A POPULATION-BASED STUDY OF FOLLOW-UP CARE FOLLOWING A NEW DIAGNOSIS OF A CARDIOVASCULAR DISEASE IN THE EMERGENCY DEPARTMENT

2016 ◽  
Vol 32 (10) ◽  
pp. S108-S109
Author(s):  
C.L. Atzema ◽  
B. Yu ◽  
N.M. Ivers ◽  
P.A. Rochon ◽  
D.S. Lee ◽  
...  
Keyword(s):  
Cardiovascular Disease ◽  
Emergency Department ◽  
Population Based ◽  
Population Based Study ◽  
Follow Up Care ◽  
New Diagnosis

525 A population-based study of phenoconversion to parkinsonism from REM sleep behavior: a Population-based Study in the CLSA

SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A207-A207
Author(s):  
Chun Yao ◽  
Sheida Zolfaghari ◽  
Paramita Saha Chaudhuri ◽  
Amelie Pelletier ◽  
Christina Wolfson ◽  
...  
Keyword(s):  
Rem Sleep ◽  
Cox Regression ◽  
De Novo ◽  
Population Based ◽  
Population Based Study ◽  
Sleep Behavior ◽  
Increased Risk ◽  
Canadian Provinces ◽  
New Diagnosis

Abstract Introduction To date, studies have estimated the phenoconversion rate from sleep clinics, using polysomnography proven RBD. However, no population-based estimates have been reported, testing to what degree possible RBD, screened by questionnaire is associated with increased risk of neurodegeneration. Methods We included those aged 45–85 years, living in one of 10 Canadian provinces in between 2012–2015 (at the baseline), recruited via three population-based sampling methods. Dream enactment behavior/possible RBD was screened using the RBD1Q single question-questionnaire. De-novo parkinsonism was defined as free of pre-existing diagnosis at the baseline with a ‘new’ diagnosis at the follow-up (205–2019). Relative risk (log-binomial regression), hazard ratio (Cox regression), incidence rate (Poisson regression) between the affected group and the symptom naïve group were assessed, adjusting for age and sex (and total years of education and language). Results Overall, 58 participants phenoconverted into parkinsonism and 53 into dementia at the follow-up (mean intervals=3.06±0.37 years). Participants with dream enactment behavior had 2.75 times higher risk to phenoconvert into parkinsonism than the symptom-free. Similarly, those with dream enactment behavior at the baseline possessed higher risk to screening positive of parkinsonism. No difference in time to phenoconversion was found between groups, The results remained robust after excluding non-RBD related symptoms, such as apnea and non-REM sleep parasomnia. Conclusion Compared to symptom-free, those with pRBD had higher risk to developing parkinsonism in near future. Support (if any):

scholarly journals Predictors of obtaining follow-up care in the province of Ontario, Canada, following a new diagnosis of atrial fibrillation, heart failure, and hypertension in the emergency department

CJEM ◽  
2017 ◽  
Vol 20 (3) ◽  
pp. 377-391 ◽  
Author(s):  
Clare L. Atzema ◽  
Bing Yu ◽  
Noah M. Ivers ◽  
Paula A. Rochon ◽  
Douglas S. Lee ◽  
...  
Keyword(s):  
Heart Failure ◽  
Atrial Fibrillation ◽  
Emergency Department ◽  
Cardiovascular Diseases ◽  
Family Physician ◽  
Emergency Physician ◽  
Fee For Service ◽  
Follow Up Care ◽  
New Diagnosis

