Claire Spice
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View article: Age does not improve the predictive ability of the Hospital Frailty Risk Score for length of stay
Age does not improve the predictive ability of the Hospital Frailty Risk Score for length of stay Open
Background The Hospital Frailty Risk Score (HFRS) has been widely used to identify patients at high risk of poor outcomes and to predict poor outcomes for older people. Although poor health outcomes are associated more with frailty than ag…
View article: Using the Hospital Frailty Risk Score to Predict In-Hospital Mortality Across All Ages
Using the Hospital Frailty Risk Score to Predict In-Hospital Mortality Across All Ages Open
This study investigates the relationship between the Hospital Frailty Risk Score (HFRS) and in-hospital mortality in adult patients. A retrospective cohort analysis of patients aged 16 and older admitted to Queen Alexandra Hospital, Portsm…
View article: Using the Hospital Frailty Risk Score to predict length of stay across all adult ages
Using the Hospital Frailty Risk Score to predict length of stay across all adult ages Open
Background Hospital Frailty Risk Score (HFRS) has recently been used to predict adverse health outcomes including length of stay (LOS) in hospital. LOS is an important indicator for patient quality of care, the measurement of hospital perf…
View article: 985 A QUALITY IMPROVEMENT PROJECT ON CALL BELL IN REACH IN AN ACUTE OLDER PERSON MEDICINE WARD (AGE > 85 YEARS)
985 A QUALITY IMPROVEMENT PROJECT ON CALL BELL IN REACH IN AN ACUTE OLDER PERSON MEDICINE WARD (AGE > 85 YEARS) Open
Introduction Call bell within reach of patients is an important part of quality care and standard in the National Inpatient Falls Audit. Initial data collection showed 56% of patients had call bell in reach indicating potential for improve…
View article: 107 Improving Frailty Screening and Accuracy in the Emergency Department (Ed) of A Busy District General Hospital
107 Improving Frailty Screening and Accuracy in the Emergency Department (Ed) of A Busy District General Hospital Open
Background Over 20,000 75+ years attendances annually in ED with frailty screening in introduced in ED in 2016. Early recognition of frailty is recommended. Accurate estimation of frailty level is important as it contributes to clinical pa…
View article: The performance of the National Early Warning Score and National Early Warning Score 2 in hospitalised patients infected by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)
The performance of the National Early Warning Score and National Early Warning Score 2 in hospitalised patients infected by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) Open
View article: The association between ward staffing levels, mortality and hospital readmission in older hospitalised adults, according to presence of cognitive impairment: a retrospective cohort study
The association between ward staffing levels, mortality and hospital readmission in older hospitalised adults, according to presence of cognitive impairment: a retrospective cohort study Open
Background Lower nurse staffing levels are associated with increased hospital mortality. Older patients with cognitive impairments (CI) have higher mortality rates than similar patients without CI and may be additionally vulnerable to low …
View article: Wessex Acute Frailty Audit: applying quality improvement methodology to design and implement a regional frailty audit using a collaborative, multiprofessional approach
Wessex Acute Frailty Audit: applying quality improvement methodology to design and implement a regional frailty audit using a collaborative, multiprofessional approach Open
Introduction An acute hospital stay increases the risk of negative outcomes for those living with frailty. This paper describes the application of quality improvement methodology to design and implement a regional audit to gain an understa…
View article: Cognitive impairment is independently associated with mortality, extended hospital stays and early readmission of older people with emergency hospital admissions: A retrospective cohort study
Cognitive impairment is independently associated with mortality, extended hospital stays and early readmission of older people with emergency hospital admissions: A retrospective cohort study Open
Cognitive impairment is associated with an increased risk of adverse outcomes in hospitalised older people with an unscheduled admission, by increasing hospital mortality, extending hospital stays and increasing frequency of readmissions. …
View article: Multi-disciplinary stroke care in developing countries – lessons from the Wessex-Ghana Stroke Partnership
Multi-disciplinary stroke care in developing countries – lessons from the Wessex-Ghana Stroke Partnership Open
Stroke disease in Ghana has been of increasing concern since the mid to late 20th century, in association with the increasing westernisation of diet and lifestyle [1]. Two thirds of world-wide mortality cases from stroke occur in sub-Sahar…