Astrid Guttmann

Summary

Affiliation: Institute for Clinical Evaluative Sciences
Country: Canada

Publications

  1. pmc Best strategies to implement clinical pathways in an emergency department setting: study protocol for a cluster randomized controlled trial
    Mona Jabbour
    Division of Emergency Medicine, Children s Hospital of Eastern Ontario, Ottawa, Canada
    Implement Sci 8:55. 2013
  2. ncbi request reprint Infant hospitalization and maternal depression, poverty and single parenthood - a population-based study
    A Guttmann
    Institute for Clinical Evaluative Sciences, Toronto, Ontario, Canada
    Child Care Health Dev 30:67-75. 2004
  3. doi request reprint Immunization coverage among young children of urban immigrant mothers: findings from a universal health care system
    Astrid Guttmann
    Institute for Clinical Evaluative Sciences, Toronto, Ontario, Canada
    Ambul Pediatr 8:205-9. 2008
  4. ncbi request reprint Effectiveness of emergency department asthma management strategies on return visits in children: a population-based study
    Astrid Guttmann
    Institute for Clinical Evaluative Sciences, G Wing, Sunnybrook and Women s College Health Sciences Centre, 2075 Bayview Ave, Toronto, Ontario, Canada M4N 3M5
    Pediatrics 120:e1402-10. 2007
  5. doi request reprint Validation of a health administrative data algorithm for assessing the epidemiology of diabetes in Canadian children
    Astrid Guttmann
    Institute for Clinical Evaluative Sciences, Toronto, Ontario, Canada
    Pediatr Diabetes 11:122-8. 2010
  6. ncbi request reprint Development of measures of the quality of emergency department care for children using a structured panel process
    Astrid Guttmann
    Institute for Clinical Evaluative Sciences, G Wing, Sunnybrook and Women s College Health Sciences Centre, 2075 Bayview Ave, Toronto, Ontario, Canada M4N 3M5
    Pediatrics 118:114-23. 2006
  7. ncbi request reprint Primary care physician supply and children's health care use, access, and outcomes: findings from Canada
    Astrid Guttmann
    Institute for Clinical Evaluative Sciences, 2075 Bayview Ave, G106, Toronto, Ontario, Canada M4N 3M5
    Pediatrics 125:1119-26. 2010
  8. ncbi request reprint Volume matters: physician practice characteristics and immunization coverage among young children insured through a universal health plan
    Astrid Guttmann
    Institute for Clinical Evaluative Sciences, Toronto, Ontario, Canada
    Pediatrics 117:595-602. 2006
  9. pmc Association between waiting times and short term mortality and hospital admission after departure from emergency department: population based cohort study from Ontario, Canada
    Astrid Guttmann
    Institute for Clinical Evaluative Sciences, Toronto, ON, Canada
    BMJ 342:d2983. 2011
  10. ncbi request reprint Health impact of hospital restrictions on seriously ill hospitalized patients: lessons from the Toronto SARS outbreak
    Therese A Stukel
    Institute for Clinical Evaluative Sciences, Toronto, Ontario, Canada
    Med Care 46:991-7. 2008

Detail Information

Publications50

  1. pmc Best strategies to implement clinical pathways in an emergency department setting: study protocol for a cluster randomized controlled trial
    Mona Jabbour
    Division of Emergency Medicine, Children s Hospital of Eastern Ontario, Ottawa, Canada
    Implement Sci 8:55. 2013
    ..This study will seek to develop and comprehensively evaluate best strategies for effective local implementation of externally developed expert clinical pathways...
  2. ncbi request reprint Infant hospitalization and maternal depression, poverty and single parenthood - a population-based study
    A Guttmann
    Institute for Clinical Evaluative Sciences, Toronto, Ontario, Canada
    Child Care Health Dev 30:67-75. 2004
    ..We used population-based survey data to examine the contribution of family sociodemographic and psychodynamic factors to the risk of hospitalization in children under the age of 2 years in Canada...
  3. doi request reprint Immunization coverage among young children of urban immigrant mothers: findings from a universal health care system
    Astrid Guttmann
    Institute for Clinical Evaluative Sciences, Toronto, Ontario, Canada
    Ambul Pediatr 8:205-9. 2008
    ..To investigate access to effective primary health care services in children of new immigrants to Canada by assessing immunization coverage at age 2...
