Publications by authors named "G Bate"

Article Synopsis
  • The study investigates the effectiveness and cost-efficiency of two surgical approaches (vein bypass-first vs. best endovascular treatment-first) for treating chronic limb-threatening ischemia, which can lead to pain and tissue loss.
  • Conducted in 40 medical centers across the UK, Sweden, and Denmark, the trial involved patients requiring revascularization due to atherosclerotic peripheral arterial disease.
  • Key outcomes measured included amputation-free survival, overall survival rates, major amputations, quality of life, and costs associated with hospital treatments over a follow-up period of at least 2 years.
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Article Synopsis
  • The BASIL-2 trial compared outcomes between two revascularisation strategies for patients with chronic limb threatening ischaemia, finding that those who underwent vein bypass (VB) had a higher mortality rate than those who received best endovascular treatment (BET) over a median follow-up of 40 months.
  • A panel of experts determined the primary causes of death for 151 out of 168 deceased participants, establishing that 35% of deaths in the VB group were likely cardiac compared to 21% in the BET group.
  • The study revealed that participants in both groups had a notable history of heart issues (such as myocardial infarction and previous procedures), but no significant variations in treatment effects on cause of death were observed among patients
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Article Synopsis
  • Delirium prevalence in hospitalized patients with Parkinson's disease (PD) is notably high, with 66.9% of PD participants diagnosed compared to 38.7% of older adults without PD.
  • Delirium in PD patients is linked to significantly worse outcomes, including a 3.3 times higher risk of mortality and a 10.7 times increased likelihood of institutionalization 12 months post-discharge.
  • Both PD participants and control groups showed increased risk of developing dementia after experiencing delirium, indicating a critical need for better management and prevention strategies for delirium in PD patients.
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Objective: The Bypass versus Angioplasty in Severe Ischaemia of the Leg-2 (BASIL-2) randomised controlled trial has shown that, for patients with chronic limb threatening ischaemia (CLTI) who require an infrapopliteal (IP) revascularisation a vein bypass (VB) first revascularisation strategy led to a 35% increased risk of major amputation or death when compared with a best endovascular treatment (BET) first revascularisation strategy. The study aims are to place the BASIL-2 trial within the context of the CLTI patient population as a whole and to investigate the generalisability of the BASIL-2 outcome data.

Methods: This was an observational, single centre prospective cohort study.

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Low levels of physical activity (PA) and sleep disruption are commonly seen in older adult inpatients and are associated with poor health outcomes. Wearable sensors allow for objective continuous monitoring; however, there is no consensus as to how wearable sensors should be implemented. This review aimed to provide an overview of the use of wearable sensors in older adult inpatient populations, including models used, body placement and outcome measures.

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