BMJ : British medical journal
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Randomized Controlled Trial Multicenter Study Comparative Study
Specialist geriatric medical assessment for patients discharged from hospital acute assessment units: randomised controlled trial.
To evaluate the effect of specialist geriatric medical management on the outcomes of at risk older people discharged from acute medical assessment units. ⋯ This specialist geriatric medical intervention applied to an at risk population of older people attending and being discharged from acute medical units had no effect on patients' outcomes or subsequent use of secondary care or long term care.
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Meta Analysis
Fruit consumption and risk of type 2 diabetes: results from three prospective longitudinal cohort studies.
To determine whether individual fruits are differentially associated with risk of type 2 diabetes. ⋯ Our findings suggest the presence of heterogeneity in the associations between individual fruit consumption and risk of type 2 diabetes. Greater consumption of specific whole fruits, particularly blueberries, grapes, and apples, is significantly associated with a lower risk of type 2 diabetes, whereas greater consumption of fruit juice is associated with a higher risk.
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To determine the extent to which prostheses with no readily available evidence to support their use are being implanted in primary total hip arthroplasty. ⋯ This study shows that a considerable proportion of prostheses available to orthopaedic surgeons have no readily available evidence of clinical effectiveness to support their use. Concern exists about the current system of device regulation, and the need for a revised process for introducing new orthopaedic devices is highlighted.
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Multicenter Study
Risk of first venous thromboembolism in pregnant women in hospital: population based cohort study from England.
To examine the potential for preventing venous thromboembolism during and after antepartum hospital admissions in pregnant women. ⋯ The overall risk of first venous thromboembolism in pregnant women increased during admissions to hospital not related to delivery, and remained significantly higher in the 28 days after discharge. During these periods need for thromboprophylaxis should receive careful consideration.
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Comparative Study
Incidence of pulmonary and venous thromboembolism in pregnancies after in vitro fertilisation: cross sectional study.
To estimate the risk of pulmonary embolism and venous thromboembolism in pregnant women after in vitro fertilisation. ⋯ In vitro fertilisation is associated with an increased risk of pulmonary embolism and venous thromboembolism during the first trimester. The risk of pulmonary embolism is low in absolute terms but because the condition is a leading cause of maternal mortality and clinical suspicion is critical for diagnosis, an awareness of this risk is important.