  4. ncbi request reprint Effectiveness of emergency department asthma management strategies on return visits in children: a population-based study
    Astrid Guttmann
    Institute for Clinical Evaluative Sciences, G Wing, Sunnybrook and Women s College Health Sciences Centre, 2075 Bayview Ave, Toronto, Ontario, Canada M4N 3M5
    Pediatrics 120:e1402-10. 2007
    ..Emergency departments play an important role in the care of children with asthma. Emergency department return-visit rates provide a measure of the quality of acute asthma care...
  5. doi request reprint Validation of a health administrative data algorithm for assessing the epidemiology of diabetes in Canadian children
    Astrid Guttmann
    Institute for Clinical Evaluative Sciences, Toronto, Ontario, Canada
    Pediatr Diabetes 11:122-8. 2010
    ..To validate a case definition of pediatric diabetes using administrative health data and describe trends in incidence and prevalence over time in Ontario, Canada...
  6. ncbi request reprint Development of measures of the quality of emergency department care for children using a structured panel process
    Astrid Guttmann
    Institute for Clinical Evaluative Sciences, G Wing, Sunnybrook and Women s College Health Sciences Centre, 2075 Bayview Ave, Toronto, Ontario, Canada M4N 3M5
    Pediatrics 118:114-23. 2006
    ..Performance measures are essential components of public reporting and quality improvement. To date, few such measures exist to provide a comprehensive assessment of the quality of emergency department services for children...
  7. ncbi request reprint Primary care physician supply and children's health care use, access, and outcomes: findings from Canada
    Astrid Guttmann
    Institute for Clinical Evaluative Sciences, 2075 Bayview Ave, G106, Toronto, Ontario, Canada M4N 3M5
    Pediatrics 125:1119-26. 2010
    ..To describe the relationship of primary care physician (PCP) supply for children and measures of health care access, use, and outcomes...
  8. ncbi request reprint Volume matters: physician practice characteristics and immunization coverage among young children insured through a universal health plan
    Astrid Guttmann
    Institute for Clinical Evaluative Sciences, Toronto, Ontario, Canada
    Pediatrics 117:595-602. 2006
    ..We studied the association between immunization coverage for a cohort of 2-year-old children covered by a universal health insurance plan and pediatric provider and other health services characteristics...
  9. pmc Association between waiting times and short term mortality and hospital admission after departure from emergency department: population based cohort study from Ontario, Canada
    Astrid Guttmann
    Institute for Clinical Evaluative Sciences, Toronto, ON, Canada
    BMJ 342:d2983. 2011
    ..To determine whether patients who are not admitted to hospital after attending an emergency department during shifts with long waiting times are at risk for adverse events...
  10. ncbi request reprint Health impact of hospital restrictions on seriously ill hospitalized patients: lessons from the Toronto SARS outbreak
    Therese A Stukel
    Institute for Clinical Evaluative Sciences, Toronto, Ontario, Canada
    Med Care 46:991-7. 2008
    ..Restrictions on non-urgent hospital care imposed to control the 2003 Toronto severe acute respiratory syndrome outbreak led to substantial disruptions in hospital clinical practice, admission, and transfer patterns...
  11. doi request reprint Transition to adult care for youths with diabetes mellitus: findings from a Universal Health Care System
    Meranda Nakhla
    Division of Endocrinology and Metabolism, Hospital for Sick Children, Toronto, Ontario, Canada
    Pediatrics 124:e1134-41. 2009
    ....
  12. ncbi request reprint Neighborhood income and health outcomes in infants: how do those with complex chronic conditions fare?
    Chengning Wang
    Child Health Evaluative Services, The Hospital for Sick Children, Toronto, Ontario, Canada
    Arch Pediatr Adolesc Med 163:608-15. 2009
    ..To quantify the effect of socioeconomic status (SES) on health outcomes during the first year after newborn discharge among infants with complex chronic conditions (CCCs) insured through a universal health plan...
