Aaron M. Orkin

Aaron M. Orkin

University of Toronto

H-index: 26

North America-Canada

About Aaron M. Orkin

Aaron M. Orkin, With an exceptional h-index of 26 and a recent h-index of 23 (since 2020), a distinguished researcher at University of Toronto, specializes in the field of Health.

His recent articles reflect a diverse array of research interests and contributions to the field:

An emergency-department-initiated outreach program for patients with opioid use disorder is associated with an increase in agonist therapy and engagement in addictions care: a …

Respiratory Syncytial Virus (RSV): Wastewater surveillance for COVID-19 in shelters: A creative strategy for a complex setting

Surveillance de la COVID-19 dans les eaux usées des refuges: une stratégie créative pour un environnement complexe

Factors associated with frequent buprenorphine/naloxone initiation in a national survey of Canadian emergency physicians

RESEARCH REPORTS Tailoring CONSORT-SPI to improve the reporting of smoking cessation intervention trials: An expert consensus study

“We are not invited”: Australian focus group results on how to improve ethnic diversity in trials.

Opioid‐related overdose deaths among people experiencing homelessness, 2017 to 2021: A population‐based analysis using coroner and health administrative data from Ontario, Canada

Recognizing the fastest growing cause of out-of-hospital cardiac arrest

Aaron M. Orkin Information

University

University of Toronto

Position

___

Citations(all)

3806

Citations(since 2020)

2641

Cited By

1298

hIndex(all)

26

hIndex(since 2020)

23

i10Index(all)

52

i10Index(since 2020)

44

Email

University Profile Page

University of Toronto

Aaron M. Orkin Skills & Research Interests

Health

Top articles of Aaron M. Orkin

An emergency-department-initiated outreach program for patients with opioid use disorder is associated with an increase in agonist therapy and engagement in addictions care: a …

Authors

Rukaiyah Lakkadghatwala,Daniel Lane,Frank Scheuermeyer,Jesse Hilburt,Jane Buxton,Cheyenne Johnson,Seonaid Nolan,Christy Sutherland,Jessica Moe,Raoul Daoust,Kathryn Dong,Jim Christenson,Isabelle Miles,Aaron Orkin,Madelyn Whyte,Andrew Kestler

Journal

Substance Abuse Treatment, Prevention, and Policy

Published Date

2024/2/21

BackgroundPeople with opioid use disorder (OUD) are high-risk for short-term mortality and morbidity. Emergency department (ED) interventions can reduce those risks, but benefits wane without ongoing community follow-up.ObjectiveTo evaluate an ED-based intensive community outreach program.MethodsAt two urban EDs between October 2019 and March 2020, we enrolled patients with OUD not currently on opioid agonist therapy (OAT) in a prospective cohort study evaluating a one-year intensive community outreach program, which provided ongoing addictions care, housing resources, and community support. We surveyed patients at intake and at scheduled outreach encounters at one, two, six, and twelve months. Follow-up surveys assessed OAT uptake, addictions care engagement, housing status, quality of life scores, illicit opioid use, and outreach helpfulness. We used descriptive statistics for each …

Respiratory Syncytial Virus (RSV): Wastewater surveillance for COVID-19 in shelters: A creative strategy for a complex setting

Authors

Chalani Ranasinghe,Stefan Baral,Rebecca Stuart,Claire Oswald,Sharon Straus,Amir Tehrani,Kimberley Gilbride,Princilla Agyemang,Aaron Orkin

Journal

Canada Communicable Disease Report

Published Date

2024/1/1

People experiencing homelessness experience disproportionate rates of morbidity and mortality from coronavirus disease 2019 (COVID-19) compared to the general population and shelters for people experiencing homelessness are a major contributing factor to these negative outcomes. As a result of their unique structure, population and physical space, these settings pose several challenges to the prevention of COVID-19 infection that are not adequately addressed by conventional non-pharmaceutical public health interventions. Wastewater surveillance for COVID-19 is a viable strategy for health protection in shelters due to its ability to meet these unique challenges. Its passive nature does not depend on individual health-seeking behaviours, and it can provide useful epidemiological information early on in an outbreak setting. In this commentary, the authors examine a recent application of wastewater …

