Search

Your search keyword '"Gill, Sudeep"' showing total 831 results
Start Over Author "Gill, Sudeep"
831 results on '"Gill, Sudeep"'

2. Public funding for private for-profit centres and access to cataract surgery by patient socioeconomic status: an Ontario population-based study

Author

Campbell, Robert J., Defrawy, Sherif R. El-, Bell, Chaim M., Urbach, David R., Paterson, J. Michael, Stukel, Therese A., Gill, Sudeep S., Irish, Jonathan, Baxter, Nancy N., Wilton, Andrew S., and Gomez, David

Subjects
Social aspects, Economic aspects, Government finance, Health aspects, Hospital patients -- Social aspects -- Economic aspects, Cataract extraction -- Government finance, Social class -- Health aspects, Cataract -- Surgery, Social classes -- Health aspects
Abstract

Cataract surgery has a positive effect on quality of life and is the most common operation in most high-income countries. (1-4) The COVID-19 pandemic led to backlogs in cataract surgeries [...], Background: Public funding of cataract surgery provided in private, for-profit surgical centres increased to help mitigate surgical backlogs during the COVID-19 pandemic in Ontario, Canada. We sought to compare the socioeconomic status of patients who underwent cataract surgery in not-for-profit public hospitals with those who underwent this surgery in private for-profit surgical centres and to evaluate whether differences in access by socioeconomic status decreased after the infusion of public funding for private, for-profit centres. Methods: We conducted a population-based study of all cataract operations in Ontario, Canada, between January 2017 and March 2022. We analyzed differences in socioeconomic status among patients who accessed surgery at not-for-profit public hospitals versus those who accessed it at private for-profit surgical centres before and during the period of expanded public funding for private for-profit centres. Results: Overall, 935 729 cataract surgeries occurred during the study period. Within private for-profit surgical centres, the rate of cataract surgeries rose 22.0% during the funding change period for patients in the highest socioeconomic status quintile, whereas, for patients in the lowest socioeconomic status quintile, the rate fell 8.5%. In contrast, within public hospitals, the rate of surgery decreased similarly among patients of all quintiles of socioeconomic status. During the funding change period, 92 809 fewer cataract operations were performed than expected. This trend was associated with socioeconomic status, particularly within private forprofit surgical centres, where patients with the highest socioeconomic status were the only group to have an increase in cataract operations. Interpretation: After increased public funding for private, for-profit surgical centres, patient socioeconomic status was associated with access to cataract surgery in these centres, but not in public hospitals. Addressing the factors underlying this incongruity is vital to ensure access to surgery and maintain public confidence in the cataract surgery system.

Published
2024
Full Text
View/download PDF

8. Low LDL, High Reassurance? Evolocumab's Long-Term Cognitive Safety Profile.

Author

Zorcic, Katarina and Gill, Sudeep S.

Subjects
DRUG therapy for hyperlipidemia, CARDIOVASCULAR disease prevention, COGNITION disorder risk factors, THERAPEUTIC use of protease inhibitors, RISK assessment, PATIENT safety, ANTILIPEMIC agents, LDL cholesterol, MONOCLONAL antibodies
Abstract

The discovery of proprotein convertase subtilisin/kexin type 9 (PCSK9) invigorated the cardiology community, refining our understanding of cholesterol metabolism and building on prior successes in the development of effective lipid-lowering medications. In 2003, Abifadel et al. discovered mutations in the PCSK9 gene linked to autosomal dominant hypercholesterolemia. The potential of a novel target for lipid-lowering emerged, and shortly thereafter, the development of PCSK9 inhibitors began. Early clinical trials demonstrated that PCSK9 inhibitors lowered low-density lipoprotein cholesterol (LDL-C) levels by approximately 60%, opening new avenues for potentially reducing adverse cardiovascular events in high-risk populations. [ABSTRACT FROM AUTHOR]

Published
2025
Full Text
View/download PDF

9. Impact of the End PJ Paralysis interventions on patient health outcomes at the participating hospitals in Alberta, Canada.

