Author: "Irvine L." / Database: OpenAIRE - Searchworks@Jio Institute Digital Library Search Results

23 results on '"Irvine L."'

1. Early short course of neuromuscular blocking agents in patients with COVID-19 ARDS: a propensity score analysis

Author: Li Bassi, G., Gibbons, K., Suen, J. Y., Dalton, H. J., White, N., Corley, A., Shrapnel, S., Hinton, S., Forsyth, S., Laffey, J. G., Fan, E., Fanning, J. P., Panigada, M., Bartlett, R., Brodie, D., Burrell, A., Chiumello, D., Elhazmi, A., Esperatti, M., Grasselli, G., Hodgson, C., Ichiba, S., Luna, C., Marwali, E., Merson, L., Murthy, S., Nichol, A., Ogino, M., Pelosi, P., Torres, A., P. Y., Ng, Fraser, J. F., Al-Dabbous, T., Alfoudri, H., Shamsah, M., Elapavaluru, S., Berg, A., Horn, C., Mayasi, Y., Schroll, S., Meyer, D., Velazco, J., Ploskanych, L., Fikes, W., Bagewadi, R., Dao, M., White, H., Ehlers, A., Shalabi-McGuire, M., Witt, T., Grazioli, L., Lorini, L., Grandin, E. W., Nunez, J., Reyes, T., Obriain, D., Hunter, S., Ramanan, M., Affleck, J., Veerendra, H. H., Rai, S., Russell-Brown, J., Nourse, M., Joseph, M., Mitchell, B., Tenzer, M., Abe, R., Cho, H. J., Jeong, I. S., Rahman, N., Kakar, V., Brozzi, N., Mehkri, O., Krishnan, S., Duggal, A., Houltham, S., Graf, J., Diaz, R., Orrego, R., Delgado, C., Gonzalez, J., Sanchez, M. S., Piagnerelli, M., Sarrazin, J. V., Zabert, A. /P. G., Espinosa, L., Delgado, P., Delgado, V., Rincon, D. F. B., Yanten, A. M. M., Duque, M. B., Al-Hudaib, A., Callahan, M., Taufik, M. A., Wardoyo, E. Y., Gunawan, M., Trisnaningrum, N. S., Irawany, V., Rayhan, M., Pesenti, A., Zanella, A., Leone, M., Coppola, S., Colombo, S., Antonelli, M., Carelli, S., Grieco, D. L., Asaki, M., Hoshino, K., Salazar, L., Duarte, L., Laffey, J., Mcnicholas, B., Cosgrave, D., Mccaffrey, J., Bone, A., Hakeem, Y., Winearls, J., Tallott, M., Thomson, D., Arnold-Day, C., Cupido, J., Fanie, Z., Miller, M., Seymore, L., van Straaten, D., Hssain, A. A., Aliudin, J., Alqahtani, A. -R., Mohamed, K., Mohamed, A., Tan, D., Villanueva, J., Zaqout, A., Kurtzman, E., Ademi, A., Dobrita, A., El Aoudi, K., Segura, J., Giwangkancana, G., Ohshimo, S., Hitoshi, S., Osatnik, J., Joosten, A., Yang, M., Motos, A., Arancibia, F., Williams, V., Noel, A., Luque, N., Trung, T. H., Yacoub, S., Fantini, M., Garcia, R. N. J., Alvarez, E. C., Greti, A., Ceccato, A., Sanchez, A., Vazquez, A. L., Roche-Campo, F., Franch-Llasat, D., Tuazon, D., Amato, M., Cassimiro, L., Pola, F., Ribeiro, F., Fonseca, G., Dalton, H., Desai, M., Osborn, E., Deeb, H., Arcadipane, A., Martucci, G., Panarello, G., Vitiello, C., Bianco, C., Occhipinti, G., Rossetti, M., Cuffaro, R., Cho, S. -M., Shimizu, H., Moriyama, N., Kim, J. -B., Kitamura, N., Gebauer, J., Yokoyama, T., Al-Fares, A., Buabbas, S., Alamad, E., Alawadhi, F., Alawadi, K., Tanaka, H., Hashimoto, S., Yamazaki, M., T. -H., Oh, Epler, M., Forney, C., Kruse, L., Feister, J., Williamson, J., Grobengieser, K., Gnall, E., Golden, S., Caroline, M., Shapiro, T., Karaj, C., Thome, L., Sher, L., Vanderland, M., Welch, M., Mcdermott, S., Brain, M., Mineall, S., Kimura, D., Brazzi, L., Sales, G., Ogston, T., Nagpal, D., Fischer, K., Lorusso, R., Rangappa, R., Appu, A., Carton, E. G., Sen, A., Palacios, A., Rainey, D., Samoukoviv, G., Campisi, J., Durham, L., Neumann, E., Seefeldt, C., Falcucci, O., Emmrich, A., Guy, J., Johns, C., Potzner, K., Zimmermann, C., Espinal, A., Buchtele, N., Schwameis, M., Stecher, S. -S., Singh, D., Barnikel, M., Arenz, L., Zaaqoq, A., Galloway, L. A., Merley, C., Csete, M., Quesada, L., Saba, I., Kasugai, D., Hiraiwa, H., Tanaka, T., Purnama, Y., Dewayanti, S. R., Ardiyan, Juzar, D. A., Siagian, D., Chen, Y. -S., Ratsep, I., Oigus, G., Erikson, K., Post, A. -M., Enneveer, L., Sillaots, P., Manetta, F., Mihelis, E., Sarmiento, I. C., Narasimhan, M., Varrone, M., Komats, M., Garcia-Diaz, J., Harmon, C., Satyapriya, S. V., Bhatt, A., Mokadam, N. A., Uribe, A., Gonzalez, A., Shi, H., Mckeown, J., Pasek, J., Fiorda, J., Echeverria, M., Moreno, R., Zakhary, B., Cavana, M., Cucino, A., Foti, G., Giani, M., Russotto, V., Castagna, V., Dellamore, A., Navalesi, P., Shum, H. -P., Vuysteke, A., Usman, A., Acker, A., Smood, B., Mergler, B., Sertic, F., Subramanian, M., Sperry, A., Rizer, N., Burhan, E., Rasmin, M., Akmal, E., Sitompul, F., Lolong, N., Naivedh, B., Erickson, S., Barrett, P., Dean, D., Daugherty, J., Loforte, A., Khan, I., Abraar Quraishi, M., Desantis, O., So, D., Kandamby, D., Mandei, J. M., Natanael, H., Yudhalantang, E., Lantang, A., Wijaya, S. O., Jung, A., Ng, G., W. Y., Ng, Fang, S., Tabah, A., Ratcliffe, M., Duroux, M., Adachi, S., Nakao, S., Blanco, P., Prieto, A., Sanchez, J., Nicholson, M., Butt, W., Serratore, A., Delzoppo, C., Janin, P., Yarad, E., Totaro, R., Coles, J., Pujo, B., Balk, R., Vissing, A., Kapania, E., Hays, J., Fox, S., Yantosh, G., Mishin, P., Yuliarto, S., Hari Santoso, K., Djajalaksana, S., Fatoni, A. Z., Fukuda, M., Liu, K., Battaglini, D., Jimenez, J. F. M., Bastos, D., Gaiao, S., Rusmawatiningtyas, D., Buchner, J., Cho, Y. -J., Lee, S. H., Kawasaki, T., Munshi, L., Sakiyalak, P., Nitayavardhana, P., Seitz, T., Arora, R., Kent, D., Marino, D., Parwar, S., Cheng, A., Miller, J., Fujitani, S., Shimizu, N., Madhok, J., Owyang, C., Buscher, H., Reynolds, C., Maasikas, O., Beljantsev, A., Mihnovits, V., Akimoto, T., Aizawa, M., Horibe, K., Onodera, R., Young, M., George, T., Shekar, K., Mcguinness, N., Irvine, L., Flynn, B., Endo, T., Sugiyama, K., Shimizu, K., Exconde, K., Lussier, L., Lotz, G., Malfertheiner, M., Maier, L., Dreier, E., Kusumastuti, N. P., Mccloskey, C., Dabaliz, A. -A., Elshazly, T. B., Smith, J., Szuldrzynski, K. S., Bielanski, P., Wille, K., Parhar, K. K. S., Fiest, K. M., Codan, C., Shahid, A., Fayed, M., Evans, T., Garcia, R., Gutierrez, A., Song, T., Rose, R., Bennett, S., Richardson, D., Peek, G., Arora, L., Rappapport, K., Rudolph, K., Sibenaller, Z., Stout, L., Walter, A., Herr, D., Vedadi, N., Thompson, S., Sindt, L., Rajnic, S., Ewald, C., Hoffman, J., Ying, X., Kennedy, R., Griffee, M., Ciullo, A., Kida, Y., Roca, R. F., Riera, J. I., Contreras, S., Alegre, C., Kay, C., Fischer, I., Renner, E., Taniguci, H., Fraser, J., Bassi, G. L., Suen, J., Barnett, A., Pearse, I., Abbate, G., Hassan, H., Heinsar, S., Karnik, V. A., Ki, K., Oneill, H. F., Obonyo, N., Pimenta, L. P., Reid, J. D., Sato, K., Vuorinen, A., Wildi, K. S., Wood, E. S., Yerkovich, S., Lee, J., Plotkin, D., Citarella, B. W., Hartley, E., Lubis, B., Ikeyama, T., Bhaskar, B., Jung, J. -S., Mcguinness, S., Eastwood, G., Marta, S. R., Guarracino, F., Gerle, S., Coxon, E., Claro, B., Loverde, D., Patil, N., Parrini, V., Mcbride, A., Negaard, K., Ratsch, A., Abdelaziz, A., Uribe, J. D., Peris, A., Sanders, M., Emerson, D., Kamal, M., Povoa, P., Francis, R., Cherif, A., Joseph, S., Di Nardo, M., Heard, M., Kyle, K., Blackwell, R. A., Biston, P., Jeong, H. W., Smith, R., Prawira, Y., Montrucchio, G., Garcia, A. H., Salterain, N., Meyns, B., Moreno, M., Walia, R., Mehta, A., Schweda, A., Supriatna, M., Kirakli, C., Williams, M., Kim, K. H., Assad, A., Giraldo, E., Karolak, W., Balik, M., Pocock, E., Gajkowski, E., Masafumi, K., Barrett, N., Takeyama, Y., Park, S., Amin, F., Andriyani, F. M., Sudakevych, S., Vera, M., Cornejo, R., Schwarz, P., Mardini, A. C., de Paula, T., Neto, A. S., Villoldo, A., Colafranceschi, A. S., Iglesias, A. U., Granjean, J., Melro, L. M. G., Romualdo, G. F., Gaia, D., Souza, H., Galas, F., Mendiluce, R. M., Sosa, A., Martinez, I., Kurosawa, H., Salgado, J., Hugi-MayrCharbonneau, B. E., Barzilai, V. S., Monteiro, V., de Souza, R. R., Harper, M., Suzuki, H., Adams, C., Brieva, J., Nyale, G., Eltatar, F. S., Fatani, J., Baeissa, H., Masri, A. A., Rabie, A., Hui, M. Y., Yamane, M., Jung, H., Margaret, A. M., Nacpil, N., Ruck, K., Bakken, R., Jara, C., Felton, T., Berra, L., Shah, B., Chakraborty, A., Cardona, M., Capatos, G., Akkanti, B., Orija, A., Jain, H., Ito, A., Housni, B., Low, S., Iihara, K., Chavez, J., Ramanathan, K., Zabert, G., Naidoo, K., Seppelt, I., Vandyk, M., Macdonald, S., Mcgregor, R., Siebenaler, T., Flynn, H., Lofton, K., Aokage, T., Shigemitsu, K., Moscatelli, A., Fiorentino, G., Baumgaertel, M., Mba, S. E., Assy, J., Hutahaean, A., Roush, H., Sichting, K. A., Alessandri, F., Burns, D., Salt, G., Garabedian, C. P., Millar, J., Sim, M., Mattke, A., Mcauley, D., Tadili, J., Frenzel, T., Bar-Lavie, Y., Ortiz, A. B., Stone, J., Attokaran, A., Farquharson, M., Patel, B., Gunning, D., Baillie, K., Watson, P., Tamai, K., Sajinadiyasa, G. K., Kanyawati, D., Salgado, M., Sassine, A., Yudo, B., Mccaul, S., Lee, B., Lee, S. M., Afek, A., Iwashita, Y., Semedi, B. P., Metiva, J., Van Belle, N., Martin-Loeches, I., Ivatt, L., Woon, C. Y., Kang, H. M., Smith, T., James, E., Al-Rawas, N., Iwasaki, Y., King-Chung, K. C., Gudzenko, V., Hugi-Mayr, B., Taccone, F., Perdhana, F., Lamarche, Y., Ribeiro, J. M., Bradic, N., Van den Bossche, K., Lansink, O., Singh, G., Debeuckelaere, G., Stelfox, H. T., Yi, C., Elia, J., Tribble, T., Shankar, S., Padmanabhan, R., Hallinan, B., Paoletti, L., Leyva, Y., Fykuda, T., Badulak, J., Koch, J., Hackman, A., Janowaik, L., Hernandez, D., Osofsky, J., Donadello, K., Lawang, A., Fine, J., Davidson, B., Vazquez, A. O. R., COVID-19 Critical Care Consortium, and Consortium, COVID-19 Critical Care
Subjects: Male, Respiratory Distress Syndrome, COVID-19, Intensive care unit, Mechanical ventilation, Neuromuscular blocking agent, SARS-CoV-2, Aged, Female, Humans, Intensive Care Units, Middle Aged, Propensity Score, Respiration, Artificial, Neuromuscular Blocking Agents, Respiration, Other Research Radboud Institute for Health Sciences [Radboudumc 0], Settore MED/41 - Anestesiologia, Critical Care and Intensive Care Medicine, COVID-19 Drug Treatment, Artificial, Human medicine
Abstract: Background The role of neuromuscular blocking agents (NMBAs) in coronavirus disease 2019 (COVID-19) acute respiratory distress syndrome (ARDS) is not fully elucidated. Therefore, we aimed to investigate in COVID-19 patients with moderate-to-severe ARDS the impact of early use of NMBAs on 90-day mortality, through propensity score (PS) matching analysis. Methods We analyzed a convenience sample of patients with COVID-19 and moderate-to-severe ARDS, admitted to 244 intensive care units within the COVID-19 Critical Care Consortium, from February 1, 2020, through October 31, 2021. Patients undergoing at least 2 days and up to 3 consecutive days of NMBAs (NMBA treatment), within 48 h from commencement of IMV were compared with subjects who did not receive NMBAs or only upon commencement of IMV (control). The primary objective in the PS-matched cohort was comparison between groups in 90-day in-hospital mortality, assessed through Cox proportional hazard modeling. Secondary objectives were comparisons in the numbers of ventilator-free days (VFD) between day 1 and day 28 and between day 1 and 90 through competing risk regression. Results Data from 1953 patients were included. After propensity score matching, 210 cases from each group were well matched. In the PS-matched cohort, mean (± SD) age was 60.3 ± 13.2 years and 296 (70.5%) were male and the most common comorbidities were hypertension (56.9%), obesity (41.1%), and diabetes (30.0%). The unadjusted hazard ratio (HR) for death at 90 days in the NMBA treatment vs control group was 1.12 (95% CI 0.79, 1.59, p = 0.534). After adjustment for smoking habit and critical therapeutic covariates, the HR was 1.07 (95% CI 0.72, 1.61, p = 0.729). At 28 days, VFD were 16 (IQR 0–25) and 25 (IQR 7–26) in the NMBA treatment and control groups, respectively (sub-hazard ratio 0.82, 95% CI 0.67, 1.00, p = 0.055). At 90 days, VFD were 77 (IQR 0–87) and 87 (IQR 0–88) (sub-hazard ratio 0.86 (95% CI 0.69, 1.07; p = 0.177). Conclusions In patients with COVID-19 and moderate-to-severe ARDS, short course of NMBA treatment, applied early, did not significantly improve 90-day mortality and VFD. In the absence of definitive data from clinical trials, NMBAs should be indicated cautiously in this setting.
Published: 2022
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2. Oral etoposide as a single agent in childhood and young adult cancer in England: Still a poorly evaluated palliative treatment

