Publications by authors named "Noel O' Kelly"

Background: The COVID-19 pandemic stressed global health care systems' acute capacity and caused a diversion of resources from elective care to the treatment of acute respiratory disease. In preparing for a second wave of COVID-19 infections, England's National Health Service (NHS) in Leicester, Leicestershire, and Rutland sought to protect acute capacity in the winter of 2020-2021. Their plans included the introduction of a digital ward where patients were discharged home early and supported remotely by community-based respiratory specialists, who were informed about patient health status by a digital patient monitoring system.

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Article Synopsis
  • Pulmonary rehabilitation is crucial for managing COPD, but many patients don’t participate or complete it, limiting its effectiveness.
  • A review of existing trials sought to find ways to improve patient involvement and completion rates, focusing on randomized studies that compared different interventions.
  • Only one qualifying study was found, indicating that using a tablet computer for exercise support might boost attendance and completion, but overall evidence is lacking, highlighting a research gap in strategies to enhance patient uptake of pulmonary rehabilitation.
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A common activity carried out by healthcare professionals is to test various hypotheses on longitudinal study data in an effort to develop new and more reliable algorithms that might determine the possibility of developing certain illnesses. The INnovative, Midlife INtervention for Dementia Deterrence project provides input from a number of European dementia experts to identify the most accurate model of inter-related risk factors which can yield a personalized dementia-risk quotient and profile. This model is then validated against the large population-based prospective Maastricht Aging Study dataset.

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Aim: To establish the short term outcomes of heart failure (HF) patients in the community who have concurrent chronic obstructive pulmonary disease (COPD).

Methods: We evaluated 783 patients (27.2%) with left ventricular systolic dysfunction under the care of a regional nurse-led community HF team between June 2007 and June 2010 through a database analysis.

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