1,139 results match your criteria: "North York General Hospital.[Affiliation]"
Association between maternal schizophrenia and risk of serious asthma exacerbations in childhood.
Schizophr Res
December 2024
Department of Psychiatry, Faculty of Medicine, University of Toronto, Toronto, ON, Canada; ICES (formerly Institute for Clinical Evaluative Sciences), Toronto, ON, Canada; Institute of Health Policy, Management & Evaluation, University of Toronto, Toronto, ON, Canada; Women's College Hospital and Research Institute, Toronto, ON, Canada. Electronic address:
Background And Hypothesis: While maternal schizophrenia is linked to chronic childhood medical conditions, little is known about the risk of acute asthma exacerbations among children whose mothers have schizophrenia. This population-based study used health data for all of Ontario, Canada to evaluate whether having a mother with schizophrenia was associated with increased risk of asthma exacerbations.
Study Design: The study cohort included 385,989 children diagnosed with asthma from age 2 years onward, followed from the time of their asthma diagnosis up to a maximum of age 19 years.
Elevating Patient Care With Deep Learning: High-Resolution Cervical Auscultation Signals for Swallowing Kinematic Analysis in Nasogastric Tube Patients.
IEEE J Transl Eng Health Med
December 2024
Patients with nasogastric (NG) tubes require careful monitoring due to the potential impact of the tube on their ability to swallow safely. This study aimed to investigate the utility of high-resolution cervical auscultation (HRCA) signals in assessing swallowing functionality of patients using feeding tubes. HRCA, capturing swallowing vibratory and acoustic signals, has been explored as a surrogate for videofluoroscopy image analysis in previous research.
View Article and Find Full Text PDFThe adoption and compliance to central line-associated bloodstream infection insertion and maintenance bundle programs in intensive care unit settings across Canada.
Infect Control Hosp Epidemiol
December 2024
BC Children's & BC Women's Hospitals, Vancouver, BC, Canada.
Evidence-based insertion and maintenance bundles are effective in reducing the incidence of central line-associated bloodstream infections (CLABSI) in intensive care unit (ICU) settings. We studied the adoption and compliance of CLABSI prevention bundle programs and CLABSI rates in ICUs in a large network of acute care hospitals across Canada.
View Article and Find Full Text PDFAn Integrated Rapid Response Model for Pediatric Patients Requiring In-Patient Medical Stabilization: Lessons Learned to Enable Regional Capacity Building.
Healthc Q
October 2024
Julia Orkin, is an associate chief medical officer at The Hospital for Sick Children in Toronto, ON, and a pediatric clinical lead for Ontario Health - Toronto Region.
There was an unprecedented surge in admissions for medical stabilization of pediatric patients with eating disorders during the COVID-19 pandemic in Ontario. Eleven hospitals established an integrated rapid response model to ensure timely in-patient access for these patients. This population was cared for in re-allocated community hospital beds as a result of engaging hospital leadership, strengthening partnerships, consulting experts, leveraging existing resources and developing regional bed access strategies.
View Article and Find Full Text PDFDeveloping a toolkit for building a community hospital clinical research program.
Can J Anaesth
December 2024
Division of Critical Care, Niagara Health, St. Catharines, ON, Canada.
Article Synopsis
- Health research in Canada mainly occurs in academic hospitals, but community hospitals serve most patients; enhancing research in these settings can lead to better patient outcomes and organizational efficiency.
- The Canadian Community Intensive Care Unit Research Network (CCIRNet) created a toolkit to help community hospital professionals launch and maintain their research programs, drawing on insights from experienced clinician-researchers and qualitative feedback.
- The CCIRNet toolkit details five stages for developing a research program, using a question-and-answer format to provide practical guidance and resources tailored to help hospitals effectively engage in clinical research.
Analytical Validation and Performance Evaluation of Amplicon-Based Next-Generation Sequencing Assays for Detecting and Other Gene Amplifications in Solid Tumors.
Cancers (Basel)
November 2024
Precision Diagnostics and Therapeutics Program, Division of Anatomic Pathology, Department of Laboratory Medicine and Molecular Diagnostics, Sunnybrook Health Sciences Centre, Toronto, ON M4N 3M5, Canada.