Author: Fraser, J, Fardus‐Reid, F, Irvine, L, Elliss‐Brookes, L, Fern, L, Cameron, AL, Pritchard‐Jones, K, Feltbower, RG, Shelton, J, Stiller, C, and McCabe, MG
Abstract: Background Oral etoposide is commonly used in palliative treatment of childhood and young adult cancer without robust evidence. We describe a national, unselected cohort of young people in England treated with oral etoposide using routinely collected, population-level data. Methods Patients aged under 25 years at cancer diagnosis (1995–2017) with a treatment record of single-agent oral etoposide in the Systemic AntiCancer Dataset (SACT, 2012–2018) were identified, linked to national cancer registry data using NHS number and followed to 5 January 2019. Overall survival (OS) was estimated for all tumours combined and by tumour group. A Cox model was applied accounting for age, sex, tumour type, prior and subsequent chemotherapy. Results Total 115 patients were identified during the study period. Mean age was 11.8 years at cancer diagnosis and 15.5 years at treatment with oral etoposide. Median OS was 5.5 months from the start of etoposide; 13 patients survived beyond 2 years. Survival was shortest in patients with osteosarcoma (median survival 3.6 months) and longest in CNS embryonal tumours (15.5 months). Across the cohort, a median of one cycle (range one to nine) of etoposide was delivered. OS correlated significantly with tumour type and prior chemotherapy, but not with other variables. Conclusions This report is the largest series to date of oral etoposide use in childhood and young adult cancer. Most patients treated in this real world setting died quickly. Despite decades of use, there are still no robust data demonstrating a clear benefit of oral etoposide for survival.
Published: 2021

