Large language models outperform traditional structured data-based approaches in identifying immunosuppressed patients.

Identifying immunosuppressed patients using structured data can be challenging. Large language models effectively extract structured concepts from unstructured clinical text. Here we show that GPT-4o outperforms traditional approaches in identifying immunosuppressive conditions and medication use by processing hospital admission notes.

Enhancing Dignity for Older Inpatients: The Photograph-Next-to-the-Bed Study.

Objectives: Older inpatients compromised by illness and cognitive decline may be stripped of physical and cultural identifiers, making them vulnerable to erosion of dignity. This study explored the experiences of patients, carers and clinical staff in response to a simple intervention that could enhance the dignity of care for older inpatients.

Methods: All patients in a rehabilitation ward were encouraged to have a photograph of themselves next to their bed.

The potential for cross-addiction in post-bariatric surgery patients: Considerations for primary care nurse practitioners.

Background And Purpose: Possible mental health issues for post-bariatric surgery patients include the development of cross-addictions after the rapid weight loss period. No validated screening tool to assess for possible cross-addictions exists. The main purpose of this study was to develop recommendations for modifying an existing addiction screening tool (the Shorter PROMIS Questionnaire) for use by primary care providers.

Feasibility and construct validity of a Frailty index for patients with chronic kidney disease.

Aim: To determine whether the frailty status of patients with chronic kidney disease (CKD) can be measured using a Frailty index (FI).

Methods: One hundred and eleven attending a nephrology clinic were approached to complete a one-page questionnaire evaluating cognitive, psychological and functional status. Data were coded as deficits, summed and divided by the total number of deficits considered, to derive an FI-CKD.