Background: Targeted next-generation sequencing (NGS) panels are increasingly being utilized to identify actionable gene amplifications (copy number > 4) among solid tumors.
Methods: This study validated the analytical performance of two amplicon-based NGS assays, the Oncomine Comprehensive Panel (OCAv3) and the Oncomine Focus Assay (OFA), for detecting gene amplification in formalin-fixed paraffin-embedded (FFPE) tumors of varying cellularity. OCAv3 was assessed for amplification detection in 756 FFPE samples comprising various tumor types.
Factors Associated With Early Computed Tomography Imaging in Children Hospitalized With Severe Orbital Infections.
Hosp Pediatr
December 2024
The Hospital for Sick Children, Toronto, Ontario, Canada.
Objective: We identified factors associated with computed tomographic (CT) imaging within 24 hours of emergency department (ED) presentation in hospitalized children with severe orbital infections.
Patients And Methods: A multicenter retrospective cohort study was conducted that included children aged 2 months to 18 years between 2009 and 2018 who were admitted to the hospital with severe orbital infections, including periorbital and orbital cellulitis. Multivariable modified Poisson regression was used to identify possible factors associated with receiving a CT scan within 24 hours of ED presentation.
Healthcare professionals' perception of the World Health Organization Surgical Safety Checklist and psychological safety: a cross-sectional survey.
BMJ Open Qual
December 2024
Department of Gynaecology and Obstetrics, Juliane Marie Centre, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.
Background: The Surgical Safety Checklist (SSC) is a cornerstone of ensuring the safety and accuracy of communication among interdisciplinary teams in the operating room. Central to the successful implementation of such a checklist is the concept of psychological safety. Despite the extensive body of research on the checklists' efficacy, the association between healthcare professionals' (HCPs) perceptions of the checklist and their level of psychological safety remains uninvestigated.
View Article and Find Full Text PDFCanadian Association of Radiologists Pediatric Imaging Referral Guideline.
Can Assoc Radiol J
December 2024
Children's Hospital of Eastern Ontario, University of Ottawa, Ottawa, ON, Canada.
The Canadian Association of Radiologists (CAR) Pediatric Expert Panel is made up of pediatric physicians from the disciplines of radiology, emergency medicine, endocrinology, gastroenterology, general surgery, neurology, neurosurgery, respirology, orthopaedic surgery, otolaryngology, urology, a patient advisor, and an epidemiologist/guideline methodologist. After developing a list of 50 clinical/diagnostic scenarios, a rapid scoping review was undertaken to identify systematically produced referral guidelines that provide recommendations for one or more of these clinical/diagnostic scenarios. Recommendations from 32 guidelines and contextualization criteria in the Grading of Recommendations, Assessment, Development, and Evaluations (GRADE) for guidelines framework were used to develop 133 recommendation statements across the 50 scenarios.
View Article and Find Full Text PDFExpansion of virtual care family medicine services during the COVID-19 pandemic: Experience with an innovative hybrid model at an Ontario clinic.
Can Fam Physician
January 2024
Family doctor and Medical Director of Get Well Clinic in North York, Ont. He is Assistant Professor at the Temerty Faculty of Medicine at the University of Toronto and in the Department of Family and Community Medicine at North York General Hospital, both in Ontario. He also serves as Primary Care Digital Co-lead with the North York Toronto Health Partners Ontario Health Team, Co-administrator of the OSCAR Ontario Facebook group, and a director on the board of Open OSP Service Cooperative. He is a clinical advisor for eHealth Centre for Excellence.
Recent advancements and future directions in automatic swallowing analysis via videofluoroscopy: A review.
Comput Methods Programs Biomed
February 2025
Edward S. Rogers Department of Electrical and Computer Engineering, Faculty of Applied Science and Engineering, University of Toronto, Toronto, ON, Canada; North York General Hospital, Toronto, ON, Canada. Electronic address:
Article Synopsis
- Videofluoroscopic swallowing studies (VFSS) are important for understanding how we swallow, but consistency in assessing them can be challenging due to evaluator biases and variable methods.