3. The uptake and use of a minimum data set (MDS) for older people living and dying in care homes in England – a realist review protocol

Author: Musa, MK, Akdur, G, Hanratty, B, Kelly, S, Gordon, A, Peryer, G, Spilsbury, K, Killett, A, Burton, J, Meyer, J, Fotescue, S, Towers, A-M, Irvine, L, and Goodman, C
Abstract: Introduction Care homes provide nursing and social care for older people who can no longer live independently at home. In the UK, there is no consistent approach to how information about residents’ medical history, care needs and preferences are collected and shared. This limits opportunities to understand the care home population, have a systematic approach to assessment and documentation of care, identifiy care home residents at risk of deterioration and review care. Countries with standardised approaches to residents’ assessment, care planning and review (eg, minimum data sets (MDS)) use the data to understand the care home population, guide resource allocation, monitor services delivery and for research. The aim of this realist review is to develop a theory-driven understanding of how care home staff implement and use MDS to plan and deliver care of individual residents. Methods and analysis A realist review will be conducted in three research stages. Stage 1 will scope the literature and develop candidate programme theories of what ensures effective uptake and sustained implementation of an MDS. Stage2 will test and refine these theories through further iterative searches of the evidence from the literature to establish how effective uptake of an MDS can be achieved. Stage 3 will consult with relevant stakeholders to test or refine the programme theory (theories) of how an MDS works at the resident level of care for different stakeholders and in what circumstances. Data synthesis will use realist logic to align data from each eligible article with possible context–mechanism–outcome configurations or specific elements that answer the research questions. Ethics and dissemination The University of Hertfordshire Ethics Committee has approved this study (HSK/SF/UH/04169). Findings will be disseminated through briefings with stakeholders, conference presentations, a national consultation on the use of an MDS in UK long-term care settings, publications in peer-reviewed journals and in print and social media publications accessible to residents, relatives and care home staff. PROSPERO registration number CRD42020171323; this review protocol is registered on the International Prospective Register of Systematic Reviews.
Published: 2020

4. HUBUNGAN ANTARA SUPERVISI DAN KEAMANAN KERJA DENGAN KINERJA PERAWAT DI RUANG RAWAT INAP RSUD NOONGAN

Author: Woran, Irvine L., Tucunan, Ardiansa A. T., and Maramis, Franckie R. R.
Abstract: Supervisi dan Keamanan kerja sangat berpengaruh terhadap kinerja dari perawat. Kinerja perawat sebagai ujung tombak pelayanan kesehatan merupakan masalah yang sangat penting untuk dikaji dalam rangka mempertahankan dan meningkatkan mutu pelayanan kesehatan. Kinerja perawat yang baik merupakan jembatan dalam menjawab jaminan kualitas pelayanan kesehatan yang di berikan terhadap pasien baik yang sakit maupun sehat.Tujuan penelitian I ni untuk mengetahui hubungan antara supervise dan keamanan kerja dengan kinerja perawat di ruang rawat inap RSUD Noongan. Metode penelitian ini adalah survei analitik dengan rancangan cross sectional study (studi potong lintang). Populasi dalam penelitian ini adalah 82 perawat.Alat ukur yang digunakan adalah kuesioner. Hasil penelitian ini menunjukkan terdapat hubungan yang signifikan dari masing-masing variable yaitu supervise dan keamanan kerja dengan kinerja perawat. Kesimpulan terdapat hubungan antara supervise dan keamanan kerja dengan kinerja perawat di ruang rawat inap RSUD Noongan. Disanrankan kepada pihak rumah sakit untuk terus meningkatkan supervise dan keamanan kerja dari perawat dan melaksanakan tugas dang tanggung jawab sesuai prosedur yang ada agar tercipta kinerja yang baik. Kata Kunci: Supervisi, Keamanan Kerja dan Kinerja Perawat ABSTRACTSupervision and job security greatly affect the performance of nurses. The performance of nurses as the spearhead of health services is a very important problem to be studied in order to maintain and improve the quality of health services. A good nurse's performance is a bridge in answering the quality assurance of health services provided to patients both sick and healthy. The purpose of this study was to determine the relationship between supervision and work security with the performance of nurses in the inpatient ward of Noongan Hospital. The method of this study was an analytical survey with a cross sectional study design. The population in this study were 82 nurses. The measuring instrument used is a questionnaire. The results of this study indicate that there is a significant relationship of each variable, namely supervision and job security with nurse performance. Conclusion there is a relationship between supervision and job security with the performance of nurses in the inpatient ward of Noongan Hospital. Disseminated to the hospital to continue to improve supervision and work security of nurses and carry out the duties and responsibilities in accordance with existing procedures in order to create good performance. Keywords: Supervision, Work Security and Nurse Performance
Published: 2019

5. EQ-5D-5L versus 3L: the impact on cost-effectiveness

Author: Hernandez Alava, M., Wailoo, A.J., Grimm, S., Pudney, S., Gomes, M., Sadique, Z., Meads, D., O'Dwyer, J., Barton, G., and Irvine, L.
Abstract: Objectives To model the relationship between EQ-5D-3L and EQ-5D-5L and examine how differences impact on cost-effectiveness in case studies. Methods We used two datasets that included both EQ-5D-3L and EQ-5D-3L from the same respondents. The EuroQoL dataset (n=3551) included patients with different diseases and a healthy cohort. The National Databank (NDB) dataset included patients with rheumatoid disease (n=5205). We estimated a system of ordinal regressions in each dataset using copula models, to link responses to the 3L instrument to 5L and its tariff, and vice versa. Results were applied to nine cost-effectiveness studies. Results Best-fitting models differed between EuroQoL and NDB datasets in terms of the explanatory variables, copulas and coefficients. In both cases the coefficients of the covariates and latent factor between -3L and -5L were significantly different, indicating that the two instruments are not a uniform realignment of the response levels for most dimensions. In the case studies, moving from 3L to 5L caused a decrease of up to 87% in incremental QALYs gained from effective technologies in almost all cases. ICERs increased, often substantially. Conversely, one technology with a significant mortality gain saw increased incremental QALYs. Conclusion 5L shifts mean utility scores up the utility scale towards full health and compresses them into a smaller range, compared to -3L. Improvements in quality of life are valued less using 5L than with 3L. 3L and 5L can produce substantially different estimates of cost effectiveness. There is no simple proportional adjustment that can be made to reconcile these differences.
Published: 2017

6. An occupational therapy intervention for residents with stroke related disabilities in UK care homes (OTCH): cluster randomised controlled trial

