%0 Journal Article %J Br J Gen Pract %D 2010 %T Validity of British Thoracic Society guidance (the CRB-65 rule) for predicting the severity of pneumonia in general practice: systematic review and meta-analysis %A McNally, Maggie %A Curtain, James %A O'Brien, K %A Dimitrov, B %A Fahey, T %K Family Practice %K Great Britain %K Humans %K Pneumonia %K Prognosis %K Risk Assessment %K Severity of Illness Index %K Validation Studies as Topic %X BACKGROUND: The CRB-65 score is a clinical prediction rule that grades the severity of community-acquired pneumonia in terms of 30-day mortality. AIM: The study sought to validate CRB-65 and assess its clinical value in community and hospital settings. DESIGN OF STUDY: Systematic review and meta-analysis of validation studies of CRB-65. METHOD: Medline (1966 to June 2009), Embase (1988 to November 2008), British Nursing Index (BNI) and PsychINFO were searched, using a diagnostic accuracy search filter combined with subject-specific terms. The derived (index) rule was used as a predictive model and applied to all validation studies. Comparison was made between the observed and predicted number of deaths stratified by risk group (low, intermediate, and high) and setting of care (community or hospital). Pooled results are presented as risk ratios (RRs) in terms of over-prediction (RR>1) or under-prediction (RR<1) of 30-day mortality. RESULTS: Fourteen validation studies totalling 397 875 patients are included. CRB-65 performs well in hospitalised patients, particularly in those classified as intermediate (RR 0.91, 95% confidence interval [CI] = 0.71 to 1.17) or high risk (RR 1.01, 95% CI = 0.87 to 1.16). In community settings, CRB-65 over-predicts the probability of 30-day mortality across all strata of predicted risk, low (RR 9.41, 95% CI = 1.75 to 50.66), intermediate (RR 4.84, 95% CI = 2.61 to 8.69), and high (RR 1.58, 95% CI = 0.59 to 4.19). CONCLUSION: CRB-65 performs well in stratifying severity of pneumonia and resultant 30-day mortality in hospital settings. In community settings, CRB-65 appears to over-predict the probability of 30-day mortality across all strata of predicted risk. Caution is needed when applying CRB-65 to patients in general practice. %B Br J Gen Pract %V 60 %P e423-33 %8 2010 Oct %G eng %U http://bjgp.org/content/60/579/e423 %N 579 %R 10.3399/bjgp10X532422 %0 Journal Article %J BMC Pregnancy and Childbirth %D 2015 %T Prevalence of prescribing in pregnancy using the Irish primary care research network: a pilot study %A Dillon, P %A O'Brien, K %A McDonnell, R %A Donnelly-Swift, E %A Galvin, R %A Roche, A %A Cronin, K %A Walsh, DR %A Schelten, R %A Smith, SM %A Fahey, T %K FDA pregnancy-risk categories %K Medication use %K Pregnancy %K Prescribing %X Abstract Background: To establish the prevalence and patterns of prescribing to pregnant women in an Irish primary care setting. Methods: We reviewed electronic healthcare records routinely collected in primary care, of pregnant women attending nine Dublin-based General Practices affiliated to the Irish Primary Care Research Network (IPCRN) for antenatal care between January 2007 and October 2013 (n = 2,361 pregnancies). Results: Excluding folic acid, 46.8% (n = 1,104) of pregnant women were prescribed at least one medication. Amoxicillin (11.1%, n = 263) and co-amoxiclav (8.0%, n = 190) were the most commonly prescribed medication followed by topical clotrimazole (4.9%, n = 117), salbutamol inhalers (4.1%, n = 96) and paracetamol (4.0%, n = 95). General Medical Services (GMS) patients were more likely to receive a prescription than private patients (OR 2.81; 95%CI (2.28, 3.47)). We applied the US FDA pregnancy-risk categories as a proxy measure of prescribing appropriateness, with FDA Category D and X medications considered inappropriate. FDA Category D drugs were prescribed in 5.9% (n = 140) of pregnancies. FDA Category X drugs were prescribed in 4.9% (n = 116) of pregnancies but after exclusion of oral contraceptives, progestogens, infertility treatments Category X medications were prescribed in 0.6% (n = 13) of pregnancies. After the initial antenatal consultation the prescribing prevalence