- Advances in computer technology, like computer vision and deep learning, are being used to improve the accuracy and efficiency of VFSS analyses.
- A detailed review of 46 studies highlights these advanced image processing techniques, aiming to address current challenges and suggest future improvements for automated swallowing assessments.
Antibiotic Treatment for 7 versus 14 Days in Patients with Bloodstream Infections.
N Engl J Med
November 2024
From the Division of Infectious Diseases, Department of Medicine, Sunnybrook Health Sciences Centre, University of Toronto, Toronto (N.D.), Sunnybrook Research Institute, Sunnybrook Health Sciences Centre, University of Toronto, Toronto (A.R.), the Department of Critical Care Medicine, Sunnybrook Health Sciences Centre, University of Toronto, Toronto (R. Pinto); the Department of Infectious Diseases, Monash University, Clayton, Melbourne, VIC, Australia (B.A.R.), the Department of Intensive Care, Monash Medical Centre, Melbourne, VIC, Australia (Y.S.); the Cardiothoracic and Vascular Intensive Care Unit, Auckland City Hospital, Auckland, New Zealand (R. Parke); the Department of Medicine, Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada (D.C.); the Intensive Care Department, College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, King Abdullah International Medical Research Center, Riyadh, Saudi Arabia (Y.A.); the Department of Critical Care Medicine, Queen's University, Kingston, ON, Canada (J. Muscedere), the Department of Critical Care Medicine, Royal Columbian Hospital, Vancouver, BC, Canada (S. Reynolds), Critical Care Medicine, Capital District Health Authority, Dalhousie University, Halifax, NS, Canada (R.H.); Monash Medical Centre, Clayton, VIC, Australia (D.B.D.); Critical Care Medicine, Auckland City Hospital, New Zealand (C. McArthur), the Cardiothoracic and Vascular Intensive Care Unit, Auckland City Hospital, Auckland, New Zealand. (S. McGuinness); the Infectious Diseases Unit, Sheba Medical Center, Ramat-Gan, and Faculty of medicine, Ramat-Aviv, Tel-Aviv, Israel (D.Y.); Infectious Diseases, University Health Network, University of Toronto, Toronto (B.C.); Critical Care Medicine, North York General Hospital, Toronto (A.G., P.S.), Infectious Diseases, North York General Hospital, Toronto (P. Das), Critical Care Medicine, Mount Sinai Hospital, Unity Health Toronto, Toronto (M. Detsky), the Department of Medicine, University of Toronto, Toronto (A.M.); Sinai Health, Division of General Internal Medicine, Toronto, Toronto (M.F.), Infectious Diseases, Michael Garron Hospital, University of Toronto, Toronto (J.E.P.), Infectious Diseases, Michael Garron Hospital, Toronto (C. Kandel), Critical Care Medicine and Infectious Diseases, University of Alberta, Edmonton, Canada (W.S.), Department of Critical Care Medicine, University of Alberta and Alberta Health Services, Edmonton, Canada (S.M.B.), the Department of Medicine, Hamilton Health Sciences, McMaster University, Hamilton, ON, Canada (N.S.), the Department of Anaesthesia, Hamilton General Hospital, McMaster University, Hamilton, ON, Canada (E.B.-C.), the Faculty of Health Sciences, Hamilton General Hospital, McMaster University, Hamilton, ON, Canada (R.W.), the Departments of Surgery and Critical Care, McGill University Health Center, Montreal (K.K.); the Departments of Infectious Diseases and Pathology, Middlemore hospital, University of Auckland, New Zealand (S. Morpeth), Organ Donation New Zealand, New Zealand Blood Service, Auckland, New Zealand (A. Kazemi), Intensive Care Medicine, Middlemore Hospital, Auckland, New Zealand (A.W.); the Division of Infectious Diseases, Ottawa Hospital, Ottawa Hospital Research Institute, Ottawa (D.R.M.), the Department of Medicine, Ottawa Hospital, University of Ottawa, Ottawa (L.M.), Niagara Health Knowledge