Surveillance de la COVID-19 dans les eaux usées des refuges: une stratégie créative pour un environnement complexe

Authors

Chalani Ranasinghe,Stefan Baral,Rebecca Stuart,Claire Oswald,Sharon Straus,Amir Tehrani,Kimberley Gilbride,Princilla Agyemang,Aaron Orkin

Journal

SYNCYTIAL (VRS)

Published Date

2024/1

Les personnes sans-abri présentent des taux disproportionnés de morbidité et de mortalité dues à la maladie à coronavirus 2019 (COVID-19) par rapport à ceux de la population générale, et les refuges pour sans-abri contribuent largement à ces résultats négatifs. En raison de leur structure, de leur population et de leur espace physique uniques, ces lieux compliquent la prévention de l’infection par la COVID-19 de nombreuses façons. Ces difficultés ne sont pas prises en compte de manière adéquate par les interventions de santé publique non pharmaceutiques conventionnelles. La surveillance de la COVID-19 dans les eaux usées est une stratégie viable pour la protection de la santé dans les refuges en raison de sa capacité à surmonter ces difficultés uniques. Sa nature passive fait en sorte qu’elle ne dépend pas des comportements individuels en matière de santé, et elle peut fournir des informations épidémiologiques utiles dès le début d’une éclosion. Dans ce commentaire, les auteurs étudient une application récente de la surveillance de la COVID-19 dans les eaux usées d’un refuge pour hommes à Toronto. D’autres applications de la surveillance des eaux usées des refuges pour d’autres maladies infectieuses préoccupantes y sont proposées, et on y discute de la nécessité de créer des cadres éthiques régissant l’utilisation de cette technologie.

Factors associated with frequent buprenorphine/naloxone initiation in a national survey of Canadian emergency physicians

Authors

Nathalie MacKinnon,Daniel Lane,Frank Scheuermeyer,Janusz Kaczorowski,Kathryn Dong,Aaron M Orkin,Raoul Daoust,Jessica Moe,Gary Andolfatto,Michelle Klaiman,Justin Yan,Justin J Koh,Kathryn Crowder,Paul Atkinson,David Savage,James Stempien,Floyd Besserer,Jason Wale,Andrew Kestler

Journal

Plos one

Published Date

2024/2/5

Objective To identify individual and site-related factors associated with frequent emergency department (ED) buprenorphine/naloxone (BUP) initiation. BUP initiation, an effective opioid use disorder (OUD) intervention, varies widely across Canadian EDs. Methods We surveyed emergency physicians in 6 Canadian provinces from 2018 to 2019 using bilingual paper and web-based questionnaires. Survey domains included BUP-related practice, demographics, attitudes toward BUP, and site characteristics. We defined frequent BUP initiation (the primary outcome) as at least once per month, high OUD prevalence as at least one OUD patient per shift, and high OUD resources as at least 3 out of the following 5 resources: BUP initiation pathways, BUP in ED, peer navigators, accessible addiction specialists, and accessible follow-up clinics. We excluded responses from sites with <50% participation (to minimize non-responder bias) and those missing the primary outcome. We used univariate analysis to identify associations between frequent BUP initiation and factors of interest, stratifying by OUD prevalence. Results We excluded 3 responses for missing BUP initiation frequency and 9 for low response rate at one ED. Of the remaining 649 respondents from 34 EDs, 374 (58%) practiced in metropolitan areas, 384 (59%) reported high OUD prevalence, 312 (48%) had high OUD resources, and 161 (25%) initiated BUP frequently. Age, gender, board certification and years in practice were not associated with frequent BUP initiation. Site-specific factors were associated with frequent BUP initiation (high OUD resources [OR 6.91], high OUD prevalence …

RESEARCH REPORTS Tailoring CONSORT-SPI to improve the reporting of smoking cessation intervention trials: An expert consensus study

Authors

Jane Metrik,Denis M McCarthy,Heidar Sharafi,Hamzah Bakouni,Christina McAnulty,Sarah Drouin,Stephanie Coronado-Montoya,Arash Bahremand,Paxton Bach,Vitor S Tardelli,Daniela Ziegler,Didier Jutras-Aswad,Richard G Booth,Salimah Z Shariff,Brooke Carter,Stephen W Hwang,Aaron M Orkin,Cheryl Forchuk,Tara Gomes,Jessica A Heerde,Lucas Calais-Ferreira,Susan M Sawyer,Michael McGrath,Mark Stare,Phyllis Chua,Rowan Ogeil,Ziad Nehme,Debbie Scott,Dan I Lubman

