400 results match your criteria: "Farr Institute of Health Informatics[Affiliation]"

Background: Pre-existing cardiovascular disease (CVD) or cardiovascular risk factors have been associated with an increased risk of complications following hospitalisation with COVID-19, but their impact on the rate of recovery following discharge is not known.

Objectives: To determine whether the rate of patient-perceived recovery following hospitalisation with COVID-19 was affected by the presence of CVD or cardiovascular risk factors.

Methods: In a multicentre prospective cohort study, patients were recruited following discharge from the hospital with COVID-19 undertaking two comprehensive assessments at 5 months and 12 months.

View Article and Find Full Text PDF

Cardiac resynchronisation therapy (CRT) improves prognosis in patients with heart failure (HF) however the role of ABO blood groups and Rhesus factor are poorly understood. We hypothesise that blood groups may influence clinical and survival outcomes in HF patients undergoing CRT. A total of 499 patients with HF who fulfilled the criteria for CRT implantation were included.

View Article and Find Full Text PDF

Background: Homelessness is associated with an increased risk of cardiovascular disease (CVD), beyond impact of socioeconomic status. CVD is preventable and treatable, though barriers to interventions exist for people experiencing homelessness. Those with lived experience of homelessness and health professionals with relevant expertise can help to understand and address these barriers.

View Article and Find Full Text PDF

Objective: This paper describes the baseline characteristics of the Semaglutide Effects on Heart Disease and Stroke in Patients with Overweight or Obesity (SELECT) study, one of the largest cardiovascular (CV) outcome studies in the field of obesity, which evaluates the effect of semaglutide versus placebo on major CV events.

Methods: SELECT enrolled individuals with overweight or obesity without diabetes, with prior myocardial infarction, stroke, and/or peripheral artery disease. This study reports participants' baseline characteristics in the full study population and subgroups defined by baseline glycated hemoglobin (HbA ; <5.

View Article and Find Full Text PDF

Health science libraries have been using information technology since the late 1960s, shaping both the profession and the mission of these libraries. To explore the impact of technology, a series of articles has been commissioned for the HILJ Regular Feature, International Perspectives and Initiatives. This editorial sets the scene for this series of articles, which starts in this issue.

View Article and Find Full Text PDF

Objectives: Timely diagnosis of atrial fibrillation (AF) is essential to reduce complications from this increasingly common condition. We sought to assess the diagnostic accuracy of smartphone camera photoplethysmography (PPG) compared with conventional electrocardiogram (ECG) for AF detection.

Methods: This is a systematic review of MEDLINE, EMBASE and Cochrane (1980-December 2020), including any study or abstract, where smartphone PPG was compared with a reference ECG (1, 3 or 12-lead).

View Article and Find Full Text PDF

Global trends health science libraries: Part 3.

Health Info Libr J

June 2022

The Farr Institute of Health Informatics Research, University College London, CHIME, London, UK.

This is the last of three articles based on a series of articles published in the Health Information and Libraries Journal's Regular Feature (International Perspectives and Initiatives). Key trends from 12 countries in Europe, North America, Africa, and Asia were identified. In this issue, the last five trends are considered: (1) Participation in collaborations, networks, partnerships, social networks; (2) Repurposing library space; (3) Focus on user experience; (4) Impact of technology on the provision of services; and (5) Engaging with the public.

View Article and Find Full Text PDF

Engaging with technology: Projects and research initiated by health information professionals.

Health Info Libr J

June 2022

The Farr Institute of Health Informatics Research, CHIME, University College London, London, UK.

The 2021 virtual issue of the Health Information and Libraries Journal is published to link to the Future Technologies Conference 2021, which takes place in Vancouver, Canada, 28-29 October 2021. This event, which began in 2016, presents the best of current systems research and practice. One of the themes of the 2021 conference is Smart Healthcare.

View Article and Find Full Text PDF

Global trends health science libraries: Part 2.

Health Info Libr J

March 2022

The Farr Institute of Health Informatics Research, University College London, CHIME, London, UK.

This is the second of three articles which explore trends in health science libraries. It is based on a series of articles called New Directions in Health Science Libraries published in a HILJ regular feature (International Perspectives and Initiatives) between June 2017 and March 2020. The series covered 12 countries: The United States, Canada, Australia, China, England, two countries in Africa (Uganda and Tanzania) and five in Europe (Sweden, Romania, Belgium, Germany, and Switzerland).

View Article and Find Full Text PDF

Objective: Using a large national database of people hospitalised with COVID-19, we investigated the contribution of cardio-metabolic conditions, multi-morbidity and ethnicity on the risk of in-hospital cardiovascular complications and death.

