Research Topics
| Deborah J CookSummaryAffiliation: McMaster University Country: Canada Publications
| Collaborators
|
Detail Information
Publications
Red blood cell transfusion and increased length of storage are not associated with deep vein thrombosis in medical and surgical critically ill patients: a prospective observational cohort studyChristina Katsios
Department of Medicine, McMaster University, 1200 Main Street West, Hamilton, ON L8S 4L8, Canada
Crit Care 15:R263. 2011..The objective of this study was to determine if RBC transfusions or RBC storage age predicts incident DVT in medical or surgical intensive care unit (ICU) patients...
LOST to follow-up Information in Trials (LOST-IT): a protocol on the potential impactElie A Akl
Department of Medicine, State University of New York at Buffalo, Buffalo, USA
Trials 10:40. 2009..The secondary objectives are to describe, for published RCTs, (1) the reporting of loss to follow-up information, (2) the analytic methods used for handling loss to follow-up information, and (3) the extent of reported loss to follow-up...
Stopping randomized trials early for benefit: a protocol of the Study Of Trial Policy Of Interim Truncation-2 (STOPIT-2)Matthias Briel
Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Canada
Trials 10:49. 2009..The aim of STOPIT-2 is to determine the magnitude and determinants of possible bias introduced by stopping RCTs early for benefit...
Resuscitation fluid use in critically ill adults: an international cross-sectional study in 391 intensive care unitsSimon Finfer
Critical Care and Trauma Division, The George Institute for International Health, PO Box M201, Missenden Road, NSW 2050, Australia
Crit Care 14:R185. 2010..Recent evidence suggests that choice of fluid used for resuscitation may influence mortality in critically ill patients...
Surfactant therapy for acute respiratory failure in children: a systematic review and meta-analysisMark Duffett
Department of Critical Care, McMaster Children s Hospital, 1200 Main St, W, Hamilton, Ontario L8S 4J9, Canada
Crit Care 11:R66. 2007..The objective of the present systematic review is to assess the effect of exogenous pulmonary surfactant on all-cause mortality in children mechanically ventilated for acute respiratory failure...
A survey of Canadian intensivists' resuscitation practices in early septic shockLauralyn A McIntyre
University of Ottawa Centre for Transfusion and Critical Care Research, Clinical Epidemiology Unit of the Ottawa Hospital, Ottawa Health Research Institute, 501 Smyth Rd Ottawa, Ontario, Canada K1H 8L6
Crit Care 11:R74. 2007..The objective of this survey was to characterize reported resuscitation practices of Canadian physicians caring for adult critically ill patients with early septic shock...
Detecting myocardial infarction in critical illness using screening troponin measurements and ECG recordingsWendy Lim
Department of Medicine, McMaster University, Canada
Crit Care 12:R36. 2008..This is a prospective screening study...
Moving toward evidence-based practiceDeborah J Cook
Division of Critical Care Medicine, Department of Medicine, St Joseph s Hospital, Hamilton, Ontario, Canada
Respir Care 48:859-68. 2003..We should always ask whether the right provider is doing the right thing for the right patient at the right time in the right setting with the right resources...
Pulmonary embolism in medical-surgical critically ill patientsDeborah J Cook
Department of Medicine, McMaster University, Hamilton, ON, Canada
Hematol Oncol Clin North Am 24:677-82, vii. 2010....
Thromboprophylaxis in medical-surgical intensive care unit patientsDeborah Cook
Department of Medicine, McMaster University, Hamilton, Ontario, Canada L8N 3Z5
J Crit Care 20:320-3. 2005
Clinically important deep vein thrombosis in the intensive care unit: a survey of intensivistsDeborah Cook
Department of Medicine, McMaster University, Hamilton, Ontario, Canada
Crit Care 8:R145-52. 2004..The objective of the present survey is to identify the patient factors and radiologic features of lower limb DVT that intensivists consider more or less likely to make a DVT clinically important in ICU patients...
Event adjudication and data monitoring in an intensive care unit observational study of thromboprophylaxisD Cook
Department of Medicine, McMaster University, Hamilton, Ontario, Canada
J Crit Care 24:168-75. 2009....
Dying in the ICU: strategies that may improve end-of-life careDeborah Cook
Departments of Medicine, Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Ontario, Canada
Can J Anaesth 51:266-72. 2004..The purpose of this article is to suggest some strategies to consider to improve the care of patients dying in the ICU...