Author

Wai, Gurech James, Lu, Zihang, Gill, Sudeep, Henderson, Isabel, and Auais, Mohammad

Subjects
HEALTH status indicators, EXERCISE, PATIENT safety, HOSPITAL care, HOSPITAL admission & discharge, MOVEMENT disorders, EVALUATION of medical care, DESCRIPTIVE statistics, QUALITY assurance, LENGTH of stay in hospitals, CONFIDENCE intervals, ACCIDENTAL falls, PRESSURE ulcers
Abstract

Purpose: Multiple hospitals in Alberta implemented the End PJ Paralysis – a multicomponent inpatient ambulation initiative aimed at preventing the adverse physical and psychological effects patients experience due to low mobility during admission. To inform a scale-up strategy, this study assessed the impact of the initiative based on select process and outcome measures. Materials and methods: Clinical and administrative data were obtained from the hospital Discharge Abstract Database, Research Electronic Data Capture (Redcaps), and Reporting and Learning System for Patient Safety. The variables explored were length of stay, inpatient falls, discharge disposition, pressure injury, patient ambulation, and patient dressed rates. We then used the Interrupted Time Series design for impact analysis. Results: The analysis included discharge abstracts for 32,884 patients and the results showed significant improvements in outcomes at the participating units. The length of stay and inpatient falls were reduced immediately by 1.8 days (B2=-1.80, p = 0.044, 95% CI [-3.54, −0.05]), and 2.2 events (B2=-2.22, p = 005, 95% CI [-3.75, −0.69]). The percentage of patients discharged home increased overtime (B2=.39, p=.006, 95% CI [.11,.66]). Mobilization and dressed rates also improved. Conclusions: The findings imply the interventions safely mitigated the risk of immobility-induced complications, including deconditioning and hospital-acquired disability. IMPLICATIONS FOR REHABILITATION: Immobility during hospitalization is endemic in hospitals and, without intervention, presents a significant risk of physiological deconditioning and subsequent adverse health outcomes, such as functional decline and hospital-acquired disability. This study elevates the importance of preserving functional capacity and dignity of hospitalized patients by encouraging them to get up, dress in personal clothes, and move as much possible. Function-focused initiatives, that include intentional patient ambulation, have the potential to mitigate the risk of immobility-induced deconditioning and other adverse outcomes, such as falls and pressure injury, in older adults. In this study, we have demonstrated the End PJ Paralysis had a positive impact on patient ambulation, length of stay, inpatient falls, and discharge disposition. The study also informed a proposed transformational roadmap to strengthen rehabilitation in the provincial health system and spread the initiative to all the major hospitals to potentially benefit more patients. [ABSTRACT FROM AUTHOR]

Published
2024
Full Text
View/download PDF

13. How to identify balance disorders and reduce fall risk: A multifactorial risk assessment, correction of hearing impairment, exercise, and an optimized home environment can help prevent imbalance-related falls

Author

Newsted, Daniel, Bale, Dougal, Armstrong, Maxine, Beyea, Michael M., Simpson, Matthew T.W., Gill, Sudeep S., and Beyea, Jason A.

Subjects
Diagnosis, Prevention, Care and treatment, Risk factors, Methods, Safety and security measures, Health aspects, Hearing disorders -- Risk factors -- Diagnosis -- Care and treatment, Health risk assessment -- Methods, Accidental falls -- Risk factors -- Prevention, Elderly -- Health aspects -- Safety and security measures, Falls (Accidents) -- Risk factors -- Prevention, Aged -- Health aspects -- Safety and security measures
Abstract

PRACTICE RECOMMENDATIONS > Utilize a falls-prevention program for older patients that focuses on balance and functional exercises. (A) > Perform a multifactorial assessment of the risk of falls in older [...]

Published
2022
Full Text
View/download PDF

18. The COVID-19 Pandemic’s Impact on Long-Term Care Homes: Five Lessons Learned

Author

Rochon, Paula A., primary, Li, Joyce M., additional, Johnstone, Jennie, additional, Brown, Kevin A., additional, Armstrong, Pat, additional, Tanuseputro, Peter, additional, Savage, Rachel, additional, Gill, Sudeep S., additional, Mather, Richard, additional, Costa, Andrew P., additional, McGeer, Allison, additional, Sinha, Samir K., additional, Gardner, Charles, additional, Perkhun, Anna, additional, Bodmer, Nicolas S., additional, Jüni, Peter, additional, Razak, Fahad, additional, and Born, Karen B., additional

Published
2022
Full Text
View/download PDF

25. Ontario’s Community-Dwelling Older Adults Who Remain Unvaccinated Against COVID-19

Author

Rochon, Paula A., primary, Brown, Kevin A., additional, Huynh, Tai, additional, Savage, Rachel, additional, Johnstone, Jennie, additional, Leece, Pamela, additional, Gill, Sudeep S., additional, Armstrong, Pat, additional, Tanuseputro, Peter, additional, Kaplan, David M., additional, Strauss, Rachel, additional, Wu, Wei, additional, Chung, Hannah, additional, Jüni, Peter, additional, Costa, Andrew P., additional, and Stall, Nathan M., additional

Published
2021
Full Text
View/download PDF

Catalog

Books, media, physical & digital resources
See catalog results