Robert Stewart
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View article: Antidepressant Use at the Threshold: using electronic health records to characterise people prescribed antidepressants around the time of dementia diagnosis
Antidepressant Use at the Threshold: using electronic health records to characterise people prescribed antidepressants around the time of dementia diagnosis Open
Background Antidepressant use is common in people with dementia. Antidepressants may be started to manage symptoms of dementia, rather than depressive and anxiety disorders. We hypothesised people prescribed antidepressants around the time…
View article: Mental disorders, receipt of acute cardiac care following myocardial infarction and the impact of the COVID-19 pandemic: a cohort study
Mental disorders, receipt of acute cardiac care following myocardial infarction and the impact of the COVID-19 pandemic: a cohort study Open
Background and Aims People with a mental disorder have poorer myocardial infarction (MI) outcomes, with differences in cardiac care thought to be partly responsible. We compared receipt of guideline-informed acute MI care by mental disorde…
View article: Mental disorders, mortality following myocardial infarction and the impact of the COVID-19 pandemic in England: a cohort study
Mental disorders, mortality following myocardial infarction and the impact of the COVID-19 pandemic in England: a cohort study Open
Background and Aims People with schizophrenia experience poorer cardiovascular disease (CVD) outcomes, but other mental disorders have been little studied. We compared post-myocardial infarction (MI) mortality by mental disorder, explored …
View article: Palladium-103 plaque radiation therapy for retinal angioma
Palladium-103 plaque radiation therapy for retinal angioma Open
Purpose: Plaque radiation has been used in the treatment of angiomas of the choroid, retina, and vasoproliferative tumors of the retina. Herein, is presented the novel use of palladium-103 (103Pd) plaque radiation as primary treatment for …
View article: Ethnic inequalities in compulsory psychiatric hospital detentions during UK COVID-19 lockdowns: regression discontinuity design in time study
Ethnic inequalities in compulsory psychiatric hospital detentions during UK COVID-19 lockdowns: regression discontinuity design in time study Open
Background Ethnic inequalities in compulsory psychiatric hospital detentions are well-documented in the UK and internationally. It is unknown how UK coronavirus disease 2019 (COVID-19) lockdown measures, which led to restrictions in public…
View article: Commercial or industrial use of mental health data for research: primer and best-practice guidelines from the DATAMIND patient/public Lived Experience Advisory Group
Commercial or industrial use of mental health data for research: primer and best-practice guidelines from the DATAMIND patient/public Lived Experience Advisory Group Open
BACKGROUND: Routinely collected health data, such as that held by the United Kingdom (UK) National Health Service/Health and Social Care (collectively "NHS"), has important research uses, but its appropriate use requires public trust and t…
View article: Identification of suicide positive expressions in electronic health records in German language (Preprint)
Identification of suicide positive expressions in electronic health records in German language (Preprint) Open
UNSTRUCTURED Suicide attempts are one of the most challenging psychiatric outcomes and have great importance in clinical practice. However, they remain difficult to detect in a standardised way to assist prevention because assessment is m…
View article: A protocol for a cohort study investigating clinical and radiological features of normal pressure hydrocephalus in South London memory services
A protocol for a cohort study investigating clinical and radiological features of normal pressure hydrocephalus in South London memory services Open
Background Normal pressure hydrocephalus (NPH) is a potentially treatable condition causing dementia. Treatment is through insertion of a ‘shunt’, which improves symptoms and prolongs independence, but NPH may be under-treated. Automated b…
View article: Development of a natural language-processing application for LGBTQ+ status in mental health records
Development of a natural language-processing application for LGBTQ+ status in mental health records Open
Background Lesbian, gay, bisexual, transgender, queer and related community (LGBTQ+) individuals have significantly increased risk for mental health problems. However, research on inequalities in LGBTQ+ mental healthcare is limited because…
View article: Depression Genetics in Africa (DepGenAfrica): protocol for the first large-scale case-control study of major depressive disorder among continental Africans
Depression Genetics in Africa (DepGenAfrica): protocol for the first large-scale case-control study of major depressive disorder among continental Africans Open
