Barriers to completing the 4AT for delirium and its clinical implementation in two hospitals: a mixed-methods study.

Purpose: To assess the clinical implementation and barriers to completing the 4AT for delirium in general medical and geriatric patients over 75 years upon admission to Wellington and Kenepuru Hospitals during the first eight months of 2017, 2018 and 2019.

Methods: Retrospective data from electronic health records were analysed using an explanatory-sequential mixed-methods approach. The initial quantitative phase measured doctors' adherence to the 4AT and the rate of positive 4ATs (≥ 4).

Differing Clinical Characteristics Between Young and Older Patients Presenting with Myocardial Infarction.

Background: To date, there has been no detailed study of the risk factors and clinical characteristics of patients presenting with myocardial infarction (MI) at a young age in our region. The purpose of this study was to assess the rate and clinical profile of those presenting with young MI in New Zealand.

Methods: We identified a cohort of 1199 patients presenting with acute MI between January 2012 and November 2015 from the Wellington Acute Coronary Syndrome Registry.