Relationship of the clinical acuity & complexity to the outcome of an emergency medical admission
Abstract Background: An Illness Severity and Co-morbidity composite score can predict 30-day mortality outcome. Methods: We computed a summary risk score (RS) for emergency medical admissions and used
The Relationship Between Social Deprivation and a Weekend Emergency Medical Admission
Abstract Background: Deprivation increases admission rates; the specific effect of deprivation with regard to weekend admissions is unknown. Methods: We calculated annual weekend admission rates for
The Relationship between Resource Utilization, Clinical Risk and Hospital Costs for Emergency Medical Admissions
Abstract There has been little study of the relationship between resource utilisation, clinical risks and hospital costs in acute medicine with the question remaining as to whether current funding
Profiling the medical admissions of the homeless
Abstract Aim: to describe the characteristics and outcomes of homeless people admitted to our Internal Medicine service in St. James’s Hospital, Dublin (Ireland), between 2002 and 2011. Methods:
Actinomycosis masquerading as malignancy
Abstract We describe a patient who presented with neurological symptoms and radiological findings consistent with metastatic malignancy in several sites. However, no obvious primary site of tumour was
Predicting outcomes in emergency medical admissions – role of laboratory data and co-morbidity
Abstract Background: The utility of risk stratification following an emergency medical admission has been debated. We have examined the predictability of outcomes, from a database of all emergency
The increased mortality associated with a weekend emergency admission is due to increased illness severity and altered case-mix
Abstract Background: A weekend emergency medical admission has been associated with a higher mortality. We have examined all weekend admissions to St James’ Hospital, Dublin between 2002 and 2009.
Does admission via an Acute Medical Unit influence hospital mortality? 12 years’ experience in a large Dublin Hospital
Abstract Background: Following an emergency medical admission, patients may be admitted an acute medical assessment unit (AMAU) or directly into a ward. An AMAU provides a structured environment for
A Risk Index for Geriatric Acute Medical Admissions (RIGAMA)
Abstract Aim: to create and validate a Risk Index for Geriatric Acute Medical Admissions (RIGAMA) for those aged ≥ 65, based on accumulation of deficits. Methods: we retrospectively validated a 30-item