Article
Public, Environmental & Occupational Health
Jens Wretborn, Daniel B. Wilhelms, Ulf Ekelund
Summary: A study in Sweden found that ED crowding measured by mSEAL or occupancy rate was not significantly associated with short-term mortality.
FRONTIERS IN PUBLIC HEALTH
(2023)
Article
Medicine, General & Internal
Muriel Chazel, Sandrine Alonso, Jane Price, Sarah Kabani, Christophe Demattei, Pascale Fabbro-Peray
Summary: This study aimed to evaluate the number and risk factors of violent events encountered in the emergency department. A total of 82 periods were observed between November 2015 and April 2016, recording 35 violent incidents affecting 37 perpetrators and 48 victims. No significant risk factors for violent incidents were found in the analysis. The study highlights the high rate of violence in the emergency department and the need for strategies to prevent and reduce incidents.
Article
Health Care Sciences & Services
Hamish S. F. Fraser, Gregory Cohan, Christopher Koehler, Jared Anderson, Alexis Lawrence, John Patena, Ian Bacher, Megan L. Ranney
Summary: The study shows that symptom checker can provide acceptable usability and diagnostic accuracy for patients with various urgent conditions, but there are 14% of triage recommendations deemed unsafe and too risky. Larger studies are needed to evaluate the performance in different clinical environments.
JMIR MHEALTH AND UHEALTH
(2022)
Article
Medicine, General & Internal
Olivier Peyrony, Danae Gamelon, Romain Brune, Anthony Chauvin, Daniel Aiham Ghazali, Youri Yordanov, Aude Arsicaud, Pauline Gilleron, Sonja Curac, Marie-Caroline Richard, Anne-Laure Feral-Pierssens, Barbara Villoing, Sebastien Beaune, Helene Goulet, Jean-Paul Fontaine, Anne Francois, France Pirenne
Summary: RBC transfusions in the emergency department involved patients with a variety of medical conditions, most of whom had chronic anemia, primarily due to vitamin or iron deficiency or malignancy. The majority of transfusion motives were not documented in the medical charts.
JOURNAL OF CLINICAL MEDICINE
(2021)
Article
Emergency Medicine
Richard T. Griffey, Ryan M. Schneider, Alexandre A. Todorov
Summary: The Emergency Department Trigger Tool (EDTT) is a novel approach to detecting adverse events in the ED and can be used for quality improvement. This study analyzed data from a retrospective observational study and categorized the adverse events detected by place of occurrence, severity, omission/commission, and type. The results showed that the EDTT identified a broad spectrum of adverse event types and most events resulted in temporary harm. The study highlights the opportunities for targeted improvement in the ED.
ANNALS OF EMERGENCY MEDICINE
(2022)
Article
Medicine, General & Internal
Stefanie Volk, Uwe Koedel, Sophia Horster, Andreas Bayer, Jan G. D'Haese, Hans-Walter Pfister, Matthias Klein
Summary: Early patient disposition is crucial in preventing overcrowding in the emergency department. The Emergency Severity Index (ESI) and presenting complaints can help anticipate the need for in-house resources. Patients with neurological or medical symptoms require particular attention as ESI may not sufficiently predict the appropriate level of care for this group.
Article
Nursing
Sonia Minchella, Aurora De Leo, Daniela Orazi, Lucia Mitello, Irene Terrenato, Roberto Latina
Summary: The study confirmed that being a foreigner and having head/face/neck injuries or multiple injuries are associated with violence against women.
APPLIED NURSING RESEARCH
(2021)
Article
Emergency Medicine
Andrew Schoenling, Adam Frisch, Clifton W. Callaway, Donald M. Yealy, Alexandra Weissman
Summary: During the COVID-19 pandemic, prescribing supplemental oxygen was a common reason for hospitalization. This study evaluated the outcomes of COVID-19 patients discharged from the Emergency Department with home oxygen. The results showed that most patients discharged with new oxygen therapy safely avoided later hospitalization and had low mortality rate within 30 days.