Institute, Niagara Health, St. Catharines, ON, Canada (J.T.), the Department of Medicine, Université de Sherbrooke, QC, Canada (F. Lamontagne); the Department of Microbiology and Infectious Diseases, Université de Sherbrooke, QC, Canada (A.C.), Surgery and Critical Care Medicine, Unity Health Toronto, University of Toronto, Toronto (J. Marshall); Critical Care and Medicine, Unity Health Toronto-St. Michael's Hospital, University of Toronto, Toronto (J.O.F.), Critical Care Medicine, Unity Health Toronto, Toronto (R.C.), the Department of Medicine, Unity Health Toronto, Toronto (M. Downing), the Department of Medicine, Infectious Diseases, Trillium Health Partners, University of Toronto, Toronto (C.G.); the School of Medicine and Public Health, University of Newcastle, Newcastle, NSW, Australia (J.D.); the Division of Critical Care, Department of Medicine, McMaster University, Hamilton, ON, Canada (E.D.), St. Joseph's Healthcare Hamilton, McMaster University, Hamilton, ON, Canada (J.N.), the Department of Medicine (Infectious Diseases), Queen's University, Kingston, ON, Canada (G.E.); the Department of Medicine, King Faisal Specialist Hospital and Research Center, Al Faisal University, Jeddah, Saudi Arabia (B.A.), the Department of Pathology and Laboratory Medicine, King Saud Bin Abdulaziz University for Health Sciences, King Abdullah International Medical Research Center, Riyadh, Saudi Arabia (S.A.); the Department of Medicine, University of Western Ontario, London, Canada (C. Martin); the Department of Medicine, London Health Sciences Centre, London, ON, Canada (S.E.), the Department of Medicine, Western University, London, ON, Canada (I.B.), the Department of Medicine, Université Laval, Quebec, QC, Canada (F. Lauzier), the Department of Anesthesiology and Critical Care Medicine, Faculty of Medicine, Université Laval, Quebec, QC, Canada (A.T.), the Population Health and Optimal Health Practice Research Unit, Centre Hospitalier Universitaire de Québec-Université Laval Research Center, Québec, QC, Canada (A.T.), the Department of Critical Care, University of Calgary Cumming School of Medicine, Calgary, AB, Canada (H.T.S.), the Department of Medicine, University of Calgary and Alberta Health Services (Calgary), Calgary, AB, Canada (J.C.), the Division of General Internal Medicine, Department of Medicine, McGill University Health Centre, Montreal (E.G.M.), the Division of Infectious Diseases, Department of Medicine, McGill University, Montreal (T.C.L.); the Department Infectious Diseases, St. George Hospital, UNSW Medicine and Health, Sydney (R.S.); the Divisions of Infectious Diseases and Medical Microbiology, University of British Columbia, Vancouver, Canada (J.G.); the Intensive Care Unit, Rabin Medical Centers, Tel Aviv University, Tel Aviv, Israel (I.K.); the Intensive Care Research Programme, Medical Research Institute of New Zealand, Wellington, New Zealand (P.Y.), Medical Research Institute of New Zealand, Wellington, New Zealand. (C.L.); the Department of Infectious Diseases, Redcliffe Hospital, Redcliffe, QLD, Australia (K.O.), Infectious Diseases, Redcliffe Hospital, University of Queensland, Redcliffe, Australia (M.E.), Infectious Diseases, Sunshine Coast University Hospital, Sunshine Coast University Hospital, Birtinya, QLD, Australia (K.C.); Medicine, Centre Hospitalier de l'Université de Montréal, Université de Montréal, Montreal (P.A.); the Department of Anaesthesia, Rotorua Hospital, Rotorua, New Zealand (U.B.); Infectious Diseases, William Osler Health System, Brampton, ON, Canada (T. Havey), Critical Care Medicine, William Osler Health System, Brampton, ON, Canada (A.B.); the Department of Intensive Care Medicine, Bern University Hospital, University of Bern, Bern, Switzerland (J.P.); Brantford General Hospital, McMaster University, Brantford, ON, Canada (B.R.); the Intensive Care Unit, Fiona Stanley Hospital, University of Western Australia, Murdoch, WA, Australia (E.L.); the Department of Medicine, University of Manitoba, Winnipeg, Canada (S.L.), the Division of Critical Care Medicine and Infectious Diseases, Health Sciences Centre, University of Manitoba, Winnipeg, Canada (A. Kumar), the Department of Internal Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada (R.Z.); the Infectious Diseases Unit, Sheba Medical Center, Ramat Gan, Israel (T. Hoffman); the Infectious Diseases Unit, Royal Brisbane and Women's Hospital, Brisbane, QLD, Australia. (D.P.); Infectious Diseases, Memorial University, St. John's, NL, Canada (P. Daley); General and Subspecialty Medicine, Grampians Health Ballarat, Ballarat, VIC, Australia (R.J.C.); Service des soins intensifs, Centre Hospitalier de l'Université de Montréal (CHUM), Montreal (E.C.), Critical Care Medicine, CIUSSS MCQ CHAUR, University of Montreal, Montreal (J.-F.N.); Clinical Microbiology and Infection Prevention and Control, Auckland Hospital, Auckland, New Zealand (S. Roberts); the Department of Intensive Care Medicine, Frankston Hospital, Frankston, VIC, Australia (R.T.), the Department of Intensive Care Medicine, Monash University, Melbourne, VIC, Australia (S.G.); the Department of Critical Care, Island Health Authority, Royal Jubilee Hospital, British Columbia, Victoria, Canada (G.W.); Infectious Diseases, Wollongong Hospital, Wollongong, NSW, Australia (O.S.), Infectious Diseases, Wollongong Hospital, University of Wollongong, Wollongong, NSW, Australia (S. Miyakis); the Department of Medicine, St. Paul's Hospital, University of British Columbia, Vancouver, Canada (P. Dodek), Infectious Diseases, Richmond Hospital, Richmond, BC, Canada (C. Kwok), and the Interdepartmental Division of Critical Care Medicine, Department of Medicine, Sunnybrook Health Sciences Centre, University of Toronto, Toronto (R.A.F.).
Background: Bloodstream infections are associated with substantial morbidity and mortality. Early, appropriate antibiotic therapy is important, but the duration of treatment is uncertain.
Methods: In a multicenter, noninferiority trial, we randomly assigned hospitalized patients (including patients in the intensive care unit [ICU]) who had bloodstream infection to receive antibiotic treatment for 7 days or 14 days.
Head Shaking Nystagmus & Vertigo - Multiple Sclerosis or Vestibular Paroxysmia - A Diagnostic Dilemma.
Indian J Otolaryngol Head Neck Surg
December 2024
North York General Hospital, 4001 Leslie street, Toronto, M2K 1E1 Canada.
Cancer screening among people with schizophrenia before and after the COVID-19 pandemic in Ontario, Canada: Retrospective cohort study.
Gen Hosp Psychiatry
November 2024
North York General Hospital, Toronto, Ontario, Canada; Department of Family and Community Medicine, Temerty Faculty of Medicine, University of Toronto, Ontario, Canada; Toronto Western Family Health Team, University Health Network, Toronto, Ontario, Canada.
Osteoporosis Canada guideline on screening for men likely low value.
CMAJ
November 2024
Department of Family Medicine and Lady Davis Institute, McGill University, Montréal, Que.
Understanding the social networks that contribute to diversion in hospital inpatient pharmacies: A social network analysis.
Explor Res Clin Soc Pharm
December 2024
HumanEra, Research and Innovation, North York General Hospital, Toronto, Ontario, Canada.
Background: Controlled substances (CS) are 'diverted' (stolen) from healthcare facilities via many integrated and diverse mechanisms due to a lack of safeguards. There remains a gap in understanding how healthcare workers (HCWs) leverage their social networks (e.g.
View Article and Find Full Text PDFRSNA 2023 Abdominal Trauma AI Challenge Review and Outcomes Analysis.
