Publications by authors named "Khushal Arjan"

Article Synopsis
  • Hip fractures in older adults can lead to serious health issues, making risk assessment crucial for care planning and communication with patients and families.
  • The study evaluated and updated the OPERA risk score for hip fracture patients aged 65 and older, comparing it to the Nottingham Hip Fracture Score (NHFS) using 30-day and 1-year mortality rates as key outcomes.
  • The updated score, called Hip-OPERA, showed better predictive ability for mortality and residential status than both the original OPERA and NHFS, highlighting its potential for improved patient management.
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Objectives Of The Study: Demographic changes alongside medical advances have resulted in older adults accounting for an increasing proportion of emergency hospital admissions. Current measures of illness severity, limited to physiological parameters, have shortcomings in this cohort, partly due to patient complexity. This study aimed to derive and validate a risk score for acutely unwell older adults which may enhance risk stratification and support clinical decision-making.

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Introduction: Emergency department (ED) crowding has significant adverse consequences, however, there is no widely accepted tool to measure it. This study validated the National Emergency Department Overcrowding score (NEDOCS) (range 0-200 points), which uses routinely collected ED data.

Methods: This prospective single-centre study sampled data during four periods of 2018.

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