Methods: A multicentre, prospective cohort study in 302 UK healthcare facilities of adults hospitalised with COVID-19 between 6 February 2020 and 16 March 2021. Logistic models were used to explore associations between baseline patient ethnicity, cardiometabolic conditions and multimorbidity (0, 1, 2, >2 conditions), and in-hospital cardiovascular complications (heart failure, arrhythmia, cardiac ischaemia, cardiac arrest, coagulation complications, stroke), renal injury and death.

View Article and Find Full Text PDF

Background: Deep sequencing could improve understanding of HIV treatment failure and viral population dynamics. However, this tool is often inaccessible in low- and middle-income countries.

Objectives: To determine the genetic patterns of resistance emerging in West African HIV-1 subtypes during first-line virological failure, and the implications for future antiretroviral options.

View Article and Find Full Text PDF

Global trends health science libraries: Part 1.

Health Info Libr J

December 2021

The Farr Institute of Health Informatics Research, CHIME, University College London, London, UK.

This is the first of three articles based on articles published in the Health Information and Libraries Journal's Regular Feature (International Perspectives and Initiatives). Key trends from 12 countries in Europe, North America, Africa and Asia were identified. In this issue, two trends are described: emergence of new roles and challenges for library staff; supporting researchers engaging in research data management and maintaining institutional repositories.

View Article and Find Full Text PDF

Background: Unkept outpatient hospital appointments cost the National Health Service £1 billion each year. Given the associated costs and morbidity of unkept appointments, this is an issue requiring urgent attention. We aimed to determine rates of unkept outpatient clinic appointments across hospital trusts in the England.

View Article and Find Full Text PDF

High-risk features and predictors of unexplained syncope in the young SCD-SOS cohort.

J Cardiovasc Electrophysiol

October 2021

Barts Health NHS Trust, University College of London, St Bartholomew's Hospital, Barts Heart Centre, Farr Institute of Health Informatics, London, UK.

Article Synopsis
  • The Sudden Cardiac Death-Screening of Risk FactOrS survey aimed to identify warning signs for sudden cardiac death in children and young adults, using ECGs and digital questionnaires.
  • Out of 11,878 participants aged 6 to 40, 26.5% experienced transient loss of consciousness (TLOC), with unexplained syncope (US) notably affecting 14.8%, predominantly in younger males involved in sports.
  • Eight specific clinical characteristics were identified that could help in assessing the risk of US in individuals examined outside of emergency situations, highlighting a significant portion of TLOC cases remaining unexplained.
View Article and Find Full Text PDF

Background: Education and cognition demonstrate consistent inverse associations with Alzheimer's disease (AD). The biological underpinnings, however, remain unclear. Blood metabolites reflect the end point of biological processes and are accessible and malleable.

View Article and Find Full Text PDF

Digital Health Interventions: New opportunities for health science librarians.

Health Info Libr J

September 2021

The Farr Institute of Health Informatics Research, University College London, CHIME, London, UK.

This article acquaints health science librarians with digital health interventions (DHIs) and suggests ways they can become involved with initiatives in their own organisations. Examples of DHIs are provided and the risks and benefits of these applications are examined, including increasing accuracy of diagnosis & treatment, and health care efficiencies within legal and ethical frameworks. The WHO Guideline on digital interventions for health system strengthening is a useful resource which highlights ways that countries can use digital health technology to improve people's health and essential services.

View Article and Find Full Text PDF

Introduction: People who are homeless experience higher morbidity and mortality than the general population. These outcomes are exacerbated by inequitable access to healthcare. Emerging evidence suggests a role for peer advocates-that is, trained volunteers with lived experience-to support people who are homeless to access healthcare.

View Article and Find Full Text PDF

Aims: Recent studies showed that exercise-based cardiac rehabilitation (ECR) programmes are often not personalized to individual patient characteristics according to latest recommendations. This study investigates whether a computerized decision support (CDS) system based on latest recommendations and guidelines can improve personalization of ECR prescriptions. Pseudo-randomized intervention study.

View Article and Find Full Text PDF

Objectives: The goal of this study was to develop a risk score model for patients with Brugada syndrome (BrS).

Background: Risk stratification in BrS is a significant challenge due to the low event rates and conflicting evidence.

Methods: A multicenter international cohort of patients with BrS and no previous cardiac arrest was used to evaluate the role of 16 proposed clinical or electrocardiogram (ECG) markers in predicting ventricular arrhythmias (VAs)/sudden cardiac death (SCD) during follow-up.