Author: Sackley, Catherine M., Walker, Marion F., Burton, Christopher R., Watkins, Caroline L., Mant, Jonathan, Roalfe, Andrea K., Wheatley, Keith, Sheehan, Bart, Sharp, Leslie, Stant, Katie E., Fletcher-Smith, Joanna, Steel, Kerry, Wilde, Kate, Irvine, Lisa, Peryer, Guy, Walker, M. F., Roalfe, A. K., Burton, C. R., Mant, J., Watkins, C. L., Sheehan, B., Wheatley, K., Fletcher-Smith, J., Sharp, L., Stant, K. E., Wilde, K., Steele, K., Irvine, L., Peryer, G., Lett, K., Williams, Jane, Rashid, Farzana, Barton, Garry, Masterson-Algar, Patricia, Mant, Jonathan [0000-0002-9531-0268], and Apollo - University of Cambridge Repository
Subjects: Occupational therapy, Male, medicine.medical_specialty, Activities of daily living, Population, B700, law.invention, Nursing care, Quality of life (healthcare), Randomized controlled trial, Occupational Therapy, law, Surveys and Questionnaires, Activities of Daily Living, Medicine, Cluster Analysis, Humans, Disabled Persons, Cluster randomised controlled trial, education, Aged, 80 and over, education.field_of_study, business.industry, Research, Stroke Rehabilitation, General Medicine, United Kingdom, Nursing Homes, Stroke, Survival Rate, Treatment Outcome, Physical therapy, Quality of Life, Female, business, End-of-life care
Abstract: Objective: To evaluate the clinical efficacy of an established programme of occupational therapy in maintaining functional activity and reducing further health risks from inactivity in care home residents living with stroke sequelae. Design: Pragmatic, parallel group, cluster randomised controlled trial. Setting: 228 care homes (> 10 beds each), both with and without the provision of nursing care, local to 11 trial administrative centres across the United Kingdom. Participants: 1042 care home residents with a history of stroke or transient ischaemic attack, including those with language and cognitive impairments, not receiving end of life care. 114 homes (n = 568 residents, 64% from homes providing nursing care) were allocated to the intervention arm and 114 homes (n = 474 residents, 65% from homes providing nursing care) to standard care (control arm). Participating care homes were randomised between May 2010 and March 2012. Intervention: Targeted three month programme of occupational therapy, delivered by qualified occupational therapists and assistants, involving patient centred goal setting, education of care home staff, and adaptations to the environment. Main outcome measures: Primary outcome at the participant level: scores on the Barthel index of activities of daily living at three months post-randomisation. Secondary outcome measures at the participant level: Barthel index scores at six and 12 months post-randomisation, and scores on the Rivermead mobility index, geriatric depression scale-15, and EuroQol EQ-5D-3L questionnaire, at all time points. Results: 64% of the participants were women and 93% were white, with a mean age of 82.9 years. Baseline characteristics were similar between groups for all measures, personal characteristics, and diagnostic tests. Overall, 2538 occupational therapy visits were made to 498 participants in the intervention arm (mean 5.1 visits per participant). No adverse events attributable to the intervention were recorded. 162 (11%) died before the primary outcome time point, and 313 (30%) died over the 12 months of the trial. The primary outcome measure did not differ significantly between the treatment arms. The adjusted mean difference in Barthel index score at three months was 0.19 points higher in the intervention arm (95% confidence interval −0.33 to 0.70, P = 0.48). Secondary outcome measures also showed no significant differences at all time points. Conclusions: This large phase III study provided no evidence of benefit for the provision of a routine occupational therapy service, including staff training, for care home residents living with stroke related disabilities. The established three month individualised course of occupational therapy targeting stroke related disabilities did not have an impact on measures of functional activity, mobility, mood, or health related quality of life, at all observational time points. Providing and targeting ameliorative care in this clinically complex population requires alternative strategies. Trial registration Current Controlled Trials ISRCTN00757750
Published: 2015
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7. Integrated Neonatal Support with Placental Transfusion and Resuscitation (Inspire): A Feasibility Study

Author: Irvine, L, Thomas, S, Mehrem, A Abou, Singhal, N, Kowal, D, Soraisham, A, Cooper, S, Stritzke, A, and Murthy, P
Subjects: Pediatrics, Perinatology and Child Health, Abstract
Abstract: BACKGROUND: Compromised neonates do not receive placental transfusion (PT), but receive immediate cord clamping to facilitate resuscitation. Animal studies suggest possible benefit of resuscitation during PT. OBJECTIVES: To study the feasibility of initiating resuscitative care during PT for 90s in preterm infants. DESIGN/METHODS: We designed a mobile, battery powered resuscitation platform (iNSPiRe) that contains a scale, warm gel mattress, oxygen and air tanks, blender, T piece resuscitator, pulse oximeter (PO), and suction device (Fig. 1). Resuscitative care included initial steps, and respiratory support at 30s following Neonatal Resuscitation Program guidelines. Thermoregulation was maintained using a hat, warmed blankets, and gel mattress. Heart rate was auscultated at 30, 60 and 90s. PO was placed on the right wrist/hand. The cord was clamped at 90s. The baby and platform were mobilized from mother’s bedside to a radiant warmer by one provider, while another provider maintained respiratory support. Once on the warmer, axillary temperature (AT) was measured. Resuscitation interventions and management during first 24 hours were recorded. RESULTS: Seven infants born vaginally, median (range) gestational age (GA) was 30 weeks (28 to 36) and birth weight 1500g (1270 to 2650), were managed using iNSPiRe. Table 1 shows time (T) to initiate interventions, cord pH and Apgar scores. Five infants received continuous positive airway pressure (CPAP) and one received positive pressure ventilation; none had hypotension, pneumothorax, or received surfactant. No incidence of intraventricular hemorrhage. CONCLUSION: It is feasible to commence resuscitative care during PT in infants ≥30 weeks' GA for 90s. Further research is needed to assess the feasibility in smaller and sicker preterm infants.
Published: 2016
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8. A study of pimple mounds in southern Saskatchewan

Author: Irvine, L. Lee-Ann
Published: 2005

9. What determines levels of passive smoking in children with asthma?

Author: Irvine, L., Crombie, I. K., Clark, R. A., Slane, P. W., Goodman, K. E., Feyerabend, C., and Cater, J. I.
Subjects: Papers
Abstract: BACKGROUND: Children with parents who smoke are often exposed to high levels of environmental tobacco smoke, and children with asthma are particularly susceptible to the detrimental effects of passive smoking. Data were collected from parents who smoke and from their asthmatic children. The families are currently taking part in a randomised controlled trial to test an intervention designed to reduce passive smoking in children with asthma. This paper reports on the baseline data. Questionnaire data and cotinine levels were compared in an attempt to assess exposure and to identify factors which influence exposure of the children. The aim of the study was to identify the scope for a reduction in passive smoking by these children. METHODS: A sample of 501 families with an asthmatic child aged 2-12 years was obtained. Factors influencing passive smoking were assessed by interviewing parents. Cotinine levels were measured from saliva samples using gas liquid chromatography with nitrogen phosphorous detection. RESULTS: Cotinine levels in children were strongly associated with the age of the child, the number of parents who smoked, contact with other smokers, the frequency of smoking in the same room as the child, and crowding within the home. Parental cotinine levels, the amount smoked in the home, and whether the home had a garden also exerted an independent effect on cotinine levels in the children. CONCLUSIONS: Many children are exposed to high levels of environmental tobacco smoke and their cotinine levels are heavily dependent upon proximity to the parent who smokes. Parents who smoke have a unique opportunity to benefit their child's health by modifying their smoking habits within the home.
Published: 1997

10. Energy from the western states of the USA

Author: Irvine L. White, Steven C. Ballard, and Michael D. Devine
Subjects: Growth management, Land use, business.industry, Natural resource economics, media_common.quotation_subject, Energy (esotericism), Environmental resource management, Public policy, Management, Monitoring, Policy and Law, Energy policy, General Energy, Economics, Production (economics), Quality (business), business, Air quality index, media_common
Abstract: Large-scale energy resource development in the western states will almost certainly be required if the USA is to increase its domestic energy production significantly. Such development will create several problems, including conflicts over water use and quality, air quality, growth management and housing, and land use. In this article the authors discuss each of these issues and the kinds of trade-off which can be expected if certain policies are chosen. Although there are several promising strategies for realizing the benefits of development while minimizing environmental and socioeconomic costs, their success is likely to be limited by serious institutional constraints. These constraints ultimately block much energy resource development in the western states.
Published: 1980
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11. Comments On Mr. Schapiro's Article

Author: Irvine L. H. Kerrison
Subjects: General Medicine
Published: 1951
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12. Address of Honorable Irvine L. Lenroot

Author: Irvine L. Lenroot
Subjects: General Energy
Published: 1927
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13. Workers' Education

Author: Eleanor G. Coit, Irvine L. H. Kerrison, and Larry Rogin
Subjects: General Medicine
Published: 1952
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14. Disarmament and the Present Outlook for Peace

Author: Irvine L. Lenroot
Subjects: Disarmament, Sociology and Political Science, Work (electrical), Political science, Law, Subject (philosophy), General Social Sciences, Charter, Orient, League, Covenant, Administration (government)
Abstract: IN any discussion of disarmament and the present outlook for peace, our outlook must be almost wholly upon Europe, for the Orient, important though it be, is an almost negligible factor compared with Europe. As to Europe there are two, or perhaps three focal points, the most important of which is Geneva because of the Preliminary Conference upon this subject that takes place there this month. Of that Conference and the scope of its work, I shall speak later. While discussion of general principles does not in itself help us greatly in coming to a conclusion, they must be borne in mind if we would have a correct understanding of the problems involved, and I would like to make a few general observations for that purpose. In the first place, no mere formulas agreed to by the nations of the world, and no machinery set up for the preservation of peace can in themselves prevent war. All the nations of the world may meet in an international conference and declare war a crime, but that may mean little more than that the nation that keeps its pledges longest shall suffer at the hands of a nation that breaks them first. The League of Nations may have the highest ideals, and noblest purposes expressed in its charter or Covenant, but if it is utilized to further selfish ambitions and perpetuate existing injustices, it may be a menace rather than a safeguard to world peace. The World Court may continue for all time, as it exists to-day, a forum for the administration of international justice, impartially and with
Published: 1926
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15. The Essentials of World Organization