Improving patients' safety locally: changing clinician behaviourD J Cook
Department of Medicine, McMaster University, Hamilton, Ontario, Canada
Lancet 363:1224-30. 2004..The steps are to: do an environmental scan; understand current behaviour, target behaviour for change (why, what, when, where, and who); adopt effective strategies to change behaviour; and synergise...
Thromboprophylaxis in the intensive care unit: focus on medical-surgical patientsDeborah J Cook
Department of Medicine, McMaster University, Hamilton, Ontario, Canada
Crit Care Med 38:S76-82. 2010..Furthermore, because thromboprophylaxis is a common error of omission in hospitalized patients, redoubled efforts are needed to ensure that it is used in practice...
Thromboprophylaxis for hospitalized medical patients: a multicenter qualitative studyDeborah Cook
Department of Medicine, McMaster University, Hamilton, Ontario, Canada
J Hosp Med 4:269-75. 2009..Observational studies have documented that medical patients infrequently receive venous thromboembolism (VTE) prevention...
Clinical research ethics for critically ill patients: a pandemic proposalDeborah Cook
International Forum for Acute Care Trialists InFACT Ethics Committee, Department of Medicine, McMaster University, Hamilton, Canada
Crit Care Med 38:e138-42. 2010..We also propose strategies such as expedited and centralized research ethics committee reviews and alternate consent models...
Prophylaxis of Thromboembolism in Critical Care (PROTECT) Trial: a pilot studyDeborah J Cook
Department of Medicine, McMaster University, Hamilton, Ontario, Canada L8N 3Z5
J Crit Care 20:364-72. 2005..Its additional goals were to evaluate the suitability of the exclusion criteria and to document the range of research activities that precede accrual of patients into a trial to plan multisite management...
Research agenda: venous thromboembolism in medical-surgical critically ill patientsDeborah J Cook
Deparment of Medicine, McMaster University, Hamilton, Ontario, Canada L8N 3Z5
J Crit Care 20:330-3. 2005
Randomized trials in vulnerable populationsDeborah Cook
Department of Medicine, McMaster University Health Sciences Center, Hamilton, Ontario, Canada
Clin Trials 5:61-9. 2008....
PROphylaxis for ThromboEmbolism in Critical Care Trial protocol and analysis planDeborah Cook
Department of Medicine, McMaster University, Hamilton, Ontario, Canada L8N 3Z5
J Crit Care 26:223.e1-9. 2011....
Venous thromboembolism and bleeding in critically ill patients with severe renal insufficiency receiving dalteparin thromboprophylaxis: prevalence, incidence and risk factorsDeborah Cook
Department of Medicine, 1200 Main Street, McMaster University, Hamilton, Canada
Crit Care 12:R32. 2008..The objective of the present study was to evaluate the prevalence, incidence and predictors of DVT and the incidence of bleeding in intensive care unit (ICU) patients with estimated creatinine clearance <30 ml/min...
Prevention and diagnosis of venous thromboembolism in critically ill patients: a Canadian surveyD Cook
Department of Medicine, McMaster University, Hamilton, Canada
Crit Care 5:336-42. 2001..The objective of this study was to understand current approaches to the prevention and diagnosis of deep venous thrombosis (DVT) and pulmonary embolism (PE) among patients in the intensive care unit (ICU)...
The attributable mortality and length of intensive care unit stay of clinically important gastrointestinal bleeding in critically ill patientsD J Cook
Department of Medicine, McMaster University, Hamilton, Ontario, Canada
Crit Care 5:368-75. 2001..To estimate the mortality and length of stay in the intensive care unit (ICU) attributable to clinically important gastrointestinal bleeding in mechanically ventilated critically ill patients...
Trials of miscellaneous interventions to wean from mechanical ventilationD Cook
Department of Medicine, McMaster University, Hamilton, Ontario, Canada
Chest 120:438S-44S. 2001..Multidisciplinary, patient-centered, holistic, and non-pulmonary approaches to weaning may provide additional safe, effective adjunctive methods of hastening liberation from mechanical ventilation...
Qualitative studies on the patient's experience of weaning from mechanical ventilationD J Cook
Department of Medicine, McMaster University, Hamilton, Ontario, Canada
Chest 120:469S-73S. 2001....
Cardiopulmonary resuscitation directives on admission to intensive-care unit: an international observational studyD J Cook
Department of Medicine, McMaster University, Ontario, Hamilton, Canada
Lancet 358:1941-5. 2001..Our objective was to ascertain prevalence, predictors, and procurement pattern of cardiopulmonary resuscitation directives within 24 h of admission to the intensive-care unit (ICU)...
