Christopher E. Cox
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View article: Desarrangements revisited: statistics and pattern avoidance
Desarrangements revisited: statistics and pattern avoidance Open
A desarrangement is a permutation whose first ascent is even. Desarrangements were introduced in the 1980s by Jacques Désarménien, who proved that they are in bijection with derangements. We revisit the study of desarrangements, focusing o…
View article: A Thematic Analysis of Family Perspectives on Traumatic Stress and Critical Illness of a Loved One
A Thematic Analysis of Family Perspectives on Traumatic Stress and Critical Illness of a Loved One Open
View article: Nurses' Role in Transitional Care During Intensive Care Unit Family Meetings for Patients With Prolonged Mechanical Ventilation
Nurses' Role in Transitional Care During Intensive Care Unit Family Meetings for Patients With Prolonged Mechanical Ventilation Open
Aim To describe nurses' roles in transitional care planning during intensive care unit (ICU) family meetings for patients with prolonged mechanical ventilation (PMV). Design A qualitative descriptive study. Methods Using secondary data fro…
View article: Exploring Racial Differences in Family Expressions of Emotion and Clinician Empathy in ICU Family Meetings
Exploring Racial Differences in Family Expressions of Emotion and Clinician Empathy in ICU Family Meetings Open
View article: Racial Differences in Temporal Thermometry and Association with Delayed Sepsis Bundle Care
Racial Differences in Temporal Thermometry and Association with Delayed Sepsis Bundle Care Open
Importance Early identification of fever or hypothermia is crucial for diagnosing sepsis. Despite their increased use across healthcare systems, concerns have been raised about the accuracy of temporal thermometers among Black patients. Ob…
View article: “They Just Don’t Get Around to It”
“They Just Don’t Get Around to It” Open
Background: Lung cancer screening (LCS) rates are low across the United States, with substantial disparities in availability and uptake. This trend is also reflected in the Veterans Affairs Healthcare System. We aimed to understand clinici…
View article: A Descriptive Qualitative Study of Religion and Spirituality’s Role in Critical Illness Decision-Making Among Black and White Family Caregivers
A Descriptive Qualitative Study of Religion and Spirituality’s Role in Critical Illness Decision-Making Among Black and White Family Caregivers Open
View article: A Descriptive Qualitative Study of Religion and Spirituality's Role in Critical Illness Decision Making among Black and White Family Caregivers
A Descriptive Qualitative Study of Religion and Spirituality's Role in Critical Illness Decision Making among Black and White Family Caregivers Open
View article: Shared Decision-Making Communication and Prognostic Misunderstanding in the ICU
Shared Decision-Making Communication and Prognostic Misunderstanding in the ICU Open
Importance Surrogate misunderstanding of patient survival prognosis in the intensive care unit (ICU) is associated with poor patient and surrogate outcomes. Shared decision-making (SDM) may reduce misunderstanding. Objective To evaluate th…
View article: European Society of Intensive Care Medicine guidelines on end of life and palliative care in the intensive care unit
European Society of Intensive Care Medicine guidelines on end of life and palliative care in the intensive care unit Open
View article: Desarrangements revisited: statistics and pattern avoidance
Desarrangements revisited: statistics and pattern avoidance Open
A desarrangement is a permutation whose first ascent is even. Desarrangements were introduced in the 1980s by Jacques Désarménien, who proved that they are in bijection with derangements. We revisit the study of desarrangements, focusing o…
View article: Talking About Suffering in the Intensive Care Unit
Talking About Suffering in the Intensive Care Unit Open
Our results did not support the claim that the term "suffering" and its variants are used primarily by clinicians to justify limiting treatment, and the terms were not commonly used in our sample when decisions were requested. Still, when …
View article: Utility of Skin Tone on Pulse Oximetry in Critically Ill Patients: A Prospective Cohort Study
Utility of Skin Tone on Pulse Oximetry in Critically Ill Patients: A Prospective Cohort Study Open
OBJECTIVE: Pulse oximetry, a ubiquitous vital sign in modern medicine, has inequitable accuracy that disproportionately affects minority Black and Hispanic patients, with associated increases in mortality, organ dysfunction, and oxygen the…
View article: ENCoDE – a skin tone and clinical dataset from a prospective trial on acute care patients
ENCoDE – a skin tone and clinical dataset from a prospective trial on acute care patients Open
Background Although hypothesized to be the root cause of the pulse oximetry disparities, skin tone and its use for improving medical therapies have yet to be extensively studied. Studies previously used self-reported race as a proxy variab…
View article: Barriers and Facilitators Impacting Lung Cancer Screening Uptake Among Black Veterans: A Qualitative Study
Barriers and Facilitators Impacting Lung Cancer Screening Uptake Among Black Veterans: A Qualitative Study Open
Background: Racial disparities in lung cancer screening (LCS) are well established. Black Veterans are among those at the highest risk for developing lung cancer but are less likely to complete LCS. We sought to identify barriers and facil…
View article: EMPOWER: A Multi-Site Pilot Trial to Reduce Distress in Surrogate Decision-Makers in the ICU
EMPOWER: A Multi-Site Pilot Trial to Reduce Distress in Surrogate Decision-Makers in the ICU Open
View article: Mobile App-Based Mindfulness Intervention for Addressing Psychological Distress Among Survivors of Hospitalization for COVID-19 Infection
Mobile App-Based Mindfulness Intervention for Addressing Psychological Distress Among Survivors of Hospitalization for COVID-19 Infection Open
ClinicalTrials.gov; No.: NCT04581200; URL: www.clinicaltrials.gov.