  13. pmc Effect of widespread restrictions on the use of hospital services during an outbreak of severe acute respiratory syndrome
    Michael J Schull
    Institute for Clinical Evaluative Sciences, Toronto, Ont
    CMAJ 176:1827-32. 2007
    ..We describe the impact of these restrictions on health care utilization and suggest lessons for future epidemics...
  14. doi request reprint Patterns and costs of health care use of children with medical complexity
    Eyal Cohen
    Department of Pediatrics, Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada
    Pediatrics 130:e1463-70. 2012
    ..The objective of the study was to evaluate health care utilization and costs in a population-based sample of CMC in Ontario, Canada...
  15. doi request reprint Low rates of influenza immunization in young children under Ontario's universal influenza immunization program
    Michael A Campitelli
    Institute for Clinical Evaluative Sciences, Toronto, Ontario M4N 3M5 Canada
    Pediatrics 129:e1421-30. 2012
    ..To determine physician-administered influenza vaccine coverage for children aged 6 to 23 months in a jurisdiction with a universal influenza immunization program during 2002-2009 and to describe predictors of vaccination...
  16. doi request reprint Changes to surgical and hospitalization rates of pediatric inflammatory bowel disease in Ontario, Canada (1994-2007)
    Eric I Benchimol
    Institute for Clinical Evaluative Sciences, Toronto, Ontario, Canada
    Inflamm Bowel Dis 17:2153-61. 2011
    ..We aimed to describe trends in medication use, associated health services, and outcomes (hospitalization and surgical rates) between 1994-2007 in children with IBD...
  17. pmc Food fortification and decline in the prevalence of neural tube defects: does public intervention reduce the socioeconomic gap in prevalence?
    Mohammad M Agha
    Institute for Clinical Evaluative Sciences, Toronto, ON M4N 3M5, Canada
    Int J Environ Res Public Health 10:1312-23. 2013
    ..Questions remain, however, about the effectiveness of this intervention in reducing the gap in prevalence across socioeconomic status (SES)...
  18. doi request reprint Evaluating the effect of clinical decision units on patient flow in seven Canadian emergency departments
    Michael J Schull
    Institute for Clinical Evaluative Sciences, Toronto, Ontario the Institute of Health Policy, Canada
    Acad Emerg Med 19:828-36. 2012
    ..To evaluate the effect of emergency department (ED) clinical decision units (CDUs) on overall ED patient flow in a pilot project funded in 2008 by the Ontario Ministry of Health and Long-Term Care (MOHLTC)...
  19. doi request reprint Development and use of reporting guidelines for assessing the quality of validation studies of health administrative data
    Eric I Benchimol
    The Institute for Clinical Evaluative Sciences, Toronto, Ontario, Canada
    J Clin Epidemiol 64:821-9. 2011
    ..We created reporting guidelines for studies validating administrative data identification algorithms and used them to assess the quality of reporting of validation studies in the literature...
  20. doi request reprint Predictors of universal influenza vaccination uptake in grades 1 and 2 Toronto school children: effective vaccination strategies should not end with at risk children
    Richard G Foty
    Child Health Evaluative Sciences, The Hospital for Sick Children Research Institute, Toronto, Ontario, Canada
    Vaccine 28:6518-22. 2010
    ..20, 95%CL 1.01-1.42) and those with the lowest income adequacy (OR 1.37, 95%CL 1.12-1.68). Data from this study will be helpful in designing future influenza vaccination strategies to improve vaccination rates in the entire population...
  21. doi request reprint Socioeconomic status and prevalence of congenital heart defects: does universal access to health care system eliminate the gap?
    Mohammad M Agha
    Institute for Clinical Evaluative Sciences, Toronto, Ontario, Canada
    Birth Defects Res A Clin Mol Teratol 91:1011-8. 2011
    ..The purpose of this study was to examine if trends over time in the prevalence of CHD were the same for high and low SES groups...
  22. doi request reprint School-based influenza vaccine delivery, vaccination rates, and healthcare use in the context of a universal influenza immunization program: an ecological study
    Jeffrey C Kwong
    The Institute for Clinical Evaluative Sciences, 2075 Bayview Avenue, Room G1 06, Toronto, Ontario M4N 3M5, Canada
    Vaccine 28:2722-9. 2010
    ..In the context of universal influenza vaccination, school-based delivery is associated with higher vaccination rates and modest reductions in healthcare use in school-age children...
