Ann Acad Med Singap
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Ann Acad Med Singap · Mar 2022
Editorial CommentSurvival outcome of haemodialysis and peritoneal dialysis.
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Ann Acad Med Singap · Mar 2022
Determinants of emergency department utilisation by older adults in Singapore: A systematic review.
Adults aged ≥60 years contribute to disproportionately higher visits to the emergency departments (ED). We performed a systematic review to examine the reasons why older persons visit the ED in Singapore. ⋯ The major determinants of ED utilisation by older adults in Singapore were largely individual factors. Evaluation of societal determinants of ED utilisation was lacking in the included studies. There is a need for a more holistic examination of determinants of ED utilisation locally based on conceptual models of health seeking behaviours.
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Ann Acad Med Singap · Mar 2022
Identifying high-risk hospitalised chronic kidney disease patient using electronic health records for serious illness conversation.
This study aimed to identify risk factors that are associated with increased mortality that could prompt a serious illness conversation (SIC) among patients with chronic kidney disease (CKD). ⋯ CCI, serum albumin and recent hospital readmission could identify CKD patients at higher risk of mortality who could benefit from a serious illness conversation.
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Ann Acad Med Singap · Mar 2022
Observational StudyDiagnostic thresholds for absolute systolic toe pressure and toe-brachial index in diabetic foot screening.
Identifying peripheral arterial disease (PAD) during diabetic foot screening (DFS) is crucial in reducing the risk of diabetic foot ulcerations and lower limb amputations. Screening assessments commonly used include absolute systolic toe pressure (ASTP) and toe-brachial index (TBI). There is a lack of research defining the threshold values of both assessment methods. We aimed to compare the accuracy of ASTP and TBI and establish optimal threshold values of ASTP and TBI with reference to the internationally accepted ankle-brachial pressure index (ABPI) screening test, for a multiethnic diabetic population in Singapore. ⋯ ASTP or TBI may be used to detect ABPI-determined PAD in DFS. The optimal threshold values derived from a multiethnic Asian diabetic population were <95.5mmHg for ASTP and <0.7 for TBI.