D M Needham

Summary

Affiliation: University of Toronto
Country: Canada

Publications

  1. ncbi request reprint A province-wide study of the association between hospital resource allocation and length of stay
    Dale M Needham
    University of Toronto, Toronto, Canada
    Health Serv Manage Res 16:155-66. 2003
  2. pmc Study protocol: The Improving Care of Acute Lung Injury Patients (ICAP) study
    Dale M Needham
    Johns Hopkins University, 5th Floor, 1830 East Monument Street, Baltimore, MD 21205, USA
    Crit Care 10:R9. 2006
  3. ncbi request reprint Socio-economic, gender and health services factors affecting diagnostic delay for tuberculosis patients in urban Zambia
    D M Needham
    Internal Medicine Residency Program, University of Toronto, Toronto, Canada
    Trop Med Int Health 6:256-9. 2001
  4. ncbi request reprint A systematic review of the Charlson comorbidity index using Canadian administrative databases: a perspective on risk adjustment in critical care research
    Dale M Needham
    Department of Pulmonary and Critical Care Medicine, Johns Hopkins University, Baltimore, MD 21205, USA
    J Crit Care 20:12-9. 2005
  5. ncbi request reprint Studying outcomes of intensive care unit survivors: measuring exposures and outcomes
    Dale M Needham
    Division of Pulmonary and Critical Care Medicine, Johns Hopkins University, Baltimore, MD 21205, USA
    Intensive Care Med 31:1153-60. 2005
  6. pmc Toronto Critical Care Medicine Symposium, 18-20 October 2001, Canada: research breakthroughs are not enough
    D Needham
    University of Toronto, Toronto, Ontario, Canada
    Crit Care 5:329-30. 2001
  7. pmc Pulmonary vs nonpulmonary sepsis and mortality in acute lung injury
    Jonathan E Sevransky
    Division of Pulmonary and Critical Care Medicine, Johns Hopkins University, 5501 Hopkins Bayview Circle, Baltimore, MD 21224, USA
    Chest 134:534-8. 2008
  8. pmc Intensive care unit hypoglycemia predicts depression during early recovery from acute lung injury
    David W Dowdy
    Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
    Crit Care Med 36:2726-33. 2008
  9. pmc Intensive care unit exposures for long-term outcomes research: development and description of exposures for 150 patients with acute lung injury
    Dale M Needham
    Division of Pulmonary and Critical Care Medicine, Johns Hopkins University, Baltimore, MD 21205, USA
    J Crit Care 22:275-84. 2007
  10. ncbi request reprint Hospital volume and mortality for mechanical ventilation of medical and surgical patients: a population-based analysis using administrative data
    Dale M Needham
    Division of Pulmonary and Critical Care Medicine, Johns Hopkins University, Baltimore, MD, USA
    Crit Care Med 34:2349-54. 2006

