A5039501118- Health disparities and outcomes
- Chronic Disease Management Strategies
- Primary Care and Health Outcomes
- Geriatric Care and Nursing Homes
- Obesity, Physical Activity, Diet
- Medical Coding and Health Information
- Global Health Care Issues
- Frailty in Older Adults
- Emergency and Acute Care Studies
- Health Systems, Economic Evaluations, Quality of Life
- Noise Effects and Management
- Healthcare Policy and Management
- Machine Learning in Healthcare
- Injury Epidemiology and Prevention
- Food Security and Health in Diverse Populations
- Urban Green Space and Health
- Migration, Aging, and Tourism Studies
- Urban Transport and Accessibility
- Biomedical Text Mining and Ontologies
- COVID-19 and healthcare impacts
- Nutritional Studies and Diet
- Homicide, Infanticide, and Child Abuse
- Intensive Care Unit Cognitive Disorders
- Urban Agriculture and Sustainability
- SARS-CoV-2 detection and testing
Swansea University
2016-2025
Health Data Research UK
2018-2022
Statisticon (Sweden)
2021
Rochester Institute of Technology
2020
Office for National Statistics
2018
Farr Institute
2016-2017
Public Health Wales
2013
Introduction The emergence of the novel respiratory SARS-CoV-2 and subsequent COVID-19 pandemic have required rapid assimilation population-level data to understand control spread infection in general vulnerable populations. Rapid analyses are needed inform policy development target interventions at-risk groups prevent serious health outcomes. We aim provide an accessible research platform determine demographic, socioeconomic clinical risk factors for infection, morbidity mortality COVID-19,...
Background The COVID-19 pandemic has directly and indirectly had an impact on health service provision owing to surges sustained pressures the system. effects of these management long-term or chronic conditions are not fully understood. Aim To explore recorded incidence 17 conditions. Design setting This was observational retrospective population data linkage study Wales using primary secondary care within Secure Anonymised Information Linkage (SAIL) Databank. Method Monthly rates new...
Background: We assessed the healthcare and economic burden of sepsis in adult hospitalised patients Wales, UK. Methods: analysed hospital admissions to all acute hospitals Wales via Secure Anonymised Information Linkage Databank. included patients, 2006–2018, with an inpatient admission including one or more explicit codes. Results: 38,564 had at least for between 2006 2018. Most persons (86.7%) just admission. 3398 (8.4%) were admitted ICU. The number increased yearly over study period from...
Background: Previous studies of thyroid cancer incidence in Wales have given varying results with suggestions an excess cases geographic areas that were previously exposed to the radioactive fallout from 1986 Chernobyl nuclear reactor incident. Our objective this study was provide up-to-date comprehensive analysis time trends incidence, geographical distribution, and survival Wales. Methods: We identified cases, registered 1985 through 2010 Welsh Cancer Intelligence Surveillance Unit...
Background Poor-quality housing adversely affects residents’ health but there is a paucity of high-quality evidence to support this. Objective This research investigated the impact bringing national quality standard. Design A natural experiment improvements analysed using repeated measures health-care utilisation and economic outcomes at an individual person level. Setting Carmarthenshire, UK. Participants total 32,009 residents registered for minimum 60 days 8558 social homes that received...
The ideal method of identifying frailty is uncertain, and data on long-term outcomes relatively limited. We examined indices derived from population-scale linked Intensive Care Unit (ICU) hospitalised non-ICU patients with pneumonia to elucidate the influence mortality. Longitudinal cohort study between 2010-2018 using anonymised linkage healthcare records for adults admitted hospital in Wales. Primary outcome was in-patient Odds Ratios (ORs [95% confidence interval]) age, risk score (HFRS),...
Introduction Multimorbidity is widely recognised as the presence of two or more concurrent long-term conditions, yet remains a poorly understood global issue despite increasing in prevalence. We have created Wales e-Cohort (WMC) to provide an accessible research ready data asset further understanding multimorbidity. Our objectives are create platform support which would help understand prevalence, trajectories and determinants multimorbidity, characterise clusters that lead highest burden on...
There is no evidence to date on whether an intervention alerting people high levels of pollution effective in reducing health service utilisation. We evaluated alert accuracy and the effect a targeted personal air system, airAware, emergency hospital admissions, department attendances, general practitioner contacts prescribed medications.Quasi-experimental study describing alerts compared with triggers; comparing relative changes healthcare utilisation group those who did not sign-up....