Background Major Depressive Disorder (MDD) is a disabling condition that arises from the interplay of genetic and environmental risk factors. Most genetic studies of depression to date have failed to include continental African populations…
View article: The use of NHS databases to identify and manage pharmacotherapy in people with dementia and/or late-life mental disorders
The use of NHS databases to identify and manage pharmacotherapy in people with dementia and/or late-life mental disorders Open
NHS databases have particular value because of comprehensive catchment-based care provided by mental health and dementia diagnostic services and detailed long-term prescribing data captured in primary care. However, care for these disorder…
View article: Which Sociodemographic and Pathway to Care Factors Influence the Wait Time for Early Intervention for Psychosis? A Mental Health Electronic Health Records Analysis in South London
Which Sociodemographic and Pathway to Care Factors Influence the Wait Time for Early Intervention for Psychosis? A Mental Health Electronic Health Records Analysis in South London Open
Aim In 2016, the Access and Waiting Time Standard (AWTS) was introduced in England, UK, outlining that people with first‐episode psychosis should receive treatment from an early intervention for psychosis (EIP) service within 2 weeks. We e…
View article: Developing clinical informatics to support direct care and population health management: the VIEWER story
Developing clinical informatics to support direct care and population health management: the VIEWER story Open
Electronic health records (EHRs) provide comprehensive patient data, which could be better used to enhance informed decision-making, resource allocation and coordinated care, thereby optimising healthcare delivery. However, in mental healt…
View article: Investigating the use and impact of community Care (Education) and Treatment Reviews (C(E)TRs) in people with intellectual disability and autistic people: protocol for a cohort study using electronic health records
Investigating the use and impact of community Care (Education) and Treatment Reviews (C(E)TRs) in people with intellectual disability and autistic people: protocol for a cohort study using electronic health records Open
Introduction Care (Education) and Treatment Reviews (C(E)TRs) are intended to reduce unnecessary psychiatric hospital admission and length of stay for people with intellectual disability and autistic people. The use and impact of C(E)TRs h…
View article: Healthcare Service Utilisation of People Living With Non-Alzheimer’s Dementia: A Systematic Review
Healthcare Service Utilisation of People Living With Non-Alzheimer’s Dementia: A Systematic Review Open
Introduction The global rise in dementia presents significant challenges for healthcare systems. While Alzheimer’s disease (AD) dominates dementia care, people with non-Alzheimer’s dementias (non-AD), such as dementia with Lewy bodies (DLB…
View article: A protocol for a cohort study investigating clinical and radiological features of normal pressure hydrocephalus in South London memory services
A protocol for a cohort study investigating clinical and radiological features of normal pressure hydrocephalus in South London memory services Open
Background Normal pressure hydrocephalus (NPH) is a potentially treatable condition causing dementia. Treatment is through insertion of a ‘shunt’, which improves symptoms and prolongs independence, but NPH may be under-treated. Automated b…
View article: Risks of prematurity and low birth weight associated with trimester-specific prenatal benzodiazepine exposure
Risks of prematurity and low birth weight associated with trimester-specific prenatal benzodiazepine exposure Open
Background: Intrauterine exposure of the developing fetus or neonate to bendodiazepine may lead to fetal abnormalities or adverse reactions. We sought to investigate whether benzodiazepine use before or during different trimesters of pregn…
View article: Psychopathy and Cognitive Control – Examining Event Related Potentials of Psychopathy in a Go/No-Go Task
Psychopathy and Cognitive Control – Examining Event Related Potentials of Psychopathy in a Go/No-Go Task Open
"Previous studies have shown mixed results regarding the association between neural processes and psychopathic personality traits. Specifically, event related potentials (ERP) associated with cognitive processes reflecting conflict monitor…
View article: Identifying people with potentially undiagnosed dementia with Lewy bodies using natural language processing
Identifying people with potentially undiagnosed dementia with Lewy bodies using natural language processing Open
Natural language processing (NLP) can expand the utility of clinical records data in dementia research. We deployed NLP algorithms to detect core features of dementia with Lewy bodies (DLB) and applied those to a large database of patients…
View article: Investigating the use and impact of community Care (Education) and Treatment Reviews (C(E)TRs) in people with intellectual disability and autistic people: protocol for a cohort study using electronic health records
