S W Goodacre

Summary

Affiliation: University of Sheffield
Country: UK

Publications

  1. ncbi How useful are clinical features in the diagnosis of acute, undifferentiated chest pain?
    Steve Goodacre
    Medical Care Research Unit, University of Sheffield, Sheffield, United Kingdom
    Acad Emerg Med 9:203-8. 2002
  2. ncbi Cost-effectiveness of presentation versus delayed troponin testing for acute myocardial infarction
    Praveen Thokala
    School of Health and Related Research ScHARR, University of Sheffield, Sheffield, UK
    Heart 98:1498-503. 2012
  3. ncbi Derivation and validation of a risk adjustment model for predicting seven day mortality in emergency medical admissions: mixed prospective and retrospective cohort study
    Steve Goodacre
    School of Health and Related Research, University of Sheffield, Sheffield S1 4DA, United Kingdom
    BMJ 344:e2904. 2012
  4. ncbi Health utility after emergency medical admission: a cross-sectional survey
    Steve W Goodacre
    School of Health and Related Research ScHARR, University of Sheffield, Sheffield, UK
    Health Qual Life Outcomes 10:20. 2012
  5. ncbi Critical appraisal for emergency medicine: 1. Concepts and definitions
    S Goodacre
    Medical Care Research Unit, University of Sheffield, Regent Court, 30 Regent Street, Sheffield S1 4DA, UK
    Emerg Med J 25:219-21. 2008
  6. ncbi Effectiveness and safety of chest pain assessment to prevent emergency admissions: ESCAPE cluster randomised trial
    Steve Goodacre
    Medical Care Research Unit, University of Sheffield, Sheffield S1 4DA
    BMJ 335:659. 2007
  7. ncbi How should we diagnose suspected deep-vein thrombosis?
    S Goodacre
    Medical Care Research Unit, University of Sheffield, Regent Court, 30 Regent Street, Sheffield, S1 4DA
    QJM 99:377-88. 2006
  8. ncbi Prediction of mortality among emergency medical admissions
    S Goodacre
    Medical Care Research Unit, University of Sheffield, UK
    Emerg Med J 23:372-5. 2006
  9. ncbi Meta-analysis: The value of clinical assessment in the diagnosis of deep venous thrombosis
    Steve Goodacre
    University of Sheffield, Sheffield, United Kingdom
    Ann Intern Med 143:129-39. 2005
  10. ncbi Variation in the diagnostic performance of D-dimer for suspected deep vein thrombosis
    S Goodacre
    Medical Care Research Unit, University of Sheffield, Sheffield, UK
    QJM 98:513-27. 2005

Detail Information

Publications52

  1. ncbi How useful are clinical features in the diagnosis of acute, undifferentiated chest pain?
    Steve Goodacre
    Medical Care Research Unit, University of Sheffield, Sheffield, United Kingdom
    Acad Emerg Med 9:203-8. 2002
    ..To measure the predictive value and diagnostic performance of clinical features used to diagnose coronary syndromes in patients presenting with acute, undifferentiated chest pain...
  2. ncbi Cost-effectiveness of presentation versus delayed troponin testing for acute myocardial infarction
    Praveen Thokala
    School of Health and Related Research ScHARR, University of Sheffield, Sheffield, UK
    Heart 98:1498-503. 2012
    ..To estimate the cost-effectiveness of delayed troponin testing for myocardial infarction compared with troponin testing at presentation...
  3. ncbi Derivation and validation of a risk adjustment model for predicting seven day mortality in emergency medical admissions: mixed prospective and retrospective cohort study
    Steve Goodacre
    School of Health and Related Research, University of Sheffield, Sheffield S1 4DA, United Kingdom
    BMJ 344:e2904. 2012
    ....
  4. ncbi Health utility after emergency medical admission: a cross-sectional survey
    Steve W Goodacre
    School of Health and Related Research ScHARR, University of Sheffield, Sheffield, UK
    Health Qual Life Outcomes 10:20. 2012
    ..We aimed to measure health utility after emergency medical admission, to compare health utility to age, gender and regional population norms, and identify independent predictors of health utility...
