Research Topics
| John KellettSummaryCountry: Ireland Publications
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Publications
Prediction of in-hospital mortality by brain natriuretic peptide levels and other independent variables in acutely ill patients with suspected heart diseaseJohn Kellett
Department of Medicine, Nenagh Hospital, Nenagh, County Tipperary, Ireland
Can J Cardiol 20:686-90. 2004..However, compared with traditional clinical parameters, its value for predicting the in-hospital mortality of patients with suspected heart disease has not been reported...
Hospital Medicine (Part 1): what is wrong with acute hospital care?John Kellett
Department of Medicine, Nenagh Hospital, Nenagh, County Tipperary, Ireland
Eur J Intern Med 20:462-4. 2009..If acute hospital medicine is to be improved changes in traditional assumptions, attitudes, beliefs and practices are needed...- Changes and their prognostic implications in the abbreviated VitalPAC™ Early Warning Score (ViEWS) after admission to hospital of 18,827 surgical patientsJohn Kellett
Thunder Bay Regional Health Sciences Center, Thunder Bay, Ontario, Canada
Resuscitation 84:471-6. 2013..It is not known how often, to what extent and over what time frame any early warning scores change in surgical patients, and what the implications of these changes are... - Changes and their prognostic implications in the abbreviated Vitalpac™ early warning score (ViEWS) after admission to hospital of 18,853 acutely ill medical patientsJohn Kellett
Thunder Bay Regional Health Sciences Center, Thunder Bay, Ontario, Canada
Resuscitation 84:13-20. 2013..The best performing early warning score is Vitalpac™ Early Warning Score (ViEWS). However, it is not known how often, to what extent and over what time frame any early warning scores change, and what the implications of these changes are... - Prediction of mortality 1 year after hospital admissionJ Kellett
Department of Medicine, Nenagh Hospital, Nenagh, County Tipperary, Ireland
QJM 105:847-53. 2012..ECG-DM is a novel technique that analyzes low-amplitude ECG oscillations and reports them as the myocardial micro-alternation index (MMI)... - Should systematic risk assessment and immediate intervention of the acutely ill patient replace the traditional management paradigm?John Kellett
Department of Medicine, Nenagh Hospital, Nenagh, County Tipperary, Ireland
Acute Med 11:117-20. 2012..This concept is based on risk prediction rather than diagnosis, and is captured by the mnemonic FAITH3 (Focused Assessment, Initial Treatment, hAssessing response, calling for Help and Handing over care)... - ECG dispersion mapping predicts clinical deterioration, measured by increase in the Simple Clinical ScoreJ Kellett
Department of Medicine, Nenagh Hospital, Nenagh, County Tipperary, Ireland
Acute Med 11:8-12. 2012..84 and 3.01, respectively. Conclusion: ECG-DM changes during left ventricular re-polarization are independent predictors of clinical deterioration the day after hospital admission... - Validation of an abbreviated Vitalpac™ Early Warning Score (ViEWS) in 75,419 consecutive admissions to a Canadian regional hospitalJohn Kellett
Department of Medicine, Nenagh Hospital, Nenagh, County Tipperary, Ireland
Resuscitation 83:297-302. 2012..The early warning score derived from 198,755 vital sign sets in the Vitalpac™ database (ViEWS) has an area under the receiver operator characteristic curve (AUROC) for death of acute unselected medical patients within 24h of 88%... - Who will be sicker in the morning? Changes in the Simple Clinical Score the day after admission and the subsequent outcomes of acutely ill unselected medical patientsJohn Kellett
Department of Medicine, Nenagh Hospital, Nenagh, County Tipperary, Ireland
Eur J Intern Med 22:375-81. 2011..We examined changes in the Simple Clinical Score (SCS) the day after admission, factors that might influence these changes and the relationship of these changes to subsequent clinical outcome... - Hospital medicine (Part 2): what would improve acute hospital care?John Kellett
Department of Medicine, Nenagh Hospital, Nenagh, County Tipperary, Ireland
Eur J Intern Med 20:465-9. 2009..Although physicians expert in hospital care decrease the cost and length of hospitalization without compromising outcomes hospital care will continue to be both expensive and potentially dangerous... - Comparison of the heart and breathing rate of acutely ill medical patients recorded by nursing staff with those measured over 5 min by a piezoelectric belt and ECG monitor at the time of admission to hospitalJohn Kellett
Department of Medicine, Nenagh Hospital, Nenagh, Tipperary, Ireland
Resuscitation 82:1381-6. 2011..Heart and breathing rates are predictors of disease severity and of a poor outcome. However, few reports have compared their machine measurements with traditional manual methods... - The prediction of the in-hospital mortality of acutely ill medical patients by electrocardiogram (ECG) dispersion mapping compared with established risk factors and predictive scores--a pilot studyJohn Kellett
