| Carmel Montgomery, Colleen M. Norris, Darryl B. Rolfson, Henry Stelfox, Mohamad A. Zibdawi, Sean Bagshaw, Thanh Nguyen, Steven R. Meyer
There is limited information about the impact of frailty on public payer costs in cardiac surgery. This study aimed to determine quality-adjusted life-years (QALYs) and costs associated with pre-operative frailty in patients referred for cardiac surgery.
Highlights•One third of ICU deaths occur within 24 hours of admission.•Patients who die early are older, more likely frail and receive more advanced life support.•Correlates of early death include age, acuity and Emergency Department admission.•Future work should explore the role of clinician and family decision-making in this group. AbstractPurposeTo describe…
Community Health Workers (CHWs) play a vital role delivering health services to vulnerable populations in low resource settings. In Rwanda, CHWs provide village-level care focused on maternal/child health, control of infectious diseases, and health education, but do not receive salaries for these services. CHWs make up the largest single group involved in health delivery in the…
Many countries continue to consider implementing a universal chickenpox vaccine program; however, there is no consensus on the most appropriate and effective timing between vaccine doses. The chickenpox vaccine schedule debate is highlighted in Canada, where there are currently eight different vaccine schedules across the country. The objective of this study was to test the overall…
To assess vaccine coverage for a cohort of children who have been in the care of the child welfare system compared to children in the general population.
Biological interactions between varicella (chickenpox) and herpes zoster (shingles), two diseases caused by the varicella zoster virus (VZV), continue to be debated including the potential effect on shingles cases following the introduction of universal childhood chickenpox vaccination programs. We investigated how chickenpox vaccination in Alberta impacts the incidence and age-distribution…
The cost-effectiveness threshold in health care systems with a constrained budget should be determined by the cost-effectiveness of displacing health care services to fund new interventions. Using comparative statics, we review some potential determinants of the threshold, including the budget for health care, the demand for existing health care interventions, the technical efficiency…