Radiol Artif Intell
November 2024
From the Department of Medical Imaging, St. Michael's Hospital, Unity Health Toronto, 30 Bond St, Toronto, ON, Canada, M5B 1W8 (S.H., Z.H., H.M.L., I.Y., E.C.); Edward S. Rogers Department of Electrical and Computer Engineering, University of Toronto, Toronto, Ontario, Canada (Z.H., E.S.); The Jackson Laboratory, Bar Harbor, Me (R.L.B.); Department of Radiology, The Ohio State University, Columbus, Ohio (L.M.P.); Department of Medical Imaging, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada (F.H.B.); Department of Radiology, Scripps Clinic Medical Group and University of California San Diego, San Diego, Calif (J.D.R.); Radiological Society of North America, Oak Brook, Ill (M.V.); Department of Radiology, Thomas Jefferson University, Philadelphia, Pa (A.E.F.); Department of Radiology, Weill Cornell Medicine, New York, NY (G.S.); Department of Radiology and Biomedical Imaging, University of California San Francisco, San Francisco, Calif (J.M.), Department of Radiology, Vancouver General Hospital, Vancouver, Canada (S.N.); Department of Radiology, Memorial Sloan-Kettering Cancer Center, New York, NY (B.S.M.); Department of Radiology and Biomedical Imaging, Yale University School of Medicine, New Haven, Conn (M.A.D.); Duke University School of Medicine, Durham, NC (K.M.); North York General Hospital, Toronto, Ontario, Canada (E.S.); and Department of Medical Imaging, University of Toronto, Toronto, Ontario, Canada (E.C.).
Purpose To evaluate the performance of the winning machine learning (ML) models from the 2023 RSNA Abdominal Trauma Detection Artificial Intelligence Challenge. Materials and Methods The competition was hosted on Kaggle and took place between July 26, 2023, to October 15, 2023. The multicenter competition dataset consisted of 4,274 abdominal trauma CT scans in which solid organs (liver, spleen and kidneys) were annotated as healthy, low-grade or high-grade injury.
View Article and Find Full Text PDFEmergency department use before cancer diagnosis in Ontario, Canada: a population-based study.
CMAJ
November 2024
Schwartz/Reisman Emergency Medicine Institute (Grewal, McLeod, Thompson, Borgundvaag, Ovens, Mohindra), Sinai Health; Division of Emergency Medicine (Grewal, Mohindra), Department of Medicine, Temerty Faculty of Medicine, University of Toronto; ICES Central (Grewal, Calzavara, Eskander, Savage, Krzyzanowska, Sutradhar); Dalla Lana School of Public Health (McLeod, Eskander, Thompson, Sutradhar), Temerty Faculty of Medicine, University of Toronto; Department of Family and Community Medicine (McLeod, Borgundvaag, Ovens, Cheskes, Walsh), Temerty Faculty of Medicine, University of Toronto; Sunnybrook Health Sciences Centre and Odette Cancer Centre (Eskander, Krzyzanowska); Department of Otolaryngology - Head & Neck Surgery (Eskander, Irish), University of Toronto, Toronto, Ont.; Department of Emergency Medicine (Savage), Thunder Bay Regional Health Sciences Centre; NOSM University (Savage), Thunder Bay, Ont.; Sunnybrook Centre for Prehospital Medicine (Cheskes), Sunnybrook Health Sciences Centre, Toronto, Ont.; Department of Emergency Medicine (de Wit), Queen's University, Kingston, Ont.; Division of Emergency Medicine (de Wit), Department of Medicine, McMaster University, Hamilton, Ont.; University Health Network (Irish); Ontario Health-Cancer Care Ontario (Irish); Division of Medical Oncology (Krzyzanowska), Department of Medicine, Temerty Faculty of Medicine, University of Toronto; North York General Hospital (Mohindra), Toronto, Ont.; Department of Emergency Medicine and the School of Epidemiology and Public Health (Thiruganasambandamoorthy), University of Ottawa; The Ottawa Hospital Research Institute (Thiruganasambandamoorthy), Ottawa, Ont.
Background: Although suspicions of cancer may be raised in patients who visit the emergency department, little is known about emergency department use before a cancer diagnosis. We sought to describe emergency department use among patients in Ontario within the 90 days before confirmed cancer diagnosis and to evaluate factors associated with this emergency department use.