Department of Medicine, Nenagh Hospital, Nenagh, County Tipperary, Ireland
Eur J Intern Med 22:394-8. 2011.... - What diagnoses may make patients more seriously ill than they first appear? Mortality according to the Simple Clinical Score Risk Class at the time of admission compared to the observed mortality of different ICD9 codes identified on death or dischargeJohn Kellett
Department of Medicine, Nenagh Hospital, Nenagh, County Tipperary, Ireland
Eur J Intern Med 20:89-93. 2009..This paper reports the ICD9 codes associated with the different SCS risk classes and identifies those ICD9 codes with a greater observed mortality than that of other patients in the same SCS risk class... - Differences between self-referred and physician-referred hospital admissionsJ Kellett
Department of Medcine, Nenagh Hospital, Nenagh, Co Tipperary
Ir J Med Sci 174:70-8. 2005..Compare self- and physician-referred hospital admissions... - Derivation and validation of a score based on Hypotension, Oxygen saturation, low Temperature, ECG changes and Loss of independence (HOTEL) that predicts early mortality between 15 min and 24 h after admission to an acute medical unitJohn Kellett
Nenagh Hospital, Nenagh, County Tipperary, Ireland
Resuscitation 78:52-8. 2008..Predictive scores such as APACHE II have been used to assess patients in intensive care units, but few scores have been used to assess acutely ill general medical patients... - Prognostication--the lost skill of medicineJohn Kellett
Department of Medicine, Nenagh Hospital, Nenagh, County Tipperary, Ireland
Eur J Intern Med 19:155-64. 2008..Therefore, all doctors should become familiar with them and use them appropriately... - The Simple Clinical Score predicts mortality for 30 days after admission to an acute medical unitJ Kellett
Department of Medicine, Nenagh Hospital, Nenagh, County Tipperary, Ireland
QJM 99:771-81. 2006..Predictive scores such as APACHE II and SAPS II have been used to assess patients in intensive care units, but only the modified early warning (MEW) score has been used to assess acutely ill general medical patients... - An assessment tool for acutely ill medical patientsMargaret Gleeson
Mid Western Regional Hospital, Nenagh, County Tipperary, Ireland
Br J Nurs 18:546-50. 2009..It is hoped that this experience will be of value to other project teams who are undertaking similar initiatives... - Assessing the need for hospital admission by the Cape Triage discriminator presentations and the simple clinical scoreAndrew Emmanuel
Nenagh Hospital, Nenagh, Ireland
Emerg Med J 27:852-5. 2010..This study examined the use of the Simple Clinical Score (SCS) and the medically relevant Cape Triage discriminator clinical presentations to determine the need for admission to an acute medical unit... - Implementation of complex adaptive chronic care: the Patient Journey Record system (PaJR)Carmel M Martin
Northern Ontario School of Medicine, Sudbury, Ontario, Canada
J Eval Clin Pract 18:1226-34. 2012.... - Early diagnosis of acute myocardial infarction by either electrocardiogram or a logistic regression model: portability of a predictive instrument of acute cardiac ischemia to a small rural coronary care unitJ Kellett
Nenagh Hospital, County Tipperary, Ireland
Can J Cardiol 13:1033-8. 1997.... - READS: the rapid electronic assessment documentation systemAnn Hickey
Nenagh Hospital, Nenagh, Ireland
Br J Nurs 21:1333-6, 1338-40. 2012..This report can be shared and provides data that is immediately available for day-to-day care, audit, quality control and service planning... - The diagnoses and co-morbidity encountered in the hospital practice of acute internal medicineJohn Kellett
Consultant Physician, Nenagh Hospital, Nenagh, Co Tipperary, Ireland
Eur J Intern Med 18:467-73. 2007..This paper reports an analysis of the conditions, as identified by ICD9 coding, cared for by general internists working in a representative Irish hospital... - Decision support and the appropriate use of fibrinolysis in myocardial infarctionJ Kellett
Nenagh General Hospital, Nenagh, Ireland
Eff Clin Pract 4:1-9. 2001..For patients with suspected acute myocardial infarction, decisions about fibrinolytic therapy must account for trade-offs between risks and benefits, which vary according to the clinical characteristics of the patient... - Should age be included as a component of track and trigger systems used to identify sick adult patients?Gary B Smith
Portsmouth Hospitals NHS Trust and University of Bournemouth, United Kingdom
Resuscitation 78:109-15. 2008.... - What ever happened to the doctor's soul?John Kellett
Eur J Intern Med 19:153-4. 2008 - Risk stratification of chest pain patients by point-of-care cardiac troponin T and myoglobin measured in the emergency departmentJordi Ordonez-Llanos
Hospital de la Santa Creu i Sant Pau, Barcelona, Spain
Clin Chim Acta 365:93-7. 2006....