Publications by authors named "I Adamestam"
Background: Identifying women at highest or lowest risk of perinatal intensive care unit (ICU) admission may enable clinicians to risk stratify women antenatally so that enhanced care or elective admission to ICU may be considered or excluded in birthing plans. We aimed to develop a statistical model to predict the risk of maternal ICU admission.
Methods: We studied 762,918 pregnancies between 2005 and 2018.
Article Synopsis
- - Antibiotic-resistant infections are a major global health concern, causing over 700,000 deaths annually, leading to the development of ePAMS+, an ePrescribing tool aimed at improving antibiotic usage and combating resistance in healthcare settings.
- - A non-randomised trial was conducted in two English hospitals during the pandemic to assess the feasibility and usability of ePAMS+, involving interviews and quantitative data collection to evaluate its implementation and effects on antibiotic prescribing practices.
- - Results from 60 interviews and nearly 2,000 patient admissions indicated some aspects of ePAMS+ were well-received, though improvements are needed for certain features, highlighting both the potential and challenges of adopting this antimicrobial stewardship tool in clinical settings.
Purpose: Factors increasing the risk of maternal critical illness are rising in prevalence in maternity populations. Studies of general critical care populations highlight that severe illness is associated with longer-term physical and psychological morbidity. We aimed to compare short- and longer-term outcomes between women who required critical care admission during pregnancy/puerperium and those who did not.
View Article and Find Full Text PDFIntroduction: Diagnosing underlying arrhythmia in emergency department (ED) syncope patients is difficult. There is a evidence that diagnostic yield for detecting underlying arrhythmia is highest when cardiac monitoring devices are applied early, ideally at the index visit. This strategy has the potential to change current syncope management from low diagnostic yield Holter to higher yield ambulatory monitoring, reduce episodes of syncope, reduce risk of recurrence and its potential serious consequences, reduce hospital admissions, reduce overall health costs and increase quality of life by allowing earlier diagnosis, treatment and exclusion of clinically important arrhythmias.
View Article and Find Full Text PDFBackground: Antimicrobial resistance is a leading global public health threat, with inappropriate use of antimicrobials in healthcare contributing to its development. Given this urgent need, we developed a complex ePrescribing-based Anti-Microbial Stewardship intervention (ePAMS+).
Methods: ePAMS+ includes educational and organisational behavioural elements, plus guideline-based clinical decision support to aid optimal antimicrobial use in hospital inpatients.