  23. doi request reprint Seasonal influenza vaccine effectiveness in pre- and full-term children aged 6-23 months over multiple seasons
    Shixin Shen
    Dalla Lana School of Public Health, University of Toronto, Toronto, Canada
    Vaccine 31:2974-8. 2013
    ..This study aimed to determine the effectiveness of seasonal influenza vaccine in pre- and full-term children aged 6-23 months...
  24. ncbi request reprint Emergency department presentations for self-harm among Ontario youth
    Jennifer Bethell
    Suicide Studies Research Unit, St Michael s Hospital, Toronto, ON
    Can J Public Health 104:e124-30. 2013
    ..This study used population-based emergency department data to describe clinical and demographic characteristics of emergency department presentations for self-harm among youth (12-17 year-olds) in the province of Ontario, Canada...
  25. doi request reprint Evidence-based performance indicators of primary care for asthma: a modified RAND Appropriateness Method
    Teresa To
    Child Health Evaluative Sciences, The Hospital for Sick Children, Toronto, ON, Canada
    Int J Qual Health Care 22:476-85. 2010
    ..To develop evidence-based performance indicators that measure the quality of primary care for asthma...
  26. ncbi request reprint Risk markers for poor developmental attainment in young children: results from a longitudinal national survey
    Teresa To
    Population Health Sciences Program, Research Institute, The Hospital for Sick Children, Toronto, Ontario, Canada
    Arch Pediatr Adolesc Med 158:643-9. 2004
    ..To evaluate social and environmental determinants of poor developmental attainment among preschool children by means of longitudinal data from a population-based sample of Canadian children...
  27. doi request reprint Outcomes of pediatric inflammatory bowel disease: socioeconomic status disparity in a universal-access healthcare system
    Eric I Benchimol
    Institute for Clinical Evaluative Sciences, Toronto, Ontario, Canada
    J Pediatr 158:960-967.e1-4. 2011
    ..To examine healthcare utilization according to family income in children with inflammatory bowel disease (IBD)...
  28. pmc Reduction in Clostridium difficile infection rates after mandatory hospital public reporting: findings from a longitudinal cohort study in Canada
    Nick Daneman
    Institute for Clinical Evaluative Sciences, Toronto, Ontario, Canada
    PLoS Med 9:e1001268. 2012
    ..Our objective was to determine whether mandatory public reporting by hospitals is associated with a reduction in hospital rates of Clostridium difficile infection...
  29. ncbi request reprint Barriers and facilitators to the implementation of Ontario's emergency department clinical decision unit pilot program: a qualitative study
    Erin Salkeld
    Institute for Clinical Evaluative Sciences, Toronto, ON, Canada
    CJEM 13:363-71. 2011
    ..Our objective was to describe general characteristics of the program at each of the participating sites and to examine barriers and facilitators to integrating CDUs into practice...
  30. pmc Association of hospital spending intensity with mortality and readmission rates in Ontario hospitals
    Therese A Stukel
    Institute for Clinical Evaluative Sciences, G106 2075 Bayview Ave, Toronto, ON M4N 3M5, Canada
    JAMA 307:1037-45. 2012
    ..The extent to which better spending produces higher-quality care and better patient outcomes in a universal health care system with selective access to medical technology is unknown...
  31. ncbi request reprint Prioritizing performance measurement for emergency department care: consensus on evidence-based quality of care indicators
    Michael J Schull
    Institute for Clinical Evaluative Sciences, Toronto, ON, Canada
    CJEM 13:300-9, E28-43. 2011
    ..We sought to develop a consensus on a prioritized and parsimonious set of evidence-based quality of care indicators for EDs...
  32. ncbi request reprint Relationship between social inequalities and ambulatory care-sensitive hospitalizations persists for up to 9 years among children born in a major Canadian urban center
    Mohammad M Agha
    Centre for Research on Inner City Health, St Michael s Hospital, University of Toronto, Toronto, Ontario, Canada
    Ambul Pediatr 7:258-62. 2007
    ..Our purpose was to examine socioeconomic disparities in ACS and non-ACS admissions among birth cohorts in a universal health insurance setting...