  5. ncbi Critical appraisal for emergency medicine: 1. Concepts and definitions
    S Goodacre
    Medical Care Research Unit, University of Sheffield, Regent Court, 30 Regent Street, Sheffield S1 4DA, UK
    Emerg Med J 25:219-21. 2008
  6. ncbi Effectiveness and safety of chest pain assessment to prevent emergency admissions: ESCAPE cluster randomised trial
    Steve Goodacre
    Medical Care Research Unit, University of Sheffield, Sheffield S1 4DA
    BMJ 335:659. 2007
    ..To determine whether introducing chest pain unit care reduces emergency admissions without increasing reattendances and admissions over the next 30 days...
  7. ncbi How should we diagnose suspected deep-vein thrombosis?
    S Goodacre
    Medical Care Research Unit, University of Sheffield, Regent Court, 30 Regent Street, Sheffield, S1 4DA
    QJM 99:377-88. 2006
    ..Many different approaches are used to diagnose suspected deep-vein thrombosis (DVT), but there has been little formal comparison of strategies...
  8. ncbi Prediction of mortality among emergency medical admissions
    S Goodacre
    Medical Care Research Unit, University of Sheffield, UK
    Emerg Med J 23:372-5. 2006
    ..Each predicts in hospital mortality using four (RAPS) or six (REMS) variables that can be easily recorded at presentation. We aimed to evaluate the predictive value of REMS, RAPS, and their constituent variables...
  9. ncbi Meta-analysis: The value of clinical assessment in the diagnosis of deep venous thrombosis
    Steve Goodacre
    University of Sheffield, Sheffield, United Kingdom
    Ann Intern Med 143:129-39. 2005
    ..Clinical assessment of suspected deep venous thrombosis (DVT) should be based on systematically evaluated evidence...
  10. ncbi Variation in the diagnostic performance of D-dimer for suspected deep vein thrombosis
    S Goodacre
    Medical Care Research Unit, University of Sheffield, Sheffield, UK
    QJM 98:513-27. 2005
    ..Numerous studies have evaluated the accuracy of D-dimer in diagnosing suspected deep vein thrombosis (DVT), but results are conflicting...
  11. ncbi Is a chest pain observation unit likely to be cost effective at my hospital? Extrapolation of data from a randomised controlled trial
    S Goodacre
    University of Sheffield, Sheffield, UK
    Emerg Med J 22:418-22. 2005
    ..This study aimed to explore these issues in sensitivity analyses and develop a nomogram to allow prediction of whether a CPOU will be cost effective in a specific hospital...
  12. ncbi Critical appraisal for emergency medicine 2: Statistics
    S Goodacre
    Medical Care Research Unit, University of Sheffield, Regent Court, 30 Regent Street, Sheffield S1 4DA, UK
    Emerg Med J 25:362-4. 2008
  13. ncbi Hospital admissions with head injury following publication of NICE guidance
    S Goodacre
    Medical Care Research Unit, University of Sheffield, Regent Court, 30 Regent Street, Sheffield S1 4DA, UK
    Emerg Med J 25:556-7. 2008
    ..The aim of this study was to use national Hospital Episodes Statistics (HES) data to determine whether admissions with head injury have changed since the NICE guidance was introduced...
  14. ncbi Critical appraisal for emergency medicine 3: evaluation of a therapy
    S Goodacre
    Medical Care Research Unit, University of Sheffield, Regent Court, Sheffield, UK
    Emerg Med J 25:590-2. 2008
  15. ncbi Clinical diagnosis of acute coronary syndrome in patients with chest pain and a normal or non-diagnostic electrocardiogram
    S Goodacre
    University of Sheffield, Sheffield, UK
    Emerg Med J 26:866-70. 2009
    ..We aimed to measure the diagnostic value of clinical features for ACS...
  16. ncbi Management of isolated minor head injury in the UK
    Steve W Goodacre
    School of Health and Related Research, University of Sheffield, Regent Court, 30 Regent Street, Sheffield S1 4DA, UK
    Emerg Med J 27:856-9. 2010
    ..The authors aimed to review current practice and national statistics, and determine whether methods of service delivery are associated with differences in admission rates...
  17. ncbi The Randomised Assessment of Treatment using Panel Assay of Cardiac Markers (RATPAC) trial: a randomised controlled trial of point-of-care cardiac markers in the emergency department
    Steve W Goodacre
    School of Health and Related Research, University of Sheffield, Sheffield, UK
    Heart 97:190-6. 2011
    ....