Bleeding and venous thromboembolism in the critically ill with emphasis on patients with renal insufficiencyDeborah J Cook
Department of Medicine, McMaster University, Hamilton, Ontario, Canada
Curr Opin Pulm Med 15:455-62. 2009....
Serious adverse events in academic critical care researchDeborah Cook
Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Ont
CMAJ 178:1181-4. 2008
Enrollment of intensive care unit patients into clinical studies: a trinational survey of researchers' experiences, beliefs, and practicesDeborah J Cook
Department of Medicine, McMaster University, Hamilton, ON, Canada
Crit Care Med 36:2100-5. 2008..As critical care practice increases in scope, size, and complexity, enrollment of critically ill patients into clinical studies is increasing...
The development and validation of a novel questionnaire to measure patient and family satisfaction with end-of-life care: the Canadian Health Care Evaluation Project (CANHELP) QuestionnaireDaren K Heyland
Department of Medicine, Kingston General Hospital, Kingston, Ontario, Canada
Palliat Med 24:682-95. 2010..We conclude that the CANHELP Questionnaire is a valid and internally consistent instrument to measure satisfaction with end-of-life care...
The 4Ts scoring system for heparin-induced thrombocytopenia in medical-surgical intensive care unit patientsMark Andrew Crowther
Department of Pathology and Molecular Medicine, McMaster University, Hamilton, Ontario, Canada
J Crit Care 25:287-93. 2010..The 4Ts score (Thrombocytopenia, Timing of thrombocytopenia, Thrombosis, and oTher reason) might identify individual patients at risk of having this disorder...
DNR directives are established early in mechanically ventilated intensive care unit patientsTasnim Sinuff
Department of Medicine, McMaster University Health Sciences Center, Room 2C11, 1200 Main Street West, Hamilton, Ontario L8N 3Z5, Canada
Can J Anaesth 51:1034-41. 2004..The strongest predictors of DNR directives were physician prediction of low probability of survival, physician perception of patient preference to limit life support, organ dysfunction, medical diagnosis and age...
Elevated troponin and myocardial infarction in the intensive care unit: a prospective studyWendy Lim
Department of Medicine, McMaster University, Hamilton, Ontario, Canada
Crit Care 9:R636-44. 2005....
Elevated cardiac troponin levels in critically ill patients: prevalence, incidence, and outcomesWendy Lim
The Department of Medicine, McMaster University, Hamilton, Ontario, CA
Am J Crit Care 15:280-8; quiz 289. 2006..CONCLUSIONS: Elevated levels of cardiac troponin I in critically ill patients do not always indicate myocardial infarction or an adverse prognosis...
Thrombocytopenia in medical-surgical critically ill patients: prevalence, incidence, and risk factorsMark A Crowther
Department of Medicine and Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Ontario, Canada L8N 3Z5
J Crit Care 20:348-53. 2005..Heparin-induced thrombocytopenia was frequently suspected but did not develop in these critically ill patients...
Decision-making in the ICU: perspectives of the substitute decision-makerDaren K Heyland
Department of Medicine, Angada 3, Kingston General Hospital, Ontario, Canada
Intensive Care Med 29:75-82. 2003..To describe the substitute decision-makers' perspectives related to decision-making in the intensive care unit (ICU) and to determine those variables associated with their overall satisfaction with decision-making...
Bilevel noninvasive positive pressure ventilation for acute respiratory failure: survey of Ontario practiceKaren E A Burns
Division of Critical Care Medicine, University of Western Ontario, London, Ontario, Canada
Crit Care Med 33:1477-83. 2005..Some factors associated with variation in NIV use may be suitable targets for utilization improvement interventions...
Consent in critical care trials: a survey of Canadian research ethics boards and critical care researchersMark Duffett
McMaster Children s Hospital, Hamilton, Ontario, Canada
J Crit Care 26:533.e11-22. 2011..We compared the attitudes and beliefs of Canadian research ethics boards (REBs) and intensive care unit researchers toward the use of various consent models for a low-risk randomized controlled trial...
A randomized trial of daily awakening in critically ill patients managed with a sedation protocol: a pilot trialSangeeta Mehta
Inter Departmental Division of Critical Care Medicine, Mount Sinai Hospital, University Health Network, and University of Toronto, Toronto, Ontario, Canada
Crit Care Med 36:2092-9. 2008..Our objective was to determine the safety and feasibility of a randomized trial to determine whether adults managed with both PS + DI have a shorter duration of MV than patients managed with PS alone...