Journal

ADDICTION

Published Date

2024/2

Issue Information Page 1 © 2024 Society for the Study of Addiction ADDICTION Volume 119 Number 2 February 2024 404 EDITORIAL How research and policy can shape driving under the influence of cannabis Jane Metrik & Denis M. McCarthy 208 REVIEW Prescription psychostimulants for the treatment of amphetamine-type stimulant use disorder: A systematic review and meta-analysis of randomized placebo-controlled trials Heidar Sharafi, Hamzah Bakouni, Christina McAnulty, Sarah Drouin, Stephanie Coronado-Montoya, Arash Bahremand, Paxton Bach, Nadine Ezard, Bernard Le Foll, Christian G. Sch ü tz, Krista J. Siefried, Vitor S. Tardelli, Daniela Ziegler & Didier Jutras-Aswad 211 RESEARCH REPORTS Tailoring CONSORT-SPI to improve the reporting of smoking cessation intervention trials: An expert consensus study Zoe Swithenbank, Alessio Bricca, Nicola Black, Jamie Hartmann Boyce, Marie Johnston…

“We are not invited”: Australian focus group results on how to improve ethnic diversity in trials.

Authors

Bianca Brijnath,Rachel Muoio,Peter Feldman,Davina Ghersi,An-Wen Chan,Vivian Welch,Shaun Treweek,Heidi Green,Aaron M Orkin,Ebenezer Owusu-Addo

Journal

Journal of Clinical Epidemiology

Published Date

2024/4/16

ObjectiveLack of ethnic diversity in trials may contribute to health disparities and to inequity in health outcomes. The primary objective was to investigate the experiences and perspectives of ethnically diverse populations about how to improve ethnic diversity in trials.Study design and settingQualitative data were collected via 16 focus groups with participants from 21 ethnically diverse communities in Australia. Data collection took place between August and September 2022 in community-based settings in six capital cities: Sydney, Melbourne, Perth, Adelaide, Brisbane, and Darwin and one rural town: Bordertown (South Australia).ResultsOne hundred and fifty eight purposively sampled adults (aged 18–85, 49% women), participated in groups speaking Tamil, Greek, Punjabi, Italian, Mandarin, Cantonese, Karin, Vietnamese, Nepalese, and Arabic; or English-language groups (comprising Fijian, Filipino, African, and …

Opioid‐related overdose deaths among people experiencing homelessness, 2017 to 2021: A population‐based analysis using coroner and health administrative data from Ontario, Canada

Authors

Richard G Booth,Salimah Z Shariff,Brooke Carter,Stephen W Hwang,Aaron M Orkin,Cheryl Forchuk,Tara Gomes

Journal

Addiction

Published Date

2024/2

Aims To measure the change in proportion of opioid‐related overdose deaths attributed to people experiencing homelessness and to compare the opioid‐related fatalities between individuals experiencing homelessness and not experiencing homelessness at time of death. Design, setting and participants Population‐based, time‐trend analysis using coroner and health administrative databases from Ontario, Canada from 1 July 2017 and 30 June 2021. Measurements Quarterly proportion of opioid‐related overdose deaths attributed to people experiencing homelessness. We also obtained socio‐demographic and health characteristics of decedents, health‐care encounters preceding death, substances directly contributing to death and circumstances surrounding deaths. Findings A total of 6644 individuals (median age = 40 years, interquartile range = 31–51; 74.1% male) experienced an accidental …

