2023
A Descriptive Analysis of Access to Assistive Technology in Children With Acquired Brain Injury: The Right to Assistive Devices
Fins J, Knitter J, Mukherjee D, Conti K, Donleavy-Hiller B, Gerber L, Hersh J, Kotorac-Erlbaum R, Milch B, Klein S. A Descriptive Analysis of Access to Assistive Technology in Children With Acquired Brain Injury: The Right to Assistive Devices. Journal Of Head Trauma Rehabilitation 2023, 39: 152-159. PMID: 37492972, PMCID: PMC10811270, DOI: 10.1097/htr.0000000000000876.Peer-Reviewed Original ResearchMeSH KeywordsBrain InjuriesChildDisabled PersonsHumansRetrospective StudiesSelf CareSelf-Help DevicesConceptsSkilled nursing facilityMedical recordsAcquired Brain InjuryHospital outpatient departmentsModerate to severe brain injuryBrain injuryTime to deliveryPotential adverse implicationsAssistive technologyNursing facilitiesSelf-carePediatric cliniciansFostering social integrationImprove mobilityInsurance coverageOutpatient departmentRetrospective chart review of patientsChart review of patientsRetrospective chart reviewAssessment delayInpatient statusVulnerable childrenDescriptive analysisMedical statusLongitudinal tracking
2022
Prolonged Unconsciousness is Common in COVID‐19 and Associated with Hypoxemia
Waldrop G, Safavynia S, Barra M, Agarwal S, Berlin D, Boehme A, Brodie D, Choi J, Doyle K, Fins J, Ganglberger W, Hoffman K, Mittel A, Roh D, Mukerji S, Der Nigoghossian C, Park S, Schenck E, Salazar‐Schicchi J, Shen Q, Sholle E, Velazquez A, Walline M, Westover M, Brown E, Victor J, Edlow B, Schiff N, Claassen J. Prolonged Unconsciousness is Common in COVID‐19 and Associated with Hypoxemia. Annals Of Neurology 2022, 91: 740-755. PMID: 35254675, PMCID: PMC9082460, DOI: 10.1002/ana.26342.Peer-Reviewed Original ResearchConceptsCessation of mechanical ventilationAssociated with hypoxemiaMedian timeMechanical ventilationAssociated with more severe hypoxemiaDays of hypoxemiaEvidence of structural brain injurySevere coronavirus disease 2019Cox proportional hazards modelsArterial partial pressure of oxygenImpairment of consciousnessSevere COVID-19Survivors of severe COVID-19Proportional hazards modelArterial partial pressureBrain injuryStructural brain injurySevere hypoxemiaCohort studyLife-sustaining therapyEndotracheal intubationHypoxemiaProlonged unconsciousnessPartial pressure of oxygenPatients
2021
Ethics Consultation in Surgical Specialties
Meredyth N, Fins J, de Melo-Martin I. Ethics Consultation in Surgical Specialties. HEC Forum 2021, 34: 89-102. PMID: 33674985, PMCID: PMC7934986, DOI: 10.1007/s10730-021-09447-7.Peer-Reviewed Original ResearchMeSH KeywordsEthics ConsultationHumansReferral and ConsultationRetrospective StudiesSpecialties, Surgical
2014
Extracorporeal membrane oxygenation in adults: A brief review and ethical considerations for nonspecialist health providers and hospitalists
Meltzer E, Ivascu N, Acres C, Stark M, Kirkpatrick J, Paul S, Sedrakyan A, Fins J. Extracorporeal membrane oxygenation in adults: A brief review and ethical considerations for nonspecialist health providers and hospitalists. Journal Of Hospital Medicine 2014, 9: 808-813. PMID: 25332093, DOI: 10.1002/jhm.2262.Peer-Reviewed Original ResearchMeSH KeywordsAdultExtracorporeal Membrane OxygenationHealth PersonnelHeart FailureHospitalistsHumansRespiratory InsufficiencyRetrospective StudiesConceptsExtracorporeal membrane oxygenationMembrane oxygenationVA-ECMOTreated with extracorporeal membrane oxygenationManaging extracorporeal membrane oxygenationVenoarterial extracorporeal membrane oxygenationVenovenous extracorporeal membrane oxygenationProvision of ECMODiscontinuation of treatmentConsistent with patient preferencesClinical responseRespiratory failureGoals of careHeart failureCardiac arrestCo-manage patientsCounseling familiesPatient preferencesPatientsPatient referralHealth providersHealthcare providersEthical considerationsHospitalistsProviders
2012
Clinical ethics consultation in patients with head and neck cancer
Shuman A, McCabe M, Fins J, Kraus D, Shah J, Patel S. Clinical ethics consultation in patients with head and neck cancer. Head & Neck 2012, 35: 1647-1651. PMID: 23161591, DOI: 10.1002/hed.23204.Peer-Reviewed Original ResearchConceptsClinical ethics consultationEthics consultationHead and neck cancerCommunication barriersNeck cancerLife-sustaining treatmentComprehensive cancer centerCode statusAirway management concernsEthical themesSymptom controlCancer CenterEthicsConsultationData abstractionDNRAirway managementCancerPatientsInterpersonal conflictBarriersDatabaseThemesClinical challengeHead
2006
Differential Medical and Surgical House Staff Involvement in End-of-Life Decisions: A Retrospective Chart Review
Kelley A, Gold H, Roach K, Fins J. Differential Medical and Surgical House Staff Involvement in End-of-Life Decisions: A Retrospective Chart Review. Journal Of Pain And Symptom Management 2006, 32: 110-117. PMID: 16877178, DOI: 10.1016/j.jpainsymman.2006.02.009.Peer-Reviewed Original ResearchConceptsEnd-of-lifeEnd-of-life discussionsEnd-of-life decisionsHouse officersDocumentation of end-of-life discussionsMedical servicesEnd-of-life communicationSurgical servicesLife-sustaining treatmentWithdrawal of life-sustaining therapyProportion of notesLife-sustaining therapyMedical house officersComplex patient populationWithdrawal of carePhysician involvementCare notesLength of stayStaff involvementMedical patientsRetrospective chart reviewTeam structureChart reviewPatient populationSurgical house officersFactors Influencing DNR Decision-Making in a Surgical ICU
Bacchetta M, Eachempati S, Fins J, Hydo L, Barie P. Factors Influencing DNR Decision-Making in a Surgical ICU. Journal Of The American College Of Surgeons 2006, 202: 995-1000. PMID: 16735215, DOI: 10.1016/j.jamcollsurg.2006.02.027.Peer-Reviewed Original ResearchMeSH KeywordsAgedCritical IllnessDecision MakingGeneral SurgeryHumansIntensive Care UnitsPrognosisResuscitation OrdersRetrospective StudiesSeverity of Illness IndexConceptsDNR ordersPresence of DNR ordersCritically ill surgical patientsEnd-of-life decisionsDNR decision-makingNo-DNR groupIll surgical patientsMedical historyMultiple organ dysfunction scoreEnd-of-lifeOrgan dysfunction scoreIII scoreAcuity of illnessSurgical patientsChi-square statistical testMultivariate ANOVADNR patientsHospital length of stayDysfunction scoreIll patient populationLength of stayCritically ill patient populationAPACHE III scoreDNRIllness severity