AACE2021-A-1090: Health Status, of Medical and Allied Health Staff of a Secondary Care Setting in a Developing Country

2021 ◽  
Vol 27 (12) ◽  
pp. S23-S24
Author(s):  
Maryam Batool ◽  
Beenish Khan ◽  
Muhammad Zaka-Ul Haq ◽  
Muhammad Raza-Ul Haq
Keyword(s):  
Health Status ◽  
Developing Country ◽  
Secondary Care ◽  
Allied Health ◽  
Care Setting ◽  
Health Staff ◽  
Secondary Care Setting

Etiology and diagnosis of ascites: contemporary cohort study in a secondary care setting

2020 ◽  
Vol 73 ◽  
pp. S764
Author(s):  
Mohsan Subhani ◽  
Peuish Sugathan ◽  
Guruprasad Aithal ◽  
Emilie Wilkes ◽  
Naaventhan Palaniyappan
Keyword(s):  
Cohort Study ◽  
Secondary Care ◽  
Care Setting ◽  
Secondary Care Setting

scholarly journals Older age and frailty are the chief predictors of mortality in COVID-19 patients admitted to an acute medical unit in a secondary care setting- a cohort study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Rajkumar Chinnadurai ◽  
Onesi Ogedengbe ◽  
Priya Agarwal ◽  
Sally Money-Coomes ◽  
Ahmad Z. Abdurrahman ◽  
...  
Keyword(s):  
Risk Factors ◽  
Secondary Care ◽  
Clinical Characteristics ◽  
Care Setting ◽  
Older Age ◽  
Medical Unit ◽  
Acute Medical Unit ◽  
Secondary Care Setting ◽  
Group 2 ◽  
Group 1

Abstract Background There is a need for more observational studies across different clinical settings to better understand the epidemiology of the novel COVID-19 infection. Evidence on clinical characteristics of COVID-19 infection is scarce in secondary care settings in Western populations. Methods We describe the clinical characteristics of all consecutive COVID-19 positive patients (n = 215) admitted to the acute medical unit at Fairfield General Hospital (secondary care setting) between 23 March 2020 and 30 April 2020 based on the outcome at discharge (group 1: alive or group 2: deceased). We investigated the risk factors that were associated with mortality using binary logistic regression analysis. Kaplan-Meir (KM) curves were generated by following the outcome in all patients until 12 May 2020. Results The median age of our cohort was 74 years with a predominance of Caucasians (87.4%) and males (62%). Of the 215 patients, 86 (40%) died. A higher proportion of patients who died were frail (group 2: 63 vs group 1: 37%, p < 0.001), with a higher prevalence of cardiovascular disease (group 2: 58 vs group 1: 33%, p < 0.001) and respiratory diseases (group 2: 38 vs group 1: 25%, p = 0.03). In the multivariate logistic regression models, older age (odds ratio (OR) 1.03; p = 0.03), frailty (OR 5.1; p < 0.001) and lower estimated glomerular filtration rate (eGFR) on admission (OR 0.98; p = 0.01) were significant predictors of inpatient mortality. KM curves showed a significantly shorter survival time in the frail older patients. Conclusion Older age and frailty are chief risk factors associated with mortality in COVID-19 patients hospitalised to an acute medical unit at secondary care level. A holistic approach by incorporating these factors is warranted in the management of patients with COVID-19 infection.

FRI-049-Real world experience of obeticholic acid (Ocaliva) for the treatment of primary biliary cholangitis in the secondary care setting

2019 ◽  
Vol 70 (1) ◽  
pp. e405-e406
Author(s):  
Anthony Pratt ◽  
Lucy Turner ◽  
John Hutchinson ◽  
Laura Maher ◽  
Dawn Orange ◽  
...  
Keyword(s):  
Real World ◽  
Secondary Care ◽  
Care Setting ◽  
Primary Biliary Cholangitis ◽  
Obeticholic Acid ◽  
Secondary Care Setting

Virtual online consultation platforms for secondary care: a review of the options

2020 ◽  
Vol 7 (1) ◽  
pp. 135-140
Author(s):  
Neha Shah ◽  
Amit Thakrar ◽  
Shankar Visvanathan ◽  
Sujatha Thamban
Keyword(s):  
Secondary Care ◽  
Text Messaging ◽  
Care Setting ◽  
Text Message ◽  
Primary Objective ◽  
Web Based ◽  
Online Consultation ◽  
Email Address ◽  
Appointment Time ◽  
Secondary Care Setting

ObjectivesThe primary objective of this paper was to independently evaluate the currently available web-based software options for virtual consultations in a secondary care setting.DesignComparative study.SettingUK.ParticipantsWeb-based software options for virtual consultations in a secondary care setting.Main outcome measuresEight predetermined measures of functionality were assessed including time to setup, availability of a diary system, ability to book appointments in advance, ability to send patient reminders, ability to add a second caller, text messaging functionality, need for the patient to download an app and web browser compatibility.ResultsNine platforms met the inclusion criteria for web-based standalone video consultation solutions. Four offered immediate access via an nhs.net email address. Six platforms used an appointment diary system, with five allowing clinicians to see which patients were ready and waiting for consultation at any particular time. Four of the platforms had the facility to book appointments in advance and send appointment details via text message or email. Five of the platforms had the ability to add a second caller. One platform required the patient to download a mobile phone app. All platforms were compatible with Google Chrome, Safari, Firefox and Microsoft Edge (Chromium or Blink versions).ConclusionsThe uptake of virtual online consultations has been accelerated by the COVID-19 pandemic and the National Health Service (NHS) has become a forced ‘early-adopter’. Many of the solutions do well to address the demand; however, more work is required for it to be embedded into routine service and fulfil the aims of the NHS Long Term Plan: allow patients more choice and flexibility in their care. It is vital that once normality resumes, research focuses on the outcomes of virtual online consultations, with focus on factors such as patient satisfaction, length of appointment, time to diagnosis and initiation of management.

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