AbstractObjectivePatients with cardiovascular diseases are common in the emergency department (ED), and continuity of care following that visit is needed to ensure that they receive evidence-based diagnostic tests and therapy. We examined the frequency of follow-up care after discharge from an ED with a new diagnosis of one of three cardiovascular diseases.MethodsWe performed a retrospective cohort study of patients with a new diagnosis of heart failure, atrial fibrillation, or hypertension, who were discharged from 157 non-pediatric EDs in Ontario, Canada, between April 2007 and March 2014. We determined the frequency of follow-up care with a family physician, cardiologist, or internist within seven and 30 days, and assessed the association of patient, emergency physician, and family physician characteristics with obtaining follow-up care using cause-specific hazard modeling.ResultsThere were 41,485 qualifying ED visits. Just under half (47.0%) had follow-up care within seven days, with 78.7% seen by 30 days. Patients with serious comorbidities (renal failure, dementia, COPD, stroke, coronary artery disease, and cancer) had a lower adjusted hazard of obtaining 7-day follow-up care (HRs 0.77-0.95) and 30-day follow-up care (HR 0.76-0.95). The only emergency physician characteristic associated with follow-up care was 5-year emergency medicine specialty training (HR 1.11). Compared to those whose family physician was remunerated via a primarily fee-for-service model, patients were less likely to obtain 7-day follow-up care if their family physician was remunerated via three types of capitation models (HR 0.72, 0.81, 0.85) or via traditional fee-for-service (HR 0.91). Findings were similar for 30-day follow-up care.ConclusionsOnly half of patients discharged from an ED with a new diagnosis of atrial fibrillation, heart failure, and hypertension were seen within a week of being discharged. Patients with significant comorbidities were less likely to obtain follow-up care, as were those with a family physician who was remunerated via primarily capitation methods.

scholarly journals Measuring the impact of the COVID-19 pandemic on organized cancer screening and diagnostic follow-up care in Ontario, Canada: A provincial, population-based study

2021 ◽  
Vol 151 ◽  
pp. 106586
Author(s):  
Meghan J. Walker ◽  
Olivia Meggetto ◽  
Julia Gao ◽  
Gabriela Espino-Hernández ◽  
Nathaniel Jembere ◽  
...  
Keyword(s):  
Cancer Screening ◽  
Population Based ◽  
Population Based Study ◽  
Follow Up Care ◽  
The Impact

A population-based study of follow-up care for Hodgkin lymphoma survivors

Cancer ◽  
2010 ◽  
Vol 116 (14) ◽  
pp. 3417-3425 ◽  
Author(s):  
David C. Hodgson ◽  
Eva Grunfeld ◽  
Nadia Gunraj ◽  
Lisa Del Giudice
Keyword(s):  
Hodgkin Lymphoma ◽  
Population Based ◽  
Population Based Study ◽  
Follow Up Care ◽  
Lymphoma Survivors

scholarly journals Emergency Department Presentations by Children in Remote Australia: A Population-based Study

2021 ◽  
Vol 8 ◽  
pp. 2333794X2199100
Author(s):  
Philippa Jane Dossetor ◽  
Emily F. M. Fitzpatrick ◽  
Kathryn Glass ◽  
Kirsty Douglas ◽  
Rochelle Watkins ◽  
...  
Keyword(s):  
Emergency Department ◽  
Prenatal Alcohol Exposure ◽  
Alcohol Exposure ◽  
Population Based ◽  
Culturally Appropriate ◽  
Population Based Study ◽  
Health Services Need ◽  
Primary Health Services ◽  
Socio Economic Factors

Background. Aboriginal leaders invited us to examine the frequency and reasons for emergency department (ED) presentations by children in remote Western Australia, where Prenatal Alcohol Exposure (PAE) is common. Methods. ED presentations (2007-11 inclusive) were examined for all children born in the Fitzroy Valley in 2002-03. Results. ED data for 127/134 (94.7%) children (95% Aboriginal) showed 1058 presentations over 5-years. Most (81%) had at least 1 presentation (median 9.0, range 1-50). Common presentations included: screening/follow-up/social reasons (16.0%), injury (15.1%), diseases of the ear (14.9%), skin (13.8%), respiratory tract (13.4%), and infectious and parasitic diseases (9.8%). PAE and higher presentations rates were associated. Commonly associated socio-economic factors were household over-crowding, financial and food insecurity. Conclusion. Children in very remote Fitzroy Crossing communities have high rates of preventable ED presentations, especially those with PAE. Support for culturally appropriate preventative programs and improved access to primary health services need to be provided in remote Australia.

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