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  1. Article ; Online: A Good Death: A Pandemic Lesson.

    Lisker, Gita

    Journal of the American Geriatrics Society

    2020  Volume 68, Issue 10, Page(s) 2196–2197

    MeSH term(s) Aged, 80 and over ; COVID-19/therapy ; Death ; Grandparents ; Home Care Services/organization & administration ; Humans ; Male ; Terminal Care/organization & administration
    Keywords covid19
    Language English
    Publishing date 2020-07-13
    Publishing country United States
    Document type Letter ; Personal Narrative
    ZDB-ID 80363-7
    ISSN 1532-5415 ; 0002-8614
    ISSN (online) 1532-5415
    ISSN 0002-8614
    DOI 10.1111/jgs.16702
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  3. Article: Intensive Home Care for COVID-19 to Reduce Admissions.

    Aviv, Rachel / Abrams, Madeline / Mastroianni, Fiore / Epstein, Marcia / Lisker, Gita

    Home health care management & practice

    2023  Volume 33, Issue 4, Page(s) 320–322

    Abstract: Hospitalization for COVID-19 has placed a significant financial and logistical burden on hospitals and health care systems. Limitations on visitation and isolation precautions have made hospitalization more isolating for patients in the time of COVID-19. ...

    Abstract Hospitalization for COVID-19 has placed a significant financial and logistical burden on hospitals and health care systems. Limitations on visitation and isolation precautions have made hospitalization more isolating for patients in the time of COVID-19. Increasing the provision of healthcare delivered at home has the potential to decrease healthcare costs by providing care at home which may be preferred for many patients. We describe a series of 39 patients who were treated with intravenous remdesivir at home in addition to oxygen, dexamethasone, and anticoagulants. These patients were at high risk for decompensation due to COVID-19 and met accepted criteria for admission-need for supplemental oxygen and intravenous remdesivir. All patients had home lab monitoring and frequent telehealth visits. Over the study period 13 (33%) of patients were admitted for worsening COVID-19 and 5 (13%) died. Twenty-six patients avoided admission, and none experienced a severe adverse effect from in-home treatment. The expanded use of telehealth services due to the COVID-19 pandemic has the potential to increase the frequency of patient monitoring by physicians and the provision of care and monitoring usually restricted to hospitalized patients.
    Language English
    Publishing date 2023-06-06
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2061340-4
    ISSN 1552-6739 ; 1084-8223
    ISSN (online) 1552-6739
    ISSN 1084-8223
    DOI 10.1177/10848223211035718
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Digital Health Technology and Telemedicine-Based Hospital and Home Programs in Pulmonary Medicine During the COVID-19 Pandemic.

    Ilowite, Jonathan / Lisker, Gita / Greenberg, Harly

    American journal of therapeutics

    2021  Volume 28, Issue 2, Page(s) e217–e223

    Abstract: Background: The current coronavirus disease 2019 (COVID-19) pandemic has caused a significant strain on medical resources throughout the world. A major shift to telemedicine and mobile health technologies has now taken on an immediate urgency. Newly ... ...

    Abstract Background: The current coronavirus disease 2019 (COVID-19) pandemic has caused a significant strain on medical resources throughout the world. A major shift to telemedicine and mobile health technologies has now taken on an immediate urgency. Newly developed devices designed for home use have facilitated remote monitoring of various physiologic parameters relevant to pulmonary diseases. These devices have also enabled home-based pulmonary rehabilitation programs. In addition, telemedicine and home care services have been leveraged to rapidly develop acute care hospital-at-home programs for the treatment of mild-to-moderate COVID-19 illness.
    Areas of uncertainty: The benefit of remote monitoring technologies on patient outcomes has not been established in robust trials. Furthermore, the use of these devices, which can increase the burden of care, has not been integrated into current clinical workflows and electronic medical records. Finally, reimbursement for these telemedicine and remote monitoring services is variable.
    Data sources: Literature review.
    Therapeutic advances: Advances in digital technology have improved remote monitoring of physiologic parameters relevant to pulmonary medicine. In addition, telemedicine services for the provision of pulmonary rehabilitation and novel hospital-at-home programs have been developed. These new home-based programs have been adapted for COVID-19 and may also be relevant for the management of acute and chronic pulmonary diseases after the pandemic.
    Conclusion: Digital remote monitoring of physiologic parameters relevant to pulmonary medicine and novel hospital-at-home programs are feasible and may improve care for patients with acute and chronic respiratory-related disorders.
    MeSH term(s) Biomedical Technology/trends ; COVID-19/epidemiology ; COVID-19/therapy ; Humans ; Lung Diseases/diagnosis ; Lung Diseases/rehabilitation ; Lung Diseases/therapy ; Pulmonary Medicine/trends ; SARS-CoV-2 ; Telemedicine/methods ; Telemedicine/organization & administration
    Language English
    Publishing date 2021-02-03
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 1280786-2
    ISSN 1536-3686 ; 1075-2765
    ISSN (online) 1536-3686
    ISSN 1075-2765
    DOI 10.1097/MJT.0000000000001342
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 4351: Show issues Location:
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    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

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  5. Article ; Online: The management of suspected heparin-induced thrombocytopenia in US hospitals.

