Publications by authors named "B Brooke"
Purpose: Patient reported outcome measures (PROMs) are well-suited for the longitudinal assessment of quality of life, including depression and physical limitations associated with peripheral artery disease (PAD) that are not routinely assessed in clinical care. This study was designed to gain the patient perspective to facilitate implementation of PROMs into clinical practice for PAD management.
Methods: Twenty-three patients with PAD at a single vascular surgery clinic were enrolled for a qualitative interview, July-December 2022.
Article Synopsis
- - Peripheral arterial disease (PAD) impacts over 8.5 million Americans and is the top cause of amputations in the U.S., yet there is low awareness among patients and healthcare providers about the condition, highlighting a need for better identification methods.
- - Traditional identification methods, such as keyword search (KWS), are limited by their rigidity and inability to effectively capture undiagnosed PAD cases, making them less effective for varied clinical data.
- - The study explores the use of deep learning (DL) in natural language processing (NLP) to potentially improve the identification of PAD patients through analysis of unstructured clinical notes in electronic health records (EHR), providing a more flexible and accurate approach than KWS.
Article Synopsis
- The study aimed to investigate outcomes of female patients with Critical Limb Ischemia (CLI) compared to males in the BEST-CLI trial, particularly focusing on disparities in diagnosis and treatment for peripheral artery disease.
- It analyzed male and female patients undergoing open surgical bypass or endovascular therapy, assessing outcomes like major amputation, reintervention, and all-cause death, using data from cohorts 1 and 2 of the trial.
- Results showed that females constituted only 28% of the cohort and had different clinical presentations than males, with females experiencing higher instances of rest pain and fewer adequate vein options for surgical bypass, leading to significant differences in outcomes at one year.
Background: Social risk screening during inpatient care is required in new CMS regulations, yet its impact on inpatient care and patient outcomes is unknown.
Objectives: To evaluate whether implementing a social risk screening protocol improves discharge processes, patient-reported outcomes, and 30-day service use.
Research Design: Pragmatic mixed-methods clinical trial.
Article Synopsis
- - South Africa is a malaria-endemic country with three provinces where the spread of malaria is linked to specific mosquito vectors, making vector control critical for elimination efforts.
- - The Ehlanzeni district in Mpumalanga has been monitored for malaria vectors, particularly the Anopheles gambiae complex, and comprehensive data has been gathered from 2009 to 2021 but has not been analyzed until now.
- - The study found that An. merus and An. arabiensis are the most common species, with different collection methods yielding varying results; however, vector abundance showed no significant link to annual climatic changes, pointing to potential data collection limitations.