Most critically ill patients are perceived to die in comfort during withdrawal of life support: a Canadian multicentre studyGraeme M Rocker
Department of Medicine, Queen Elizabeth II Health Sciences Center, Halifax, Nova Scotia, Canada
Can J Anaesth 51:623-30. 2004..Most deaths in intensive care units (ICUs) follow a withdrawal of life support (LS). Evaluation of this process including the related perspectives of grieving family members is integral to improvement of palliation in the ICU...
Fluid resuscitation in the management of early septic shock (FINESS): a randomized controlled feasibility trialLauralyn A McIntyre
University of Ottawa Centre for Transfusion and Critical Care Research, Ottawa Hospital, Ottawa, Ontario, Canada
Can J Anaesth 55:819-26. 2008..This randomized controlled trial determined the feasibility of conducting a large trial testing resuscitation with pentastarch vs normal saline in early septic shock, powered for a difference in mortality...
Reliability of electrocardiogram interpretation in critically ill patientsWendy Lim
Medicine and Clinical Epidemiology, McMaster University, Hamilton, Ontario, Canada
Crit Care Med 34:1338-43. 2006..Additional studies assessing the appropriate methods of diagnosing myocardial ischemia and infarction and assessing the reliability of these diagnostic tests in critically ill patients are required...
Bleeding during critical illness: a prospective cohort study using a new measurement toolDonald M Arnold
Department of Medicine, McMaster University, Hamilton, Ontario, Canada
Clin Invest Med 30:E93-102. 2007..To estimate the incidence, severity, duration and consequences of bleeding during critical illness, and to test the performance characteristics of a new bleeding assessment tool...
Elevated cardiac troponin measurements in critically ill patientsWendy Lim
Department of Medicine, McMaster University, Hamilton, Ontario, Canada
Arch Intern Med 166:2446-54. 2006..Research is needed to clarify the underlying causes of elevated cTn in this population and to examine their clinical significance...
A Canadian Critical Care Trials Group project in collaboration with the international forum for acute care trialists - Collaborative H1N1 Adjuvant Treatment pilot trial (CHAT): study protocol and design of a randomized controlled trialKaren E A Burns
Interdepartmental Division of Critical Care Medicine and Departments of Pharmacy, University of Toronto, Toronto, Ontario, Canada
Trials 12:70. 2011....
Mortality predictions in the intensive care unit: comparing physicians with scoring systemsTasnim Sinuff
Department of Critical Care Medicine, Sunnybrook and Women's College Health Sciences Centre, Toronto, Ontario, Canada
Crit Care Med 34:878-85. 2006..The overall accuracy of both predictions of patient mortality was moderate, implying limited usefulness of outcome prediction in the first 24 hrs for clinical decision making...
Deep venous thrombosis: clinically silent in the intensive care unitMark A Crowther
Department of Medicine, McMaster University, Hamilton, Ontario, Canada L8N 3Z5
J Crit Care 20:334-40. 2005..42-0.75, P = .02). An AUC of 1.0 indicates an ideal test, and AUC of 0.50 indicates a test with no diagnostic utility. CONCLUSIONS: The history and physical examination for DVT are not useful in detecting lower limb DVT in the ICU...
Defining priorities for improving end-of-life care in CanadaDaren K Heyland
Department of Medicine, Kingston General Hospital, Kingston, Ont
CMAJ 182:E747-52. 2010..The objective of this study was to identify aspects of end-of-life care that are high in priority as targets for improvement using feedback elicited from patients and their families...
Survey of interventions for the prevention and treatment of acute respiratory distress syndromeMaureen O Meade
Clinical Epidemiology and Biostatistics, and Medicine, McMaster University Health Sciences Centre, Hamilton, ON, Canada
Crit Care Med 32:946-54. 2004....
A multifaceted strategy to reduce inappropriate use of frozen plasma transfusions in the intensive care unitDonald M Arnold
Department of Medicine, McMaster University, Hamilton, Ontario, Canada L8N 3Z5
J Crit Care 26:636.e7-636.e13. 2011..The purpose of this study is to determine the effect of a multifaceted behavior-change strategy on inappropriate use of frozen plasma (FP) transfusions in the intensive care unit (ICU)...