Collaborators

Detail Information

Publications35

  1. ncbi request reprint A province-wide study of the association between hospital resource allocation and length of stay
    Dale M Needham
    University of Toronto, Toronto, Canada
    Health Serv Manage Res 16:155-66. 2003
    ..Future research should focus on exploring the nature of this relationship and the potential interdependencies among hospital services that cause this effect...
  2. pmc Study protocol: The Improving Care of Acute Lung Injury Patients (ICAP) study
    Dale M Needham
    Johns Hopkins University, 5th Floor, 1830 East Monument Street, Baltimore, MD 21205, USA
    Crit Care 10:R9. 2006
    ....
  3. ncbi request reprint Socio-economic, gender and health services factors affecting diagnostic delay for tuberculosis patients in urban Zambia
    D M Needham
    Internal Medicine Residency Program, University of Toronto, Toronto, Canada
    Trop Med Int Health 6:256-9. 2001
    ..Decentralization of public tuberculosis care and improved integration with private sector health providers may also reduce diagnostic delay...
  4. ncbi request reprint A systematic review of the Charlson comorbidity index using Canadian administrative databases: a perspective on risk adjustment in critical care research
    Dale M Needham
    Department of Pulmonary and Critical Care Medicine, Johns Hopkins University, Baltimore, MD 21205, USA
    J Crit Care 20:12-9. 2005
    ..Future research should focus on updating the Charlson index for recent changes in the prognosis of comorbid diseases and introduction of International Statistical Classification of Diseases, 10th Revision coding of discharge abstracts...
  5. ncbi request reprint Studying outcomes of intensive care unit survivors: measuring exposures and outcomes
    Dale M Needham
    Division of Pulmonary and Critical Care Medicine, Johns Hopkins University, Baltimore, MD 21205, USA
    Intensive Care Med 31:1153-60. 2005
    ..There is little systematic guidance for measuring these outcomes and exposures within the ICU setting. As a result measurement methods are often variable and non-comparable across studies...
  6. pmc Toronto Critical Care Medicine Symposium, 18-20 October 2001, Canada: research breakthroughs are not enough
    D Needham
    University of Toronto, Toronto, Ontario, Canada
    Crit Care 5:329-30. 2001
    ..Furthermore, additional study is needed for an understanding of how physicians implement new research findings. Successful methods of enhancing the widespread adoption of new research require further study...
  7. pmc Pulmonary vs nonpulmonary sepsis and mortality in acute lung injury
    Jonathan E Sevransky
    Division of Pulmonary and Critical Care Medicine, Johns Hopkins University, 5501 Hopkins Bayview Circle, Baltimore, MD 21224, USA
    Chest 134:534-8. 2008
    ..Acute lung injury (ALI) is a frequent complication of sepsis. It is unclear if a pulmonary vs nonpulmonary source of sepsis affects mortality in patients with sepsis-induced ALI...
  8. pmc Intensive care unit hypoglycemia predicts depression during early recovery from acute lung injury
    David W Dowdy
    Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
    Crit Care Med 36:2726-33. 2008
    ..To evaluate the association between intensive care unit blood glucose levels and depression after acute lung injury...
  9. pmc Intensive care unit exposures for long-term outcomes research: development and description of exposures for 150 patients with acute lung injury
    Dale M Needham
    Division of Pulmonary and Critical Care Medicine, Johns Hopkins University, Baltimore, MD 21205, USA
    J Crit Care 22:275-84. 2007
    ..This report describes the development of a strategy for comprehensively measuring relevant exposures for long-term outcomes research, and presents empiric results from its implementation...
  10. ncbi request reprint Hospital volume and mortality for mechanical ventilation of medical and surgical patients: a population-based analysis using administrative data
    Dale M Needham
    Division of Pulmonary and Critical Care Medicine, Johns Hopkins University, Baltimore, MD, USA
    Crit Care Med 34:2349-54. 2006
    ..Our objective is to determine whether hospital volume is associated with improved survival for medical or surgical patients receiving mechanical ventilation...
  11. doi request reprint Psychiatric morbidity in survivors of the acute respiratory distress syndrome: a systematic review
    Dimitry S Davydow
    Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
    Psychosom Med 70:512-9. 2008
    ....
  12. ncbi request reprint A system factors analysis of airway events from the Intensive Care Unit Safety Reporting System (ICUSRS)
    Dale M Needham
    Pulmonary and Critical Care Medicine, and Dana Center for Preventive Ophthalmology Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, MD, USA
    Crit Care Med 32:2227-33. 2004
    ..To evaluate the contributing and limiting factors for airway events reported in the Intensive Care Unit Safety Reporting System (ICUSRS) developed in partnership with the Society of Critical Care Medicine...
  13. ncbi request reprint Studying outcomes of intensive care unit survivors: the role of the cohort study
    David W Dowdy
    School of Medicine, Johns Hopkins University, Baltimore, MD 21205, USA
    Intensive Care Med 31:914-21. 2005
    ..As research focuses on long-term patient outcomes and the "real world" effectiveness of intensive care unit (ICU) therapies, the cohort study is increasingly being used in critical care research...
  14. ncbi request reprint Quality of life in adult survivors of critical illness: a systematic review of the literature
    David W Dowdy
    Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
    Intensive Care Med 31:611-20. 2005
    ..To determine how the quality of life (QOL) of intensive care unit (ICU) survivors compares with the general population, changes over time, and is predicted by baseline characteristics...
  15. ncbi request reprint Mechanical ventilation in Ontario, 1992-2000: incidence, survival, and hospital bed utilization of noncardiac surgery adult patients
    Dale M Needham
    Department of Critical Care Medicine and Medicine, University of Toronto, Toronto, Canada
    Crit Care Med 32:1504-9. 2004
    ..We describe population-based, temporal trends in the incidence, survival, and hospital bed utilization of mechanically ventilated, noncardiac surgery adult patients...
  16. ncbi request reprint The efficacy of sirolimus- and paclitaxel-eluting stents: a meta-analysis of randomized controlled trials
    Michelle M Kittleson