Author: Irvine L. Lenroot
Subjects: Power (social and political), Pride, Equity (economics), Sociology and Political Science, Exploit, Political science, media_common.quotation_subject, General Social Sciences, Proposition, Economic Justice, Law and economics, CONQUEST, media_common
Abstract: ject first as an original proposition of what kind of a world organization I regard as essential, if we were perfectly at liberty to advocate that kind of an organization, irrespective of organizations that now exist. I take it for granted, too, that the word "effective organization" does not mean completely effective, for I am frank to say that under existing conditions I do not believe that any organization, however formed, can be completely effective in the preservation of peace. There can be no effective world organization to preserve peace until the leading nations of the world shall be willing to apply principles of justice and equity to all world questions. The nations must all be as unselfish in their aims and purposes as was the United States in the great war in which we have been engaged. So long as any powerful nation or group of nations shall seek to exploit weaker peoples for their own advantage, so long as they shall desire to add to their territory by conquest, just so long can there be no completely effective world organization for peace. Therefore, the first essential of such an organization is a recognition that might without right shall no longer rule anywhere. It is too much to hope for that any of us shall live to see this happy day, but there are some things that can be done through world organization to prevent war. The wars that come through misunderstanding, through pride, through hot-headedness or the arrogance of those having power to declare war, can nearly always be prevented through a world organiza
Published: 1921
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16. ETIOLOGY OF RHEUMATIC DISEASES

Author: Irvine, L. C. Dundas
Subjects: Articles
Published: 1930

17. 'Atophan Derivatives in Rheumatism.'

Author: Irvine, L. C. Dundas
Subjects: Articles
Published: 1926

18. Basic magnetic quantities and the measurement of the magnetic properties of materials

Author: Irvine L. Cooter and Raymond L. Sanford
Subjects: Magnetic measurements, Engineering, Field (physics), business.industry, Electrical engineering, Calibration, Mechanical engineering, Magnetic testing, business, Inductor, Material properties, Magnetic susceptibility, Magnetic field
Abstract: From Introduction: "The work of the Magnetic Measurements Section of the National Bureau of Standards includes (1) testing of specifically prepared test specimens intended for use as standards for checking magnetic testing apparatus (2) investigation and development of magnetic testing apparatus (3) calibration of mutual inductors, test coils, and instruments for measuring magnetic fields, and (4) investigations in the field of magnetics such as studies of phenomena associated with nuclear magnetic resonance or the selection and testing of materials suitable to be used as standards of magnetic susceptibility."
Published: 1962
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19. Extended and standard duration weight-loss programme referrals for adults in primary care (WRAP): a randomised controlled trial

Author: Ahern, AL, Wheeler, GM, Aveyard, P, Boyland, EJ, Halford, JCG, Mander, AP, Woolston, J, Thomson, AM, Tsiountsioura, M, Cole2, Mead, BR, Irvine, L, Turner, D, Suhrcke, M, Pimpin, L, Retat, L, Jaccard, A, Webber, L, Cohn, S, and Jebb, SA
Subjects: Adult, Male, Time Factors, Primary Health Care, Cost-Benefit Analysis, Body Weight, Health Care Costs, Middle Aged, State Medicine, 3. Good health, Weight Reduction Programs, England, Socioeconomic Factors, Behavior Therapy, Weight Loss, Quality of Life, Humans, Female, Obesity, Referral and Consultation, Aged, Follow-Up Studies
Abstract: $\textit{Background}$ Evidence exist that primary care referral to an open-group behavioural programme is an effective strategy for management of obesity, but little evidence on optimal intervention duration is available. We aimed to establish whether 52-week referral to an open-group weight-management programme would achieve greater weight loss and improvements in a range of health outcomes and be more cost-effective than the current practice of 12-week referrals. $\textit{Methods}$ In this non-blinded, parallel-group, randomised controlled trial, we recruited participants who were aged 18 years or older and had body-mass index (BMI) of 28 kg/m² or higher from 23 primary care practices in England. Participants were randomly assigned (2:5:5) to brief advice and self-help materials, a weight-management programme (Weight Watchers) for 12 weeks, or the same weight-management programme for 52 weeks. We followed-up participants over 2 years. The primary outcome was weight at 1 year of follow-up, analysed with mixed-effects models according to intention-to-treat principles and adjusted for centre and baseline weight. In a hierarchical closed-testing procedure, we compared combined behavioural programme arms with brief intervention, then compared the 12-week programme and 52-week programme. We did a within-trial cost-effectiveness analysis using person-level data and modelled outcomes over a 25-year time horizon using microsimulation. This study is registered with Current Controlled Trials, number ISRCTN82857232. $\textit{Findings}$ Between Oct 18, 2012, and Feb 10, 2014, we enrolled 1269 participants. 1267 eligible participants were randomly assigned to the brief intervention (n=211), the 12-week programme (n=528), and the 52-week programme (n=528). Two participants in the 12-week programme had been found to be ineligible shortly after randomisation and were excluded from the analysis. 823 (65%) of 1267 participants completed an assessment at 1 year and 856 (68%) participants at 2 years. All eligible participants were included in the analyses. At 1 year, mean weight changes in the groups were –3·26 kg (brief intervention), –4·75 kg (12-week programme), and –6·76 kg (52-week programme). Participants in the behavioural programme lost more weight than those in the brief intervention (adjusted difference –2·71 kg, 95% CI –3·86 to –1·55; p, This trial was funded by the National Prevention Research Initiative grant MR/J000493/1. The cost of the Weight Watchers® programme and the costs of blood sampling and analysis were funded by Weight Watchers International as part of an MRC Industrial Collaboration Award.

20. Book Review: Labor Organizations: Labor Radical: From the Wobblies to CIO

Author: Irvine L. H. Kerrison
Subjects: Gerontology, Organizational Behavior and Human Resource Management, Management of Technology and Innovation, Strategy and Management, Political science, Management
Published: 1972
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21. Workers' Education at the University Level

Author: John Herder and Irvine L. H. Kerrison
Published: 1952
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22. Labor Radical: From the Wobblies to CIO

Author: Irvine L. H. Kerrison and Len De Caux
Subjects: Organizational Behavior and Human Resource Management, Management of Technology and Innovation, Strategy and Management, Political science
Published: 1972
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23. COVID-19 symptoms at hospital admission vary with age and sex: results from the ISARIC prospective multinational observational study