Recognizing the fastest growing cause of out-of-hospital cardiac arrest

Authors

Aaron M Orkin,Cameron Dezfulian

Published Date

2024/4/9

Recognizing the fastest growing cause of out-of-hospital cardiac arrest Recognizing the fastest growing cause of out-of-hospital cardiac arrest Resuscitation. 2024 Apr 9:110206. doi: 10.1016/j.resuscitation.2024.110206. Online ahead of print. Authors Aaron M Orkin 1 , Cameron Dezfulian 2 Affiliations 1 Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada; Department of Family and Community, Medicine, University of Toronto, Toronto, Ontario, Canada; St. Joseph's Health Centre, Unity Health Toronto, Toronto Ontario, Canada. 2 Departments of Pediatrics and Anesthesiology, Baylor College of Medicine, Houston, TX, USA. Electronic address: Cameron.Dezfulian@bcm.edu. PMID: 38604441 DOI: 10.1016/j.resuscitation.2024.110206 No abstract available Keywords: Adverse Effects; Naloxone; Opioid Analgesic; Out-of-hospital cardiac arrest. Publication types Editorial …

Wastewater surveillance for COVID-19 in shelters

Authors

Chalani Ranasinghe,Stefan Baral,Rebecca Stuart,Claire Oswald,Sharon Straus,Amir Tehrani,Kimberley Gilbride,Princilla Agyemang,Aaron Orkin

Published Date

2024/1

People experiencing homelessness experience disproportionate rates of morbidity and mortality from coronavirus disease 2019 (COVID-19) compared to the general population and shelters for people experiencing homelessness are a major contributing factor to these negative outcomes. As a result of their unique structure, population and physical space, these settings pose several challenges to the prevention of COVID-19 infection that are not adequately addressed by conventional non-pharmaceutical public health interventions. Wastewater surveillance for COVID-19 is a viable strategy for health protection in shelters due to its ability to meet these unique challenges. Its passive nature does not depend on individual health-seeking behaviours, and it can provide useful epidemiological information early on in an outbreak setting. In this commentary, the authors examine a recent application of wastewater surveillance of COVID-19 in a men’s shelter in Toronto. Further applications of wastewater surveillance for other infectious diseases of concern in shelters are proposed, and the need for the development of ethical frameworks governing the use of this technology is discussed.

The impact of COVID-19 on opioid toxicity deaths for people who experience incarceration compared to the general population in Ontario: A whole population data linkage study

Authors

Amanda Butler,Ruth Croxford,Katherine E McLeod,Tara Gomes,Aaron M Orkin,Susan J Bondy,Fiona G Kouyoumdjian

Journal

Plos one

Published Date

2023/10/24

Background To inform preparedness and population health action, we need to understand the effects of COVID-19 on health inequities. In this study, we assess the impact of COVID-19 on opioid toxicity deaths among people who experience incarceration compared to others in the general population in Ontario, Canada. Methods We conducted a retrospective cohort study for the period of January 1, 2015 to December 31, 2020. We accessed and linked coronial data on all opioid toxicity deaths in Ontario with correctional data for people aged 18 years and older who were incarcerated in a provincial correctional facility. We used data from the Statistics Canada Census to calculate whole population rates. We used an interrupted time series design and segmented regression to assess for change in the level or rate of increase in deaths due to opioid toxicity coinciding with the COVID-19 pandemic. We compared the impact of COVID-19 on the opioid toxicity death rates for people exposed and not exposed to incarceration. Results Rates of opioid toxicity death increased with a linear positive slope in both persons exposed to incarceration and those not exposed over the study period. The start of COVID-19 measures coincided with a marked upward shift in the trend lines with modification of the effect of COVID-19 by both sex and exposure to incarceration. For persons exposed to incarceration, the risk ratio (RR) was 1.50 (95%CI 1.35–1.69) for males and 1.21 (95%CI 1.06–1.42) for females, and for persons not exposed to incarceration, the RR was 1.25 (95%CI 1.13–1.38) for males and not significant for females. Conclusions COVID-19 …

Burden of opioid toxicity death in the fentanyl-dominant era for people who experience incarceration in Ontario, Canada, 2015–2020: a whole population retrospective cohort study

Authors

Amanda Butler,Ruth Croxford,Claire Bodkin,Hanaya Akbari,Ahmed M Bayoumi,Susan J Bondy,Dale Guenter,Katherine E McLeod,Tara Gomes,Tharsan Kanagalingam,Lori A Kiefer,Aaron Michael Orkin,Akwasi Owusu-Bempah,Leonora Regenstreif,Fiona Kouyoumdjian