  18. ncbi Health utility and survival after hospital admission with acute cardiogenic pulmonary oedema
    Steve Goodacre
    School of Health and Related Research ScHARR, University of Sheffield, Regent Court, Sheffield, S1 4DA, UK
    Emerg Med J 28:477-82. 2011
    ....
  19. ncbi Evaluation of Global Registry of Acute Cardiac Events and Thrombolysis in Myocardial Infarction scores in patients with suspected acute coronary syndrome
    Steve W Goodacre
    School of Health and Related Research, University of Sheffield, Regent Court, 30 Regent Street, Sheffield, S1 4DA, United Kingdom
    Am J Emerg Med 30:37-44. 2012
    ..We aimed to evaluate the Global Registry of Acute Cardiac Events (GRACE) and Thrombolysis in Myocardial Infarction (TIMI) scores in patients with suspected but not proven acute coronary syndrome (ACS)...
  20. ncbi Safe discharge: an irrational, unhelpful and unachievable concept
    S Goodacre
    Northern General Hospital, Herries Road, Sheffield S5 7AU, UK
    Emerg Med J 23:753-5. 2006
    ..Guidelines should be developed using this approach and used to promote and support rational decision making...
  21. ncbi Who waits longest in the emergency department and who leaves without being seen?
    S Goodacre
    Emergency Department, Northern General Hospital, Sheffield, UK
    Emerg Med J 22:93-6. 2005
    ..To determine which patient characteristics are associated with prolonged waiting times in the emergency department and which characteristics are associated with an increased risk of leaving without being seen...
  22. ncbi Potential impact of interventions to reduce times to thrombolysis
    S Goodacre
    Health Service Research and Emergency Medicine, Medical Care Research Unit, University of Sheffield, UK
    Emerg Med J 21:625-9. 2004
    ..To estimate the lifesaving potential of interventions to accelerate the administration of intravenous thrombolysis for myocardial infarction...
  23. ncbi Research methods: beyond the clinical trial
    Steve Goodacre
    Medical Care Research Unit, University of Sheffield, Regent Court, 30 Regent Street, Sheffield S1 4DA, United Kingdom
    Ann Emerg Med 42:56-65. 2003
    ..This article will introduce readers to methods from clinical epidemiology, operational research, health economics, and qualitative research, discussing the value of these approaches and identifying potential pitfalls...
  24. ncbi Being economical with the truth: how to make your idea appear cost effective
    S Goodacre
    Medical Care Research Unit, University of Sheffield, Sheffield, UK
    Emerg Med J 19:301-4. 2002
  25. ncbi An introduction to economic evaluation
    S Goodacre
    University of Sheffield, Sheffield, UK
    Emerg Med J 19:198-201. 2002
  26. ncbi A prospective, observational study of a chest pain observation unit in a British hospital
    S W Goodacre
    Medical Care Research Unit, University of Sheffield, Sheffield, UK
    Emerg Med J 19:117-21. 2002
    ..To establish a chest pain observation unit, monitor its performance in terms of appropriate discharge after assessment, and estimate the cost per patient...
  27. ncbi Should ambulant patients be directed to reception or triage first?
    S Goodacre
    Northern General Hospital, Sheffield, UK
    Emerg Med J 18:441-3. 2001
    ..This study aimed to discover if attending triage or reception first, was preferable in terms of timeliness, clarity and safety...
  28. ncbi Psychologic morbidity and health-related quality of life of patients assessed in a chest pain observation unit
    S Goodacre
    Northern General Hospital, Sheffield, United Kingdom
    Ann Emerg Med 38:369-76. 2001
    ..We sought to measure psychologic morbidity and health-related quality of life among patients attending the hospital with acute chest pain both at presentation and 1 month after rigorous assessment for cardiac disease...
  29. ncbi Do computer generated ECG reports improve interpretation by accident and emergency senior house officers?
    S Goodacre
    Department of Accident and Emergency Medicine, Northern General Hospital, Herries Road, Sheffield S5 7AU, UK
    Postgrad Med J 77:455-7. 2001
    ..To determine whether access to a computer generated electrocardiogram (ECG) report can reduce errors of interpretation by senior house officers (SHOs) in an accident and emergency department...
  30. ncbi Cost effectiveness of diagnostic strategies for patients with acute, undifferentiated chest pain
    S Goodacre
    School of Health and Related Research, Sheffield University, UK
    Emerg Med J 20:429-33. 2003
    ..This paper aimed to estimate the relative cost effectiveness of these strategies...