  33. ncbi request reprint Surge capacity associated with restrictions on nonurgent hospital utilization and expected admissions during an influenza pandemic: lessons from the Toronto severe acute respiratory syndrome outbreak
    Michael J Schull
    Institute for Clinical Evaluative Sciences, 2075 Bayview Avenue, Toronto, Ontario, Canada M4N 3M5
    Acad Emerg Med 13:1228-31. 2006
    ..One proposed strategy to increase hospital surge capacity is to restrict elective hospitalizations, yet the degree to which this measure would meet the anticipated is unknown...
  34. doi request reprint Postpartum maternal codeine therapy and the risk of adverse neonatal outcomes: a retrospective cohort study
    David N Juurlink
    Institute for Clinical Evaluative Sciences, Toronto, ON, Canada
    Clin Toxicol (Phila) 50:390-5. 2012
    ..To examine whether postpartum maternal prescription of codeine was associated with an increased risk of harm to newborns...
  35. pmc Major radiodiagnostic imaging in pregnancy and the risk of childhood malignancy: a population-based cohort study in Ontario
    Joel G Ray
    Department of Medicine, St Michael s Hospital, Toronto, Ontario, Canada
    PLoS Med 7:e1000337. 2010
    ..The association between fetal exposure to major radiodiagnostic testing in pregnancy-computed tomography (CT) and radionuclide imaging-and the risk of childhood cancer is not established...
  36. ncbi request reprint Translating transition: a critical review of the diabetes literature
    Meranda Nakhla
    Division of Endocrinologye, Department ofPaediatrics, University of Toronto, Ontario, Canada
    J Pediatr Endocrinol Metab 21:507-16. 2008
    ....
  37. ncbi request reprint Low socioeconomic status is associated with worse survival in children with cancer: a systematic review
    Sumit Gupta
    Division of Haematology Oncology, The Hospital for Sick Children, Toronto, Ontario, Canada Department of Paediatrics, University of Toronto, Toronto, Ontario, Canada Program in Child Health Evaluative Sciences, The Hospital for Sick Children, Toronto, Ontario, Canada Institute for Health, Policy Management and Evaluation, University of Toronto, Toronto, Ontario, Canada
    PLoS ONE 9:e89482. 2014
    ..Our objective was therefore to conduct a systematic review to determine the impact of SES upon outcome in children with cancer...
  38. doi request reprint Repeat self-harm: application of hurdle models
    Jennifer Bethell
    Suicide Studies Unit, St Michael s Hospital, 30 Bond Street, Toronto, Ontario, Canada
    Br J Psychiatry 196:243-4. 2010
    ..Emergency department data from the Province of Ontario, Canada, are used to illustrate an example of implementing hurdle models and interpreting their results...
  39. doi request reprint Incidence and risk factors for cardiovascular events and death in pediatric renal transplant patients: a single center long-term outcome study
    Susan M Koshy
    Division of Nephrology, Department of Pediatrics, SickKids Hospital, Toronto, ON, Canada
    Pediatr Transplant 13:1027-33. 2009
    ..The rates of developing CV disease and dying prematurely are extraordinarily high in PRTx, underscoring the need for early and aggressive intervention to reduce the burden of suffering in this patient population...
  40. ncbi request reprint Potentially preventable hospital use for dental conditions: implications for expanding dental coverage for low income populations
    Carlos Quiñonez
    Dental Public Health Specialty Training Program, Faculty of Dentistry, University of Toronto, Ontario, Canada
    J Health Care Poor Underserved 22:1048-58. 2011
    ..Justifying renewed government investments in dental care in economic terms will require a broader assessment of costs; these data provide a starting-point for policymakers...
  41. doi request reprint Fertility rate trends among adolescent girls with major mental illness: a population-based study
    Simone N Vigod
    Women s College Hospital and Women s College Research Institute, Toronto, Ontario, Canada
    Pediatrics 133:e585-91. 2014
    ..We examined temporal trends in fertility rates among adolescent girls with major mental illness...
