Anna Peeler
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View article: Confronting global inequities in palliative care
Confronting global inequities in palliative care Open
The number of people dying with preventable, serious health-related suffering is rapidly increasing, and international calls for the expansion of palliative care services have been made, such as the World Health Assembly Resolution 67.19, …
View article: Primary palliative care in low- and middle-income countries: A systematic review and thematic synthesis of the evidence for models and outcomes
Primary palliative care in low- and middle-income countries: A systematic review and thematic synthesis of the evidence for models and outcomes Open
Background: Serious health-related suffering is predicted to double in low- and middle-income countries by 2060. Primary care offers the best opportunity to meet Universal Health Coverage in an equitable way. Primary palliative care growth…
View article: Living with multimorbidity: A qualitative exploration of shared experiences of patients, family caregivers, and healthcare professionals in managing symptoms in the United States
Living with multimorbidity: A qualitative exploration of shared experiences of patients, family caregivers, and healthcare professionals in managing symptoms in the United States Open
Aims To elicit experiences of patients, family caregivers, and healthcare professionals in intermediate care units (IMCUs) in an academic medical centre in Baltimore, MD related to the challenges and intricacies of multimorbidity managemen…
View article: Grassroots and Digital Outreach Strategies Raise Awareness of COVID-19 Information and Research in Baltimore City
Grassroots and Digital Outreach Strategies Raise Awareness of COVID-19 Information and Research in Baltimore City Open
We aimed to disseminate reliable COVID-19 information to the Black and Latino communities of Baltimore City, Maryland, between July 2020 and December 2022. With community partners, we disseminated evidence-based COVID-19 information via gr…
View article: Trends in the Utilization of Herbal and Dietary Supplements in Patients with Chronic Liver Disease During the SARS-CoV2 Pandemic.
Trends in the Utilization of Herbal and Dietary Supplements in Patients with Chronic Liver Disease During the SARS-CoV2 Pandemic. Open
Healthcare providers should be mindful of potential HDS use in patients with CLD.
View article: Feasibility of a Multi-Component Strengths-Building Intervention for Caregivers of Persons With Heart Failure
Feasibility of a Multi-Component Strengths-Building Intervention for Caregivers of Persons With Heart Failure Open
Caregivers of persons with heart failure (HF) navigate complex care plans, yet support strategies often focus solely on meeting the needs of patients. We conducted a randomized waitlist control trial ( N = 38) to test the feasibility and g…
View article: Palliative Care Utilization in Patients Requiring Extracorporeal Membrane Oxygenation: An Observational Study
Palliative Care Utilization in Patients Requiring Extracorporeal Membrane Oxygenation: An Observational Study Open
Palliative care (PC) is a model of care centered around improving the quality of life for individuals with life-limiting illnesses. Few studies have examined its impact in patients on extracorporeal membrane oxygenation (ECMO). We aimed to…
View article: Public health palliative care interventions that enable communities to support people who are dying and their carers: a scoping review of studies that assess person-centered outcomes
Public health palliative care interventions that enable communities to support people who are dying and their carers: a scoping review of studies that assess person-centered outcomes Open
Background Public health palliative care views communities as an integral part of care delivery at the end of life. This community-provider partnership approach has the potential to improve end-of-life care for people who are dying and the…
View article: Characteristics of delirium and its association with sedation and in-hospital mortality in patients with COVID-19 on veno-venous extracorporeal membrane oxygenation
Characteristics of delirium and its association with sedation and in-hospital mortality in patients with COVID-19 on veno-venous extracorporeal membrane oxygenation Open
Background Veno-venous extracorporeal membrane oxygenation (VV-ECMO) has been used in patients with COVID-19 acute respiratory distress syndrome (ARDS). We aim to assess the characteristics of delirium and describe its association with sed…
View article: Female Recruitment Into Cardiovascular Disease Trials
Female Recruitment Into Cardiovascular Disease Trials Open
Women are underrepresented in cardiovascular (CV) clinical trials, which may contribute to disease management and health equity barriers.1Cho L Vest AR O'Donoghue ML Ogunniyi MO Sarma AA Denby KJ Lau ES Poole JE Lindley KJ Mehran R Cardiov…
View article: Experiences with recruitment and retention of adolescents and emerging adults in a weight loss intervention trial
Experiences with recruitment and retention of adolescents and emerging adults in a weight loss intervention trial Open
