PGY7 Cardiac Critical Care Fellow at the University of Toronto
Joined May 2019
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Our 5-year analysis of outcomes following HF hospitalization among patients with and without COPD 🫁 was published in CJC Open
cjcopen.ca/article/S2589-790…
Many thanks to @hvanspall and the team for all their help 🙏
Patients with COPD experienced:
🔴 more hospitalizations: 3.4 vs 2.7
🔴 more physician visits, multidisciplinary care
🔴 more supportive care: rehabilitation, home care
Our article on 5 year outcomes following #HF #hospitalization among patients w/ and w/o #CKD was published in #BMJHeart ! Many thanks to @hvanspall and the team for making this possible! 🔑 findings in thread:
heart.bmj.com/content/112/18…
Annual healthcare costs:
🔴$122,292 with index CKD
🔴$63,087 without CKD
With ~1/2 of costs due to rehospitalization
⬇️ACEi dispensed at 1 year among patients with index CKD: RR 0.75, 95% CI 0.64-0.87
⬇️MRA dispensed at 1 year among patients with index CKD: RR 0.72, 95% CI 0.58-0.90
There is a need to address #GDMT, #resource #utilization, and #multimorbidity in #HF with #CKD
So grateful to have passed the #Cardiology boards and won the Peter Russell Award. Many thanks to everyone who has trained and supported me along the way - the patients, nurses, allied health, attendings, co-fellows, and family. Special thanks to @hvanspall - the best mentor ever
Last call shift of #Cardiology fellowship done! Many thanks to the wonderful CCU nurses who have supported and taught me along the way. Special thanks to #Sonosite, the real MVP ❤️
In our validation study, we demonstrate that the simple LE index can predict 30d mortality using only length of stay and # of prior ED visits, with better performance than traditional risk scores. Many thanks to @hvanspall and the team!
You can predict 30d ☠️ following #HF #hospitalization w just 2 variables
- Length of 🏥stay
- n of ED visits in prior 6 mo
In an external validation study (n 1206) our simple #LE index performed better than complex #risk scores
Each point: ~2x odds of☠️
onlinelibrary.wiley.com/doi/…
In our 5 year sex disaggregated analysis of the #PACTHF trial:
🔴 no sex differences in clinical outcomes, total costs
🔴 high event rates - 65% ☠️, 85% 🏥
🔴⬆️ costs from specialist visits in ♂️, ⬆️ costs from supportive care in ♀️
Many thanks to @hvanspall and the whole team!!
In pragmatic #RCT of 4441 ppl post #HF #hospitalization
5y #prognosis‼️
65%☠️
85% 🏥 (avg 3 rehosps pp)
#EventRates highest in yr 1
Annual #cost $80.5 K pp, largely from 🏥s
No sex differences in event rates & total $, but less specialist care in 👩🏼🦳
doi.org/10.1002/ejhf.3499
Tauben Averbuch MD retweeted
#GlobalRounds @CircAHA visits #Canada 🇨🇦 41 million people
Universal healthcare (11% GDP)
High life expectancy : healthcare $
Centrally negotiated drug prices
And opportunities for improvement👇🏽
How does your #healthcare system compare?
@taubenA #KStelkia
ahajournals.org/eprint/ZSYAV…
An overview of the #Canadian healthcare system, #CVD epidemiology, #research & care, and opportunities for growth.
Drs. @TaubenA, Stelkia, @hvanspall. @CircAHA
ahajournals.org/eprint/ZSYAV…
@PHRIresearch @LibinInstitute @FirstNationsBC
Our #globalrounds on #CVD care in 🇨🇦 was published in #Circulation
🔑 takeaways:
🔴 universal Healthcare
🔴 high-quality care
🔴 outcomes, wait times comparable to high-income countries
🔴 geography limits delivery of care
🔴 national reporting needed
ahajournals.org/doi/10.1161/…
Tauben Averbuch MD retweeted
🎙️NEW #HeartFailure2024 #LBCT Discussion 💫Dr @hvanspall & Dr @TaubenA discuss the findings from the PACT-HF trial.
📽️Watch here👉 tinyurl.com/3zh64x8x
📊Clinical outcomes and overall costs following hospitalisation for #HF were similar between male and female patients at 5y, although the distribution of costs differed.
#HFA #CardioTwitter
Tauben Averbuch MD retweeted
@TaubenA’s first oral presentation & first #LBCT presentation at a meeting, and I dont know who’s more excited!!!
#HeartFailure2024
Tauben Averbuch MD retweeted
Well noted discussion by Dr Ileana Piña on #PACTHF registries, #LBCT
📍differences in the management between 🧔♂️and👩🦳❓
📍why more disability❓
📍less specialized care for 👩🦳, ➡️ we need to do better❤️
#HeartFailure2024
@TaubenA @hvanspall
Incredibly grateful to @hvanspall to present #PACTHF 5yr update at #HeartFailure2024
🔑 findings:
🔴 5 year ☠ = 65% in ♂️ and ♀️ patients
🔴 💲were high, and driven by readmission
🔴 🚫 sex differences in outcomes/costs, but ⬆️ specialist care in ♂️, ⬆️ supportive care in ♀️
How do gender differences impact clinical outcomes and healthcare resource use after #HF hospitalization?
#PACTHF registries #LBCT:
📍 64% mortality, 🧔♂️=👩🦳
📍 Higher costs for 🧔♂️ in specialist and invasive care; more home & long-term care for 👩🦳
#HeartFailure2024 @hvanspall