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2023)
Article
Medicine, General & Internal
Bart G. J. Candel, Saimi Dap, Wouter Raven, Heleen Lameijer, Menno Gaakeer, Evert de Jonge, Bas de Groot
Summary: This study investigated whether there are sex differences in disease presentations, severity, and outcomes in the Emergency Department. The findings showed that although patient characteristics were comparable between sexes, males had a higher risk of adverse outcomes and ICU/MCU admission in all triage categories and most presenting complaints.
EUROPEAN JOURNAL OF INTERNAL MEDICINE
(2022)
Article
Medicine, General & Internal
Titouan Cerruti, Michel Haig Maillard, Olivier Hugli
Summary: Lower gastrointestinal bleeding is a common reason for emergency department consultations. The SHA(2)PE score can predict the risk of hospital-based intervention, but further validation studies are needed before it can be recommended for patient management in the ED.
JOURNAL OF CLINICAL MEDICINE
(2021)
Article
Medicine, General & Internal
A. Ramaswami, A. K. Sahu, A. Kumar, S. Suresh, A. Nair, D. Gupta, R. Chouhan, R. Bhat, R. Mathew, J. A. Majeed, P. Aggarwal, J. Nayer, M. Ekka, A. Thakar, G. Singh, I Xess, N. Wig
Summary: A large surge in COVID-19-associated mucormycosis is occurring in India, with a retrospective study including 70 patients showing that diabetes mellitus and steroid use for COVID-19 were the most common risk factors.
QJM-AN INTERNATIONAL JOURNAL OF MEDICINE
(2021)
Article
Health Care Sciences & Services
Irene Medina Martinez, Juan Carlos Sanchez-Garcia, Jonathan Cortes-Martin, Lourdes Diaz-Rodriguez, Maria Mercedes Limonchi Perez, Keyla Vargas Roman, Raquel Rodriguez-Blanque
Summary: This study examined the impact of new ICTs on nursing intervention records in the Emergency Unit of a hospital in Granada, Spain. The analysis of records from 2017 to 2021 showed a 51.2% increase in registrations. Although there was a low level of correlation between the records and the years, the introduction of tablet devices led to a significant increase in the percentage of recorded interventions without a rise in emergency cases. However, usability barriers of ICTs were identified, emphasizing the importance of training healthcare professionals in their use and promoting a culture of patient safety.
JOURNAL OF PERSONALIZED MEDICINE
(2023)
Article
Health Care Sciences & Services
Jen-Wen Ma, Sung-Yuan Hu, Ming-Shun Hsieh, Yi-Chen Lee, Shih-Che Huang, Kuan-Ju Chen, Yan-Zin Chang, Yi-Chun Tsai
Summary: This study describes the clinical characteristics of Asian patients with cardiogenic shock (CS) and develops a predictive scoring model based on four parameters: platelet counts, left ventricular ejection fraction (LVEF), age, and lactate. The model showed good predictive performance for all-cause mortality at 30 days in all patients, as well as in the acute myocardial infarction (AMI-CS) and heart failure (HF-CS) subgroups.
JOURNAL OF PERSONALIZED MEDICINE
(2023)
Article
Multidisciplinary Sciences
Sainikitha Prattipati, Francis M. Sakita, Godfrey L. Kweka, Tumsifu G. Tarimo, Timothy Peterson, Blandina T. Mmbaga, Nathan M. Thielman, Alexander T. Limkakeng, Gerald S. Bloomfield, Julian T. Hertz
Summary: Heart failure is a common clinical diagnosis in a northern Tanzanian emergency department, with low uptake of evidence-based outpatient therapies and high thirty-day mortality rates. Interventions are needed to improve care and outcomes for heart failure patients in the emergency department setting.
Article
Public, Environmental & Occupational Health
Gianni Turcato, Arian Zaboli, Alberto Giudiceandrea, Serena Sibilio, Gabriele Magnarelli, Eleonora Rella, Massimiliano Fanni Canelles, Norbert Pfeifer, Francesco Brigo
Summary: This study explores the impact of tourists on emergency departments (EDs) in an alpine tourist area. The findings suggest that tourists have a significant influence on EDs, with distinct patterns of access and severity compared to local patients. Health policies focusing on educating tourists on proper ED usage are needed to address the seasonality of tourist visits.
