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View article: Descriptions of advanced multimorbidity: A scoping review with content analysis
Descriptions of advanced multimorbidity: A scoping review with content analysis Open
Introduction Multimorbidity is associated with adverse clinical outcomes, including increased symptom burden and healthcare utilisation, particularly towards the end of life. Despite this, there is no accepted method to identify the point …
View article: Implementation of a shared decision making process for severe stroke-a mixed methods study
Implementation of a shared decision making process for severe stroke-a mixed methods study Open
Purpose Clinical decisions made early after stroke can make the difference between survival with disability or death. We aimed to develop, implement and evaluate a new Shared decision making (SDM) process for severe stroke into a regional …
View article: Implementation of a shared decision making process for severe stroke-a mixed methods study
Implementation of a shared decision making process for severe stroke-a mixed methods study Open
Background Clinical decisions made early after stroke can make the difference between survival with disability or death. We aimed to develop, implement and evaluate a new Shared decision making (SDM) process for severe stroke into a region…
View article: Current definitions of advanced multimorbidity: a protocol for a scoping review
Current definitions of advanced multimorbidity: a protocol for a scoping review Open
Introduction People living with and dying from multimorbidity are increasing in number, and ensuring quality care for this population is one of the major challenges facing healthcare providers. People with multimorbidity often have a high …
View article: Duration of External Neck Stabilisation (DENS) following odontoid fracture in older or frail adults: protocol for a randomised controlled trial of collar versus no collar
Duration of External Neck Stabilisation (DENS) following odontoid fracture in older or frail adults: protocol for a randomised controlled trial of collar versus no collar Open
Introduction Fractures of the odontoid process frequently result from low impact falls in frail or older adults. These are increasing in incidence and importance as the population ages. In the UK, odontoid fractures in older adults are usu…
View article: Physiological deterioration in the Emergency Department: The SNAP40-ED study
Physiological deterioration in the Emergency Department: The SNAP40-ED study Open
Continuous novel ambulatory monitoring may detect deterioration in Emergency Department (ED) patients more rapidly, prompting treatment and preventing adverse events. Single-centre, open-label, prospective, observational cohort study recru…
View article: The 4 ‘A’s test for detecting delirium in acute medical patients: a diagnostic accuracy study
The 4 ‘A’s test for detecting delirium in acute medical patients: a diagnostic accuracy study Open
Background Delirium is a common and serious neuropsychiatric syndrome, usually triggered by illness or drugs. It remains underdetected. One reason for this is a lack of brief, pragmatic assessment tools. The 4 ‘A’s test (Arousal, Attention…
View article: Additional file 2: of Delirium detection in older acute medical inpatients: a multicentre prospective comparative diagnostic test accuracy study of the 4AT and the confusion assessment method
Additional file 2: of Delirium detection in older acute medical inpatients: a multicentre prospective comparative diagnostic test accuracy study of the 4AT and the confusion assessment method Open
Table S2. Performance of various cut points of 4AT for diagnosis of delirium. Legend: numbers are estimates (95% CI). Abbreviations: CI, confidence interval; PPV, positive predictive value; NPV, negative predictive value. Youden’s Index is…
View article: Protocol for validation of the 4AT, a rapid screening tool for delirium: a multicentre prospective diagnostic test accuracy study
Protocol for validation of the 4AT, a rapid screening tool for delirium: a multicentre prospective diagnostic test accuracy study Open
Introduction Delirium is a severe neuropsychiatric syndrome of rapid onset, commonly precipitated by acute illness. It is common in older people in the emergency department (ED) and acute hospital, but greatly under-recognised in these and…