View article: Systematic Literature Review of Health-Related Quality-of-Life Measures for Caregivers of Older Adult Trauma Patients
Systematic Literature Review of Health-Related Quality-of-Life Measures for Caregivers of Older Adult Trauma Patients Open
View article: Utility of skin tone on pulse oximetry in critically ill patients: a prospective cohort study
Utility of skin tone on pulse oximetry in critically ill patients: a prospective cohort study Open
Importance Pulse oximetry, a ubiquitous vital sign in modern medicine, has inequitable accuracy that disproportionately affects Black and Hispanic patients, with associated increases in mortality, organ dysfunction, and oxygen therapy. Alt…
View article: Racial Differences in Shared Decision-Making About Critical Illness
Racial Differences in Shared Decision-Making About Critical Illness Open
Importance Shared decision-making is the preferred method for evaluating complex tradeoffs in the care of patients with critical illness. However, it remains unknown whether critical care clinicians engage diverse patients and caregivers e…
View article: More sedation? no problem! increasing utilization of a sedation service.
More sedation? no problem! increasing utilization of a sedation service. Open
View article: Mobile Application–Based Communication Facilitation Platform for Family Members of Critically Ill Patients
Mobile Application–Based Communication Facilitation Platform for Family Members of Critically Ill Patients Open
Importance Unmet and racially disparate palliative care needs are common in intensive care unit (ICU) settings. Objective To test the effect of a primary palliative care intervention vs usual care control both overall and by family member …
View article: Defining the Time-limited Trial for Patients with Critical Illness: An Official American Thoracic Society Workshop Report
Defining the Time-limited Trial for Patients with Critical Illness: An Official American Thoracic Society Workshop Report Open
In critical care, the specific, structured approach to patient care known as a "time-limited trial" has been promoted in the literature to help patients, surrogate decision makers, and clinicians navigate consequential decisions about life…
View article: Going beyond the means: Exploring the role of bias from digital determinants of health in technologies
Going beyond the means: Exploring the role of bias from digital determinants of health in technologies Open
Background In light of recent retrospective studies revealing evidence of disparities in access to medical technology and of bias in measurements, this narrative review assesses digital determinants of health (DDoH) in both technologies an…
View article: BARRIERS AND FACILITATORS OF LUNG CANCER SCREENING UPTAKE AMONG BLACK VETERANS
BARRIERS AND FACILITATORS OF LUNG CANCER SCREENING UPTAKE AMONG BLACK VETERANS Open
View article: Digital solutions and the future of recovery after critical illness
Digital solutions and the future of recovery after critical illness Open
Purpose of review Digital technologies may address known physical and psychological barriers to recovery experienced by intensive care survivors following hospital discharge and provide solutions to care fragmentation and unmet needs. The …
View article: Neighborhood socioeconomic deprivation, healthcare access, and 30-day mortality and readmission after sepsis or critical illness: findings from a nationwide study
Neighborhood socioeconomic deprivation, healthcare access, and 30-day mortality and readmission after sepsis or critical illness: findings from a nationwide study Open
Background To determine if neighborhood socioeconomic deprivation independently predicts 30-day mortality and readmission for patients with sepsis or critical illness after adjusting for individual poverty, demographics, comorbidity burden…
View article: Racial Disparities in Lung Cancer Screening Among Veterans, 2013 to 2021
Racial Disparities in Lung Cancer Screening Among Veterans, 2013 to 2021 Open
Importance Racial disparities in lung cancer screening (LCS) are often ascribed to barriers such as cost, insurance status, access to care, and transportation. Because these barriers are minimized within the Veterans Affairs system, there …
View article: Mobile Mindfulness for Psychological Distress and Burnout among Frontline COVID-19 Nurses: A Pilot Randomized Trial
Mobile Mindfulness for Psychological Distress and Burnout among Frontline COVID-19 Nurses: A Pilot Randomized Trial Open
Rationale: The coronavirus disease (COVID-19) pandemic exacerbated psychological distress and burnout in frontline healthcare workers. Interventions addressing psychological distress and burnout among these workers are lacking. O…
View article: Racial Differences in Physicians’ Shared Decision-Making Behaviors during Intensive Care Unit Family Meetings
Racial Differences in Physicians’ Shared Decision-Making Behaviors during Intensive Care Unit Family Meetings Open
"Racial Differences in Physicians' Shared Decision-Making Behaviors during Intensive Care Unit Family Meetings." Annals of the American Thoracic Society, 20(5), pp. 759–762