Publications by authors named "Kiran Rai"

Background: Staff sickness absenteeism and presenteeism (attending work while unwell) incur high costs to the NHS, are associated with adverse patient outcomes and have been exacerbated by the COVID-19 pandemic. The main causes are mental and musculoskeletal ill health with cardiovascular risk factors common.

Objectives: To undertake a feasibility study to inform the design of a definitive randomised controlled trial of the effectiveness and cost effectiveness of a health screening clinic in reducing absenteeism and presenteeism amongst the National Health Service staff.

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  • The study aims to estimate the absenteeism and indirect costs related to COVID-19 across different healthcare settings in Germany.
  • It analyzed data from working-aged individuals in both outpatient (over 369,000) and hospitalized (about 20,700) cohorts during specific periods from April 2020 through October 2022.
  • The findings revealed that hospitalized individuals had longer absenteeism (median 15 days) and higher costs (€1591) compared to outpatients (median 10 days, €1061), with greater absenteeism seen in older adults and those with severe COVID-19.
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  • The study aimed to establish case definitions for confirmed COVID-19 diagnoses and vaccination status, along with various high-risk criteria for severe COVID-19, in order to evaluate how these definitions reflected the demographics of COVID-19 cases in England.
  • Conducted as a retrospective cohort study, it analyzed electronic healthcare records from both primary and secondary care, examining over 2.2 million COVID-19 patients between August 2020 and January 2022.
  • Results showed that older adults were underrepresented in the study's estimates compared to national data, while wealthier regions were overrepresented; additionally, many non-hospitalized and hospitalized cases had not completed their vaccination series.
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  • The study aimed to analyze the direct costs and healthcare resource usage associated with acute COVID-19 in adults in England during a specific timeframe.
  • It included over 1.7 million adults who tested positive for COVID-19, focusing on hospitalizations and primary care interactions, particularly in older and immunocompromised individuals.
  • Findings revealed that older adults had longer hospital stays and higher median costs compared to younger adults, with increased healthcare utilization among those at higher risk of severe COVID-19.
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Background: Although COVID-19 morbidity is significantly lower in pediatrics than in adults, the risk of severe COVID-19 may still pose substantial health care resource burden. This study aimed to describe health care resource utilization (HCRU) and costs associated with COVID-19 in pediatrics 1-17 years old in England.

Methods: A population-based retrospective cohort study of pediatrics with COVID-19 using Clinical Practice Research Datalink (CPRD Aurum) primary care data and, where available, linked Hospital Episode Statistics Admitted Patient Care secondary care data.

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Introduction: In 2019, smoking prevalence in North Macedonia was one of the world's highest at around 46% in adults. However, access to smoking cessation treatment is limited and no co-ordinated smoking cessation programmes are provided in primary care.

Methods: We conducted a three parallel-armed randomised controlled trial (n = 1368) to investigate effectiveness and cost-effectiveness of lung age (LA) or exhaled carbon monoxide (CO) feedback combined with very brief advice (VBA) to prompt smoking cessation compared with VBA alone, delivered by GPs in primary care in North Macedonia.

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Objectives: To assess the feasibility of delivering a culturally tailored pulmonary rehabilitation (PR) programme and conducting a definitive randomised controlled trial (RCT).

Design: A two-arm, randomised feasibility trial with a mixed-methods process evaluation.

Setting: Secondary care setting in Georgia, Europe.

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Background: Staff absenteeism and presenteeism incur high costs to the NHS and are associated with adverse health outcomes. The main causes are musculoskeletal complaints and mental ill-health, which are potentially modifiable, and cardiovascular risk factors are also common. We will test the feasibility of an RCT to evaluate the clinical and cost-effectiveness of an employee health screening clinic on reducing sickness absenteeism and presenteeism.

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Ten per cent of the childhood population in the UK are of South Asian (SA) origin. Within this population, over 40% are living with overweight or obesity. The majority of SA children are Muslim and attend Islamic religious settings (IRS) daily after school.

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Objectives: To investigate the impact of chronic obstructive pulmonary disease (COPD) case finding on clinical care.

Design: We conducted a prospective observational analysis of data from a pragmatic cluster randomised controlled trial in primary care in the West Midlands, UK (TargetCOPD). This compared alternative methods of COPD case finding against usual care.

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Islamic religious settings (IRS) may be useful places to implement obesity interventions for Muslims. However, little is known about the level and nature of such activity in these settings. We searched bibliographic databases and grey literature, and requested grey information from Muslim organizations, local councils, and mosques in 13 selected areas in the United Kingdom.

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Background: Patients with chronic obstructive pulmonary disease (COPD) are more likely to take time off work (absenteeism) and report poor performance at work (presenteeism) compared to those without COPD. Little is known about the modifiable factors associated with these work productivity outcomes.

Aim: To assess the factors associated with work productivity among COPD patients.

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Background: Employment rates among those with chronic obstructive pulmonary disease (COPD) are lower than those without COPD, but little is known about the factors that affect COPD patients' ability to work.

Methods: Multivariable analysis of the Birmingham COPD Cohort Study baseline data was used to assess the associations between lifestyle, clinical, and occupational characteristics and likelihood of being in paid employment among working-age COPD patients.

Results: In total, 608 of 1,889 COPD participants were of working age, of whom 248 (40.

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Background: Improving safety in care homes is becoming increasingly important. Care home residents typically have multiple physical and/or cognitive impairments, and adverse events like falls often lead to hospital attendance or admission. Developing a safety culture is associated with beneficial impacts on safety outcomes, but the complex needs of care home residents, coupled with staffing pressures in the sector, pose challenges for positive safety practices to become embedded at the individual and organisational levels.

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Objective: To determine the possible risk factors for severe acute malnutrition (SAM) in children below 5 y admitted in a hospital in north India.

Methods: This case-control study was conducted in a medical college hospital in children below 5 y of age. All cases of SAM (diagnosed as per WHO definition) between 6 and 59 mo of age were compared with age-matched controls with weight for height above -2SD of WHO 2006 growth standards.

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The clinical features of severe acute malnutrition (SAM) often overlap with the common manifestations of celiac disease. In this observational pilot study, 76 children fulfilling the case definition of SAM were investigated for celiac disease, tuberculosis and HIV. Celiac disease was diagnosed in 13.

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