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40 results on '"Brown, Alaina J."'

4. Effects of Specialist Palliative Care for Patients Undergoing Major Abdominal Surgery for Cancer

Author

Shinall, Myrick C., primary, Martin, Sara F., additional, Karlekar, Mohana, additional, Hoskins, Aimee, additional, Morgan, Ellis, additional, Kiehl, Amy, additional, Bryant, Patsy, additional, Orun, Onur M., additional, Raman, Rameela, additional, Tillman, Benjamin F., additional, Hawkins, Alexander T., additional, Brown, Alaina J., additional, Bailey, Christina E., additional, Idrees, Kamran, additional, Chang, Sam S., additional, Smith, Joseph A., additional, Tan, Marcus C. B., additional, Magge, Deepa, additional, Penson, David, additional, and Ely, E. Wesley, additional

Published
2023
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11. Early Femoral Access by Acute Care Surgeons: A Multidisciplinary Approach to Prevent Maternal Exsanguination in Placenta Accreta Spectrum

Author

Maiga, Amelia W., Zuckerwise, Lisa C., Crispens, Marta A., Sorabella, Laura L., Prescott, Lauren S., Brown, Alaina J., Gunter, Oliver L., and Dennis, Bradley M.

Abstract

Resuscitative endovascular balloon occlusion of the aorta (REBOA) use has expanded to the obstetric condition of placenta accreta spectrum (PAS). Early reports of REBOA for PAS describe prophylactic catheter deployment. We developed a multidisciplinary approach to PAS, with early femoral artery access and selective REBOA deployment. We compared morbidity, mortality, and blood loss before and after implementation of our multidisciplinary protocol for PAS. Prior to, femoral access was obtained only emergently, and maternal death occurred in 2/3 cases (66%). Following protocol implementation, there was one maternal death (6%). There were no access-related complications. We have not yet needed to deploy the REBOA during PAS cases. In contrast to urgent hemorrhage control or prophylactic REBOA deployment, routine early femoral arterial access and selective REBOA deployment as part of a multidisciplinary team approach is a novel strategy for managing PAS. Our experience suggests most PAS cases do not require prophylactic REBOA deployment.

Published
2023
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19. A Letter to Your Care Providers: Implementation and Analysis of a Letter-based Advance Care Planning Initiative for Gynecologic Oncology Patients.

Author

Zivanov, Catherine N., Coogan, Anne, Lane, Robin R., Lin, Sara G., Reed, Sarah C., Robinson, Marc A., Karlekar, Mohana, Prescott, Lauren S., and Brown, Alaina J.

Abstract

To determine the impact of a letter-based advance care planning (ACP) healthcare improvement (HI) initiative on rates of ACP conversations and documentation among gynecologic oncology (GO) inpatients. An HI initiative was implemented from January to December 2020 to improve ACP documentation among GO inpatients. Patients admitted to the GO service were given ACP packets with a letter-based ACP worksheet. GO inpatients who were interested in learning more about ACP were visited by medical students trained to lead ACP conversations. ACP documentation rates in the EMR (electronic medical record) pre- and post-intervention were evaluated. Descriptive statistics were calculated. Associations between sociodemographic characteristics and ACP documentation were analyzed using logistic regression. There were 172 patients admitted in 2019 (pre-implementation cohort). Of these, 45/172 patients (26%) had an advance directive (AD) documented in their electronic medical record (EMR). Following the implementation of the ACP HI in 2020, 55/168 patients (33%) had an AD documented in their EMR. This was a 7% absolute increase and 27% relative increase from pre-intervention AD documentation rates. Increasing age was associated with an increased likelihood of having an AD in the chart (p = 0.004). Married women were less likely to have an AD in their chart (p = 0.05). An HI utilizing a letter-based ACP packet given to GO inpatients improved AD documentation in the EMR. This HI offers a unique method for introducing ACP to patients. More work is needed to improve the occurrence and documentation of ACP conversations. [ABSTRACT FROM AUTHOR]

Published
2023
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27. Association of Preoperative Patient Frailty and Operative Stress With Postoperative Mortality

Author

Shinall, Myrick C., primary, Arya, Shipra, additional, Youk, Ada, additional, Varley, Patrick, additional, Shah, Rupen, additional, Massarweh, Nader N., additional, Shireman, Paula K., additional, Johanning, Jason M., additional, Brown, Alaina J., additional, Christie, Neil A., additional, Crist, Lawrence, additional, Curtin, Catherine M., additional, Drolet, Brian C., additional, Dhupar, Rajeev, additional, Griffin, Jennifer, additional, Ibinson, James W., additional, Johnson, Jonas T., additional, Kinney, Sonja, additional, LaGrange, Chad, additional, Langerman, Alexander, additional, Loyd, Gary E., additional, Mady, Leila J., additional, Mott, Michael P., additional, Patri, Murali, additional, Siebler, Justin C., additional, Stimson, C. J., additional, Thorell, William E., additional, Vincent, Scott A., additional, and Hall, Daniel E., additional

Published
2020
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30. The Advance Care Planning Readiness Scale: Development and Validation of a Measure of Willingness to Discuss and Acceptance of End-of-Life Care in Gynecologic Cancer Patients

Author

Brown, Alaina J., primary, Shen, Megan Johnson, additional, Urbauer, Diana, additional, Taylor, Jolyn, additional, Parker, Patricia A., additional, Carmack, Cindy, additional, Prescott, Lauren, additional, Rosemore, Carly, additional, Kolawole, Elizabeth, additional, Sun, Charlotte, additional, Ramondetta, Lois, additional, and Bodurka, Diane C., additional

Published
2017
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37. Pathologic distribution of disease at the time of interval debulking versus primary tumor reduction in women with primary peritoneal, ovarian, or Fallopian tube carcinoma.

Author

Zaid, Tarrik M., primary, Huang, Marilyn, additional, Brown, Alaina J., additional, Balakrishnan, Nyla, additional, Mhadgut, Hemendra, additional, Pal, Navdeep, additional, Wei, Caimiao, additional, Broaddus, Russell, additional, Bodurka, Diane C., additional, Lu, Karen H., additional, and Westin, Shannon Neville, additional

Published
2013
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