A5027877714- Frailty in Older Adults
- Geriatric Care and Nursing Homes
- Stroke Rehabilitation and Recovery
- Dementia and Cognitive Impairment Research
- Intensive Care Unit Cognitive Disorders
- Acute Ischemic Stroke Management
- Health Systems, Economic Evaluations, Quality of Life
- Chronic Disease Management Strategies
- Anesthesia and Sedative Agents
- Clinical practice guidelines implementation
- Palliative Care and End-of-Life Issues
- Nutrition and Health in Aging
- Cerebral Palsy and Movement Disorders
- Anesthesia and Neurotoxicity Research
- Musculoskeletal pain and rehabilitation
- Family and Patient Care in Intensive Care Units
- Pressure Ulcer Prevention and Management
- Global Health Care Issues
- Patient Satisfaction in Healthcare
- Blood properties and coagulation
- Transplantation: Methods and Outcomes
- Balance, Gait, and Falls Prevention
- Intergenerational Family Dynamics and Caregiving
- Library Science and Information Systems
- Diverse Musicological Studies
University of Mississippi
2022-2024
University of Leeds
2013-2022
Bradford Royal Infirmary
2011-2021
Bradford Teaching Hospitals NHS Foundation Trust
2011-2021
University of Bradford
2006-2021
Collaborative Group (United States)
2021
Mitre (United States)
2019
King's College London
2011-2017
Cancer Research UK Clinical Trials Unit
2017
Brighton and Sussex Medical School
2017
Background: frailty is an especially problematic expression of population ageing. International guidelines recommend routine identification to provide evidence-based treatment, but currently available tools require additional resource. Objectives: develop and validate electronic index (eFI) using routinely primary care health record data. Study design setting: retrospective cohort study. Development internal validation cohorts were established a randomly split sample the ResearchOne...
Development of interventions to manage patients with stroke after discharge from the hospital requires estimates need. This study prevalence self-reported need in community-dwelling survivors across United Kingdom.We conducted a survey 1 5 years poststroke recruited through Medical Research Council General Practice Framework general practices and 2 population-based registers. Levels type were calculated comparisons among sociodemographic groups, disability level, cognitive status using χ2...
Delirium is a complex clinical syndrome characterised by disturbed consciousness, cognitive function, or perception. Sometimes known as acute confusional state, delirium has an onset, fluctuating course, and associated with serious adverse outcomes such death, dementia, the need for long term care.1 Although common in general hospitals (affecting many about 30% of inpatients)1 care homes, often poorly recognised1; however, it can be prevented one third patients at risk.1 This article...
The International Consortium for Health Outcomes Measurement (ICHOM) was founded in 2012 to propose consensus-based measurement tools and documentation different conditions populations.This article describes how the ICHOM Older Person Working Group followed a consensus-driven modified Delphi technique develop multiple global outcome measures older persons. standard set of developed by this group will support ability healthcare systems improve their care pathways quality care. An additional...
Delirium affects > 15% of hospitalised patients but is grossly underdetected, contributing to poor care. The 4 'A's Test (4AT, www.the4AT.com ) a short delirium assessment tool designed for routine use without special training. primary objective was assess the accuracy 4AT detection. secondary compare with another commonly used tool, Confusion Assessment Method (CAM).This prospective diagnostic test study set in emergency departments or acute medical wards involving aged ≥ 70. All those...
A recent randomized controlled trial evaluated the effects of specialist nurses providing information, advice and support to caregivers patients at home during first year after a stroke. Reported here are results complementary study which used qualitative methods examine experience recovery We semi-structured interviews with purposively selected sample 30 15 end (13-16 months post-stroke). Patients provided vivid descriptions process. Recovery was perceived in terms degree congruence...
<h3>Abstract</h3> <b>Objective</b>: To evaluate whether specialist nurse visits enhance the social integration and perceived health of patients with stroke or alleviate stress in carers longer term care. <b>Design</b>: Stratified randomised controlled trial; both groups assessed at time recruitment 3, 6, 12 months. <b>Setting</b>: Patients disability related to new who lived their own homes Bradford Metropolitan District. <b>Subjects</b>: 240 aged 60 years over, randomly allocated control...
AbstractThe prevalence of hemiplegic shoulder pain (HSP) and associated factors was studied in patients with a stroke followed for 6 months after discharge from hospital. A questionnaire used to evaluate symptoms an examination the arm carried out three times over months. total 108 were mean age 71 years. Sixty-nine (63.8%) developed HSP at some time during study period. The number 39 hospital, 59 8 weeks post-discharge 36 Nine carers reported lifting patient by pulling on arm, even though...
Purpose : To assess the test-retest reliability of a range outcome measures in stroke patients. Method Twenty-two patients >1 year post-stroke were tested twice at an interval 1 week using Barthel Index (BI); Rivermead Mobility (RMI); Nottingham Extended Activities Daily Living Scale (NEADL); and Frenchay (FAI). The mean difference (bias) coefficient (random error) calculated for total scores. Percentage agreement kappa used to analyse individual items. Results differences coefficients BI...
OBJECTIVE--Comparison of day hospital attendance and home physiotherapy for stroke patients leaving to determine which service produces greater functional social improvement the patient, reduces emotional stress care giver, lessens need community support. DESIGN--Stratified, randomised trial attending two days a week or receiving treatment from physiotherapist. The six month assessment results are reported in this paper. SUBJECTS--Patients over 60 years old resident within Bradford...