View Article and Find Full Text PDF

Objectives: To analyse the relationship between first author's gender and ethnicity (estimated from first name and surname), and chance of publication of rapid responses in the (BMJ). To analyse whether other features of the rapid response account for any gender or ethnic differences, including the presence of multiple authors, declaration of conflicts of interests, the presence of Twitter handle, word count, reading ease, spelling and grammatical mistakes, and the presence of references.

Design: A retrospective observational study.

View Article and Find Full Text PDF

The side effect profile of Clozapine in real world data of three large mental health hospitals.

PLoS One

January 2021

The Department of Biostatistics and Health Informatics, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, United Kingdom.

Objective: Mining the data contained within Electronic Health Records (EHRs) can potentially generate a greater understanding of medication effects in the real world, complementing what we know from Randomised control trials (RCTs). We Propose a text mining approach to detect adverse events and medication episodes from the clinical text to enhance our understanding of adverse effects related to Clozapine, the most effective antipsychotic drug for the management of treatment-resistant schizophrenia, but underutilised due to concerns over its side effects.

Material And Methods: We used data from de-identified EHRs of three mental health trusts in the UK (>50 million documents, over 500,000 patients, 2835 of which were prescribed Clozapine).

View Article and Find Full Text PDF

Designing Futuristic Telemedicine Using Artificial Intelligence and Robotics in the COVID-19 Era.

Front Public Health

May 2021

Pandemic Health System REsilience PROGRAM (REPROGRAM) Consortium, REPROGRAM Telemedicine Study Group, Sydney, NSW, Australia.

Technological innovations such as artificial intelligence and robotics may be of potential use in telemedicine and in building capacity to respond to future pandemics beyond the current COVID-19 era. Our international consortium of interdisciplinary experts in clinical medicine, health policy, and telemedicine have identified gaps in uptake and implementation of telemedicine or telehealth across geographics and medical specialties. This paper discusses various artificial intelligence and robotics-assisted telemedicine or telehealth applications during COVID-19 and presents an alternative artificial intelligence assisted telemedicine framework to accelerate the rapid deployment of telemedicine and improve access to quality and cost-effective healthcare.

View Article and Find Full Text PDF

Telemedicine Across the Globe-Position Paper From the COVID-19 Pandemic Health System Resilience PROGRAM (REPROGRAM) International Consortium (Part 1).

Front Public Health

May 2021

Pandemic Health System REsilience PROGRAM (REPROGRAM) Consortium, REPROGRAM Telemedicine Sub-committee, Sydney, NSW, Australia.

Coronavirus disease 2019 (COVID-19) has accelerated the adoption of telemedicine globally. The current consortium critically examines the telemedicine frameworks, identifies gaps in its implementation and investigates the changes in telemedicine framework/s during COVID-19 across the globe. Streamlining of global public health preparedness framework that is interoperable and allow for collaboration and sharing of resources, in which telemedicine is an integral part of the public health response during outbreaks such as COVID-19, should be pursued.

View Article and Find Full Text PDF

Metabolic Age Based on the BBMRI-NL H-NMR Metabolomics Repository as Biomarker of Age-related Disease.

Circ Genom Precis Med

October 2020

Department of Molecular Epidemiology (E.B.v.d.A., J.J.H.B.W., M.B., H.E.D.S., J.D., D.C., H.M., I.M., L.M.'t.H., P.E.S.).

Background: The blood metabolome incorporates cues from the environment and the host's genetic background, potentially offering a holistic view of an individual's health status.

Methods: We have compiled a vast resource of proton nuclear magnetic resonance metabolomics and phenotypic data encompassing over 25 000 samples derived from 26 community and hospital-based cohorts.

Results: Using this resource, we constructed a metabolomics-based age predictor (metaboAge) to calculate an individual's biological age.

View Article and Find Full Text PDF

Telemedicine as the New Outpatient Clinic Gone Digital: Position Paper From the Pandemic Health System REsilience PROGRAM (REPROGRAM) International Consortium (Part 2).

Front Public Health

April 2021

Pandemic Health System REsilience PROGRAM (REPROGRAM) Consortium, REPROGRAM Telemedicine Sub-committee, Sydney, NSW, Australia.

Technology has acted as a great enabler of patient continuity through remote consultation, ongoing monitoring, and patient education using telephone and videoconferencing in the coronavirus disease 2019 (COVID-19) era. The devastating impact of COVID-19 is bound to prevail beyond its current reign. The vulnerable sections of our community, including the elderly, those from lower socioeconomic backgrounds, those with multiple comorbidities, and immunocompromised patients, endure a relatively higher burden of a pandemic such as COVID-19.

View Article and Find Full Text PDF