Publications by authors named "Vijay Klaire"
Background: Numerous tools based on electronic health record (EHR) data that predict risk of unscheduled care and mortality exist. These are often criticised due to lack of external validation, potential for low predictive ability and the use of thresholds that can lead to large numbers being escalated for assessment that would not have an adverse outcome leading to unsuccessful active case management. Evidence supports the importance of clinical judgement in risk prediction particularly when ruling out disease.
View Article and Find Full Text PDFDigital health and inpatient palliative care: a cohort-controlled study.
BMJ Support Palliat Care
July 2023
Objectives: End of life has unacceptable levels of hospital admission and death. We aimed to determine the association of a novel digital specific system (Proactive Risk-Based and Data-Driven Assessment of Patients at the End of Life, PRADA) to modify such events.
Methods: A cohort-controlled study of those discharged alive, who died within 90 days of discharge, comparing PRADA (n=114) with standard care (n=3730).
Background: Patients with unmet healthcare needs are more likely to access unscheduled care. Identifying these patients through data-driven and clinical risk stratification for active case management in primary care can help address patient need and reduce demand on acute services.
Aim: To determine how a proactive digital healthcare system can be used to undertake comprehensive needs analysis of patients at risk of unplanned admission and mortality.
Article Synopsis
- - The study examines how poor broadband access affects health outcomes and demographic factors in Wolverhampton, focusing on a diverse and deprived population.
- - Researchers used the Broadband Infrastructure Index (BII) to analyze data from nearly 270,000 residents, finding correlations between low broadband provision and factors like higher health comorbidity and urgent care needs.
- - The conclusion emphasizes that health and municipal authorities should address broadband disparities to promote equal access to digital resources and improve health equity within the community.
Objectives: The objective of this study was to describe variations in COVID-19 outcomes in relation to local risks within a well-defined but diverse single-city area.
Design: Observational study of COVID-19 outcomes using quality-assured integrated data from a single UK hospital contextualised to its feeder population and associated factors (comorbidities, ethnicity, age, deprivation).
Setting/participants: Single-city hospital with a feeder population of 228 632 adults in Wolverhampton.
Background: New healthcare models are being explored to enhance care coordination, efficiency, and outcomes. Evidence is scarce regarding the impact of vertical integration of primary and secondary care on emergency department (ED) attendances, unplanned hospital admissions, and readmissions.
Aim: To examine the impact of vertical integration of an NHS provider hospital and 10 general practices on unplanned hospital care DESIGN AND SETTING: A retrospective database study using synthetic controls of an NHS hospital in Wolverhampton integrated with 10 general practices, providing primary medical services for 67 402 registered patients.