Special Populations

Dempsey, Timothy; Lapinsky, Stephanie C.; Melnychuk, Eric; Lapinsky, Stephen E.; Reed, Mary Jane; Niven, Alexander S.

doi:10.1016/j.ccc.2019.06.010

Cited by 12 publications

(4 citation statements)

References 53 publications

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“…The exacerbation of chronic conditions has been described in observations of natural disasters, and these experiences can be extrapolated here. 6 Will we see negative long-term effects of telehealth and lack of in-person assessment of volume status, afterload reduction, and guidelineÀdirected medical therapy titration? What about the psychosocial stressors of unemployment, childcare and access to food?…”

Section: Letter To the Editormentioning

confidence: 99%

Heart Failure in the COVID-19 Pandemic: Where Has All New York's Congestion Gone?

Barghash

Pinney

2020

Journal of Cardiac Failure

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Section: Letter To the Editormentioning

confidence: 99%

Heart Failure in the COVID-19 Pandemic: Where Has All New York's Congestion Gone?

Barghash

Pinney

2020

Journal of Cardiac Failure

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“…However, vulnerable populations such as pregnant and postpartum women, as well as newborns, are at a higher risk. [9][10][11] In addition, individuals who are least prepared to care for themselves after a disaster are also at particular risk. 12 Parents of newborn infants need not only care for themselves, but also their newborn infant.…”

Section: Hep Among Parents Of Newborn Infantsmentioning

confidence: 99%

“…Disasters have a different impact on different populations. However, vulnerable populations such as pregnant and postpartum women, as well as newborns, are at a higher risk 9–11. In addition, individuals who are least prepared to care for themselves after a disaster are also at particular risk 12.…”

Section: Literature Reviewmentioning

confidence: 99%

Key Factors Related to Household Emergency Preparedness Among Parents of Newborn Infants

Nurse-Clarke¹,

Heagele²

2022

Advances in Neonatal Care

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Background: A natural disaster can have devastating consequences for newborn infants. Despite this fact, there are few studies that have explored household emergency preparedness (HEP) among parents of newborn infants or factors affecting HEP in this population. Purpose: The purpose of this study was to explore the relationship between various demographic and socioeconomic variables and levels of HEP among parents of newborn infants. Methods: Parents of newborn infants born at a single medical center in Brooklyn, New York, completed a pre- and posttest to determine their level of HEP before and after implementing the Nurses Taking on Readiness Measures (N-TORM) intervention. For this study, a secondary statistical analysis was performed on the HEP scores gathered prior to the intervention and the demographic data collected from participants. Results: There was a statistically significant relationship between HEP scores and homeownership t(62) = 2.75, P = .008, level of education t(66) = 2.31, P = .024, and income t(46) = 2.39, P = .021. Implications for Practice and Research: Findings from this study indicate that there are various demographic and socioeconomic factors that influence HEP. Another critical finding was that most participants were significantly underprepared for an emergency with an average HEP score of 4.75 (SD = 2.61) out of a possible 11 points. Findings from this study support the need for neonatal and pediatric providers to develop targeted interventions to enhance the preparedness of parents of newborns in general, and in particular, those with lower household incomes, lower levels of education, and those who rent their homes.

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“…Oxygen (O 2 ) is a drug with powerful actions on several aspects of ventilatory control [ 5 ]. Through its effect on the peripheral chemoreceptors at the carotid body, O 2 directly suppresses ventilatory drive [ 6 ], and decreases the sensitivity of central chemoreceptors to carbon dioxide [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

Incidence of postoperative opioid-induced respiratory depression episodes in patients on room air or supplemental oxygen: a post-hoc analysis of the PRODIGY trial

Doufas,

Laporta,

Driver

et al. 2023

BMC Anesthesiol

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Background Supplemental oxygen (SO) potentiates opioid-induced respiratory depression (OIRD) in experiments on healthy volunteers. Our objective was to examine the relationship between SO and OIRD in patients on surgical units. Methods This post-hoc analysis utilized a portion of the observational PRediction of Opioid-induced respiratory Depression In patients monitored by capnoGraphY (PRODIGY) trial dataset (202 patients, two trial sites), which involved blinded continuous pulse oximetry and capnography monitoring of postsurgical patients on surgical units. OIRD incidence was determined for patients receiving room air (RA), intermittent SO, or continuous SO. Generalized estimating equation (GEE) models, with a Poisson distribution, a log-link function and time of exposure as offset, were used to compare the incidence of OIRD when patients were receiving SO vs RA. Results Within the analysis cohort, 74 patients were always on RA, 88 on intermittent and 40 on continuous SO. Compared with when on RA, when receiving SO patients had a higher risk for all OIRD episodes (incidence rate ratio [IRR] 2.7, 95% confidence interval [CI] 1.4–5.1), apnea episodes (IRR 2.8, 95% CI 1.5–5.2), and bradypnea episodes (IRR 3.0, 95% CI 1.2–7.9). Patients with high or intermediate PRODIGY scores had higher IRRs of OIRD episodes when receiving SO, compared with RA (IRR 4.5, 95% CI 2.2–9.6 and IRR 2.3, 95% CI 1.1–4.9, for high and intermediate scores, respectively). Conclusions Despite oxygen desaturation events not differing between SO and RA, SO may clinically promote OIRD. Clinicians should be aware that postoperative patients receiving SO therapy remain at increased risk for apnea and bradypnea. Trial registration Clinicaltrials.gov: NCT02811302, registered June 23, 2016.

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Special Populations

Cited by 12 publications

References 53 publications

Heart Failure in the COVID-19 Pandemic: Where Has All New York's Congestion Gone?

Heart Failure in the COVID-19 Pandemic: Where Has All New York's Congestion Gone?

Key Factors Related to Household Emergency Preparedness Among Parents of Newborn Infants

Incidence of postoperative opioid-induced respiratory depression episodes in patients on room air or supplemental oxygen: a post-hoc analysis of the PRODIGY trial

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