Journal

BMJ open

Published Date

2023/5/1

ObjectivesTo describe mortality due to opioid toxicity among people who experienced incarceration in Ontario between 2015 and 2020, during the fentanyl-dominant era.DesignIn this retrospective cohort study, we linked Ontario coronial data on opioid toxicity deaths between 2015 and 2020 with correctional data for adults incarcerated in Ontario provincial correctional facilities.SettingOntario, Canada.ParticipantsWhole population data.Main outcomes and measuresThe primary outcome was opioid toxicity death and the exposure was any incarceration in a provincial correctional facility between 2015 and 2020. We calculated crude death rates and age-standardised mortality ratios (SMR).ResultsBetween 2015 and 2020, 8460 people died from opioid toxicity in Ontario. Of those, 2207 (26.1%) were exposed to incarceration during the study period. Among those exposed to incarceration during the study period (n=1 …

Rapid and Collaborative Population Health Assessment for People Experiencing Homelessness in Toronto: The CARE Program

Authors

Graziella El-Khechen Richandi,Alannah Vila,Monica Sarty,Tomislav Svoboda,Stefan Baral,Ri Wang,Priya Vasa,Alena Ravestein,Tina Kaur,Pablo del Cid Nunez,Aaron Orkin

Journal

Annals of family medicine

Published Date

2023/9

Shelter staff work with population health professionals to stratify residents according to their health and support needs using the CARE tool. The 5-item open-access tool gathers data on immunization status, general health risk, support needs, substance use, and housing-specific support needs (Supplemental Appendix). Additional content concerning cognitive, behavioral, and general health status are in development. For non–health care staff who know shelter residents well, stratification takes approximately 30 seconds per client. 4 Automated and customized CARE Dashboards were developed using the Django Web Framework (www. djangoproject. com) to provide shelter and primary care colleagues with secure, real-time information on resident needs, and comparisons with system-wide data. Repeat assessment for most measures shows acceptable internal consistency (Cronbach’s α), though measures are …

Limited evidence that emergency department care is more costly than other outpatient settings for low-acuity conditions: a systematic review

Authors

Gaibrie Stephen,Justin Burton,Allan S Detsky,Noah Ivers,Simon Berthelot,Clare L Atzema,Aaron M Orkin

Published Date

2023/5

PurposeCaring for patients with low-acuity conditions in Emergency Departments (ED) is often thought to cost more than treating those patients in other ambulatory settings. Understanding the relative cost of care between settings has critical implications for healthcare policy and system design.MethodsWe conducted a systematic review of papers comparing the cost of care for low-acuity and ambulatory care sensitive conditions in ED and other outpatient settings. We searched PubMed, EMBASE, CINAHL, and Web of Science for peer reviewed papers, plus Google for grey literature. We conducted duplicate screening and data extraction, and quality assessment of included studies using an adapted SIGN checklist for economic studies. We calculated an unweighted mean charge ratio across studies and summarized our findings in narrative and tabular format.ResultsWe identified one study comparing costs. 18 …

NEWS AND PERSPECTIVE

Authors

P Hewitt,M McKenna,HE Wang,SJ Simeone,MD Weaver,CW Callaway,BJ Bobrow,DW Spaite,GA Ewy,L Clark,V Chikani,RA Berg,AB Sanders,TF Vadeboncoeur,RW Hilwig,KB Kern

Journal

Annals of Emergency Medicine

Published Date

2009/9

Administration of tissue plasminogen activator (tPA) for acute ischemic stroke remains controversial in community practice. Well-organized hierarchical systems of acute stroke care have been proposed to link community hospitals to comprehensive stroke centers. We report safety and functional outcomes in patients treated with tPA in our regional emergency stroke network and compare them with results reported from the trial conducted by the National Institute of Neurological Disorders and Stroke.