Author: Abdukahil, Sheryl, Hssain, Ali, Tamlihat, Younes, Alidjnou, Kazali, de Brito, Carlos, Assie, Jean, Rincon, Diego, Humaid, Felwa, Bosse, Hans, Calvache, Jose, Carrier, François, Cavalli, Giulio, Cheng, Matthew, Cho, Hwa, Cho, Sung, Cidade, Jose, Herreros, Jose, Citarella, Barbara, Colombo, Sebastiano, Corpuz, Arianne, D’orleans, Charles, de Oliveira França, Rafael, Dewayanti, Santi, Diaz, Juan, Douglas, James, Mangoni, Emanuele, Dyrhol-Riise, Anne, Vidal, José, Sanharawi, Mohammed, Everding, Anna, Fatoni, Arie, Devouge, Eglantine, Florio, Letizia, Fonseca, Claudio, Freire, Marcela, Ribeiro, Ana, Curto, Elena, Morlaes, Louis, Grandin, Edward, Grieco, Domenico, Lordemann, Anja, Ho, Antonia, Holter, Jan, Horcajada, Juan, Dominguez, Carmen, Sotomayor, Ruth, García, Ruth, Kandamby, Darshana, Johal, Simreen, Kildal, Anders, Bekken, Gry, Vasconcelos, Malte, Vecham, Pavan, Lantang, Eka, Santos, Marta, Lee, Su, Bassi, Gianluigi, Lim, Wei, Lucet, Jean, Müller, Karl, Sanchez, Juan, Maier, Lars, Sant, Ceila, Eid, Charbel, Martelli, Celina, Rego, Caroline, Marwali, Eva, Jimenez, Juan, Maldonado, Hugo, Tutillo, Diego, Perrot, Clara, Myrodia, Dimitra, Ng, Pauline, Ng, Wing, Choileain, Orna, Oinam, Budha, Oliveira, Ana, Orozco-Chamorro, Claudia, Panda, Prasan, Reyes, Luis, Rios, Ana, Nuñez, Maria, Abreu, Julia, Holten, Aleksander, Choez, Xavier, Shum, Hoi, Mohammed, Nassima, Silva, Maria, Sin, Wai, Song, Myung, Uva, Maria, Svistunov, Magdalena, Thuy, Duong, Vijayaraghavan, Bharath, Santos-Olmo, Rosario, Trieu, Huynh, Villanueva, Joy, Abdukahil, Sheryl Ann, Abe, Ryuzo, Abel, Laurent, Absil, Lara, Acker, Andrew, Adachi, Shingo, Adam, Elisabeth, Adrião, Diana, Ainscough, Kate, Hssain, Ali Ait, Tamlihat, Younes Ait, Akimoto, Takako, Al-Dabbous, Tala, Al-Fares, Abdulrahman, Al Qasim, Eman, Alalqam, Razi, Alex, Beatrice, Alexandre, Kévin, Alfoudri, Huda, Alidjnou, Kazali Enagnon, Aliudin, Jeffrey, Allavena, Clotilde, Allou, Nathalie, Alves, João, Alves, Rita, Amaral, Maria, Ammerlaan, Heidi, Ampaw, Phoebe, Andini, Roberto, Andrejak, Claire, Angheben, Andrea, Angoulvant, François, Ansart, Séverine, Antonelli, Massimo, de Brito, Carlos Alexandre Antunes, Arabi, Yaseen, Aragao, Irene, Arcadipane, Antonio, Arenz, Lukas, Arlet, Jean-Benoît, Arnold-Day, Christel, Arora, Lovkesh, Artaud-Macari, Elise, Asensio, Angel, Assie, Jean Baptiste, Atique, Anika, Auchabie, Johann, Aumaitre, Hugues, Azemar, Laurène, Azoulay, Cécile, Bach, Benjamin, Bachelet, Delphine, Baillie, J. Kenneth, Bak, Erica, Bakakos, Agamemnon, Banisadr, Firouzé, Barbalho, Renata, Barclay, Wendy, Barnikel, Michaela, Barrelet, Audrey, Barrigoto, Cleide, Basmaci, Romain, Rincon, Diego Fernando Bautista, Bedossa, Alexandra, Behilill, Sylvie, Beljantsev, Aleksandr, Bellemare, David, Beltrame, Anna, Beluze, Marine, Benech, Nicolas, Benkerrou, Dehbia, Bennett, Suzanne, Bento, Luís, Berdal, Jan-Erik, Bergeaud, Delphine, Bertolino, Lorenzo, Bessis, Simon, Bevilcaqua, Sybille, Bhavsar, Krishna, Humaid, Felwa Bin, Bissuel, François, Biston, Patrick, Bitker, Laurent, Blanco-Schweizer, Pablo, Blot, Mathieu, Boccia, Filomena, Bogaert, Debby, Bompart, François, Booth, Gareth, Borges, Diogo, Borie, Raphaël, Bos, Jeannet, Bosse, Hans Martin, Botelho-Nevers, Elisabeth, Bouadma, Lila, Bouchaud, Olivier, Bouchez, Sabelline, Bouhmani, Dounia, Bouhour, Damien, Bouiller, Kévin, Bouillet, Laurence, Bouisse, Camille, Boureau, Anne-Sophie, Bouscambert, Maude, Bouziotis, Jason, Boxma, Bianca, Boyer-Besseyre, Marielle, Boylan, Maria, Braga, Cynthia, Brandenburger, Timo, Brazzi, Luca, Breen, Dorothy, Breen, Patrick, Brickell, Kathy, Brozzi, Nicolas, Buchtele, Nina, Buesaquillo, Christian, Bugaeva, Polina, Buisson, Marielle, Burhan, Erlina, Bustos, Ingrid, Butnaru, Denis, Cárcel, Sheila, Cabie, André, Cabral, Susana, Caceres, Eder, Callahan, Mia, Calligy, Kate, Calvache, Jose Andres, Camões, João, Campana, Valentine, Campbell, Paul, Canepa, Cecilia, Cantero, Mireia, Caraux-Paz, Pauline, Cardoso, Filipa, Cardoso, Filipe, Cardoso, Sofia, Carelli, Simone, Carlier, Nicolas, Carney, Gayle, Carpenter, Chloe, Carret, Marie-Christine, Carrier, François Martin, Carson, Gail, Casanova, Maire-Laure, Cascão, Mariana, Casimiro, José, Cassandra, Bailey, Castañeda, Silvia, Castanheira, Nidyanara, Castor-Alexandre, Guylaine, Castrillón, Henry, Castro, Ivo, Catarino, Ana, Catherine, François-Xavier, Cavalin, Roberta, Cavalli, Giulio Giovanni, Cavayas, Alexandros, Ceccato, Adrian, Cervantes-Gonzalez, Minerva, Chair, Anissa, Chakveatze, Catherine, Chan, Adrienne, Chand, Meera, Chas, Julie, Chassin, Camille, Chen, Anjellica, Chen, Yih-Sharng, Cheng, Matthew Pellan, Cheret, Antoine, Chiarabini, Thibault, Chica, Julian, Chirouze, Catherine, Chiumello, Davide, Cho, Hwa Jin, Cho, Sung Min, Cholley, Bernard, Cidade, Jose Pedro, Herreros, Jose Miguel Cisneros, Citarella, Barbara Wanjiru, Ciullo, Anna, Clarke, Jennifer, Clohisey, Sara, Codan, Cassidy, Cody, Caitriona, Coelho, Alexandra, Colin, Gwenhaël, Collins, Michael, Colombo, Sebastiano Maria, Combs, Pamela, Connelly, J., Connor, Marie, Conrad, Anne, Contreras, Sofía, Cooke, Graham, Copland, Mary, Cordel, Hugues, Corley, Amanda, Cormican, Sarah, Cornelis, Sabine, Corpuz, Arianne Joy, Corvaisier, Grégory, Couffignal, Camille, Couffin-Cadiergues, Sandrine, Courtois, Roxane, D’orleans, Charles Crepy, Croonen, Sabine, Crowl, Gloria, Crump, Jonathan, Cruz, Claudina, Csete, Marc, Cucino, Alberto, Cullen, Caroline, Cummings, Matthew, Curley, Gerard, Curlier, Elodie, Custodio, Paula, D’aragon, Frédérick, da Silva Filipe, Ana, da Silveira, Charlene, D’ortenzio, Eric, Dabaliz, Al-Awwab, Dagens, Andrew, Dalton, Heidi, Dalton, Jo, Daneman, Nick, Dankwa, Emmanuelle, Dantas, Jorge, de Castro, Nathalie, de Mendoza, Diego, de Oliveira França, Rafael Freitas, de Rosa, Rosanna, de Silva, Thushan, de Vries, Peter, Dean, David, Debray, Marie-Pierre, Dechert, William, Deconninck, Lauren, Decours, Romain, Delacroix, Isabelle, Delavigne, Karen, Deligiannis, Ionna, Dell’amore, Andrea, Delobel, Pierre, Demonchy, Elisa, Denis, Emmanuelle, Deplanque, Dominique, Depuydt, Pieter, Desai, Mehul, Descamps, Diane, Desvallée, Mathilde, Dewayanti, Santi Rahayu, Diallo, Alpha, Diamantis, Sylvain, Dias, André, Diaz, Juan Jose Diaz, Diaz, Rodrigo, Didier, Kévin, Diehl, Jean-Luc, Dieperink, Wim, Dimet, Jérôme, Dinot, Vincent, Diouf, Alphonsine, Dishon, Yael, Djossou, Félix, Docherty, Annemarie, Dong, Andy, Donnelly, Christl, Donnelly, Maria, Donohue, Chloe, Dorival, Céline, Douglas, James Joshua, Douma, Renee, Dournon, Nathalie, Downer, Triona, Downing, Mark, Drake, Tom, Dubee, Vincent, Dubos, François, Ducancelle, Alexandra, Dudman, Susanne, Dunning, Jake, Mangoni, Emanuele Durante, Duranti, Silvia, Durham, Lucian, Dussol, Bertrand, Duval, Xavier, Dyrhol-Riise, Anne Margarita, Eira, Carla, Vidal, José Ernesto, Sanharawi, Mohammed El, Elapavaluru, Subbarao, Elharrar, Brigitte, Elkheir, Natalie, Ellerbroek, Jacobien, Ellis, Rachael, Eloy, Philippine, Elshazly, Tarek, Enderle, Isabelle, Engelmann, Ilka, Enouf, Vincent, Epaulard, Olivier, Esperatti, Mariano, Esperou, Hélène, Esposito-Farese, Marina, Estevão, João, Etienne, Manuel, Ettalhaoui, Nadia, Everding, Anna