Quality of reporting of surveys in critical care journals: a methodologic reviewMark Duffett
Department of Pediatrics, McMaster University, Hamilton, Ontario, Canada
Crit Care Med 40:441-9. 2012..Adequate reporting is needed to judge methodologic quality and assess the risk of bias of surveys. The objective of this study is to describe the methodology and quality of reporting of surveys published in five critical care journals...
Dalteparin thromboprophylaxis for critically ill medical-surgical patients with renal insufficiencyChristian G Rabbat
Department of Medicine, McMaster University, Hamilton, Ontario, Canada L8N 3Z5
J Crit Care 20:357-63. 2005..If dalteparin does not bioaccumulate, it may be an attractive alternative agent for thromboprophylaxis...
Prevention of ventilator-associated pneumonia: current practice in Canadian intensive care unitsDaren K Heyland
Department of Medicine, Queen s University, Kingston, Ontario, Canada
J Crit Care 17:161-7. 2002..To evaluate the current use of strategies to prevent ventilator-associated pneumonia (VAP) and to identify interventions to target for quality-improvement initiatives...
Stopping randomized trials early for benefit and estimation of treatment effects: systematic review and meta-regression analysisDirk Bassler
Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Ontario, Canada
JAMA 303:1180-7. 2010..Theory and simulation suggest that randomized controlled trials (RCTs) stopped early for benefit (truncated RCTs) systematically overestimate treatment effects for the outcome that precipitated early stopping...
A framework for resolving disagreement during end of life care in the critical care unitKaren Choong
Department of Pediatrics and Critical Care, McMaster Children s Hospital, McMaster University, Hamilton, Ontario
Clin Invest Med 33:E240-53. 2010..Such disagreements can cause tension and moral distress among families and clinicians...
Payments for care at private for-profit and private not-for-profit hospitals: a systematic review and meta-analysisP J Devereaux
Department of Medicine, McMaster University, Hamilton
CMAJ 170:1817-24. 2004....
Biomarkers of sepsisJohn C Marshall
Li Ka Shing Knowledge Institute, The Keenan Research Centre, Toronto, Ontario, Canada
Crit Care Med 37:2290-8. 2009..Validated biomarkers of sepsis may improve diagnosis and therapeutic decision making for these high-risk patients...
Fluid Resuscitation with 5% albumin versus Normal Saline in Early Septic Shock: a pilot randomized, controlled trialLauralyn A McIntyre
Department of Medicine Division of Critical Care, Ottawa Hospital Research Institute OHRI, University of Ottawa, Ottawa, Ontario, Canada
J Crit Care 27:317.e1-6. 2012..We describe the Fluid Resuscitation with 5% albumin versus Normal Saline in Early Septic Shock (PRECISE) pilot trial study design and report feasibility of patient recruitment...
The climate of patient safety in a Canadian intensive care unitMichelle E Kho
Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Ontario, Canada
J Crit Care 24:469.e7-13. 2009..We assessed multidisciplinary team members' perspectives of patient safety climate in a 15-bed, closed medical-surgical intensive care unit through a self-administered questionnaire...
Quality of professional society guidelines and consensus conference statements in critical careTasnim Sinuff
Department of Critical Care Medicine, Sunnybrook Health Sciences Centre, and Interdepartmental Division of Critical Care Medicine, University of Toronto, Toronto, Ontario, Canada
Crit Care Med 36:1049-58. 2008..To examine the quality of professional society critical care guidelines and consensus statements...
Practice guidelines as multipurpose tools: a qualitative study of noninvasive ventilationTasnim Sinuff
Department of Critical Care, Sunnybrook Health Sciences Centre, Interdepartmental Division of Critical Care, University of Toronto, Toronto, ON, Canada
Crit Care Med 35:776-82. 2007..The objective was to understand the knowledge about and attitudes toward an NIV guideline for patients with ARF and potential barriers to its use...
Ventilation strategy using low tidal volumes, recruitment maneuvers, and high positive end-expiratory pressure for acute lung injury and acute respiratory distress syndrome: a randomized controlled trialMaureen O Meade
Department of Medicine, McMaster University, Hamilton, Ontario, Canada
JAMA 299:637-45. 2008..Low-tidal-volume ventilation reduces mortality in critically ill patients with acute lung injury and acute respiratory distress syndrome. Instituting additional strategies to open collapsed lung tissue may further reduce mortality...
Resuscitating patients with early severe sepsis: a Canadian multicentre observational studyLauralyn A McIntyre
Department of Medicine critical care, The Ottawa Hospital, Ottawa Health Research Institute, Ottawa, Ontario, Canada
Can J Anaesth 54:790-8. 2007..We sought to examine associations of the quantity and type of fluid administered in the first six hours after identification of severe sepsis and hospital mortality, intensive care unit (ICU) mortality, and organ failure...