2023 International consensus on cardiopulmonary resuscitation and emergency cardiovascular care science with treatment recommendations: summary from the basic life support …

Authors

Katherine M Berg,Janet E Bray,Kee-Chong Ng,Helen G Liley,Robert Greif,Jestin N Carlson,Peter T Morley,Ian R Drennan,Michael Smyth,Barnaby R Scholefield,Gary M Weiner,Adam Cheng,Therese Djärv,Cristian Abelairas-Gómez,Jason Acworth,Lars W Andersen,Dianne L Atkins,David C Berry,Farhan Bhanji,Joost Bierens,Thomaz Bittencourt Couto,Vere Borra,Bernd W Böttiger,Richard N Bradley,Jan Breckwoldt,Pascal Cassan,Wei-Tien Chang,Nathan P Charlton,Sung Phil Chung,Julie Considine,Daniela T Costa-Nobre,Keith Couper,Katie N Dainty,Vihara Dassanayake,Peter G Davis,Jennifer A Dawson,Maria Fernanda de Almeida,Allan R De Caen,Charles D Deakin,Bridget Dicker,Matthew J Douma,Kathryn Eastwood,Walid El-Naggar,Jorge G Fabres,Joe Fawke,Nino Fijacko,Judith C Finn,Gustavo E Flores,Elizabeth E Foglia,Fredrik Folke,Elaine Gilfoyle,Craig A Goolsby,Asger Granfeldt,Anne-Marie Guerguerian,Ruth Guinsburg,Tetsuo Hatanaka,Karen G Hirsch,Mathias J Holmberg,Shigeharu Hosono,Ming-Ju Hsieh,Cindy H Hsu,Takanari Ikeyama,Tetsuya Isayama,Nicholas J Johnson,Vishal S Kapadia,Mandira Daripa Kawakami,Han-Suk Kim,Monica E Kleinman,David A Kloeck,Peter Kudenchuk,Amy Kule,Hiroshi Kurosawa,Anthony T Lagina,Kasper G Lauridsen,Eric J Lavonas,Henry C Lee,Yiqun Lin,Andrew S Lockey,Finlay Macneil,Ian K Maconochie,R John Madar,Carolina Malta Hansen,Siobhan Masterson,Tasuku Matsuyama,Christopher JD McKinlay,Daniel Meyran,Vix Monnelly,Vinay Nadkarni,Firdose L Nakwa,Kevin J Nation,Ziad Nehme,Michael Nemeth,Robert W Neumar,Tonia Nicholson,Nikolaos Nikolaou,Chika Nishiyama,Tatsuya Norii,Gabrielle A Nuthall,Shinchiro Ohshimo,Theresa M Olasveengen,Yong-Kwang Gene Ong,Aaron M Orkin,Michael J Parr,Catherine Patocka,Gavin D Perkins,Jeffrey M Perlman,Yacov Rabi,James Raitt,Shalini Ramachandran,Viraraghavan V Ramaswamy,Tia T Raymond,Amelia G Reis,Joshua C Reynolds,Giuseppe Ristagno,Antonio Rodriguez-Nunez,Charles C Roehr,Mario Rüdiger,Tetsuya Sakamoto,Claudio Sandroni,Taylor L Sawyer,Steve M Schexnayder,Georg M Schmölzer,Sebastian Schnaubelt,Federico Semeraro,Eunice M Singletary,Markus B Skrifvars,Christopher M Smith,Jasmeet Soar,Willem Stassen,Takahiro Sugiura,Janice A Tijssen,Alexis A Topjian,Daniele Trevisanuto,Christian Vaillancourt,Myra H Wyckoff,Jonathan P Wyllie,Chih-Wei Yang,Joyce Yeung,Carolyn M Zelop,David A Zideman,Ying-Chih Ko,Laurie J Morrison,Jerry P Nolan

Published Date

2023/12/12

The International Liaison Committee on Resuscitation engages in a continuous review of new, peer-reviewed, published cardiopulmonary resuscitation and first aid science. Draft Consensus on Science With Treatment Recommendations are posted online throughout the year, and this annual summary provides more concise versions of the final Consensus on Science With Treatment Recommendations from all task forces for the year. Topics addressed by systematic reviews this year include resuscitation of cardiac arrest from drowning, extracorporeal cardiopulmonary resuscitation for adults and children, calcium during cardiac arrest, double sequential defibrillation, neuroprognostication after cardiac arrest for adults and children, maintaining normal temperature after preterm birth, heart rate monitoring methods for diagnostics in neonates, detection of exhaled carbon dioxide in neonates, family presence during …

Validating the Remote First Aid Self-Efficacy Scale for Use in Evaluation and Training of First Responders in Remote Contexts