Greti, Evers, Mirjam, Fabre, Isabelle, Faheem, Amna, Fahy, Arabella, Fairfield, Cameron, Faria, Pedro, Farshait, Nataly, Fatoni, Arie Zainul, Faure, Karine, Fayed, Mohamed, Feely, Niamh, Fernandes, Jorge, Fernandes, Marília, Fernandes, Susana, Ferrão, Joana, Devouge, Eglantine Ferrand, Ferraz, Mário, Ferreira, Benigno, Ferrer-Roca, Ricard, Figueiredo-Mello, Claudia, Flateau, Clara, Fletcher, Tom, Florio, Letizia Lucia, Foley, Claire, Fomin, Victor, Fonseca, Claudio Duarte, Fonseca, Tatiana, Fontela, Patricia, Forsyth, Simon, Foti, Giuseppe, Fourn, Erwan, Fowler, Rob, Franch-Llasat, Diego, Fraser, Christophe, Fraser, John, Freire, Marcela Vieira, Ribeiro, Ana Freitas, Friedrich, Caren, Fry, Stéphane, Fuentes, Nora, Fukuda, Masahiro, Gómez-Junyent, Joan, Gaborieau, Valérie, Gachet, Benoît, Gaci, Rostane, Gagliardi, Massimo, Gagnard, Jean-Charles, Gagneux-Brunon, Amandine, Gaião, Sérgio, Gallagher, Phil, Curto, Elena Gallego, Gamble, Carrol, Garan, Arthur, Garcia-Gallo, Esteban, Garcia, Rebekha, Garot, Denis, Garrait, Valérie, Gault, Nathalie, Gavin, Aisling, Gaymard, Alexandre, Gebauer, Johannes, Morlaes, Louis Gerbaud, Germano, Nuno, Ghosn, Jade, Giani, Marco, Giaquinto, Carlo, Gibson, Jess, Gigante, Tristan, Gilg, Morgane, Giordano, Guillermo, Girvan, Michelle, Gissot, Valérie, Giwangkancana, Gezy, Glikman, Daniel, Glybochko, Petr, Gnall, Eric, Goco, Geraldine, Goehringer, François, Goepel, Siri, Goffard, Jean-Christophe, Golob, Jonathan, Gorenne, Isabelle, Goujard, Cécile, Goulenok, Tiphaine, Grable, Margarite, Grandin, Edward Wilson, Granier, Pascal, Grasselli, Giacomo, Green, Christopher, Greenhalf, William, Greffe, Segolène, Grieco, Domenico Luca, Griffee, Matthew, Griffiths, Fiona, Grigoras, Ioana, Groenendijk, Albert, Lordemann, Anja Grosse, Gruner, Heidi, Gu, Yusing, Guedj, Jérémie, Guellec, Dewi, Guerguerian, Anne-Marie, Guerreiro, Daniela, Guery, Romain, Guillaumot, Anne, Guilleminault, Laurent, Guimard, Thomas, Haber, Daniel, Hakak, Sheeba, Hall, Matthew, Halpin, Sophie, Hamer, Ansley, Hamidfar, Rebecca, Hammond, Terese, Hardwick, Hayley, Harley, Kristen, Harrison, Ewen, Harrison, Janet, Hays, Leanne, Heerman, Jan, Heggelund, Lars, Hendry, Ross, Hennessy, Martina, Henriquez-Trujillo, Aquiles, Hentzien, Maxime, Hernandez-Montfort, Jaime, Hidayah, Astarini, Higgins, Dawn, Higgins, Eibhilin, Hinton, Samuel, Hipólito-Reis, Ana, Hiraiwa, Hiroaki, Hiscox, Julian, Ho, Antonia Ying Wai, Hoctin, Alexandre, Hoffmann, Isabelle, Hoiting, Oscar, Holt, Rebecca, Holter, Jan Cato, Horby, Peter, Horcajada, Juan Pablo, Hoshino, Koji, Hoshino, Kota, Hough, Catherine, Hsu, Jimmy Ming-Yang, Hulot, Jean-Sébastien, Ijaz, Samreen, Illes, Hajnal-Gabriela, Inácio, Hugo, Dominguez, Carmen Infante, Iosifidis, Elias, Irvine, Lacey, Isgett, Sarah, Isidoro, Tiago, Isnard, Margaux, Itai, Junji, Ivulich, Daniel, Jaafoura, Salma, Jabot, Julien, Jackson, Clare, Jamieson, Nina, Jaureguiberry, Stéphane, Javidfar, Jeffrey, Jean-Benoît, Zabbe, Jego, Florence, Jenum, Synne, Sotomayor, Ruth Jimbo, García, Ruth Noemí Jorge, Joseph, Cédric, Joseph, Mark, Jouvet, Philippe, Jung, Hanna, Kafif, Ouifiya, Kaguelidou, Florentia, Kali, Sabina, Kalomoiri, Smaragdi, Kandamby, Darshana Hewa, Kandel, Chris, Kant, Ravi, Kartsonaki, Christiana, Kasugai, Daisuke, Katz, Kevin, Johal, Simreen Kaur, Keating, Sean, Kelly, Andrea, Kelly, Sadie, Kennedy, Lisa, Kennon, Kalynn, Kerroumi, Younes, Kestelyn, Evelyne, Khalid, Imrana, Khalil, Antoine, Khan, Coralie, Khan, Irfan, Kho, Michelle, Khoo, Saye, Kida, Yuri, Kiiza, Peter, Kildal, Anders Benjamin, Kimmoun, Antoine, Kindgen-Milles, Detlef, Kitamura, Nobuya, Klenerman, Paul, Bekken, Gry Kloumann, Knight, Stephen, Kobbe, Robin, Vasconcelos, Malte Kohns, Korten, Volkan, Kosgei, Caroline, Krawczyk, Karolina, Vecham, Pavan Kumar, Kumar, Deepali, Kurtzman, Ethan, Kutsogiannis, Demetrios, Kyriakoulis, Konstantinos, L’her, Erwan, Lachatre, Marie, Lacoste, Marie, Laffey, John, Lagrange, Marie, Laine, Fabrice, Lambert, Marc, Lamontagne, François, Langelot-Richard, Marie, Lantang, Eka Yudha, Lanza, Marina, Laouénan, Cédric, Laribi, Samira, Lariviere, Delphine, Launay, Odile, Lavie-Badie, Yoan, Law, Andrew, Le Bihan, Clément, Le Bris, Cyril, Le Coustumier, Eve, Le Falher, Georges, Le Gac, Sylvie, Le Hingrat, Quentin, Le Maréchal, Marion, Le Mestre, Soizic, Le Moing, Vincent, Le Nagard, Hervé, Le Turnier, Paul, León, Rafael, Le, Minh, Santos, Marta Leal, Leal, Ema, Lee, James, Lee, Su Hwan, Lee, Todd, Leeming, Gary, Lefebvre, Bénédicte, Lefebvre, Laurent, Lefevre, Benjamin, Lellouche, François, Lemaignen, Adrien, Lemee, Véronique, Lemmink, Gretchen, Leone, Michela, Lepiller, Quentin, Lescure, François-Xavier, Lesens, Olivier, Lesouhaitier, Mathieu, Levy-Marchal, Claire, Levy, Bruno, Levy, Yves, Bassi, Gianluigi Li, Liang, Janet, Lim, Wei Shen, Lina, Bruno, Lind, Andreas, Lingas, Guillaume, Lion-Daolio, Sylvie, Liu, Keibun, Loforte, Antonio, Lolong, Navy, Lopes, Diogo, Lopez-Colon, Dalia, Loubet, Paul, Lucet, Jean Christophe, Luna, Carlos, Lungu, Olguta, Luong, Liem, Luton, Dominique, Lyons, Ruth, Müller, Fredrik, Müller, Karl Erik, Maasikas, Olavi, Macdonald, Sarah, Machado, Moïse, Macheda, Gabrielle, Sanchez, Juan Macias, Madhok, Jai, Mahieu, Rafael, Mahy, Sophie, 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A., Abe, R., Abel, L., Absil, L., Acker, A., Adachi, S., Adam, E., Adriao, D., Ainscough, K., Hssain, A. A., Tamlihat, Y. A., Akimoto, T., Al-Dabbous, T., Al-Fares, A., Al Qasim, E., Alalqam, R., Alex, B., Alexandre, K., Alfoudri, H., Alidjnou, K. E., Aliudin, J., Allavena, C., Allou, N., Alves, J., Alves, R., Amaral, M., Ammerlaan, H., Ampaw, P., Andini, R., Andrejak, C., Angheben, A., Angoulvant, F., Ansart, S., Antonelli, M., De Brito, C. A. A., Arabi, Y., Aragao, I., Arcadipane, A., Arenz, L., Arlet, J. -B., Arnold-Day, C., Arora, L., Artaud-Macari, E., Asensio, A., Assie, J. B., Atique, A., Auchabie, J., Aumaitre, H., Azemar, L., Azoulay, C., Bach, B., Bachelet, D., Baillie, J. K., Bak, E., Bakakos, A., Banisadr, F., Barbalho, R., Barclay, W. S., Barnikel, M., Barrelet, A., Barrigoto, C., Basmaci, R., Rincon, D. F. B., Bedossa, A., Behilill, S., Beljantsev, A., Bellemare, D., Beltrame, A., Beluze, M., Benech, N., Benkerrou, D., Bennett, S., Bento, L. 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C., Croonen, S., Crowl, G., Crump, J., Cruz, C., Csete, M., Cucino, A., Cullen, C., Cummings, M., Curley, G., Curlier, E., Custodio, P., D'Aragon, F., Da Silva Filipe, A., Da Silveira, C., D'Ortenzio, E., Dabaliz, A. -A., Dagens, A. B., Dalton, H., Dalton, J., Daneman, N., Dankwa, E. A., Dantas, J., De Castro, N., De Mendoza, D., De Oliveira Franca, R. F., De Rosa, R., De Silva, T., De Vries, P., Dean, D., Debray, M. -P., Dechert, W., Deconninck, L., Decours, R., Delacroix, I., Delavigne, K., Deligiannis, I., Dell'Amore, A., Delobel, P., Demonchy, E., Denis, E., Deplanque, D., Depuydt, P., Desai, M., Descamps, D., Desvallee, M., Dewayanti, S. R., Diallo, A., Diamantis, S., Dias, A., Diaz, J. J. D., Diaz, R., Didier, K., Diehl, J. -L., Dieperink, W., Dimet, J., Dinot, V., Diouf, A., Dishon, Y., Djossou, F., Docherty, A. B., Dong, A., Donnelly, C. A., Donnelly, M., Donohue, C., Dorival, C., Douglas, J. 