If you build it, they will come! – ICU beds, dementia and quality of care in MI outcomes


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Ever wondered about when to mechanically ventilate patients with dementia in the ICU? Or how hospital quality predicts survival post MI? Tune in this week as Dr. Laura Walker, Chief Medical Resident at St. Michael’s Hospital, and Kieran discuss two intriguing studies! 

The prevalence of dementia is steadily rising across North America. Among hospitalized nursing home residents with advanced dementia, rates of mechanical ventilation are increasing. Kieran takes listeners through a study examining the latter trend and its effect on survival. Concerning trends are highlighted, emphasizing the importance of advanced care planning, necessitating improvements to care moving forward using multidisciplinary and multifaceted interventions.

We know that patients admitted to high quality hospitals have robust short term quality metrics, but what we didn’t know – until now! – is whether or not short term hospital performance affects long term outcomes. Laura leads the discussion on a fascinating article exploring this topic!

Does the upcoming American election get your blood boiling? Laura starts this week’s Good Stuff segment with a discussion on the US election related to rates of stress among Americans. Then, who says that you can ever be too old to party? Kieran takes the wheel to discuss the world’s oldest man’s Bar Mitzvah!

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The Papers

1. Dementia & Ventilation: http://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2565685

2. MI & Hospital Performance: http://www.nejm.org/doi/full/10.1056/NEJMoa1513223

Good Stuff

1. US Election & Stress: http://www.npr.org/sections/thetwo-way/2016/10/15/498033747/survey-says-americans-are-getting-stressed-by-the-elections

2. “Life must go on”:  http://www.npr.org/sections/thetwo-way/2016/10/06/496938817/world-s-oldest-living-man-celebrates-his-bar-mitzvah-100-years-late?utm_medium=RSS&utm_campaign=health

Music Credits (Creative Commons)

In your Robotic Heart – Nicolai Heidlas https://soundcloud.com/nicolai-heidlas/in-your-robotic-heart

Drive – Nicolai Heidlas https://soundcloud.com/nicolai-heidlas/drive-fresh-upbeat-pop-background-music

Vintage Dream – Nicolai Heidlas https://soundcloud.com/nicolai-heidlas/vintage-dream-loungejazzy-background-music

All tracks have been modified for the purposes of this podcast.

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