    Multz, Alan S / Lisker, Gita N

    Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis

    2014  Volume 20, Issue 1, Page(s) 68–72

    Abstract: Guidelines for the diagnosis and management of heparin-induced thrombocytopenia (HIT) vary between hospitals. Recent guidelines recommend initiating alternative anticoagulant therapy in patients with suspected HIT while awaiting laboratory test results ... ...

    Abstract Guidelines for the diagnosis and management of heparin-induced thrombocytopenia (HIT) vary between hospitals. Recent guidelines recommend initiating alternative anticoagulant therapy in patients with suspected HIT while awaiting laboratory test results confirming the presence of heparin-PF-4 antibodies (PF-4). This retrospective chart review was designed to assess the current state of management of patients with thrombocytopenia suspected to be due to HIT at 26 US hospitals. Most hospitals (25 of 26; 96.2%) had guidelines in place for the management of suspected HIT, with 7 (26.9%) having a "halt heparin, test, and await results" (ie, "test and wait") policy. One-third of hospitals had a wait time for obtaining PF-4 antibodies of 3 days or more. Hospital guidelines for the management of HIT may actually discourage the use of optimal HIT management strategies.
    MeSH term(s) Anticoagulants/adverse effects ; Heparin/adverse effects ; Humans ; Practice Guidelines as Topic ; Retrospective Studies ; Thrombocytopenia/chemically induced ; Thrombocytopenia/diagnosis ; Thrombocytopenia/therapy ; United States
    Chemical Substances Anticoagulants ; Heparin (9005-49-6)
    Language English
    Publishing date 2014-01
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1237357-6
    ISSN 1938-2723 ; 1076-0296
    ISSN (online) 1938-2723
    ISSN 1076-0296
    DOI 10.1177/1076029612456732
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  6. Article ; Online: “Ambulatory Management of Moderate to High Risk COVID-19 Patients

    Lisker, Gita / Narasimhan, Mangala / Greenberg, Harly / Ramdeo, Ramona / McGinn, Thomas

    Home Health Care Management & Practice

    The Coronavirus Related Outpatient Work Navigators (CROWN) Protocol”

    2020  , Page(s) 108482232096419

    Abstract: During the height of the novel 2019 coronavirus disease (COVID-19) pandemic in New York City, area hospitals were filled to 150% capacity, and there was a significant fear among the public of going to the hospital. Many hospitalized patients were treated ...

    Abstract During the height of the novel 2019 coronavirus disease (COVID-19) pandemic in New York City, area hospitals were filled to 150% capacity, and there was a significant fear among the public of going to the hospital. Many hospitalized patients were treated with therapies that could be administered in a home setting under proper monitoring. We designed the CROWN Program, a Home-Care based ambulatory protocol to evaluate, monitor, and treat moderate to high risk COVID-19 patients in their homes, with escalation to hospital care when necessary. Patients were evaluated with telehealth visits with a Pulmonologist, and a Home-Care protocol, including RN visit, pulse-oximetry, and oxygen, lab-work, intravenous fluids, medication if needed patient data, comorbidities, and symptoms were collected. Labs, including COVID-19 PCR, D Dimer, CRP, Ferritin, Procalcitonin, CBC, and metabolic panel were measured, as were homecare, home oxygen, and intravenous fluids orders, radiographic studies and initiation of an anticoagulant. Emergency Department visits and need for hospital admission during the study period were recorded. A total of 182 patients were enrolled between the start date of April 27th and June 1st, and fell into two categories: not-admitted (101) and post-discharge (81). Two patients were referred for hospital admission, seven were treated and released from the ED, and one was referred to home hospice. There were no unexpected admissions or deaths. The CROWN program has demonstrated the feasibility and apparent safety of a specialized, Home-Care based protocol for the ambulatory management of moderate to high risk COVID-19 patients.
    Keywords Public Health, Environmental and Occupational Health ; Community and Home Care ; Leadership and Management ; covid19
    Language English
    Publisher SAGE Publications
    Publishing country us
    Document type Article ; Online
    ZDB-ID 2061340-4
    ISSN 1552-6739 ; 1084-8223
    ISSN (online) 1552-6739
    ISSN 1084-8223
    DOI 10.1177/1084822320964196
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  7. Article: “Ambulatory Management of Moderate to High Risk COVID-19 Patients: The Coronavirus Related Outpatient Work Navigators (CROWN) Protocol”