of FDA Category D medications reduced to 4.7% (n = 110) and Category X to 3.1% (n = 72). Conclusions: The overall prevalence of prescribing to pregnant women in our cohort is low compared to studies internationally, however similar levels of prescribing for FDA Category D and X were found. Following the initial antenatal consultation levels of prescribing of the FDA Category D and X medications reduced, however there is potential to further reduce their use in early pregnancy. The IPCRN database has provided valuable information on the current practice of antenatal prescribing within this pilot group of practices however it is limited by the absence of morbidity and pregnancy outcome data. %B BMC Pregnancy and Childbirth %V 15 %8 03/15 %G eng %U http://www.biomedcentral.com/1471-2393/15/67/abstract %N 67 %9 Published Journal Article %R 10.1186/s12884-015-0489-0 %0 Journal Article %J BMC Med %D 2011 %T Predicting streptococcal pharyngitis in adults in primary care: a systematic review of the diagnostic accuracy of symptoms and signs and validation of the Centor score %A Aalbers, Jolien %A O'Brien, K %A Chan, Wai-Sun %A Falk, G %A Teljeur, C %A Dimitrov, B %A Fahey, T %K Adult %K Diagnosis, Differential %K Humans %K Pharyngitis %K Predictive Value of Tests %K Primary Health Care %K Streptococcal Infections %K Streptococcus pyogenes %X BACKGROUND: Stratifying patients with a sore throat into the probability of having an underlying bacterial or viral cause may be helpful in targeting antibiotic treatment. We sought to assess the diagnostic accuracy of signs and symptoms and validate a clinical prediction rule (CPR), the Centor score, for predicting group A β-haemolytic streptococcal (GABHS) pharyngitis in adults (> 14 years of age) presenting with sore throat symptoms. METHODS: A systematic literature search was performed up to July 2010. Studies that assessed the diagnostic accuracy of signs and symptoms and/or validated the Centor score were included. For the analysis of the diagnostic accuracy of signs and symptoms and the Centor score, studies were combined using a bivariate random effects model, while for the calibration analysis of the Centor score, a random effects model was used. RESULTS: A total of 21 studies incorporating 4,839 patients were included in the meta-analysis on diagnostic accuracy of signs and symptoms. The results were heterogeneous and suggest that individual signs and symptoms generate only small shifts in post-test probability (range positive likelihood ratio (+LR) 1.45-2.33, -LR 0.54-0.72). As a decision rule for considering antibiotic prescribing (score ≥ 3), the Centor score has reasonable specificity (0.82, 95% CI 0.72 to 0.88) and a post-test probability of 12% to 40% based on a prior prevalence of 5% to 20%. Pooled calibration shows no significant difference between the numbers of patients predicted and observed to have GABHS pharyngitis across strata of Centor score (0-1 risk ratio (RR) 0.72, 95% CI 0.49 to 1.06; 2-3 RR 0.93, 95% CI 0.73 to 1.17; 4 RR 1.14, 95% CI 0.95 to 1.37). CONCLUSIONS: Individual signs and symptoms are not powerful enough to discriminate GABHS pharyngitis from other types of sore throat. The Centor score is a well calibrated CPR for estimating the probability of GABHS pharyngitis. The Centor score can enhance appropriate prescribing of antibiotics, but should be used with caution in low prevalence settings of GABHS pharyngitis such as primary care. %B BMC Med %V 9 %P 67 %8 2011 %G eng %U http://www.biomedcentral.com/1741-7015/9/67 %R 10.1186/1741-7015-9-67 %0 Journal Article %J J Clin Epidemiol %D 2011 %T Optimized retrieval of primary care clinical prediction rules from MEDLINE to establish a Web-based register %A Keogh, C %A Wallace, E %A O'Brien, K %A Murphy, Paul J %A Teljeur, C %A McGrath, Brid %A Smith, SM %A Niall Doherty %A Dimitrov, B %A Fahey, T %K Abstracting and Indexing as Topic %K Databases, Bibliographic %K Humans %K Information Storage and Retrieval %K MEDLINE %K Primary Health Care %K Sensitivity and Specificity %K Subject Headings %X OBJECTIVES: Identifying clinical prediction rules (CPRs) for primary care from