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Xuran Jiang
Researcher at Kingston General Hospital
Publications - 50
Citations - 3551
Xuran Jiang is an academic researcher from Kingston General Hospital. The author has contributed to research in topics: Ventilator-associated pneumonia & Intensive care. The author has an hindex of 25, co-authored 45 publications receiving 2991 citations. Previous affiliations of Xuran Jiang include Sunnybrook Health Sciences Centre.
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Journal ArticleDOI
Identifying critically ill patients who benefit the most from nutrition therapy: the development and initial validation of a novel risk assessment tool
TL;DR: This scoring algorithm may be helpful in identifying critically ill patients most likely to benefit from aggressive nutrition therapy in the intensive care unit (ICU), and based on the statistical significance in the multivariable model, the final score used all candidate variables except BMI.
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Nutrition therapy in the critical care setting: What is "best achievable" practice? An international multicenter observational study*
TL;DR: Large gaps exist between many recommendations and actual practice in intensive care units, and consequently nutrition therapy is suboptimal, and “best achievable” practice is identified that can serve as targets for future quality improvement initiatives.
Journal ArticleDOI
Barriers to Goals of Care Discussions With Seriously Ill Hospitalized Patients and Their Families: A Multicenter Survey of Clinicians
John J. You,James Downar,Robert A. Fowler,Francois Lamontagne,Irene W. Y. Ma,Dev Jayaraman,Jennifer Kryworuchko,Patricia H. Strachan,Roy Ilan,Aman P.K. Nijjar,John Neary,John Shik,Kevin Brazil,Amen Patel,Kim Wiebe,Martin Albert,Anita Palepu,Elysée Nouvet,Amanda Roze des Ordons,Nishan Sharma,Amane Abdul-Razzak,Xuran Jiang,Andrew G. Day,Daren K. Heyland,Daren K. Heyland +24 more
TL;DR: Hospital-based clinicians perceive family member-related and patient-related factors as the most important barriers to goals of care discussions, and this findings can inform the design of future interventions to improve communication and decision making about goals of Care.
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Subglottic secretion drainage for the prevention of ventilator-associated pneumonia: a systematic review and meta-analysis.
TL;DR: In those at risk for ventilator-associated pneumonia, the use of endotracheal tubes with subglottic secretion drainage is effective for the prevention of ventilatorside pneumonia and may be associated with reduced duration of mechanical ventilation and intensive care unit length of stay.
Journal ArticleDOI
Enteral versus parenteral nutrition in critically ill patients: an updated systematic review and meta-analysis of randomized controlled trials.
Gunnar Elke,Arthur R. H. van Zanten,Margot Lemieux,Michele McCall,Khursheed N. Jeejeebhoy,Matthias Kott,Xuran Jiang,Andrew G. Day,Daren K. Heyland +8 more
TL;DR: In critically ill patients, the use of EN as compared to PN has no effect on overall mortality but decreases infectious complications and ICU LOS, and a publication bias may be present.