  31. ncbi Can additional experienced staff reduce emergency medical admissions?
    S Goodacre
    Accident and Emergency Department, Northern General Hospital, Sheffield, UK
    Emerg Med J 21:51-3. 2004
    ..The aim of the study was to evaluate the effect of a new post, the "A&E physician", upon emergency medical admissions to a hospital...
  32. ncbi Randomised controlled trial and economic evaluation of a chest pain observation unit compared with routine care
    Steve Goodacre
    School of Health and Related Research, University of Sheffield, Sheffield S1 4DA
    BMJ 328:254. 2004
    ..To measure the effectiveness and cost effectiveness of providing care in a chest pain observation unit compared with routine care for patients with acute, undifferentiated chest pain...
  33. ncbi Clinical predictors of acute coronary syndromes in patients with undifferentiated chest pain
    S W Goodacre
    Accident and Emergency Department, Northern General Hospital, Sheffield, UK
    QJM 96:893-8. 2003
    ..Patients with acute, undifferentiated chest pain present a frequent diagnostic challenge to clinicians. Clinical features are often used to determine which patients may have acute coronary syndrome (ACS)...
  34. ncbi Patient and primary care physician satisfaction with chest pain unit and routine care
    Steve W Goodacre
    Medical Care Research Unit and Emergency Department, Northern General Hospital, University of Sheffield, Sheffield, England
    Acad Emerg Med 11:827-33. 2004
    ..The authors aimed to measure patient and primary care physician (PCP) satisfaction with CPU care and routine care and to determine whether patient satisfaction predicted PCP satisfaction...
  35. ncbi A randomised controlled trial to measure the effect of chest pain unit care upon anxiety, depression, and health-related quality of life [ISRCTN85078221]
    Steve Goodacre
    Medical Care Research Unit, University of Sheffield, Regent Court, 30 Regent Street, Sheffield, S1 4DA, UK
    Health Qual Life Outcomes 2:39. 2004
    ..We aimed to measure the effect of CPU assessment upon psychological symptoms and health-related quality of life...
  36. ncbi Should we establish chest pain observation units in the UK? A systematic review and critical appraisal of the literature
    S W Goodacre
    Accident and Emergency Department, Northern General Hospital, Sheffield
    J Accid Emerg Med 17:1-6. 2000
    ..This review aims to examine the evidence for effectiveness and economic efficiency of the CPOU and to explore whether data from the United States can be extrapolated to the UK...
  37. ncbi Is a chest pain observation unit likely to be cost saving in a British hospital?
    S Goodacre
    Accident and Emergency Department, Northern General Hospital, Sheffield
    Emerg Med J 18:11-4. 2001
    ..This study aimed to review current practice to determine the proportion of patients suitable for CPOU evaluation, the cost per case of routine admission and compare this with control groups in US studies...
  38. ncbi Measurement of the clinical and cost-effectiveness of non-invasive diagnostic testing strategies for deep vein thrombosis
    S Goodacre
    Medical Care Research Unit, University of Sheffield, UK
    Health Technol Assess 10:1-168, iii-iv. 2006
    ....
  39. ncbi Application of variable life adjusted display (VLAD) in early detection of deficiency in trauma care
    H B Tan
    Emergency Department, Northern General Hospital, Sheffield, S5 7AU, UK
    Emerg Med J 22:726-8. 2005
    ..Further work should to be carried out to evaluate VLAD prospectively as an audit tool, perhaps involving comparison of VLAD charts from different institutions...
  40. ncbi How is deep vein thrombosis diagnosed and managed in UK and Australian emergency departments?
    F C Sampson
    Medical Care Research Unit, University of Sheffield, Sheffield, S1 4DA, United Kingdom
    Emerg Med J 22:780-2. 2005
    ..We aimed to survey current practice in the United Kingdom (UK) and Australia to determine the extent to which these technologies have been implemented in these two healthcare systems...
  41. ncbi Accessibility versus confidentiality of information in the emergency department
    H Ayatollahi
    Centre for Health Information Management Research and Health Informatics Research Group, Department of Information Studies, University of Sheffield, Sheffield, UK
    Emerg Med J 26:857-60. 2009
    ..This article presents the ED staff perspectives about the accessibility and confidentiality of information in the ED...