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Y., Yacoub, S., Yamazaki, M., Yazdanpanah, Y., Yelnik, C., Yerkovich, S., Yokoyama, T., Yonis, H., Young, P., Yuliarto, S., Zabbe, M., Zacharowski, K., Zahran, M., Zambon, M., Zanella, A., Zawadka, K., Zayyad, H., Zoufaly, A., Zucman, D., Apollo - University of Cambridge Repository, Human genetics of infectious diseases: Complex predisposition (Equipe Inserm U1163), Imagine - Institut des maladies génétiques (IHU) (Imagine - U1163), Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Paris Cité (UPCité)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Paris Cité (UPCité), Department of Mathematics and Statistics, Wichita State University, Service d'Anésthésie Réanimation [CHU Clermont-Ferrand], CHU Estaing [Clermont-Ferrand], CHU Clermont-Ferrand-CHU Clermont-Ferrand, Laboratoire Chrono-environnement (UMR 6249) (LCE), Centre National de la Recherche Scientifique (CNRS)-Université de Franche-Comté (UFC), Université Bourgogne Franche-Comté [COMUE] (UBFC)-Université Bourgogne Franche-Comté [COMUE] (UBFC), Centre Hospitalier Régional Universitaire de Besançon (CHRU Besançon), Centre Hospitalier Régional Universitaire [Montpellier] (CHRU Montpellier), Cardiovascular and Renal Clinical Trialists [Vandoeuvre-les-Nancy] (INI-CRCT), Institut Lorrain du Coeur et des Vaisseaux Louis Mathieu [Nancy], French-Clinical Research Infrastructure Network - F-CRIN [Paris] (Cardiovascular & Renal Clinical Trialists - CRCT ), Centre d'investigation clinique plurithématique Pierre Drouin [Nancy] (CIC-P), Centre d'investigation clinique [Nancy] (CIC), Centre Hospitalier Régional Universitaire de Nancy (CHRU Nancy)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Lorraine (UL)-Centre Hospitalier Régional Universitaire de Nancy (CHRU Nancy)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Lorraine (UL), Défaillance Cardiovasculaire Aiguë et Chronique (DCAC), Centre Hospitalier Régional Universitaire de Nancy (CHRU Nancy)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Lorraine (UL), Institut Pasteur [Paris] (IP), Génétique Moléculaire des Virus à ARN - Molecular Genetics of RNA Viruses (GMV-ARN (UMR_3569 / U-Pasteur_2)), Institut Pasteur [Paris] (IP)-Centre National de la Recherche Scientifique (CNRS)-Université Paris Cité (UPCité), This work was supported by the Department for International Development and Wellcome Trust [215091/Z/18/Z], the Bill and Melinda Gates Foundation [OPP1209135]. Country-specific support was provided by the Canadian Institutes of Health Research Coronavirus Rapid Research Funding Opportunity [OV2170359], the Health Research Board Ireland [CTN Award 2014-012], National Institute for Health Research (NIHR) [award CO-CIN-01], the Medical Research Council (MRC) [grant MC_PC_19059], the NIHR Health Protection Research Unit (HPRU) in Emerging and Zoonotic Infections at University of Liverpool in partnership with Public Health England (PHE), in collaboration with Liverpool School of Tropical Medicine and the University of Oxford [award 200907], NIHR HPRU in Respiratory Infections at Imperial College London with PHE [award 200927], Liverpool Experimental Cancer Medicine Centre [grant reference C18616/A25153], NIHR Biomedical Research Centre at Imperial College London [IS-BRC-1215-20013], EU Platform for European Preparedness Against (Re-)emerging Epidemics (PREPARE) [FP7 project 602525], National Institutes of Health (NIH) [UL1TR002240], and NIHR Clinical Research Network infrastructure support. We acknowledge the generous support of all ISARIC Partners who have contributed data and expertise to this analysis, with or without dedicated funding. The views expressed are those of the authors and not necessarily those of the funders or institutions listed above., European Project: 602525,EC:FP7:HEALTH,FP7-HEALTH-2013-INNOVATION-1,PREPARE(2014), Infectious diseases, Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Paris (UP)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Paris (UP), Laboratoire Chrono-environnement - CNRS - UBFC (UMR 6249) (LCE), Université de Lorraine (UL)-Centre Hospitalier Régional Universitaire de Nancy (CHRU Nancy)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Lorraine (UL)-Centre Hospitalier Régional Universitaire de Nancy (CHRU Nancy)-Institut National de la Santé et de la Recherche Médicale (INSERM), Critical care, Anesthesiology, Peri-operative and Emergency medicine (CAPE), Medical Research Council (MRC), National Institute for Health Research, UKRI MRC COVID-19 Rapid Response Call, UK Research and Innovation, and BOZEC, Erwan
Subjects: Male, Abdominal pain, Pediatrics, 030204 cardiovascular system & hematology, Logistic regression, 0302 clinical medicine, Diagnosis, wc_505, Medicine, ISARIC Clinical Characterisation Group, Prospective Studies, 030212 general & internal medicine, Child, wa_105, COVID-19, Case definition, SARS-CoV-2, Symptoms, Aged, Female, Hospitalization, Hospitals, Humans, Middle Aged, General Medicine, [SDV.MHEP.CSC] Life Sciences [q-bio]/Human health and pathology/Cardiology and cardiovascular system, 3. Good health, Infectious Diseases, Cohort, Vomiting, qw_160, medicine.symptom, Life Sciences & Biomedicine, Diagnosi, Human, Microbiology (medical), medicine.medical_specialty, Coronavirus disease 2019 (COVID-19), Nausea, Symptom, Age and sex, Microbiology, 1117 Public Health and Health Services, 03 medical and health sciences, Hospital, [SDV.MHEP.CSC]Life Sciences [q-bio]/Human health and pathology/Cardiology and cardiovascular system, Science & Technology, business.industry, 1103 Clinical Sciences, Prospective Studie, Observational study, wf_100, business
Abstract: Background The ISARIC prospective multinational observational study is the largest cohort of hospitalized patients with COVID-19. We present relationships of age, sex, and nationality to presenting symptoms. Methods International, prospective observational study of 60 109 hospitalized symptomatic patients with laboratory-confirmed COVID-19 recruited from 43 countries between 30 January and 3 August 2020. Logistic regression was performed to evaluate relationships of age and sex to published COVID-19 case definitions and the most commonly reported symptoms. Results ‘Typical’ symptoms of fever (69%), cough (68%) and shortness of breath (66%) were the most commonly reported. 92% of patients experienced at least one of these. Prevalence of typical symptoms was greatest in 30- to 60-year-olds (respectively 80, 79, 69%; at least one 95%). They were reported less frequently in children (≤ 18 years: 69, 48, 23; 85%), older adults (≥ 70 years: 61, 62, 65; 90%), and women (66, 66, 64; 90%; vs. men 71, 70, 67; 93%, each P Interpretation This international collaboration has allowed us to report reliable symptom data from the largest cohort of patients admitted to hospital with COVID-19. Adults over 60 and children admitted to hospital with COVID-19 are less likely to present with typical symptoms. Nausea and vomiting are common atypical presentations under 30 years. Confusion is a frequent atypical presentation of COVID-19 in adults over 60 years. Women are less likely to experience typical symptoms than men.
Published: 2021
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