Prevention of VTE in nonsurgical patients: Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice GuidelinesSusan R Kahn
Department of Medicine, McGill University, Montreal, QC, Canada
Chest 141:e195S-226S. 2012..This guideline addressed VTE prevention in hospitalized medical patients, outpatients with cancer, the chronically immobilized, long-distance travelers, and those with asymptomatic thrombophilia...
A retrospective cohort pilot study to evaluate a triage tool for use in a pandemicMichael D Christian
Department of National Defence, Canadian Forces, Mount Sinai Hospital Toronto University Health Network, University of Toronto, 600 University Avenue, Toronto, ON, Canada
Crit Care 13:R170. 2009....
Patient and healthcare professional factors influencing end-of-life decision-making during critical illness: a systematic reviewDavid W Frost
Division of General Internal Medicine, University Health Network, University of Toronto, Toronto, Ontario, Canada
Crit Care Med 39:1174-89. 2011..DATA SOURCES, SELECTION, AND ABSTRACTION: We conducted a structured search of Ovid Medline for interventional and observational research articles incorporating critical care and end-of-life decision-making terms...
Systematic reviewers neglect bias that results from trials stopped early for benefitDirk Bassler
The Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Ontario, Canada
J Clin Epidemiol 60:869-73. 2007....
Abstract reporting in randomized clinical trials of acute lung injury: an audit and assessment of a quality of reporting scoreKaren E A Burns
Graduate Program in Health Research Methodology, McMaster University, Hamilton, Ontario, Canada
Crit Care Med 33:1937-45. 2005..Checklists may aid authors and editors in prioritizing important criteria for inclusion in RCT abstracts...
Noninvasive ventilation for acute respiratory failure near the end of lifeTasnim Sinuff
Department of Critical Care Medicine, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada
Crit Care Med 36:789-94. 2008....
How qualitative research can contribute to research in the intensive care unitTasnim Sinuff
Department of Critical Care, Sunnybrook Health Sciences Centre, and Interdepartmental Division of Critical Care, University of Toronto, Toronto, Ontario, Canada
J Crit Care 22:104-11. 2007..To illustrate how our understanding of social phenomena such as patient safety and behavior change has been enhanced we use recent qualitative studies in acute care medicine...
Dying in the ICU: perspectives of family membersDaren K Heyland
Department of Medicine, Kingston General Hospital, Kingston, ON, Canada
Chest 124:392-7. 2003..To describe the perspectives of family members to the care provided to critically ill patients who died in the ICU...
A study of the physiologic responses to a lung recruitment maneuver in acute lung injury and acute respiratory distress syndromeMaureen O Meade
Department of Medicine, McMaster University, Hamilton, Ontario, Canada
Respir Care 53:1441-9. 2008..To determine the magnitude, duration, and consistency of the effects of lung recruitment maneuvers (RMs) on oxygenation, lung mechanics, and comfort in patients with acute lung injury (ALI) and acute respiratory distress syndrome (ARDS)...
Angiopoietin-1 and angiopoietin-2 as clinically informative prognostic biomarkers of morbidity and mortality in severe sepsisDaniel R Ricciuto
McLaughlin Rotman Centre for Global Health, McLaughlin Centre for Molecular Medicine, University Health Network, The University of Toronto, Ontario, Canada
Crit Care Med 39:702-10. 2011..To determine the utility of angiopoietin-1 and angiopoietin-2 as potentially novel biomarkers of morbidity and mortality in patients with severe sepsis...
Prevention of venous thromboembolism in critically ill surgery patients: a cross-sectional studyD Cook
Departments of Medicine and Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Ontario, Canada
J Crit Care 16:161-6. 2001..3, P =.001). CONCLUSIONS: VTE prevention for surgical ICU patients within the first postoperative week appear to be individualized, and influenced by current and future risks of thrombosis and bleeding...
Grades of recommendation for antithrombotic agents: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines (8th Edition)Gordon H Guyatt
Health Sciences Centre, McMaster University, Hamilton, Ontario, Canada
Chest 133:123S-131S. 2008..Weak (Grade 2) suggestions require more judicious application, particularly considering patient values and preferences and, when resource limitations play an important role, issues of cost...