Authors

Jonah J D’Angelo,Stephen D Ritchie,Jim R Little,David E Johnson,David Vanderburgh,Aaron M Orkin,Bruce Oddson

Journal

Wilderness & Environmental Medicine

Published Date

2023/3

IntroductionThe purpose of this study was to investigate the psychometric properties of the remote first aid self-efficacy scale (RFA SES). The RFA SES is a 30-item self-report scale developed in response to emerging evidence showing that self-efficacy is predictive of performance.MethodsTrained alumni from Wilderness Medical Associates (WMA) training courses and less trained students from Laurentian University (LU) were recruited via email to complete an online questionnaire at 2 different periods (T1 and T2). The questionnaire included demographic questions, the 30-item RFA SES, the 10-item Connor-Davidson resilience scale (CD-RISC), and the 10-item generalized self-efficacy scale (GSES). Data analysis included assessment of the dimensionality, reliability, and validity of the scale.ResultsThere were 448 alumni from WMA and 1106 students from LU who participated in the study. The RFA SES …

Qualitative exploration of emergency department care experiences among people with opioid use disorder

Authors

Lexis R Galarneau,Frank X Scheuermeyer,Jesse Hilburt,Zoe R O’Neill,Skye Barbic,Jessica Moe,Jane A Buxton,Aaron M Orkin,Janusz Kaczorowski,Kathryn Dong,Dianne Tobin,Isabelle Miles,Misty Bath,Sherry Grier,Emma Garrod,Andrew Kestler

Journal

Annals of Emergency Medicine

Published Date

2023/7/1

Study objectiveWe described the experiences and preferences of people with opioid use disorder who access emergency department (ED) services regarding ED care and ED-based interventions.MethodsBetween June and September 2020, we conducted phone or in-person semistructured qualitative interviews with patients recently discharged from 2 urban EDs in Vancouver, BC, Canada, to explore experiences and preferences of ED care and ED-based opioid use disorder interventions. We recruited participants from a cohort of adults with opioid use disorder who were participating in an ED-initiated outreach program. We transcribed audio recordings verbatim. We iteratively developed a thematic coding structure, with interim analyses to assess for thematic saturation. Two team members with lived experience of opioid use provided feedback on content, wording, and analysis throughout the study.ResultsWe …

Efficacy of prescribed opioids for acute pain after being discharged from the emergency department: A systematic review and meta‐analysis

Authors

Raoul Daoust,Jean Paquet,Martin Marquis,David Williamson,Guillaume Fontaine,Jean‐Marc Chauny,Amelie Fregeau,Aaron M Orkin,Suneel Upadhye,Justine Lessard,Alexis Cournoyer

Published Date

2023/12

Background Opioids are often prescribed for acute pain to patients discharged from the emergency department (ED), but there is a paucity of data on their short‐term use. The purpose of this study was to synthesize the evidence regarding the efficacy of prescribed opioids compared to nonopioid analgesics for acute pain relief in ED‐discharged patients. Methods MEDLINE, EMBASE, CINAHL, PsycINFO, CENTRAL, and gray literature databases were searched from inception to January 2023. Two independent reviewers selected randomized controlled trials investigating the efficacy of prescribed opioids for ED‐discharged patients, extracted data, and assessed risk of bias. Authors were contacted for missing data and to identify additional studies. The primary outcome was the difference in pain intensity scores or pain relief. All meta‐analyses used a random‐effect model and a sensitivity analysis compared …

Virtual and remote opioid poisoning education and naloxone distribution programs: a scoping review

Authors

Bruna Dos Santos,Rifat Farzan Nipun,Anna Maria Subic,Alexandra Kubica,Nick Rondinelli,Don Marentette,Joanna Muise,Kevin Paes,Meghan Riley,Samiya Bhuiya,Jeannene Crosby,Keely McBride,Joseph Salter,Aaron M Orkin

