Institution
Fraser Health
Healthcare•Surrey, British Columbia, Canada•
About: Fraser Health is a healthcare organization based out in Surrey, British Columbia, Canada. It is known for research contribution in the topics: Health care & Population. The organization has 483 authors who have published 558 publications receiving 10913 citations.
Topics: Health care, Population, Public health, Poison control, Outbreak
Papers published on a yearly basis
Papers
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TL;DR: Analysis of real-life falls in long-term care captured on video identifies a higher occurrence of falls during standing and transferring, a lower occurrence during walking, and a larger proportion due to centre-of-mass perturbations than base- of-support perturbation.
722 citations
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TL;DR: Exercise alone and various combinations of interventions were associated with lower risk of injurious falls compared with usual care, and choice of fall-prevention intervention may depend on patient and caregiver values and preferences.
Abstract: Importance Falls result in substantial burden for patients and health care systems, and given the aging of the population worldwide, the incidence of falls continues to rise. Objective To assess the potential effectiveness of interventions for preventing falls. Data Sources MEDLINE, Embase, Cochrane Central Register of Controlled Trials, and Ageline databases from inception until April 2017. Reference lists of included studies were scanned. Study Selection Randomized clinical trials (RCTs) of fall-prevention interventions for participants aged 65 years and older. Data Extraction and Synthesis Pairs of reviewers independently screened the studies, abstracted data, and appraised risk of bias. Pairwise meta-analysis and network meta-analysis were conducted. Main Outcomes and Measures Injurious falls and fall-related hospitalizations. Results A total of 283 RCTs (159 910 participants; mean age, 78.1 years; 74% women) were included after screening of 10 650 titles and abstracts and 1210 full-text articles. Network meta-analysis (including 54 RCTs, 41 596 participants, 39 interventions plus usual care) suggested that the following interventions, when compared with usual care, were associated with reductions in injurious falls: exercise (odds ratio [OR], 0.51 [95% CI, 0.33 to 0.79]; absolute risk difference [ARD], −0.67 [95% CI, −1.10 to −0.24]); combined exercise and vision assessment and treatment (OR, 0.17 [95% CI, 0.07 to 0.38]; ARD, −1.79 [95% CI, −2.63 to −0.96]); combined exercise, vision assessment and treatment, and environmental assessment and modification (OR, 0.30 [95% CI, 0.13 to 0.70]; ARD, −1.19 [95% CI, −2.04 to −0.35]); and combined clinic-level quality improvement strategies (eg, case management), multifactorial assessment and treatment (eg, comprehensive geriatric assessment), calcium supplementation, and vitamin D supplementation (OR, 0.12 [95% CI, 0.03 to 0.55]; ARD, −2.08 [95% CI, −3.56 to −0.60]). Pairwise meta-analyses for fall-related hospitalizations (2 RCTs; 516 participants) showed no significant association between combined clinic- and patient-level quality improvement strategies and multifactorial assessment and treatment relative to usual care (OR, 0.78 [95% CI, 0.33 to 1.81]). Conclusions and Relevance Exercise alone and various combinations of interventions were associated with lower risk of injurious falls compared with usual care. Choice of fall-prevention intervention may depend on patient and caregiver values and preferences.
389 citations
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TL;DR: Surveillance identified two persons with confirmed avian influenza infection and symptoms included conjunctivitis and mild influenzalike illness.
Abstract: Avian influenza that infects poultry in close proximity to humans is a concern because of its pandemic potential. In 2004, an outbreak of highly pathogenic avian influenza H7N3 occurred in poultry in British Columbia, Canada. Surveillance identified two persons with confirmed avian influenza infection. Symptoms included conjunctivitis and mild influenzalike illness.
364 citations
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TL;DR: SHARP should provide evidence about the efficacy and safety of lowering LDL cholesterol with the combination of ezetimibe and simvastatin among a wide range of patients with CKD.
271 citations
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TL;DR: A system-wide model developed to allow management to explore trade-offs between OR availability, bed capacity, surgeons’ booking privileges, and wait lists is presented and offers promising insights into resource optimization and wait list management.
Abstract: Scheduling surgical specialties in a medical facility is a very complex process. The choice of schedules and resource availability impact directly on the number of patients treated by specialty, cancellations, wait times, and the overall performance of the system. In this paper we present a system-wide model developed to allow management to explore tradeoffs between OR availability, bed capacity, surgeons' booking privileges, and wait lists. We developed a mixed integer programming model to schedule surgical blocks for each specialty into ORs and applied it to the hospitals in a British Columbia Health Authority, considering OR time availability and post-surgical resource constraints. The results offer promising insights into resource optimization and wait list management, showing that without increasing post-surgical resources hospitals could handle more cases by scheduling specialties differently.
203 citations
Authors
Showing all 483 results
Name | H-index | Papers | Citations |
---|---|---|---|
Paul D. Brown | 83 | 720 | 31023 |
Danuta M. Skowronski | 49 | 168 | 11358 |
Sean P. Keenan | 40 | 108 | 9278 |
Kelli I. Stajduhar | 36 | 123 | 3866 |
Cory Toth | 33 | 94 | 3217 |
Owen Douglas Williamson | 30 | 69 | 2542 |
Deb Keen | 29 | 98 | 2898 |
Mary A. De Vera | 28 | 93 | 2478 |
Ryan C.N. D'Arcy | 27 | 106 | 2078 |
Xiaowei Song | 25 | 45 | 3486 |
Marc C. Lavoie | 25 | 58 | 2521 |
Jean Vincelette | 25 | 56 | 1986 |
Yvonne Lamers | 21 | 55 | 1169 |
Vasily A. Vakorin | 18 | 39 | 1116 |
Robert C. McDermid | 18 | 38 | 1551 |