU leaders of current engagement practices, facilitators, and barriers to engagement, and whether engagement was a priority, using to an ordinal Likert scale from 1 to 10.
Results: The response rate was 53.