David Y. Hwang
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View article: Organ Procurement Organization Approach of ICU Families in Person Versus by Phone for Donation Authorization
Organ Procurement Organization Approach of ICU Families in Person Versus by Phone for Donation Authorization Open
OBJECTIVES: Due to hospital visitor restriction policies, the COVID-19 pandemic forced many conversations between ICU patients’ families and organ procurement organizations (OPOs) to be conducted by phone, as opposed to in-person. We aimed…
View article: Correction: Common Data Elements for Disorders of Consciousness: Recommendations from the Working Group on Goals-of-Care and Family/Surrogate Decision-Maker Data
Correction: Common Data Elements for Disorders of Consciousness: Recommendations from the Working Group on Goals-of-Care and Family/Surrogate Decision-Maker Data Open
View article: Common Data Elements for Disorders of Consciousness: Recommendations from the Working Group on Outcomes and Endpoints
Common Data Elements for Disorders of Consciousness: Recommendations from the Working Group on Outcomes and Endpoints Open
The DoC outcome and endpoint CDEs are a starting point in the broader effort to standardize outcome evaluation of persons with DoC. The ultimate goal is to harmonize DoC studies and allow for more precise assessment of outcomes after sever…
View article: Guidelines for Neuroprognostication in Critically Ill Adults with Moderate–Severe Traumatic Brain Injury
Guidelines for Neuroprognostication in Critically Ill Adults with Moderate–Severe Traumatic Brain Injury Open
Background Moderate–severe traumatic brain injury (msTBI) carries high morbidity and mortality worldwide. Accurate neuroprognostication is essential in guiding clinical decisions, including patient triage and transition to comfort measures…
View article: Guidelines for neuroprognostication in adults with traumatic spinal cord injury
Guidelines for neuroprognostication in adults with traumatic spinal cord injury Open
Background Traumatic spinal cord injury (tSCI) impacts patients and their families acutely and often for the long term. The ability of clinicians to share prognostic information about mortality and functional outcomes allows patients and t…
View article: Guidelines for Neuroprognostication in Critically Ill Adults with Intracerebral Hemorrhage
Guidelines for Neuroprognostication in Critically Ill Adults with Intracerebral Hemorrhage Open
View article: A Mindfulness-Based Resiliency Program for Caregivers of Patients With Severe Acute Brain Injury Transitioning Out of Critical Care: Protocol for an Open Pilot Trial
A Mindfulness-Based Resiliency Program for Caregivers of Patients With Severe Acute Brain Injury Transitioning Out of Critical Care: Protocol for an Open Pilot Trial Open
Background Caregivers of patients with severe acute brain injuries (SABI) that lead to coma and require intensive care unit (ICU) treatment often experience chronic emotional distress. To address this need, we developed the Coma Family (CO…
View article: Comparison of Early versus Standard Timing of Tracheostomy in Patients with Severe Stroke and Breathing Failure – The SETPOINT 2 Study
Comparison of Early versus Standard Timing of Tracheostomy in Patients with Severe Stroke and Breathing Failure – The SETPOINT 2 Study Open
results when considering treatment to support breathing after severe stroke.
View article: Author Correction: Guidelines for Neuroprognostication in Adults with Guillain–Barré Syndrome
Author Correction: Guidelines for Neuroprognostication in Adults with Guillain–Barré Syndrome Open
View article: Impact of the COVID-19 Pandemic on Inpatient Utilization for Acute Neurologic Disease
Impact of the COVID-19 Pandemic on Inpatient Utilization for Acute Neurologic Disease Open
Background and Objective: The initial months of the Corona Virus 2019 (COVID-19) pandemic resulted in decreased hospitalizations. We aimed to describe differences in hospitalizations and related procedures across neurologic disease. Method…
View article: Thematic Analysis of Psychosocial Stressors and Adaptive Coping Strategies Among Informal Caregivers of Patients Surviving ICU Admission for Coma
Thematic Analysis of Psychosocial Stressors and Adaptive Coping Strategies Among Informal Caregivers of Patients Surviving ICU Admission for Coma Open
View article: Common Data Elements for Disorders of Consciousness: Recommendations from the Working Group on Goals-of-care and Family/Surrogate Decision-Maker Data
Common Data Elements for Disorders of Consciousness: Recommendations from the Working Group on Goals-of-care and Family/Surrogate Decision-Maker Data Open
Introduction: In order to facilitate comparative research, it is essential for the fields of neurocritical care and rehabilitation to establish common data elements (CDE) for disorders of consciousness (DoC). Our objective was to identify …
View article: Correction to: Guidelines for Neuroprognostication in Adults with Guillain–Barré Syndrome
Correction to: Guidelines for Neuroprognostication in Adults with Guillain–Barré Syndrome Open
View article: Developing DELPHI expert consensus rules for a digital twin model of acute stroke care in the neuro critical care unit
Developing DELPHI expert consensus rules for a digital twin model of acute stroke care in the neuro critical care unit Open
Introduction Digital twins, a form of artificial intelligence, are virtual representations of the physical world. In the past 20 years, digital twins have been utilized to track wind turbines' operations, monitor spacecraft's status, and e…
View article: Guidelines for Neuroprognostication in Adults with Guillain–Barré Syndrome
Guidelines for Neuroprognostication in Adults with Guillain–Barré Syndrome Open