  42. ncbi Emergency department investigation of deep vein thrombosis
    D A Kilroy
    Department of Emergency Medicine, Northern General Hospital, Sheffield, UK
    Emerg Med J 20:29-32. 2003
    ..To measure the diagnostic value of the SimpliRED D-dimer assay in effectively excluding DVT...
  43. ncbi Should exercise treadmill testing be provided in the emergency department?
    J Arnold
    University of Sheffield, Sheffield, UK
    Emerg Med J 24:151. 2007
  44. ncbi Rationing in the emergency department: the good, the bad, and the unacceptable
    E Cross
    Health Services Research, School of Health and Related Research, University of Sheffield, Sheffield, S1 4DA, UK
    Emerg Med J 22:171-6. 2005
    ..We used qualitative methods to explore patients' perspectives on waiting times and other approaches to rationing and prioritisation...
  45. ncbi Meta-analysis of plethysmography and rheography in the diagnosis of deep vein thrombosis
    T Locker
    School of Health and Related Research, University of Sheffield, Sheffield, UK
    Emerg Med J 23:630-5. 2006
    ..Plethysmography and rheography techniques have been widely studied as diagnostic tests for deep vein thrombosis (DVT). This study aimed to systematically review the accuracy of these tests for diagnosing clinically suspected DVT...
  46. ncbi Is prehospital thrombolysis for acute myocardial infarction warranted in the urban setting? The case against
    D T Stephenson
    Accident and Emergency Department, Northern General Hospital, Sheffield, UK
    Emerg Med J 19:444-7; discussion 448. 2002
    ..In practice, a relatively small proportion of the total population receiving thrombolysis would receive PHT. Other strategies to reduce time to thrombolysis can benefit all patients and are likely to be more cost effective and safer...
  47. ncbi Magnesium sulphate in the treatment of acute asthma: evaluation of current practice in adult emergency departments
    L A Jones
    Emergency Department, Northern General Hospital, Herries Road, Sheffield S5 7AU, UK
    Emerg Med J 26:783-5. 2009
    ..A study was performed to assess what emergency physicians currently do in their management of acute asthma...
  48. ncbi Diagnostic value of CT for deep vein thrombosis: results of a systematic review and meta-analysis
    S M Thomas
    Academic Vascular Unit, University of Sheffield, Community Sciences Centre, Northern General Hospital, Sheffield, UK
    Clin Radiol 63:299-304. 2008
    ..To estimate the sensitivity and specificity of computed tomography (CT) for the diagnosis of deep vein thrombosis (DVT) in patients with suspected DVT and pulmonary embolus (PE)...
  49. ncbi The value of clinical features in the diagnosis of acute pulmonary embolism: systematic review and meta-analysis
    J West
    Medical Care Research Unit, University of Sheffield, Regent Court, 30 Regent Street, Sheffield, UK
    QJM 100:763-9. 2007
    ..Clinical assessment of patients with suspected pulmonary embolus (PE) is used to estimate the probability of PE and determine what (if any) diagnostic testing is required...
  50. ncbi Intravenous and nebulised magnesium sulphate for acute asthma: systematic review and meta-analysis
    S Mohammed
    Medical Care Research Unit, University of Sheffield, Regent Court, 30 Regent Street, Sheffield, S1 4DA, UK
    Emerg Med J 24:823-30. 2007
    ..To estimate the effect of intravenous and nebulised magnesium sulphate upon hospital admissions and pulmonary function in adults and children with acute asthma...
  51. ncbi Meta-analysis of ischemia-modified albumin to rule out acute coronary syndromes in the emergency department
    Frank Peacock
    Department of Emergency Medicine, The Cleveland Clinic Foundation, Cleveland, OH 44195, USA
    Am Heart J 152:253-62. 2006
    ..4% and 97.1% and, for longer-term outcomes, were 89.2% and 94.5%, respectively. CONCLUSIONS: A negative TPT of a nondiagnostic electrocardiogram, negative troponin, and negative IMA has a high NPV for excluding ACS in the ED...
  52. ncbi The accuracy of MRI in diagnosis of suspected deep vein thrombosis: systematic review and meta-analysis
    Fiona C Sampson
    Health Services Research Section, ScHARR, University of Sheffield, 30 Regent Street, Sheffield, S1 4DA, UK
    Eur Radiol 17:175-81. 2007
    ..MRI has equivalent sensitivity and specificity to ultrasound for diagnosis of DVT, but has been evaluated in many fewer studies, using a variety of different techniques...