A5079988392- Hip and Femur Fractures
- Frailty in Older Adults
- Chronic Disease Management Strategies
- Trauma and Emergency Care Studies
- Healthcare Systems and Public Health
- Cardiac, Anesthesia and Surgical Outcomes
- Healthcare Systems and Practices
- Delphi Technique in Research
- Pelvic and Acetabular Injuries
- Bone health and osteoporosis research
- Interprofessional Education and Collaboration
- Geriatric Care and Nursing Homes
- Myasthenia Gravis and Thymoma
- Thyroid and Parathyroid Surgery
- Health Systems, Economic Evaluations, Quality of Life
- Nutrition and Health in Aging
- COVID-19 and healthcare impacts
- Healthcare Systems and Technology
- Grief, Bereavement, and Mental Health
- Salivary Gland Tumors Diagnosis and Treatment
- Reconstructive Facial Surgery Techniques
- Religion, Society, and Development
- Stroke Rehabilitation and Recovery
- Islamic Studies and Radicalism
- Healthcare innovation and challenges
Health Service Executive
2017-2025
Cork University Hospital
2020-2024
Royal Prince Alfred Hospital
2024
University College Cork
2022-2023
St. Luke's General Hospital
2013-2021
St. Luke's Hospital
2016-2019
Royal College of Physicians of Ireland
2017
St. James's Hospital
2016
Abstract Introduction Frailty is associated with adverse outcomes among patients attending emergency departments (EDs). While multiple frailty screens are available, little known about which variables important to incorporate and how best facilitate accurate, yet prompt ED screening. To understand the core requirements of screening in ED, we conducted an international, modified, electronic two-round Delphi consensus study. Methods A involving 37 participants from 10 countries was undertaken....
The aim of this study was to explore current use the Global Fragility Fracture Network (FFN) Minimum Common Dataset (MCD) within established national hip fracture registries, and propose a revised MCD enable international benchmarking for care.We compared all ten registries: England, Wales, Northern Ireland; Scotland; Australia New Zealand; Republic Germany; Netherlands; Sweden; Norway; Denmark; Spain. We tabulated questions included in each registry, cross-referenced them against 32...
This fourth IHFD report details 3,159 hip fracture cases in patients aged 60 years and over, discharged by 16 hospitals 2016, which accounts for 86% of all nationally*.This will be the first to compare individual hospital performances across six clinical care standards.Since its inception 2012 with more than 10,000 patient records on database, is now a powerful resource.The has clear focus driving improvements data quality.As maturing remit naturally broadened ability database influence...
Abstract Currently in the UK and Ireland, after a hip fracture most patients do not receive bone protection medication to reduce risk of refracture. Yet randomised controlled trial data specifically examining with have shown that intravenous zoledronate reduces refracture by third. Despite this evidence, use is highly variable following fracture; many hospitals are providing treatment, whilst currently not. A range clinical uncertainties, doubts over evidence base practical concerns cited as...
To implement and evaluate a Frailty Care Bundle (FCB) targeting mobilisation, nutrition, cognition in older trauma patients to reduce hospital associated decline.
The Community Specialist Team for Older People (CST OP) is a community based multidisciplinary team that offers assessment, support, and treatment older people with complex care needs. aim of the CST OP to offer timely coordinated delivered in one place needs defined period time. To ensure this model implemented line best practice, there need fidelity consistency design implementation across sites maximise operational evaluation efforts. This study aims develop set expert consensus-based...
Introduction . Hip fractures are common injuries in the older persons, with significant associated morbidity and mortality. The Irish Fracture Database (IHFD) was implemented to monitor standards of care against international standards. Methods IHFD is a clinically led web-based audit. We summarize data collected on hip from April 2012 March 2013 8 centres. Results There were 843 patients majority being (70%) female. 80–89-year age group accounted for (44%). Most (71%) sustained fall at...