    Department of Medicine, Division of Cardiology, Epidemiology and Clinical Research, John Hopkins Medical Institute, Baltimore, MD, USA
    Can J Cardiol 21:581-7. 2005
    ....
  17. ncbi request reprint Informed consent in the critically ill: a two-step approach incorporating delirium screening
    Eddy Fan
    Interdepartmental Division of Critical Care Medicine, University of Toronto, Toronto, Ontario, Canada
    Crit Care Med 36:94-9. 2008
    ..We describe a two-step process for informed consent and evaluate the natural history of patients' competency by repeated application of this process during their hospitalization...
  18. ncbi request reprint 24-hour intensivist staffing: balancing benefits and costs
    Adam Sapirstein
    Crit Care Med 36:367-8. 2008
  19. ncbi request reprint Troponin I and T levels in renal failure patients without acute coronary syndrome: a systematic review of the literature
    Dale M Needham
    Department of Medicine, University of Toronto, Toronto, Ontario, Canada
    Can J Cardiol 20:1212-8. 2004
    ..Debate surrounds the interpretation of troponin assays for the diagnosis and prognosis of cardiac disease in patients with renal failure...
  20. doi request reprint Patient and intensive care unit organizational factors associated with low tidal volume ventilation in acute lung injury
    Nsikak J Umoh
    Department of Surgery, Geisinger Medical Center, Danville, PA, USA
    Crit Care Med 36:1463-8. 2008
    ..Within the intensive care unit (ICU) setting, low tidal volume ventilation (LTVV) in patients with acute lung injury (ALI) significantly decreases mortality. However, LTVV has not achieved widespread adoption...
  21. ncbi request reprint Mechanical ventilation and disuse atrophy of the diaphragm
    Eddy Fan
    N Engl J Med 359:90-1; author reply 91-2. 2008
  22. doi request reprint The science of quality improvement
    Eddy Fan
    JAMA 300:390-1; author reply 391-2. 2008
  23. ncbi request reprint Patient care seeking barriers and tuberculosis programme reform: a qualitative study
    Dale M Needham
    PO Box 266, Ilderton, Ont, Canada NOM 2AO
    Health Policy 67:93-106. 2004
    ..The patient's perspective and related care seeking barriers should be considered in reviewing existing tuberculosis programmes and policy, evaluating potential programme reform and assessing new tuberculosis interventions...
  24. pmc Deciding who to admit to a critical care unit
    Eddy Fan
    BMJ 335:1103-4. 2007
  25. ncbi request reprint Barriers to low tidal volume ventilation in acute respiratory distress syndrome: survey development, validation, and results
    Cheryl R Dennison
    School of Nursing, Johns Hopkins University, Baltimore, MD, USA
    Crit Care Med 35:2747-54. 2007
    ..To evaluate perceived attitudes, knowledge, and behaviors regarding the use of low tidal volume ventilation in acute respiratory distress syndrome among physicians, nurses, and respiratory therapists in intensive care units...
  26. ncbi request reprint The importance of understanding the costs of critical care and mechanical ventilation
    Dale M Needham
    Crit Care Med 33:1434-5. 2005
  27. ncbi request reprint Ventilatory management of acute lung injury and acute respiratory distress syndrome
    Eddy Fan
    Interdepartmental Division of Critical Care Medicine and Department of Medicine, University of Toronto and University Health Network and Mount Sinai Hospital, Toronto, Ontario, Canada
    JAMA 294:2889-96. 2005
    ..However, despite several important advances, the optimal strategy for ventilation and adjunctive therapies for patients with acute lung injury and acute respiratory distress syndrome is still evolving...
  28. ncbi request reprint Quality of life after acute respiratory distress syndrome: a meta-analysis
    David W Dowdy
    Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
    Intensive Care Med 32:1115-24. 2006
    ..To summarize long-term quality of life (QOL) and the degree of variation in QOL estimates across studies of acute respiratory distress (ARDS) survivors...
  29. ncbi request reprint Projected incidence of mechanical ventilation in Ontario to 2026: Preparing for the aging baby boomers
    Dale M Needham
    Interdepartmental Division of Critical Care Medicine, University of Toronto, Toronto, Canada
    Crit Care Med 33:574-9. 2005
    ..We forecast the future incidence of mechanical ventilation to the year 2026 to understand the impact of aging baby boomers on critical care resources...
  30. ncbi request reprint An intensivist all day, keeps the bad outcomes away
    Eddy Fan
    Crit Care Med 35:286-7. 2007
  31. ncbi request reprint Critically appraise before you believe: the quality of meta-analyses in critical care medicine
    Dale M Needham
    Crit Care Med 35:666-7. 2007
  32. pmc Systematic review identifies number of strategies important for retaining study participants
    Karen A Robinson
    Division of Internal Medicine, School of Medicine, Johns Hopkins University, Baltimore, MD 21287, USA
    J Clin Epidemiol 60:757-65. 2007
    ..We conducted a systematic review of studies with a primary focus on strategies to retain participants in health care research...
  33. ncbi request reprint Neuromuscular dysfunction acquired in critical illness: a systematic review
    Robert D Stevens
    Department of Anesthesiology Critical Care Medicine, Johns Hopkins University School of Medicine, 600 N Wolfe St, Meyer 8 140, Baltimore, MD 21287, USA
    Intensive Care Med 33:1876-91. 2007
    ..To determine the prevalence, risk factors, and outcomes of critical illness neuromuscular abnormalities (CINMA)...
  34. ncbi request reprint The role of future longitudinal studies in ICU survivors: understanding determinants and pathophysiology of weakness and neuromuscular dysfunction
    Catherine L Hough
    Department of Medicine, University of Washington, Seattle, Washington, USA
    Curr Opin Crit Care 13:489-96. 2007
    ..The goals of this review are to discuss the pathophysiology and determinants of muscle weakness and neuromuscular dysfunction after critical illness, and to offer thoughts regarding the role of future longitudinal studies in this area...
  35. doi request reprint Mobilizing patients in the intensive care unit: improving neuromuscular weakness and physical function
    Dale M Needham
    Division of Pulmonary and Critical Care Medicine, and Department of Physical Medicine and Rehabilitation, Johns Hopkins University, Baltimore, Maryland 21205, USA
    JAMA 300:1685-90. 2008
    ..Emerging research in this field provides preliminary evidence supporting the safety, feasibility, and potential benefits of early mobilization in critical care medicine...