RSS 1.0Journal articles & published research
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Performing diagnostic radial access coronary angiography on uninterrupted direct oral anticoagulant therapy: a prospective analysis.This was a prospective observational analysis of 49 patients undergoing elective diagnostic coronary angiography while receiving uninterrupted anticoagulation with direct oral anticoagulants. This population was compared with a control group of 49 unselected patients presenting to the cardiology service for elective diagnostic coronary angiography. Continuous variables were analysed using the independent samples t-test and categorical variables using Pearson's χ2 test.
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Doctor-Patient Communication in an Outpatient SettingIt is widely recognised that effective doctor-patient communication plays a vital role in patient care. Doctors must aim to develop rapport and build a trusting relationship with the patient. With a focus on explanation and patient-inclusive planning as per the Calgary Cambridge Guide to the Medical Interview, doctors can ensure optimal communication with their patients. Effective communication leads to greater adherence with treatment, greater satisfaction with care and it has also been shown to improve health outcomes. We can see this reflected in gynaecological malignancy where effective physician communication skills have been shown to result in improved patient outcomes following a diagnosis
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Miscarriage hospitalisations: a national population-based study of incidence and outcomes, 2005-2016.Approximately, 1 out of 4 women will experience an early miscarriage in their reproductive life. Despite the burden of early miscarriage, there is a lack of information regarding trends in incidence rates of hospitalisations and type of management of early miscarriage, but also about the morbidities associated to hospitalisations of early miscarriage. Therefore, the objectives of this study were to explore national trends in incidence rates of hospital admissions for early miscarriage in the Republic of Ireland from January of 2005 to December of 2016, and to estimate morbidity associated with blood transfusion and length of stay over 2 days. This is a retrospective population-based study using the Hospital In-Patient Enquiry (HIPE). The HIPE is a computer-based system designed to collect demographic, clinical and administrative data on discharges and deaths in the Republic of Ireland. However data from the emergency department and outpatient settings are not available. Over this period of time there were approximately 50,000 hospitalisations for early miscarriage. Early miscarriage hospitalisations became 19% less common during 2005–2016 but the risk of blood transfusion doubled. The risk of an extended length of stay also increased over the same time period. Women who underwent medical management did not have as many blood transfusions compare to those who had surgical management. However, women who underwent medical treatment had a higher risk of a prolonged stay at the hospital. More research is needed to explore the patterns of care and morbidities associated to hospitalisation in order to improve protocols of management and the care provided for women who miscarry.