TRAVEL MEDICINE AND INFECTIOUS DISEASE
(2023)
Article
Medicine, General & Internal
David Wong, Stephen Gerry, Farah Shamout, David A. Clifton, Marco A. F. Pimentel, Peter J. Watkinson
Article
Emergency Medicine
Sarah Wilson, Jane Quinlan, Sally Beer, Melanie Darwent, Jack R. Dainty, James Robert Sheehan, Liza Keating
Summary: Acute pain is a common reason for emergency department attendance, with previous evidence suggesting that children receive less satisfactory pain management than adults. However, a study found that children with limb fractures or dislocations are more likely to have their pain score documented and to receive appropriate analgesia, with children's hospitals performing better than general hospitals in this regard.
EMERGENCY MEDICINE JOURNAL
(2021)
Review
Computer Science, Information Systems
David C. Wong, Khine Nwe, Ruth Evans, Natalie Nelissen, Mark E. Larsen
Summary: The study quantified the amount and type of peer-reviewed evidence associated with a cross-section of popular medical apps, finding that apps with higher clinical risk were more likely to have associated peer-reviewed evidence. However, even in these higher tiers, supporting evidence was missing in most cases. Interestingly, apps from the NHS Apps Library did not have more supporting evidence compared to popular apps from the Apple App Store, which could impact app usage given NHS approval.
INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS
(2021)
Review
Engineering, Biomedical
Tuukka Panula, Jukka-Pekka Sirkia, David Wong, Matti Kaisti
Summary: Hypertension is a marker for cardiovascular diseases and can be life threatening. Non-invasive blood pressure monitoring techniques have been proposed and investigated. Telemonitoring solutions for home management of hypertension have accelerated the development of new monitoring techniques. This review highlights clinical validation, trade-offs, current measurement techniques, promising studies, modeling and machine learning approaches, and unresolved challenges.
IEEE REVIEWS IN BIOMEDICAL ENGINEERING
(2023)
Review
Health Care Sciences & Services
Sarah Darley, Tessa Coulson, Niels Peek, Susan Moschogianis, Sabine N. van der Veer, David C. Wong, Benjamin C. Brown
Summary: This study synthesizes research on the impacts of online consultations (OCs) in primary care. The findings reveal that OCs have positive impacts on care quality, such as increased access, but also negative impacts, such as increased workload. Negative impacts can be mitigated through appropriate system design, incorporation of advanced technologies, and integration into technical infrastructure and organizational workflows.
JOURNAL OF MEDICAL INTERNET RESEARCH
(2022)
Article
Biophysics
Z. Zhao, D. Murphy, H. Gifford, S. Williams, A. Darlington, S. D. Relton, H. Fang, D. C. Wong
Summary: This study describes a new deep neural network architecture for classifying cardiac abnormalities in electrocardiograms (ECGs). By incorporating age and gender features and optimizing output thresholds, the model achieved good performance on validation and test data. However, analysis of misclassified ECGs revealed inconsistencies in training labels.
PHYSIOLOGICAL MEASUREMENT
(2022)
Review
Oncology
Kuan Liao, Tianxiao Wang, Jake Coomber-Moore, David C. Wong, Fabio Gomes, Corinne Faivre-Finn, Matthew Sperrin, Janelle Yorke, Sabine N. van der Veer
Summary: This study aimed to explore the prognostic value of PROMs in patients with NSCLC and found that PROMs are frequently used to predict survival, with poor methodological quality and bias in current research. There is a need for more robust studies to investigate the prognostic value of PROMs, particularly for predicting outcomes other than survival.
Review
Management
Siobhan O'Connor, Norina Gasteiger, Emma Stanmore, David C. Wong, Jung Jae Lee
Summary: This study aims to examine the involvement of nurses in artificial intelligence research for managing falls in older adults. The results show that nurses play a crucial role in identifying falls risk factors and building predictive models. Further research is needed to determine the effectiveness of algorithms in predicting falls and how to implement artificial intelligence tools effectively.
