Publications by authors named "T C Marshall"
Background: Referral processes in Child and Adolescent Mental Health Services (CAMHS) have been reported as stressful and inadequate by young people and parents/carers, who struggle during waiting periods for the referral outcome decision. The Covid19 pandemic was an unprecedented time of distress for young people, parents/carers, and healthcare staff, with increased mental health challenges and stretched staff having to adapt modes of care, thus exacerbating difficulties for CAMHS.
Aim: This qualitative study aimed to capture the unique lived experiences of young people, parents/carers, and CAMHS staff during the referral process in the peak of the Covid19 pandemic.
Objectives: Although primary care is central to healthcare provision, inconsistent methods and data sources mean that relatively little is known about long-term trends in general practice consultation rates. We aimed to explore long-term trends in English general practice consultation rates using two electronic health records databases, Clinical Practice Research Datalink Gold and Aurum, from 1995 to 2021.
Methods: Consultations were identified and classified using a set of rules and code lists.
Article Synopsis
- Statins are often underutilized for preventing cardiovascular disease (CVD), and understanding factors influencing adherence is crucial.
- This study aims to explore the connection between shared decision making (SDM)—reflected through recorded CVD risk scores—and patients' adherence to statins and overall health outcomes.
- By analyzing data from English primary care records of patients aged 40-84 who started statin therapy, the research will assess how the presence of a CVD risk score at initiation impacts ongoing medication adherence and CVD-related results.
Analysis of diagnostic criteria for ECMO-associated pneumonia.
Infect Control Hosp Epidemiol
December 2024
Article Synopsis
- Ventilator-associated pneumonia (VAP) significantly impacts critically ill patients and contributes to high rates of illness.
- The existing criteria for diagnosing VAP do not apply to patients on extracorporeal membrane oxygenation (ECMO).
- This study analyzes the effectiveness of current VAP criteria for ECMO patients and evaluates a new proposed standard for diagnosing pneumonia in these individuals.