Amy T. Hsu
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Demographic, Socioeconomic, and Clinical Determinants of Repeat Suicide Attempts: A Retrospective Study of Emergency Department Visits at a Community Hospital Open
Suicide is a critical public health issue in the United States, yet research is lacking on understanding the population that visits the Emergency Department (ED) for repeated suicide attempts (SA) and self-harm (SH). Aims: Our aims are to …
View article: Cardiovascular disease as a mediator in the relationship between lifestyle risk factors and cognitive outcomes: a scoping review
Cardiovascular disease as a mediator in the relationship between lifestyle risk factors and cognitive outcomes: a scoping review Open
Dementia is a major global health challenge and lifestyle modification is a key prevention strategy. Cardiovascular disease (CVD) is hypothesized to mediate lifestyle–dementia relationships, but empirical evidence is unclear. Mediation ana…
View article: Navigating (Long-Term) Care in Crisis: A Critical Ethnography of Care Partners in a Pandemic
Navigating (Long-Term) Care in Crisis: A Critical Ethnography of Care Partners in a Pandemic Open
The COVID-19 pandemic highlighted significant vulnerabilities in long-term care (LTC) homes, severely impacting residents and care partners. This study investigates how care partners of older adults living in Ontario LTC homes perceived re…
View article: Can Pictograms Help Older Adults to Assess Their Own Level of Functional Capacity? Using Human Centered Design Methods to Develop and Validate Pictograms for the Functional Assessment of Activities of Daily Living
Can Pictograms Help Older Adults to Assess Their Own Level of Functional Capacity? Using Human Centered Design Methods to Develop and Validate Pictograms for the Functional Assessment of Activities of Daily Living Open
Despite the potential value of image-based tools, and the fact that self-reported functional status has been shown to be reliable and have predictive validity, few visual-based assessment tools, or mixed-modality tools incorporating pictog…
View article: Correction: Derivation and validation of an algorithm to predict transitions from community to residential long-term care among persons with dementia—A retrospective cohort study
Correction: Derivation and validation of an algorithm to predict transitions from community to residential long-term care among persons with dementia—A retrospective cohort study Open
[This corrects the article DOI: 10.1371/journal.pdig.0000441.].
A multinational cohort study of trends in survival following dementia diagnosis Open
This study shows a steady trend of decreasing risk of mortality in five out of eight databases, which signals the potential positive effect of dementia plans and associated policies and provides reference for future policy evaluation.
View article: Cognitive and Functional Decline Among Long-Term Care Residents
Cognitive and Functional Decline Among Long-Term Care Residents Open
Importance Care decisions for long-term care (LTC) residents should be frailty-informed to maximize well-being and avoid burdensome treatments that do not align with patient wishes. Objective To investigate the incidence and time spent liv…
Clinical prediction tools for patient-reported outcomes in gastrointestinal cancer: a scoping review protocol Open
Background Gastrointestinal (GI) cancers are among the most significant contributors to the global cancer burden, causing substantial physical and emotional distress. Effective management of patient-reported outcomes (PROs) is essential fo…
View article: Development of a predictive model for loss of functional and cognitive abilities in long-term care home residents: a protocol
Development of a predictive model for loss of functional and cognitive abilities in long-term care home residents: a protocol Open
Introduction Long-term care (LTC) residents require extensive assistance with daily activities due to physical and cognitive impairments. Medical treatment for LTC residents, when not aligned with residents’ wishes, can cause discomfort wi…
View article: Transfer from long-term care to acute care and risk of new permanent cognitive or physical disability among long-term care residents in Canada: protocol for a retrospective cohort study
Transfer from long-term care to acute care and risk of new permanent cognitive or physical disability among long-term care residents in Canada: protocol for a retrospective cohort study Open
Introduction Long-term care (LTC) residents are frequently transferred to acute care hospitals. Transfer decisions should align with residents’ wishes and goals. Decision to transfer to hospital, when not aligned with the resident’s wishes…
Effectiveness of the Sub-Acute Care for Frail Elderly (SAFE) Transitional Care Unit on Short-Term Functional Independence in Frail Older Patients Discharged from Hospital Open
Background Transitional care programs help improve continuity of care and post-discharge outcomes for frail older adults who are hospitalized. In this study, we examined the effectiveness of a transitional care model, based in a long-term …
View article: Development and Validation of a Survival Prediction Model for Patients With Pancreatic Cancer
Development and Validation of a Survival Prediction Model for Patients With Pancreatic Cancer Open
INTRODUCTION: Patients with pancreatic ductal adenocarcinoma (PDAC) face challenging treatment decisions following their diagnosis. We developed and validated a survival prognostication model using routinely available clinical information,…
Using eConsult to access specialist advice for persons living with dementia – A cross-sectional analysis Open
CONTEXT: Dementia affects nearly half a million Canadians. Though dementia can be managed in primary care, the complexity of the condition and high prevalence of multimorbidity often require advice from a variety of specialists. Travel to …