Methods: We conducted a retrospective, population-based study of patients aged 18 years or older who had a confirmed cancer diagnosis in Ontario from 2014 to 2021 using linked administrative databases.
Canadian Association of Radiologists Spine Imaging Referral Guideline.
Can Assoc Radiol J
October 2024
North York General Hospital, Toronto, ON, Canada.
The Canadian Association of Radiologists (CAR) Spine Expert Panel is made up of physicians from the disciplines of radiology, emergency medicine, neurology, neurosurgery, physiatry, a patient advisor, and an epidemiologist/guideline methodologist. After developing a list of 10 clinical/diagnostic scenarios, a rapid scoping review was undertaken to identify systematically produced referral guidelines that provide recommendations for one or more of these clinical/diagnostic scenarios. Recommendations from 23 guidelines and contextualization criteria in the Grading of Recommendations, Assessment, Development, and Evaluations (GRADE) for guidelines framework were used to develop 22 recommendation statements across the 8 scenarios (one scenario points to the CAR Trauma Referral Guideline and one scenario points to the CAR Musculoskeletal Guideline).
View Article and Find Full Text PDFTime to Make Early Pregnancy Care a Priority in Canada.
J Obstet Gynaecol Can
October 2024
Temerty Faculty of Medicine, University of Toronto, ON; Department of Obstetrics and Gynecology, University of Toronto, ON; Obstetrics and Gynecology, North York General Hospital, ON. Electronic address:
Early pregnancy is a critical period often accompanied by complications like early pregnancy loss. Early Pregnancy Assessment Clinics (EPACs) provide specialized and compassionate care to those experiencing these complications. First introduced in the United Kingdom, EPACs have been found to improve quality of care, reduce wait times, and cut costs.
View Article and Find Full Text PDFCOVID-19 and Mortality in the Spinal Cord Injury Population: Examining the Impact of Sex, Mental Health, and Injury Etiology.
Healthcare (Basel)
October 2024
Leslie Dan Faculty of Pharmacy, University of Toronto, Toronto, ON M5S3H2, Canada.
Background/objective: The purpose of this study was to investigate the impact of the COVID-19 pandemic on mortality rates in a community-dwelling spinal cord injury (SCI) population in Ontario.
Methods: Using health administrative databases, monthly mortality rates were evaluated pre-pandemic, during the pandemic, and post-pandemic from March 2014 to May 2024. Data were stratified by sex, injury etiology, and mental health status.
Diagnosis and management of early pregnancy loss.
CMAJ
October 2024
Temerty Faculty of Medicine (Mehra), and Department of Obstetrics and Gynecology (Farooqi, Tunde-Byass), University of Toronto; Obstetrics and Gynecology (Sriram, Tunde-Byass), North York General Hospital, Toronto, Ont.
Pathways to cancer care after a suspected cancer diagnosis in the emergency department: a survey of emergency physicians across Ontario.
CJEM
December 2024
Schwartz/Reisman Emergency Medicine Institute, Sinai Health, 2B 213-600 University Avenue, Toronto, ON, Canada.
Introduction: Little is known about how patients are managed after a suspected cancer diagnosis through the emergency department. The objective of this study was to examine the ED management, specifically referral practices, for ten suspected cancer diagnoses by emergency physicians across Ontario and to explore variability in management by cancer-type and centre.
Methods: An electronic survey was distributed to emergency physicians across Ontario, asking about referral practices for patients who could be discharged from the ED with one of ten suspected cancer diagnoses.
Assessing a safety climate tool adapted to address respiratory illnesses in Canadian hospitals.
Antimicrob Steward Healthc Epidemiol
October 2024
Sinai Health & University of Toronto, Toronto, ON, Canada.
Background: Studies have shown an association between workplace safety climate scores and patient outcomes. This study aimed to investigate (1) performance of the hospital safety climate scale that was adapted to assess acute respiratory illness safety climate, (2) factors associated with safety climate scores, and (3) whether the safety scores were associated with following recommended droplet and contact precautions.
Methods: A survey of Canadian healthcare personnel participating in a cohort study of influenza during the 2010/2011-2013/2014 winter seasons.