Publications by authors named "T M Breslin"

Background: The rate of VTE in trauma patients varies significantly in the reported literature. We aimed to determine the incidence of VTE in trauma patients in a trauma-receiving hospital over a 7-year period. We sought to evaluate the timing and nature of VTE events and explore the patterns of co-occurrence between PE and DVT, while factoring in clinical care and death outcome.

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Background: Patients requiring lower limb immobilization after injury have an increased venous thromboembolism (VTE) risk. The extent of this risk in published studies varies. The Thrombosis Risk Prediction for Patients with Cast Immobilization (TRiP[cast]) model quantifies VTE risk using clinical parameters.

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Article Synopsis
  • Venous thromboembolism (VTE) is a serious complication that can occur after major trauma, but there is a lack of strong evidence to predict and prevent it in these patients, leading to inconsistent care practices.
  • A systematic review of 22 studies found a wide range of VTE rates among major trauma patients, with varying risk factors like surgical procedures, delays in preventative care, and specific injuries linked to DVT and PE.
  • Key findings suggest that age, operative procedures, and types of injuries significantly influence the occurrence of VTE, indicating a need for standardized guidelines to better manage prevention in trauma patients.
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This paper presents a comparative analysis of Outpatient Parenteral Antimicrobial Therapy (OPAT) structures and delivery options across different countries. OPAT, a cost-effective alternative to inpatient care for patients requiring IV antimicrobial therapy, has demonstrated multiple benefits such as patient satisfaction, economic cost savings, and reduced hospital-acquired infections. Despite these advantages, there is considerable international variation in OPAT use and implementation.

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Background: Public health measures are the main intervention to stop the spread of COVID-19. They rely on the adherence to everyday health behaviors, and depend on those at high and low personal risk of serious disease to comply. Young people are crucial to stemming community transmission, and are often living in shared housing and at a stage of their lives with more economic uncertainty than older groups.

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