Preventing venous thromboembolism in critically ill patientsMark A Crowther
Department of Medicine, McMaster University, Hamilton, Ontario, Canada
Semin Thromb Hemost 34:469-74. 2008..Large, well-designed randomized trials, powered to detect differences in clinically relevant end points, are required to advance the care of this highly vulnerable patient population...
Written informed consent and selection bias in observational studies using medical records: systematic reviewMichelle E Kho
Department of Clinical Epidemiology and Biostatistics, McMaster University, 1280 Main Street West, Hamilton, ON, Canada L8S 4L8
BMJ 338:b866. 2009..To determine whether informed consent introduces selection bias in prospective observational studies using data from medical records, and consent rates for such studies...
A systematic review and meta-analysis of studies comparing mortality rates of private for-profit and private not-for-profit hospitalsP J Devereaux
Department of Medicine, McMaster University, Hamilton, Ont
CMAJ 166:1399-406. 2002..To inform this debate, we undertook a systematic review and meta-analysis of studies comparing the mortality rates of private for-profit hospitals and those of private not-for-profit hospitals...
Thromboprophylaxis in medical-surgical critically ill patientsMark A Crowther
Department of Medicine, McMaster University, Hamilton, Ontario, Canada
Curr Opin Crit Care 14:520-3. 2008....
Health technology assessment in the ICU: noninvasive positive pressure ventilation for acute respiratory failureTasnim Sinuff
Department of Medicine, McMaster University, Hamilton, Ontario, Canada
J Crit Care 18:59-67. 2003..Careful evaluation of health technologies in the ICU should be an ongoing priority...
Perioperative cardiac events in patients undergoing noncardiac surgery: a review of the magnitude of the problem, the pathophysiology of the events and methods to estimate and communicate riskP J Devereaux
Department of Medicine, Faculty of Health Sciences, McMaster University, Hamilton, Ont
CMAJ 173:627-34. 2005....
Heparin, low molecular weight heparin, and heparin-induced thrombocytopenia in the ICUTheodore E Warkentin
Hamilton Regional Laboratory Medicine Program, Hamilton Health Sciences, 237 Barton Street East, Hamilton, Ontario L8L 2X2, Canada
Crit Care Clin 21:513-29. 2005..This article describes clinical features of HIT and interpretation of laboratory tests for HIT antibodies from the perspective of the intensive care unit...
Need for expertise based randomised controlled trialsP J Devereaux
Department of Clinical Epidemiology and Biostatistics, McMaster University, 1200 Main Street, West Hamilton ON, Canada L8N 3Z5
BMJ 330:88. 2005
Comparison of mortality between private for-profit and private not-for-profit hemodialysis centers: a systematic review and meta-analysisP J Devereaux
Depatment of Medicine, McMaster University, Faculty of Health Sciences, Hamilton, Ontario, Canada L8N 3Z5
JAMA 288:2449-57. 2002..There has been extensive debate about whether the profit status of these facilities influences patient mortality...
Safety and efficacy of low molecular weight heparins for hemodialysis in patients with end-stage renal failure: a meta-analysis of randomized trialsWendy Lim
Department of Medicine, McMaster University, St. Joseph's Hospital, 50 Charlton Avenue East, Hamilton, Ontario L8N 4A6, Canada
J Am Soc Nephrol 15:3192-206. 2004..However, inferences from these trials assessing anticoagulation for patients who undergo hemodialysis will continue to be weak until larger, more rigorous randomized trials are conducted...
Utilization of platelet transfusions in the intensive care unit: indications, transfusion triggers, and platelet count responsesDonald M Arnold
Department of Medicine, McMaster University, Hamilton, Ontario, Canada
Transfusion 46:1286-91. 2006..A description of current platelet (PLT) transfusion practice in the intensive care unit (ICU) is needed...
Diagnostic and prognostic implications of endotoxemia in critical illness: results of the MEDIC studyJohn C Marshall
University Health Network, University of Toronto, Toronto, Ontario, Canada
J Infect Dis 190:527-34. 2004..Stepwise logistic regression analysis showed that elevated Acute Physiology and Chronic Health Evaluation II score, gram-negative infection, and emergency admission status were independent predictors of EA...
Prognostic value of myocardial perfusion studies in patients with end-stage renal disease assessed for kidney or kidney-pancreas transplantation: a meta-analysisChristian G Rabbat
Department of Medicine, Division of Nephrology, McMaster University, Hamilton, Ontario, Canada
J Am Soc Nephrol 14:431-9. 2003..It is concluded that positive MPS are useful in identifying patients with significantly increased risk of future MI and CD in both diabetic and nondiabetic ESRD patients...