    Lisker, Gita / Narasimhan, Mangala / Greenberg, Harly / Ramdeo, Ramona / McGinn, Thomas

    Home Health Care Management & Practice

    Abstract: During the height of the novel 2019 coronavirus disease (COVID-19) pandemic in New York City, area hospitals were filled to 150% capacity, and there was a significant fear among the public of going to the hospital Many hospitalized patients were treated ... ...

    Abstract During the height of the novel 2019 coronavirus disease (COVID-19) pandemic in New York City, area hospitals were filled to 150% capacity, and there was a significant fear among the public of going to the hospital Many hospitalized patients were treated with therapies that could be administered in a home setting under proper monitoring We designed the CROWN Program, a Home-Care based ambulatory protocol to evaluate, monitor, and treat moderate to high risk COVID-19 patients in their homes, with escalation to hospital care when necessary Patients were evaluated with telehealth visits with a Pulmonologist, and a Home-Care protocol, including RN visit, pulse-oximetry, and oxygen, lab-work, intravenous fluids, medication if needed patient data, comorbidities, and symptoms were collected Labs, including COVID-19 PCR, D Dimer, CRP, Ferritin, Procalcitonin, CBC, and metabolic panel were measured, as were homecare, home oxygen, and intravenous fluids orders, radiographic studies and initiation of an anticoagulant Emergency Department visits and need for hospital admission during the study period were recorded A total of 182 patients were enrolled between the start date of April 27th and June 1st, and fell into two categories: not-admitted (101) and post-discharge (81) Two patients were referred for hospital admission, seven were treated and released from the ED, and one was referred to home hospice There were no unexpected admissions or deaths The CROWN program has demonstrated the feasibility and apparent safety of a specialized, Home-Care based protocol for the ambulatory management of moderate to high risk COVID-19 patients
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #862143
    Database COVID19

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  8. Article ; Online: The impact of do-not-resuscitate order on triage decisions to a medical intensive care unit.

    Cohen, Rubin I / Lisker, Gita N / Eichorn, Ann / Multz, Alan S / Silver, Alan

    Journal of critical care

    2009  Volume 24, Issue 2, Page(s) 311–315

    Abstract: Purpose: To determine whether the presence of a do-not-resuscitate (DNR) order impacts on triage decisions to a medical intensive care unit (MICU) of an academic medical center.: Methods: Data were collected on 179 patients in whom MICU consultation ... ...

    Abstract Purpose: To determine whether the presence of a do-not-resuscitate (DNR) order impacts on triage decisions to a medical intensive care unit (MICU) of an academic medical center.
    Methods: Data were collected on 179 patients in whom MICU consultation was sought and included demographic, clinical information, diagnoses, ICU admission decision, Acute Physiological and Chronic Health Evaluation II (APACHE II) score, and the presence of DNR order. Functional status was determined retrospectively using the Modified Rankin Score.
    Results: The only factor that influenced MICU admission was the presence of DNR order at the time of MICU consultation (odds ratio, 0.25; 95% confidence interval, 0.09-0.71, P < .006). There was no difference between the age, APACHE II scores, or functional status between admitted or refused. Medical intensive care unit admission was associated with increased length of stay without difference in mortality.
    Conclusion: The presence of a DNR order at the time of MICU consultation was significantly associated with the decision to refuse a patient to the MICU.
    MeSH term(s) APACHE ; Aged ; Aged, 80 and over ; Female ; Hospital Mortality ; Humans ; Intensive Care Units/organization & administration ; Length of Stay ; Male ; Middle Aged ; Respiration, Artificial ; Resuscitation Orders ; Risk Factors ; Socioeconomic Factors ; Triage/organization & administration
    Language English
    Publishing date 2009-06
    Publishing country United States
    Document type Journal Article
    ZDB-ID 632818-0
    ISSN 1557-8615 ; 0883-9441
    ISSN (online) 1557-8615
    ISSN 0883-9441
    DOI 10.1016/j.jcrc.2008.01.007
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    Zs.A 2152: Show issues Location:
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