Investigating the use and impact of community Care (Education) and Treatment Reviews (C(E)TRs) in people with intellectual disability and autistic people: protocol for a cohort study using electronic health records Open
Investigating the use and impact of community Care (Education) and Treatment Reviews (C(E)TRs) in people with intellectual disability and autistic people: protocol for a cohort study using electronic health records Introduction Care (Educa…
View article: Psychosis and Dementia—Disorders of Disadvantage
Psychosis and Dementia—Disorders of Disadvantage Open
View article: Remote Consultations in England During COVID-19: Challenges in Data Quality, Linkage, and Research Validity
Remote Consultations in England During COVID-19: Challenges in Data Quality, Linkage, and Research Validity Open
The COVID-19 pandemic accelerated the adoption of remote consultations across health care, requiring rapid adjustments in service delivery. Consequently, there is an urgent need to understand the impact of remote consultations on health pa…
View article: Mental well‐being in prostate cancer: A multi‐institutional prospective cohort study
Mental well‐being in prostate cancer: A multi‐institutional prospective cohort study Open
Objective To investigate the patient, treatment and oncological prognostic factors for multiple mental well‐being outcomes in prostate cancer. Patient and Methods The MIND‐P study was a multi‐institutional prospective cohort study recruiti…
View article: Medications associated with dizziness or hypotension and adverse outcomes: an electronic health record study in older adults with dementia
Medications associated with dizziness or hypotension and adverse outcomes: an electronic health record study in older adults with dementia Open
Background Comorbidities and polypharmacy are common in people with dementia, leading to a higher risk of adverse outcomes. While the impact of anticholinergic properties has been extensively investigated, less is known about other cross-c…
View article: Referral to chronic pain management and physiotherapy services in adults with severe mental illness: A matched cohort study
Referral to chronic pain management and physiotherapy services in adults with severe mental illness: A matched cohort study Open
Contrary to expectations, people with SMI and CP received more pain management referrals compared to matched controls, particularly in the early post-diagnosis period. These findings were restricted to those with a CP diagnosis already, an…
View article: Primary care health screening in patients with severe mental illness: What influence do financial incentives have?
Primary care health screening in patients with severe mental illness: What influence do financial incentives have? Open
The Quality-of-Care Framework (QOF) aims to improve patient care for at risk groups through financial incentivisation. This study assesses the effect of changes in incentivisation of four health indicators for people with severe mental ill…
View article: Natural language processing application to identify covert administration of medicines: development and pilot audit
Natural language processing application to identify covert administration of medicines: development and pilot audit Open
Aims and method The covert administration of medicines is associated with multiple legal and ethical issues. We aimed to develop a natural language processing (NLP) methodology to identify instances of covert administration from electronic…
View article: Developing clinical informatics to support direct care and population health management: the VIEWER story
Developing clinical informatics to support direct care and population health management: the VIEWER story Open
Electronic health records (EHRs) provide comprehensive patient data which could be better used to enhance informed decision-making, resource allocation, and coordinated care, thereby optimising healthcare delivery. However, in mental healt…
View article: Characteristics of people with severe mental illness excluded from incentivised physical health checks in the UK: electronic healthcare record study
Characteristics of people with severe mental illness excluded from incentivised physical health checks in the UK: electronic healthcare record study Open
Background Physical health checks in primary care for people with severe mental illness ((SMI) defined as schizophrenia, bipolar disorders and non-organic psychosis) aim to reduce health inequalities. Patients who decline or are deemed uns…
View article: Ethnic inequalities in compulsory psychiatric hospital detentions during UK COVID-19 ‘lockdowns’: A Regression Discontinuity Design in time study
Ethnic inequalities in compulsory psychiatric hospital detentions during UK COVID-19 ‘lockdowns’: A Regression Discontinuity Design in time study Open
Background Ethnic inequalities in compulsory psychiatric hospital detentions are well-documented in the UK and internationally. It is unknown how UK COVID-19 ‘lockdown measures’, which led to restrictions in public movement, gatherings, in…