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On prioritising global health ' s triple crisis of sepsis, COVID-19 and antimicrobial resistance: a mixed-methods study from Malawi.
Conclusion Our analysis revealed strong relationships between in-hospital mortality and hospital case volume in hospitals treating a small number of cases. The nonlinearity and nonm onotonicity of the estimated relationships indicate that studies applying conventional statistical approaches like logistic regression should consider these relationships adequately.
Source: Current Awareness Service for Health (CASH) - December 14, 2022 Category: Consumer Health News Source Type: news

On prioritising global health ' s triple crisis of sepsis, COVID-19 and antimicrobial resistance: a mixed-methods study from Malawi
Conclusion Our analysis revealed strong relationships between in-hospital mortality and hospital case volume in hospitals treating a small number of cases. The nonlinearity and nonm onotonicity of the estimated relationships indicate that studies applying conventional statistical approaches like logistic regression should consider these relationships adequately.
Source: Current Awareness Service for Health (CASH) - December 14, 2022 Category: Consumer Health News Source Type: news

A year like no other: the eighth SSNAP annual report
Based on data from April 2020 to March 2021 (during the Covid-19 pandemic), this report aims to identify which aspects of stroke care need to be improved and how these beneficial changes can enhance outcomes for patients and families during this challenging period. Overall, the report found that, even during the Covid-19 pandemic year, many teams were still able to improve the quality of care through the implementation of evidence-based interventions. However, it also states there is an ongoing need to ensure that such improvements are sustained over the longer term, in line with the NHS long-term plan.
Source: Current Awareness Service for Health (CASH) - December 15, 2021 Category: Consumer Health News Source Type: news

Risk of acute myocardial infarction and ischaemic stroke following COVID-19 in Sweden: a self-controlled case series and matched cohort study, The Lancet
The self-controlled case series (n=86,742) and matched cohort study (additional 348,481 control individuals) found Covid-19 was associated with increased risk of acute MI, highest during the first week, suggesting they represent a part of the clinical picture of Covid-19.
Source: Current Awareness Service for Health (CASH) - August 2, 2021 Category: Consumer Health News Source Type: news

Supporting stroke services during the covid-19 pandemic, BASP
A guide on restoration and recovery following a period of rapid change along the whole patient pathway; and an implementation guide for adapting acute services during the pandemic.
Source: Current Awareness Service for Health (CASH) - July 13, 2020 Category: Consumer Health News Source Type: news

Restoration and recovery of stroke services during the COVID-19 pandemic, British Association of Stroke Physicians
Restoration and recovery of stroke services during the COVID-19 pandemic assesses the impact of rapid changes made across the whole stroke pathway – including community services – at the peak of the pandemic, outlining new ways of working which have been beneficial for both patients and staff and should be continued and extended. It also aims to highlight those changes which now need a closer look and prevent a return to less effective way s of working.
Source: Current Awareness Service for Health (CASH) - July 7, 2020 Category: Consumer Health News Source Type: news

First UK study of COVID-19 neurological and psychiatric complications warns of mental health problems in younger patients, RCPsych
A study of 153 patients treated in UK hospitals during the acute phase of the COVID-19 pandemic describes a range of neurological and psychiatric complications that may be linked to the virus. The research carried out by the CoroNerve Studies Group, including the Royal College of Psychiatrists, and published today in The Lancet Psychiatry journal reveals that while stroke was the most commonly reported neurological complication in hospitalised COVID-19 patients, many younger patients developed an altered mental state such as psychosis or catatonia. To investigate the breadth of COVID-19 complications that affect the brain,...
Source: Current Awareness Service for Health (CASH) - June 26, 2020 Category: Consumer Health News Source Type: news

Adapting stroke services during the COVID-19 pandemic: an implementation guide, British Association of Stroke Physicians
Guidance for adapting stroke services during the COVID-19 pandemic – and reshaping them afterwards – has been made available in a collaboration between the Getting It Right First Time (GIRFT) programme and the Oxford Academic Health Science Network (AHSN).
Source: Current Awareness Service for Health (CASH) - May 7, 2020 Category: Consumer Health News Source Type: news

Large-Vessel Stroke as a Presenting Feature of Covid-19 in the Young, (Letter) NEJM
This report describes a small case series of 5 patients
Source: Current Awareness Service for Health (CASH) - April 30, 2020 Category: Consumer Health News Source Type: news

Clinical guide for the management of stroke patients during the coronavirus pandemic, RCP (Updated 16th April 2020 with updates highlighted in yellow)
Much of stroke medicine is in the frontline, with responsibilities involving direct and indirect support to emergency departments (EDs) and admissions units. Most stroke physicians however have dual or triple accreditation in general medicine and/or geriatrics. Therefore some services may need to consider how they extend their roles to release clinicians to support the general emergency medical take and inpatient bed base. We should seek the best local solutions to continue the proper management while developing and protecting resources for the response to coronavirus.
Source: Current Awareness Service for Health (CASH) - April 17, 2020 Category: Consumer Health News Source Type: news