JOURNAL OF NURSING MANAGEMENT
(2022)
Article
Emergency Medicine
Rachel McLatchie, Aakash Gupta, Sarah Wilson, Matthew J. Reed, Aortic Dissection Diag ED Res Grp
Summary: Acute Aortic Syndrome (AAS), a life-threatening condition with high diagnostic uncertainty, often leads to missed diagnoses and contributes to high mortality rates. Our survey of Emergency Departments (EDs) in the United Kingdom revealed that the majority of departments lack a standardized work-up pathway for AAS. The rates of CT scanning for AAS and missed cases varied greatly among the surveyed departments, indicating practice variation and diagnostic uncertainty. Establishing a more standardized diagnostic pathway for AAS in EDs is necessary to safely rule out AAS and reduce the number of missed cases, thereby decreasing the morbidity and mortality associated with this condition.
EMERGENCY CARE JOURNAL
(2022)
Article
Multidisciplinary Sciences
Ali Fahmi, David Wong, Lauren Walker, Iain Buchan, Munir Pirmohamed, Anita Sharma, Harriet Cant, Darren M. M. Ashcroft, Tjeerd Pieter van Staa
Summary: Polypharmacy, a consequence of overprescribing, is prevalent in older adults with multimorbidity and can lead to adverse reactions and hospital admissions. This study predicted the risks of adverse drug reactions and emergency hospital admissions based on medicine classes. The findings suggest that medication reviews can be prioritized using predictive models based on the combinations of multiple drugs.
Article
Emergency Medicine
Liza Keating, Sarah Wilson, Jack Dainty, Dominic Jones, Jonathan Hill
Summary: This study aimed to compare the needs and expectations of young people attending the emergency department (ED) following self-harm (SH) with those attending with suspected fractures (SFs). The survey found that the SH group had lower mood and lower satisfaction with treatment compared to the SF group, but both groups had similar expectations of care.
EMERGENCY MEDICINE JOURNAL
(2023)
Article
Geriatrics & Gerontology
David C. Wong, Siobhan O'Connor, Emma Stanmore
Summary: This article discusses the practical applications of artificial intelligence in digital physical activity and falls prevention interventions for older adults. It notes the range of technologies that can be used to collect digital datasets on older adult health and how machine learning algorithms can be applied to these to improve our understanding of physical activity and falls. In particular, these advanced computational techniques could help personalize exercises, feedback, and notifications to older people, improve adherence to and reduce attrition from digital health interventions, and enhance monitoring by providing predictive analytics on the physiological and environmental conditions that contribute to physical activity and falls in aging populations.
JOURNAL OF AGING AND PHYSICAL ACTIVITY
(2023)
Article
Emergency Medicine
Rachel McLatchie, Sarah Wilson, Matthew J. Reed, Francoise Ticehurst, Kathryn Easterford, Salma Alawiye, Alicia Cowan, Aakash Gupta
Summary: The objective of this study was to understand why the diagnosis of Acute Aortic Syndrome (AAS) is missed in the ED and characterize the presenting features of missed cases. A retrospective case series cohort study was conducted, analyzing cases of AAS misdiagnosis in three UK EDs from January 1, 2011, to December 31, 2020. The study found that AAS was often misdiagnosed as acute coronary syndrome, pulmonary embolism, or non-specific chest pain, and clinicians failed to consider AAS in the differential diagnosis in a majority of cases.
EMERGENCY CARE JOURNAL
(2023)
Article
Pediatrics
Patrick Aldridge, Sarah Wilson, Damian Roland, Gerard McCann, Richard George Burridge
Summary: Paediatric emergency department attendances declined globally during the COVID-19 pandemic, with less impact observed on babies under 30 days old. Data from four hospitals in England indicate a significant decrease in paediatric emergency department attendances in 2020, while the attendance of babies under 30 days old was less affected.
BMJ PAEDIATRICS OPEN
(2022)
Article
Clinical Neurology
Stefan Williams, Hui Fang, Samuel D. Relton, David C. Wong, Taimour Alam, Jane E. Alty
Summary: The study demonstrates that using computer vision technology can accurately measure hand tremor frequency without the need for traditional accelerometry. This contactless method shows excellent agreement with the gold standard measure and could be a valuable tool in clinical settings and research studies for assessing tremor frequency.
MOVEMENT DISORDERS CLINICAL PRACTICE
(2021)