Published Date

2023

The opioid poisoning crisis is a complex and multi-faceted global epidemic with far-reaching public health effects. Opioid Poisoning Education and Naloxone Distribution (OPEND) programs destigmatize and legitimize harm reduction measures while increasing participants’ ability to administer naloxone and other life-saving interventions in opioid poisoning emergencies. While virtual OPEND programs existed prior to the COVID-19 pandemic and were shown to be effective in improving knowledge of opioid poisoning response, they were not widely implemented and evaluated. The COVID-19 pandemic brought both urgent and sustained interest in virtual health services, including harm reduction interventions and OPEND programs. We aimed to assess the scope of literature related to fully virtual OPEND programming, with or without naloxone distribution, worldwide. A search of the literature was conducted and yielded 7,722 articles, of which 31 studies fit the inclusion criteria. Type and content of the educational component, duration of training, scales used, and key findings were extracted and synthesized. Our search shows that virtual and remote OPEND programs appear effective in increasing knowledge, confidence, and preparedness to respond to opioid poisoning events while improving stigma regarding people who use substances. This effect is shown to be true in a wide variety of populations but is significantly relevant when focused on laypersons. Interventions ranged from the use of videos, websites, telephone calls, and virtual reality simulations. A lack of consensus was found regarding the duration of the activity and the scales used …

Improving the reporting of primary care research: consensus reporting items for studies in primary care—the CRISP statement

Authors

William R Phillips,Elizabeth Sturgiss,Paul Glasziou,Tim C olde Hartman,Aaron M Orkin,Pallavi Prathivadi,Joanne Reeve,Grant M Russell,Chris van Weel

Journal

The Annals of Family Medicine

Published Date

2023/11/1

Primary care (PC) is a unique clinical specialty and research discipline with its own perspectives and methods. Research in this field uses varied research methods and study designs to investigate myriad topics. The diversity of PC presents challenges for reporting, and despite the proliferation of reporting guidelines, none focuses specifically on the needs of PC. The Consensus Reporting Items for Studies in Primary Care (CRISP) Checklist guides reporting of PC research to include the information needed by the diverse PC community, including practitioners, patients, and communities. CRISP complements current guidelines to enhance the reporting, dissemination, and application of PC research findings and results. Prior CRISP studies documented opportunities to improve research reporting in this field. Our surveys of the international, interdisciplinary, and interprofessional PC community identified essential …

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Aaron M. Orkin FAQs

What is Aaron M. Orkin's h-index at University of Toronto?

The h-index of Aaron M. Orkin has been 23 since 2020 and 26 in total.

What are Aaron M. Orkin's top articles?

The articles with the titles of

An emergency-department-initiated outreach program for patients with opioid use disorder is associated with an increase in agonist therapy and engagement in addictions care: a …

Respiratory Syncytial Virus (RSV): Wastewater surveillance for COVID-19 in shelters: A creative strategy for a complex setting

Surveillance de la COVID-19 dans les eaux usées des refuges: une stratégie créative pour un environnement complexe

Factors associated with frequent buprenorphine/naloxone initiation in a national survey of Canadian emergency physicians

RESEARCH REPORTS Tailoring CONSORT-SPI to improve the reporting of smoking cessation intervention trials: An expert consensus study

“We are not invited”: Australian focus group results on how to improve ethnic diversity in trials.

Opioid‐related overdose deaths among people experiencing homelessness, 2017 to 2021: A population‐based analysis using coroner and health administrative data from Ontario, Canada

Recognizing the fastest growing cause of out-of-hospital cardiac arrest

...

are the top articles of Aaron M. Orkin at University of Toronto.

What are Aaron M. Orkin's research interests?

The research interests of Aaron M. Orkin are: Health

What is Aaron M. Orkin's total number of citations?

Aaron M. Orkin has 3,806 citations in total.

What are the co-authors of Aaron M. Orkin?

The co-authors of Aaron M. Orkin are Ross Upshur, Fiona Kouyoumdjian, Stephen D. Ritchie, Daniel Z Buchman, Michelle Klaiman.

    Co-Authors

    H-index: 76
    Ross Upshur

    Ross Upshur

    University of Toronto

    H-index: 28
    Fiona Kouyoumdjian

    Fiona Kouyoumdjian

    University of Toronto

    H-index: 21
    Stephen D. Ritchie

    Stephen D. Ritchie

    Laurentian University

    H-index: 18
    Daniel Z Buchman

    Daniel Z Buchman

    University of Toronto

    H-index: 5
    Michelle Klaiman

    Michelle Klaiman

    University of Toronto

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