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Development And Validation Of The Emergency Department Assessment Of Chest Pain Score And 2h Accelerated Diagnostic Protocol, Martin Than, Dylan Flaws, Sharon Sanders, Jenny Doust, Paul Glasziou, Jeffrey Kline, Sally Aldous, Richard Troughton, Christopher Reid, William Parsonage, Christopher Frampton, Jaimi Greenslade, Joanne Deely, Erik Hess, Amr Sadiq, Rose Singleton, Rosie Shopland, Laura Vercoe, Morgana Woolhouse-Williams, Michael Ardagh, P. Bossuyt, Laura Bannister, Louise Cullen
Development And Validation Of The Emergency Department Assessment Of Chest Pain Score And 2h Accelerated Diagnostic Protocol, Martin Than, Dylan Flaws, Sharon Sanders, Jenny Doust, Paul Glasziou, Jeffrey Kline, Sally Aldous, Richard Troughton, Christopher Reid, William Parsonage, Christopher Frampton, Jaimi Greenslade, Joanne Deely, Erik Hess, Amr Sadiq, Rose Singleton, Rosie Shopland, Laura Vercoe, Morgana Woolhouse-Williams, Michael Ardagh, P. Bossuyt, Laura Bannister, Louise Cullen
Jenny Doust
Objective: Risk scores and accelerated diagnostic protocols can identify chest pain patients with low risk of major adverse cardiac event who could be discharged early from the ED, saving time and costs. We aimed to derive and validate a chest pain score and accelerated diagnostic protocol (ADP) that could safely increase the proportion of patients suitable for early discharge. Methods: Logistic regression identified statistical predictors for major adverse cardiac events in a derivation cohort. Statistical coefficients were converted to whole numbers to create a score. Clinician feedback was used to improve the clinical plausibility and the usability of the final …
Attention-Deficit/Hyperactivity Disorder: Are We Helping Or Harming?, Rae Thomas, Geoffrey Mitchell, Laura Batstra
Attention-Deficit/Hyperactivity Disorder: Are We Helping Or Harming?, Rae Thomas, Geoffrey Mitchell, Laura Batstra
Rae Thomas
Prevalence and prescribing rates for attention-deficit/hyperactivity disorder (ADHD) have risen steeply over the past decade, partly in response to concerns about underdiagnosis and undertreatment.1 2 But although clinicians have become better at recognising, diagnosing, and treating children with ADHD, recent US data showed that 86% of children diagnosed with ADHD are described as having “mild or moderate” disorder,3 and some diagnosed without fulfilling diagnostic criteria for ADHD.4 Mental health diagnoses are vulnerable to overdiagnosis because decisions are based predominantly on observed or self reported behaviours and interpretations of the severity of certain behaviours and whether they should be described as …