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Your search keyword '"Byrne, Declan G."' showing total 18 results
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18 results on '"Byrne, Declan G."'

6. Hospital mortality and length of stay differences in emergency medical admissions related to 'on-call' specialty.

Author

Conway, Richard P., Byrne, Declan G., O'Riordan, Deirdre M. R., and Silke, Bernard

Abstract

Background: The outcomes of acute medical admissions have been shown to be influenced by a variety of factors including system, patient, societal, and physician-specific differences. Aim: To evaluate the influence of on-call specialty on outcomes in acute medical admissions. Methods: All acute medical admissions to our institution from 2015 to 2020 were evaluated. Admissions were grouped based on admitting specialty. Thirty-day in-hospital mortality and length of stay (LOS) were evaluated. Data was analysed using multivariable logistic regression and truncated Poisson regression modelling. Results: There were 50,347 admissions in 30,228 patients. The majority of admissions were under Acute Medicine (47.0%), and major medical subspecialties (36.1%); Elderly Care admitted 12.1%. Acute Medicine admissions were older at 72.9 years (IQR 57.0, 82.9) vs. 67.2 years (IQR 50.1, 80.2), had higher Acute Illness Severity (grades 4–6: 85.9% vs. 81.3%; p < 0.001), Charlson Index (> group 0; 61.5% vs. 54.6%; p < 0.001), and Comorbidity Score (40.7% vs. 36.7%; p < 0.001). Over time, there was a small (+ 8%) but significant increase in 30-day in-hospital mortality. Mortality rates for Acute Medicine, major medical specialties, and Elderly Care were not different at 5.1% (95% CI: 4.7, 5.5), 4.7% (95% CI: 4.3, 5.1), and 4.7% (95% CI: 3.9, 5.4), respectively. Elderly Care admissions had shorter LOS (7.8 days (95% CI: 7.6, 8.0)) compared with either Acute Medicine (8.7 days (95% CI: 8.6, 8.8)) or major medical specialties (8.7 days (95% CI: 8.6, 8.9)). Conclusion: No difference in mortality and minor differences in LOS were observed. The prior pattern of improved outcomes year on year for emergency medical admissions appears ended. [ABSTRACT FROM AUTHOR]

Published
2023
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13. Age and outcome in acute emergency medical admissions

Author

Byrne, Declan G., Chung, Siok Li, Bennett, Kathleen, and Silke, Bernard

Subjects
Aged patients -- Observations, Mortality -- United States, Mortality -- Research, Hospitals -- Admission and discharge, Hospitals -- Research, Health, Psychology and mental health, Seniors, Social sciences
Published
2010

14. Optimisation of Vitamin D Status for Enhanced Immuno-protection Against Covid-19

Author

McCartney, Daniel and Byrne, Declan G.

Subjects
BAME, obesity, Medical Nutrition, supplementation, Medical Immunology, Clinical Epidemiology, Vitamin D, Covid-19, Ireland, older adults, Dietetics and Clinical Nutrition
Abstract

Background Vitamin D deficiency (serum 25(OH)D50nmol/l. Supplementation with doses up to 100μg/d has been shown to be safe for adults, and many agencies and expert groups now advocate supplementation in older adults, albeit at lower levels than this. Conclusions and Recommendations Vitamin D deficiency is common and may contribute to increased risk of respiratory infection including Covid-19. We recommend that all older adults, hospital inpatients, nursing home residents and other vulnerable groups (e.g. those with diabetes mellitus or compromised immune function, those with darker skin, vegetarians and vegans, those who are overweight or obese, smokers and healthcare workers) be urgently supplemented with 20-50μg/d of vitamin D to enhance their resistance to Covid-19, and that this advice be quickly extended to the general adult population.

Published
2020

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