Background Guillain–Barré syndrome (GBS) often carries a favorable prognosis. Of adult patients with GBS, 10–30% require mechanical ventilation during the acute phase of the disease. After the acute phase, the focus shifts to restoration o…
View article: Guidelines for Neuroprognostication in Adults with Guillain–Barré Syndrome
Guidelines for Neuroprognostication in Adults with Guillain–Barré Syndrome Open
Background Guillain–Barré syndrome (GBS) often carries a favorable prognosis. Of adult patients with GBS, 10–30% require mechanical ventilation during the acute phase of the disease. After the acute phase, the focus shifts to restoration o…
View article: Guidelines for Neuroprognostication in Comatose Adult Survivors of Cardiac Arrest
Guidelines for Neuroprognostication in Comatose Adult Survivors of Cardiac Arrest Open
Background Among cardiac arrest survivors, about half remain comatose 72 h following return of spontaneous circulation (ROSC). Prognostication of poor neurological outcome in this population may result in withdrawal of life-sustaining ther…
View article: Implementation of a Standardized Shared Decision-making Bundle to Improve Communication Practices in the Neurocritical Care Unit
Implementation of a Standardized Shared Decision-making Bundle to Improve Communication Practices in the Neurocritical Care Unit Open
A team-driven, standardized SDM bundle that integrates with health care team workflows enabled SDM conversations to occur earlier and resulted in improved documentation of SDM conversations. Team-driven SDM bundles have the potential to im…
View article: Psychological Attachment Orientation and Long-Term Posttraumatic Stress Symptoms Among Family Members of ICU Patients
Psychological Attachment Orientation and Long-Term Posttraumatic Stress Symptoms Among Family Members of ICU Patients Open
OBJECTIVES: To determine the degree to which an ICU patient’s family member having an “anxious” psychologic attachment orientation is a risk factor for developing long-term posttraumatic stress disorder (PTSD) symptoms following patient IC…
View article: Pilot Randomized Clinical Trial of a Goals-of-Care Decision Aid for Surrogates of Patients With Severe Acute Brain Injury
Pilot Randomized Clinical Trial of a Goals-of-Care Decision Aid for Surrogates of Patients With Severe Acute Brain Injury Open
This study provides Class IV evidence that the use of a DA explaining the goals-of-care decision and the treatment options is acceptable and useful to surrogates of incapacitated critically ill patients with ischemic stroke, intracerebral …
View article: Effect of Early vs Standard Approach to Tracheostomy on Functional Outcome at 6 Months Among Patients With Severe Stroke Receiving Mechanical Ventilation
Effect of Early vs Standard Approach to Tracheostomy on Functional Outcome at 6 Months Among Patients With Severe Stroke Receiving Mechanical Ventilation Open
ClinicalTrials.gov Identifier: NCT02377167.
View article: Patients’ Families, Physicians, and Nurses: Trying to See Eye-to-Eye Regarding Prognosis in Neurocritical Care
Patients’ Families, Physicians, and Nurses: Trying to See Eye-to-Eye Regarding Prognosis in Neurocritical Care Open
View article: Portable, low-field magnetic resonance imaging enables highly accessible and dynamic bedside evaluation of ischemic stroke
Portable, low-field magnetic resonance imaging enables highly accessible and dynamic bedside evaluation of ischemic stroke Open
Brain imaging is essential to the clinical management of patients with ischemic stroke. Timely and accessible neuroimaging, however, can be limited in clinical stroke pathways. Here, portable magnetic resonance imaging (pMRI) acquired at v…
View article: Psychological attachment orientation and long-term post-traumatic stress symptoms among family members of intensive care unit patients
Psychological attachment orientation and long-term post-traumatic stress symptoms among family members of intensive care unit patients Open
Background: Rates of PTSD symptoms are high amongst families of ICU patients following hospital discharge. Adult attachment theory describes how people respond when separated from loved ones, those who have an “anxious” attachment orientat…
View article: Bedside detection of intracranial midline shift using portable magnetic resonance imaging
Bedside detection of intracranial midline shift using portable magnetic resonance imaging Open
View article: End-of-Life Care Decision-Making in Stroke
End-of-Life Care Decision-Making in Stroke Open
Stroke is one of the leading causes of death and long-term disability in the United States. Though advances in interventions have improved patient survival after stroke, prognostication of long-term functional outcomes remains challenging,…
View article: Portable, bedside, low-field magnetic resonance imaging for evaluation of intracerebral hemorrhage
Portable, bedside, low-field magnetic resonance imaging for evaluation of intracerebral hemorrhage Open
View article: Predicting Coma Trajectories: The Impact of Bias and Noise on Shared Decisions
Predicting Coma Trajectories: The Impact of Bias and Noise on Shared Decisions Open
View article: Frequency of Withdrawal of Life-Sustaining Therapy for Perceived Poor Neurologic Prognosis
Frequency of Withdrawal of Life-Sustaining Therapy for Perceived Poor Neurologic Prognosis Open
OBJECTIVES: To measure the frequency of withdrawal of life-sustaining therapy for perceived poor neurologic prognosis among decedents in hospitals of different sizes and teaching statuses. DESIGN: We performed a multicenter, retrospective …
View article: Predictors of Family Dissatisfaction with Support During Neurocritical Care Shared Decision-Making
Predictors of Family Dissatisfaction with Support During Neurocritical Care Shared Decision-Making Open