Background We investigated tenant healthcare utilisation associated with upgrading 8558 council houses to a national quality standard. Homes received multiple internal and external improvements were analysed using repeated measures of utilisation. Methods The primary outcome was emergency hospital admissions for cardiorespiratory conditions injuries residents aged 60 years over. Secondary outcomes included each the separate conditions, tenants over, all ages. Council home address...
Abstract Objective To compare the effectiveness of molnupiravir, nirmatrelvir-ritonavir, and sotrovimab with no treatment in preventing hospital admission or death higher-risk patients infected SARS-CoV-2 community. Design Retrospective cohort study non-hospitalised adult COVID-19 using Secure Anonymised Information Linkage (SAIL) Databank. Setting A real-world was conducted within SAIL Databank (a secure trusted research environment containing anonymised, individual, population-scale...
The UK shielding policy intended to protect people at the highest risk of harm from COVID-19 infection. We aimed describe intervention effects in Wales 1 year.
Background Routine monitoring of Body Mass Index (BMI) in general practice, and via national surveillance programmes, is essential for the identification, prevention, management unhealthy childhood weight. We examined compared presence representativeness children young people’s (CYPs) BMI recorded two routinely collected administrative datasets: practice electronic health records (GP-BMI) Child Measurement Programme Wales (CMP-BMI), which measures height weight 4-5-year-old school children....
As national populations age, demands on critical care services are expected to increase. In many healthcare settings, longitudinal trends indicate rising numbers and proportions of patients admitted ICU who older; elsewhere, including some parts the UK, a decrease has raised concerns with regard rationing according age. Our aim was investigate admission in Wales, where capacity not risen last decade. We used Secure Anonymised Information Linkage Databank identify characterise admissions aged...
Multi-morbidity, the health state of having two or more concurrent chronic conditions, is becoming common as populations age, but poorly understood. Identifying and understanding commonly occurring sets diseases important to inform clinical decisions improve patient services outcomes. Network analysis has been previously used investigate multi-morbidity, a classic application only allows for information on binary contribute graph. We propose use hypergraphs, which incorporation data people...
Elective hip replacement is a cost-effective means of improving function. Previous research has suggested that the supply replacements in NHS governed by inverse care law. We examine whether inequities improved England and Wales between 2006 2016.We compare levels need funded to adults aged 50+ years, across quintiles deprivation 2016. use data from routine health records large longitudinal study adjust for age sex using general additive negative-binomial regression.The number NHS-funded per...
In this retrospective cohort study, we used the Secure Anonymised Information Linkage (SAIL) Databank to characterise and identify predictors of one-year post-discharge healthcare resource utilisation (HRU) adults who were admitted critical care units in Wales between 1 April 2006 31 December 2017. We modelled post-critical-care HRU using negative binomial models linear for difference from pre-critical-care HRU. estimated association illness post-hospitalisation multilevel among people...
Introduction Shielding aimed to protect those predicted be at highest risk from COVID-19 and was uniquely implemented in the UK during pandemic. Clinically extremely vulnerable people identified through algorithms screening of routine National Health Service (NHS) data were individually strongly advised stay home strictly self-isolate even others their household. This study will generate a logic model intervention evaluate effects costs shielding inform policy development delivery future...
Introduction Childhood obesity and physical inactivity are two of the most significant modifiable risk factors for prevention non-communicable diseases (NCDs). Yet, a third children in Wales Australia overweight or obese, only 20% UK Australian sufficiently active. The purpose Built Environments And Child Health WalEs AuStralia (BEACHES) study is to identify understand how complex interacting built environment influence NCDs across childhood. Methods analysis This an observational using data...
Background Domestic violence and abuse (DVA) has a detrimental impact on the health well-being of children families but is commonly underreported, with an estimated prevalence 5.5% in England Wales 2020. DVA more common groups considered vulnerable, including those involved public law family court proceedings; however, there lack evidence regarding risk factors for among justice system. Objective This study examines within cohort mothers proceedings matched general population comparison...
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Objectives To compare the patterns of multimorbidity between people with and without rheumatic musculoskeletal diseases (RMDs) to describe how these change by age sex over time, 2010 2019. Participants 103 426 RMDs 2.9 million comparators registered in 395 Wales general practices (GPs). Each patient an RMD aged 0–100 years January December 2019 Clinical Practice Research Welsh was matched up five RMD, based on age, gender GP code. Primary outcome measures The prevalence 29 Elixhauser-defined...