View article: Derivation and validation of an algorithm to predict transitions from community to residential long-term care among persons with dementia—A retrospective cohort study
Derivation and validation of an algorithm to predict transitions from community to residential long-term care among persons with dementia—A retrospective cohort study Open
Objectives To develop and validate a model to predict time-to-LTC admissions among individuals with dementia. Design Population-based retrospective cohort study using health administrative data. Setting and participants Community-dwelling …
From Compliance to Care: Qualitative Findings from a Survey of Essential Caregivers in Ontario Long-Term Care Homes Open
Background The COVID-19 pandemic highlighted the importance of the care provided by family members and close friends to older people living in long-term care (LTC) homes. Our implementation science team helped three Ontario LTC homes to im…
View article: Building evidence to advance health equity: a systematic review on care-related outcomes for older, minoritised populations in long-term care homes
Building evidence to advance health equity: a systematic review on care-related outcomes for older, minoritised populations in long-term care homes Open
Background Advancing health equity requires more contextualised evidence. Objectives To synthesise published evidence using an existing framework on the origins of health disparities and determine care-related outcome disparities for resid…
View article: Derivation and validation of a mortality risk prediction model in older adults needing home care: Updating the RESPECT (Risk Evaluation for Support: Predictions for Elder-Life in their Communities Tool) algorithm for use with data from the interRAI Home Care Assessment System
Derivation and validation of a mortality risk prediction model in older adults needing home care: Updating the RESPECT (Risk Evaluation for Support: Predictions for Elder-Life in their Communities Tool) algorithm for use with data from the interRAI Home Care Assessment System Open
Background Despite an increasing number of risk prediction models being developed within the healthcare space, few have been widely adopted and evaluated in clinical practice. RESPECT, a mortality risk communication tool powered by a predi…
View article: Estimated mortality risk and use of palliative care services among home care clients during the last 6 months of life: a retrospective cohort study
Estimated mortality risk and use of palliative care services among home care clients during the last 6 months of life: a retrospective cohort study Open
Many older adults in Ontario do not receive any palliative home care before death. Prognostic tools such as RESPECT may improve recognition of reduced life expectancies and palliative care needs of individuals in their final years of life.
View article: A312 FACTORS ASSOCIATED WITH PHYSICAL SYMPTOM BURDEN AMONG PATIENTS WITH PANCREATIC CANCER
A312 FACTORS ASSOCIATED WITH PHYSICAL SYMPTOM BURDEN AMONG PATIENTS WITH PANCREATIC CANCER Open
Background Patients with pancreatic ductal adenocarcinoma (PDAC) experience substantial physical symptoms. Factors associated with symptom burden in PDAC are not well described. Aims To evaluate risk factors for symptoms assessed through t…
The cost-effectiveness of a nursing home-based transitional care unit for increasing the potential for independent living in the community among hospitalized older adults Open
In Canada, a persistent barrier to achieving healthcare system efficiency has been patient days accumulated by individuals with an alternate level of care (ALC) designation. Transitional care units (TCUs) may address the capacity pressures…
THE COGNITION IN PRIMARY CARE PROGRAM: A STEP-BY-STEP CLINIC WORKFLOW PUTTING THE GSA KAER TOOLKIT INTO ACTION Open
In 2020 University of Washington (UW) Medicine began developing Cognition in Primary Care (CPC), a quality improvement program adapting the GSA KAER Toolkit to help primary care providers (PCPs) detect patients with cognitive impairment in…
View article: Nurse practitioner and physician end-of-life home visits and end-of-life outcomes
Nurse practitioner and physician end-of-life home visits and end-of-life outcomes Open
Objectives Physicians and nurse practitioners (NPs) play critical roles in supporting palliative and end-of-life care in the community. We examined healthcare outcomes among patients who received home visits from physicians and NPs in the …
View article: RESPECT for person-centred palliative and end-of-life care in Ontario’s long-term care homes
RESPECT for person-centred palliative and end-of-life care in Ontario’s long-term care homes Open
CONTEXT: Increasingly, more and more Canadians spend their final days in supportive living environments, such as retirement homes and long-term care (LTC) homes. Despite the average life expectancy of 18 months among those living in LTC, a…
View article: At the Epicentre of the COVID-19 Pandemic in Canada: Experiences and Recommendations of Family Care Partners of an Older Person Living in a Long-Term Care Home
At the Epicentre of the COVID-19 Pandemic in Canada: Experiences and Recommendations of Family Care Partners of an Older Person Living in a Long-Term Care Home Open
The roles of family care partners of older persons living in long-term care homes (LTCH) were severely disrupted during the coronavirus disease (COVID-19) pandemic. Our aim was to describe their experiences and to solicit their recommendat…
Understanding COVID-19 Vaccine Education for Long-Term Care Workers: An Environmental Scan Open
Aim: We sought to understand educational interventions delivered to long-term care home staff in Ontario, Canada, about COVID-19 vaccines. Background: Vaccinating staff in long-term care homes is critical to protecting workers and vulnerab…