  42. ncbi request reprint Validation of international algorithms to identify adults with inflammatory bowel disease in health administrative data from Ontario, Canada
    Eric I Benchimol
    Institute for Clinical Evaluative Sciences, 2075 Bayview Avenue, Toronto, Ontario, Canada, M4N 3M5 CHEO Inflammatory Bowel Disease Centre, Division of Gastroenterology, Hepatology and Nutrition, Children s Hospital of Eastern Ontario, 401 Smyth Road, Ottawa, Ontario, Canada K1H 8L1 Department of Pediatrics, University of Ottawa, 451 Smyth Road, Ottawa, Ontario, Canada, K1H 8M5 Department of Epidemiology and Community Medicine, University of Ottawa, 451 Smyth Road, Ottawa, Ontario, Canada, K1H 8M5 Electronic address
    J Clin Epidemiol 67:887-96. 2014
    ..Case validation is necessary to ensure accurate disease ascertainment using these databases. In this study, we aimed to validate adult-onset inflammatory bowel disease (IBD) identification algorithms...
  43. doi request reprint Influenza vaccination rates in Ontario children: implications for universal childhood vaccination policy
    Kathy Moran
    Durham Region Health Department and York Region Community and Health Services, Public Health Branch, Ontario, Canada
    Vaccine 27:2350-5. 2009
    ..5%) and Alberta (52.2%). Universal vaccination in Ontario has achieved modest coverage in children aged 2-11 years, but has been less successful than targeted programs in vaccinating infants aged 6-23 months...
  44. doi request reprint Transition to neonatal follow-up programs: is attendance a problem?
    Marilyn Ballantyne
    Faculty of Health Sciences, School of Nursing, McMaster University, 1280 Main Street W, Hamilton, Ontario, Canada
    J Perinat Neonatal Nurs 26:90-8. 2012
    ..Strategies should be implemented to address potential barriers and provide effective transition and access to the NFU program...
  45. doi request reprint Validation of administrative population-based data sets for the detection of cesarean delivery surgical site infection
    Nick Daneman
    Institute for Clinical Evaluative Sciences, Toronto, Ontario, Canada
    Infect Control Hosp Epidemiol 32:1213-5. 2011
    ..Although these data sets are highly specific and could be used to define research cohorts, their low sensitivity and positive predictive value make them inadequate for use as quality indicators...
  46. pmc Development of a minimization instrument for allocation of a hospital-level performance improvement intervention to reduce waiting times in Ontario emergency departments
    Chad Andrew Leaver
    Institute for Clinical Evaluative Sciences, 2075 Bayview Ave, Toronto, Canada
    Implement Sci 4:32. 2009
    ..A minimization algorithm will ensure balanced allocation of the intervention with respect to these factors in study hospitals...
  47. doi request reprint Recent innovations to improve asthma outcomes in vulnerable children
    Patricia Li
    Division of Paediatric Medicine, Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada
    Curr Opin Pediatr 21:783-8. 2009
    ..New interventions to reduce gaps in outcomes among these children are continually being evaluated. This article reviews the most relevant and influential recent studies...
  48. pmc Another look at the human papillomavirus vaccine experience in Canada
    Catherine L Mah
    Department of Health Policy, Management and Evaluation at the University of Toronto, Toronto, Ontario, Canada
    Am J Public Health 101:1850-7. 2011
    ..Our findings suggest an erosion of the persuasiveness of public good arguments around collective immunization programs in the policy discourse...
  49. pmc Validation of a registry-derived risk algorithm based on treatment protocol as a proxy for disease risk in childhood acute lymphoblastic leukemia
    Sumit Gupta
    Division of Haematology Oncology and Program in Child Health Evaluative Sciences, Hospital for Sick Children, 555 University Avenue, Toronto, Ontario M5G 1X8, Canada
    BMC Med Res Methodol 13:68. 2013
    ....
  50. ncbi request reprint What factors are associated with poor developmental attainment in young Canadian children?
    Teresa To
    Population Health Sciences Program, Research Institute, The Hospital for Sick Children, 555 University Avenue, Toronto, ON M5G 1X8
    Can J Public Health 95:258-63. 2004
    ..This study was undertaken to determine the association between poor developmental attainment (PDA) and biological, home environment and socio-demographic factors in a population-based sample of Canadian children...