Interrater reliability of APACHE II scores for medical-surgical intensive care patients: a prospective blinded studyMichelle E Kho
Health Research Methodology Program, at McMaster University, Hamilton, Ontario, Canada
Am J Crit Care 16:378-83. 2007..Despite widespread use of the Acute Physiology and Chronic Health Evaluation II (APACHE II), its interrater reliability has not been well studied...
Evaluation of a practice guideline for noninvasive positive-pressure ventilation for acute respiratory failureTasnim Sinuff
Department of Medicine, McMaster University, Hamilton, ON, Canada
Chest 123:2062-73. 2003....
Vitamin K deficiency and D-dimer levels in the intensive care unit: a prospective cohort studyM A Crowther
Department of Medicine, McMaster University, St Joseph s Hospital, Hamilton, Ontario, Canada
Blood Coagul Fibrinolysis 13:49-52. 2002....
Minimizing errors of omission: behavioural reenforcement of heparin to avert venous emboli: the BEHAVE studyJ McMullin
Department of Medicine, McMaster University, Hamilton, ON, Canada
Crit Care Med 34:694-9. 2006..Guideline adherence was maintained 1 yr later. Further research is needed on which are the most effective strategies to implement patient safety initiatives in the intensive care unit...
Regular versus as-needed short-acting inhaled beta-agonist therapy for chronic obstructive pulmonary diseaseD Cook
Department of Medicine, McMaster University, Hamilton, Ontario, Canada
Am J Respir Crit Care Med 163:85-90. 2001..02 (95% CI: -0.20 to 0.24). We found that in patients with COPD, use of regular short-acting inhaled beta-agonists resulted in twice as much beta-agonist use without physiologic or clinical benefit as did use on an as-needed basis...
Withholding and withdrawing life support in critical care settings: ethical issues concerning consentE Gedge
Department of Philosophy, University Hall 310, McMaster University, 1280 Main Street West, Hamilton, Ontario, Canada L8S 4K1
J Med Ethics 33:215-8. 2007..Both the bioethics and critical care communities should investigate the possibilities and limits of growing pressure for doctors to disclose their reasoning or seek patient consent when decisions to withhold life support are made...
Does this patient have deep vein thrombosis?S S Anand
Department of Medicine, McMaster University, Hamilton, Ontario, Canada
JAMA 279:1094-9. 1998..To review the validity of the clinical assessment and diagnostic tests in patients with suspected deep vein thrombosis (DVT)...
Ventilator associated pneumonia: perspectives on the burden of illnessD Cook
Department of Medicine, St Joseph s Hospital, Hamilton, Ontario, Canada
Intensive Care Med 26:S31-7. 2000..The objective of this narrative review is to summarize selected current concepts and clinical evidence regarding the burden of illness of VAP, including its epidemiology, diagnosis, attributable mortality and risk factors...
Influence of airway management on ventilator-associated pneumonia: evidence from randomized trialsD Cook
Department of Medicine, St Joseph s Hospital and McMaster University, Hamilton, Ontario, Canada
JAMA 279:781-7. 1998..Many interventions have been studied to reduce the risk of VAP. We systematically reviewed the influence of airway management on VAP in critically ill patients...
Effects of extended-release metoprolol succinate in patients undergoing non-cardiac surgery (POISE trial): a randomised controlled trialP J Devereaux
McMaster University, Faculty of Health Sciences, Clinical Epidemiology and Biostatistics, Room 2C8, 1200 Main Street West, Hamilton, ON, L8N 3Z5, Canada
Lancet 371:1839-47. 2008..This randomised controlled trial, done in 190 hospitals in 23 countries, was designed to investigate the effects of perioperative beta blockers...
Prevalence, incidence, and risk factors for venous thromboembolism in medical-surgical intensive care unit patientsDeborah J Cook
Department of Medicine, McMaster University, Hamilton, Ontario, Canada L8N 3Z5
J Crit Care 20:309-13. 2005
Central venous catheters and upper-extremity deep-vein thrombosis complicating immune heparin-induced thrombocytopeniaAaron P Hong
Department of Pathology and Molecular Medicine, McMaster University, Hamilton, ON, Canada
Blood 101:3049-51. 2003..0; P =.011). We conclude that a localizing vascular injury (CVC use) and a systemic hypercoagulability disorder (HIT) interact to explain upper-extremity DVT complicating HIT...
