Acute/Critical Care

Theme Lead: Paul Hébert, MD — Centre de recherche du CHUM

Projects in progress

• PROSPECT: Probiotics to Prevent Severe Pneumonia and Endotracheal Colonization Trial — Deborah Cook, MD, MSc (Epid), FRCPC, DABIM, CCM, CAHS, FRS
• Elder-friendly Approaches to the Surgical Environment-using Biological samples to Identify & provide Optimized care (EASE-BIO) — Rachel Khadaroo, MD, PhD, FRCSC
• Determining the Optimal Duration of Antibiotic Treatment for Older Adults Living with Frailty with Bloodstream Infection — Nick Daneman, MD, FRCPC, MSc
• Pharmacist led intervention to improve medication use in older in-patients living with frailty: The Drug Burden Index — Emily Reeve, BPharm (Hons.), PhD
• The EDGAR study (Elderly with epilepsy DruG AppRopriateness) — Mark Keezer, MDCM, PhD
• Family Identification of Delirium in Critically Ill Patients Living with Frailty — Kirsten Fiest, PhD
• Experience and compliance with exercise before cancer surgery for older adults living with frailty — Daniel McIsaac, MD, MPH, FRCPC
• The Breaking “Bad Rest” Study: Interrupting sedentary time to reverse frailty levels in acute care — Olga Theou, PhD
• More-2-Eat Phase 2: spread and scaling up of improved nutrition care processes to detect and treat malnutrition in hospital — Heather Keller, PhD, RD, FDC
• Outcome Priorities in Intensive Care Studies (OPTICS) — John Muscedere, MD, FRCPC
• Establishing Shared Decision Making Among Vulnerable Patients Referred for Cardiac Surgery, a Maritime-Wide Initiative. — Greg Hirsch, Nova Scotia Health Authority & Ansar Hassan, Dalhousie University

Completed projects

• Nutrition care pathway for hospitalized older adults: content validation and feasibility testing — Heather Keller, PhD, RD, FDC
• Integrating quality of life assessments into acute care for older adults with chronic life-limiting illness — Richard Sawatzky, PhD, MSc, BSc, RN
• E-CYCLE: A pilot randomized clinical trial of early in-bed cycling in elderly, mechanically ventilated patients — Michelle Kho, PhD, PT
• A pilot study of a MEdication RAtionalization (MERA) Intervention — James Downar, MDCM, MHSc, FRCPC
• Reducing post-discharge potentially inappropriate medications amongst the elderly: a multi-centre electronic deprescribing intervention — Todd Campbell Lee, MD, MPH, FRCPC
• Probiotics: Prevention of Severe Pneumonia and Endotracheal Colonization Trial (PROSPECT): A Feasibility Pilot Trial — Deborah Cook, MD, MSc (Epid), FRCPC, DABIM, CCM, CAHS, FRS
• Reengineering the Discharge of Elderly Patients from Intensive Care — Tom Stelfox, BMSc, MD, PhD
• A scoping review of evidence for measuring frailty in pre-hospital and hospital settings — Olga Theou, PhD
• Frailty Assessment of Older Canadians Using Emergency Services with Tablet Technology — Jacques Lee, MD, MSc, FRCPC
• The essential frailty toolset — Jonathan Afilalo, MD, MSc, FACC, FRCPC
• Province-Wide Implementation of the Clinical Frailty Scale in an Electronic Medical Record System (eCritical) in Alberta — Sean Bagshaw, MD, MSc, FRCPC
• Patient- and family-reported experience and outcome measures for elderly acute care patients: A knowledge synthesis — Richard Sawatzky, PhD, MSc, BSc, RN
• Antipsychotics for management of delirium – A systematic review — Lisa Burry, BScPharm, PharmD
• More-2-Eat: Nutrition care pathway and optimized protein supplementation for malnourished elderly patients — Heather Keller, PhD, RD, FDC
• Care of frail, acutely ill older persons: Making health care work like a system — Paul Hébert, MD
• Exploring the preferences of frail elderly Canadians for aspects of inpatient care: A best-worst scaling experiment — Nick Bansback, PhD
• Screening Elderly patieNts for InclusiOn in a weaning tRial: The SENIOR trial — Karen Burns, MD, MSc, FRCPC
• Evaluation of a context‐adapted wiki‐based decision aid supporting critically ill patients’ decisions about life‐sustaining therapies — Patrick Michel Archambault, MD, MSc, FRCPC
• Practices in End of Life Care and in Discontinuing Mechanical Ventilation in Elderly Critically Ill Patients: A Nested Study within an International Observational Study — Karen Burns, MD, MSc, FRCPC
• OPTIMAL Selection for and Timing to Start Renal Replacement in Critically Ill Older Patients with Acute Kidney Injury (OPTIMAL-AKI) — Sean Bagshaw, MD, MSc, FRCPC
• Identifying older patients at high risk of poor outcomes after joint replacement surgery — Daniel McIsaac, MD, MPH, FRCPC
• New Approaches to Evaluating Frailty in Solid Organ Transplantation — Lianne Singer, MD, FRCPC
• Acute-Care Frailty Ladder — Nancy Mayo, PhD, MSc
• Cardiac Surgery among the Frail and Elderly Towards Optimal Decision Making — Greg Hirsch, MD
• Assessing Quality of Life (QoL) Measures for Elderly Traumatic Brain Injury (TBI) Survivors: A Systematic Review — Donna Ouchterlony, MD, CCFP
• A Scoping Review Determining the Current and Future Role of Occupational Therapy in the ICU — Susan Baptiste, MSc, OT(C)