Thomas W Noseworthy

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OBJECTIVE To compare the outcome of patients over and under age 65 admitted to two intensive care units (ICUs). DESIGN Prospective, two-center study. Convenience sample of all admissions to two adult ICUs for a 1-yr period, with a 1-yr follow-up. SETTING Adult multidisciplinary closed ICUs. PATIENTS All patients (n = 1,040) admitted to two ICUs during(More)
Although ICUs generate attention as consumers of resources, no national data on utilization and costs were available in Canada. U.S. estimates are too old for current comparison. Based on national hospital survey data from Statistics Canada, we calculated the utilization of ICUs in all Canadian general hospitals from 1969 to 1986 and estimated costs for(More)
An increasing proportion of critically ill patients are elderly (ie, >or= 65 years of age). This poses complex challenges and choices for the management of elderly patients. Outcome following admission to the ICU has been traditionally concerned with mortality. Beyond mortality, outcomes such as functional status and health-related quality of life (HRQOL)(More)
OBJECTIVE To assess outcome of patients admitted to an intensive care unit (ICU), using a prospective 1-yr follow-up, with special emphasis on various quality of life measures before and after admission to the ICU. DESIGN Prospective comparison of quality of life before and 1 yr after admission to the ICU. SETTING Eleven-bed adult medical/surgical ICU.(More)
OBJECTIVE To compare the cost and consequences of a policy of continuing to care for patients with a prolonged stay in the ICU with a proposed policy of withdrawing support. DESIGN Economic evaluation using data derived from a prospective cohort study. SETTING Adult medical/surgical ICU in a tertiary care hospital. PATIENTS Consecutive patients(More)
Despite increasing interest in identifying biochemical and serologic markers to judge the severity of closed head injury in comatose patients, clinical variables remain the most readily available methods for assessing prognosis. In a series of 35 severely head-injured comatose patients, the cerebrospinal fluid (CSF) level of myelin basic protein (MBP) was(More)
' 2003 Canadian Medical Association T problem of waiting lists presents a challenge for all Canadian surgeons, and the predicted demographic factors of the Canadian population indicate that the problem will increase. A symposium was held at the Canadian Surgery Forum in London, Ont., on Sept. 20, 2002, to present state-of-the-art thinking about waiting(More)
BACKGROUND There is growing recognition that "context" can and does modify the effects of implementation interventions aimed at increasing healthcare professionals' use of research evidence in clinical practice. However, conceptual clarity about what exactly comprises "context" is lacking. The purpose of this research program is to develop, refine, and(More)
Intensive care units (ICUs) sustain life but, in certain cases, this resource becomes a means to prolong dying, with great physical, emotional and financial impact. The cost to care for patients in the ICU is at least three times more than general ward care; thus, ICUs have become one of the largest cost centres in the hospital. Economic pressures require(More)