Myasthenia gravis is an autoimmune disorder affecting the neuromuscular junction, resulting in muscle fatiguability and weakness. The pathological characteristics of include ocular weakness diplopia and/or ptosis. More generally, disease can result fluctuant skeletal muscle, predominantly ocular, bulbar respiratory muscles. Autoimmunity this instance mediated by IgG anti-acetylcholine receptor antibodies that results impaired structure postsynaptic neurotransmission. Approximately 15%...
<ns3:p><ns3:bold>Background:</ns3:bold> International policy is increasingly committed to placing interdisciplinary team-working at the centre of health and social care integration across lifespan. The National Clinical Programme for Older People in Ireland has a critical role design implementation Person’s Service Model, which aims shift delivery away from acute hospitals towards community-based care. Interdisciplinary Community Specialist Teams older persons (CST-OPs) play an important...
Innovations in models of care for older adults living with frailty presenting to the emergency department (ED) have become a key priority clinicians, researchers and policymakers due deleterious outcomes experience prolonged exposure such an environment. This study aimed develop set expert consensus-based statements underpinning operational design, outcome measurement evaluation Frailty at Front Door (FFD) model within Irish context.A modified real-time Delphi method was used. Facilitation...
We discuss the case of an elderly male who presented with a history dysphagia, dysphonia, palatal weakness and sensation tongue swelling, each symptom varying time duration. Myasthenia gravis may have variety presentations that include ocular fatigability, respiratory muscle bulbar symptoms. The these myasthenic syndromes can serve as barrier to diagnosis often result in delayed or incorrect diagnosis. In this report, we present atypical presentation relatively rare condition.
Abstract Background Falls from a low height i.e. standing or less are the leading cause of trauma in Ireland. Each year almost 4000 patients fracture their hip and 3000 major suffer life threatening changing injuries due to fall. Methods The National Office Clinical Audit manages two national based clinical audits, Irish Hip Fracture Database since 2012 Major Trauma Audit. Combined they have data on over 50,000 who suffered serious injury Both audts web-based clinically led contain patient...
<h3>Background</h3> Innovations in models of care for older adults living with frailty presenting to the emergency department (ED) have become a key priority clinicians and researchers given deleterious outcomes experience due prolonged exposure such an environment. This study aimed develop set expert consensus-based statements underpinning operational design, outcome measurement evaluation Frailty at Front Door (FFD) model within Irish context. <h3>Methods</h3> A modified real-time Delphi...
Abstract Background The recent NOCA report highlights a significant portion of major trauma cases resulting from falls among older adults, who often face limited access to centres and age-related biases in treatment. Existing protocols services for patients are lacking. This study aimed audit the incidence outcomes MTOA admitted under non-trauma specialties at Major Trauma Centre. Methods Data handover documents between January 2019 December 2023 were screened “older trauma” (patients...
Abstract Background Interprofessional collaboration (IPC) is widely accepted as important to enable quality, safe care integration for older people. There limited understanding of how IPC can be fostered, enhanced, or sustained within the various contexts team-based This review describes contextual factors and resources that support in interdisciplinary community teams Methods A five-step process guided realist synthesis. involved exploratory scoping (steps 1-2) including a cross-sectional...
Abstract Introduction Throughout the COVID‐19 pandemic, outpatient hand therapy services were restricted. The use of telehealth was adopted to continue provide care patients with injuries. This survey aims investigate patient satisfaction delivered via in a NSW public tertiary referral metropolitan setting and explore whether this differs for specific injury/conditions treatments offered. Methods Patients using between 28 June 2021 27 May 2022 responded bespoke electronic survey....
Abstract Background Frailty is associated with a prodromal stage called pre-frailty, potentially reversible and highly prevalent condition before frailty becomes established. Despite this, there no widely accepted definition of pre-frailty to support its early identification management. This study applied an international consensus approach define better understand pre-frailty. Methods A modified electronic two-round Delphi Consensus was conducted. In all, 23 experts from 12 countries...