Background/Aims: Efficient and effective participant recruitment is key for successful clinical research. Adolescent and emerging adult recruitment into clinical trials can be particularly challenging, especially when targeting underrepres…
View article: Characteristics of Delirium and Its Association with Sedation and In-Hospital Mortality in COVID-19 Patients on Veno-venous Extracorporeal Membrane Oxygenation
Characteristics of Delirium and Its Association with Sedation and In-Hospital Mortality in COVID-19 Patients on Veno-venous Extracorporeal Membrane Oxygenation Open
Background Veno-venous extracorporeal membrane oxygenation (VV-ECMO) has been used in patients with COVID-19 acute respiratory distress syndrome (ARDS). We aim to assess the characteristics of delirium and describe its association with sed…
View article: Management of Anticoagulation Therapy in ECMO-Associated Ischemic Stroke and Intracranial Hemorrhage
Management of Anticoagulation Therapy in ECMO-Associated Ischemic Stroke and Intracranial Hemorrhage Open
Objective: Despite the common occurrence of extracorporeal membrane oxygenation (ECMO)–associated acute ischemic stroke (AIS) and intracranial hemorrhage (ICH), there are little data to guide optimal anticoagulation management. We sought t…
View article: LIVING WITH MULTIMORBIDITY: SHARED EXPERIENCES OF PATIENTS, FAMILY CAREGIVERS, AND HEALTHCARE PROFESSIONALS
LIVING WITH MULTIMORBIDITY: SHARED EXPERIENCES OF PATIENTS, FAMILY CAREGIVERS, AND HEALTHCARE PROFESSIONALS Open
Over 50% of patients in intermediate care units (IMCU) present with multimorbidity, two or more chronic conditions. Balancing the effects of multimorbidity and their treatments with quality-of-life can be a challenge. This experience-based…
View article: Living with multiple chronic conditions: How we achieve holistic care and optimize health outcomes
Living with multiple chronic conditions: How we achieve holistic care and optimize health outcomes Open
Editorials are opinion pieces. This piece has not been subject to peer review and the opinions expressed are those of the authors. None of the authors have relevant political or other affiliations to declare.
View article: Transcranial Doppler microemboli and acute brain injury in extracorporeal membrane oxygenation: A prospective observational study
Transcranial Doppler microemboli and acute brain injury in extracorporeal membrane oxygenation: A prospective observational study Open
TCD analysis in a large cohort of patients on ECMO demonstrates a significant number of MES, especially in patients on VA-ECMO with intra-aortic balloon pump, and/or left ventricular assist device. However, clinical associations and signif…
View article: 153 Caregiving burden and resilience: a mixed methods analysis in dyads managing a VAD in the home
153 Caregiving burden and resilience: a mixed methods analysis in dyads managing a VAD in the home Open
OBJECTIVES/GOALS: Caregivers of patients with ventricular assist devices (VAD) are invaluable contributors to patient health, but they may experience psychological symptoms or worsening quality of life related to caregiving. We aimed to ex…
View article: Recruitment of Black Adults into Cardiovascular Disease Trials
Recruitment of Black Adults into Cardiovascular Disease Trials Open
Background Although disproportionately affected by cardiovascular disease, Black adults remain underrepresented in clinical trials. The National Institutes of Health recommends that studies define goals for recruitment of underrepresented …
View article: Frailty as a Predictor of Postoperative Outcomes in Invasive Cardiac Surgery
Frailty as a Predictor of Postoperative Outcomes in Invasive Cardiac Surgery Open
Objectives Frailty is a syndrome characterized by increased vulnerability and reduced ability to maintain homeostasis after stressful events that results in an increased risk for poor outcomes. Frailty screening could potentially be valuab…
View article: “Talking Around It”
“Talking Around It” Open
Background Vital components of communicating goals of care and preferences include eliciting the patient and caregiver's definition of quality of life, understanding meaningful activities and relationships, and exploring wishes for care at…
View article: Sociodemographic Disparities in Access to Hospice and Palliative Care: An Integrative Review
Sociodemographic Disparities in Access to Hospice and Palliative Care: An Integrative Review Open
Background: There is growing evidence of disparities in access to hospice and palliative care services to varying degrees by sociodemographic groups. Underlying factors contributing to access issues have received little systematic attentio…
View article: Centralized registry for COVID-19 research recruitment: Design, development, implementation, and preliminary results
Centralized registry for COVID-19 research recruitment: Design, development, implementation, and preliminary results Open
Background: The Coronavirus Disease 2019 (COVID-19) pandemic has had substantial global morbidity and mortality. Clinical research related to prevention, diagnosis, and treatment of COVID-19 is a top priority. Effective and efficient recru…