electronic databases is difficult. This study aims to identify a search filter to optimize retrieval of these to establish a register of CPRs for the Cochrane Primary Health Care field. STUDY DESIGN AND SETTING: Thirty primary care journals were manually searched for CPRs. This was compared with electronic search filters using alternative methodologies: (1) textword searching; (2) proximity searching; (3) inclusion terms using specific phrases and truncation; (4) exclusion terms; and (5) combinations of methodologies. RESULTS: We manually searched 6,344 articles, revealing 41 CPRs. Across the 45 search filters, sensitivities ranged from 12% to 98%, whereas specificities ranged from 43% to 100%. There was generally a trade-off between the sensitivity and specificity of each filter (i.e., the number of CPRs and total number of articles retrieved). Combining textword searching with the inclusion terms (using specific phrases) resulted in the highest sensitivity (98%) but lower specificity (59%) than other methods. The associated precision (2%) and accuracy (60%) were also low. CONCLUSION: The novel use of combining textword searching with inclusion terms was considered the most appropriate for updating a register of primary care CPRs where sensitivity has to be optimized. %B J Clin Epidemiol %V 64 %P 848-60 %8 2011 Aug %G eng %U http://www.sciencedirect.com/science/article/pii/S0895435610004233 %N 8 %R 10.1016/j.jclinepi.2010.11.011 %0 Journal Article %J Drug and Alcohol Dependence %D 2015 %T Health, perceived quality of life and health services use among homeless illicit drug users %A O'Brien, K %A Schuttke, A %A Alhakeem, E %A Donnelly-Swift, E %A Keogh, C %A Caroll, A %A O Sullivan, K %A Galvin, R %A Fahey, T %K Homeless; Drug user; Mental health; Perceived quality of life; Health service use %X Introduction Drug misuse has been identified as a significant problem in homeless populations. This study examines aspects of physical and mental health, perceived quality of life and health service use among homeless illicit drug users and compares these to non-drug users. Methods Participants were recruited through health clinics across Dublin. A questionnaire assessed participants’ drug use, health and well-being, health behaviours and use of health services. Descriptive statistics are presented for the entire cohort and drug users separately. Logistic regression analysis was used to examine the relationship between drug use and (i) multimorbidity, (ii) anxiety and/or depression, (iii) perceived quality of life and (iv) use of health services. Results Of 105 participants recruited, 35 (33%) were current drug users. Current and previous drug users were significantly more likely to have multimorbidity than those who had never taken drugs (OR 4.86, 95% CI 1.00–23.66). There was no significant difference between drug users and non-drug users in the prevalence of anxiety and/or depression. Drug users were five times more likely than non-drug users to have a low perceived quality of life (OR 5.2, 95% CI 1.7–16.0). Health service utilization was high, although some services were used less by drug users (e.g., dentist and psychiatric outpatient services) while others were used more often (e.g., phoneline services and day care centres). Conclusion This study highlights the high levels of drug use in this population and the negative impact of drug use on health and perceived quality of life of a homeless population in Dublin. %B Drug and Alcohol Dependence %V 154 %8 2015 %G eng %U http://www.sciencedirect.com/science/article/pii/S0376871615003324 %& 139–14 %R 10.1016/j.drugalcdep.2015.06.033 %0 Journal Article %J BMC Health Services Research %D 2015 %T Health and use of health services of people who are homeless and at risk of homelessness who receive free primary health care in Dublin %A Keogh, C %A O'Brien, K %A Hoban, A %A O'Carroll, A %A Fahey, T %X Background Homeless populations experience poorer physical and mental health, and more barriers to accessing adequate healthcare. This study investigates the health of this population, following the provision of a free to access primary care service for homeless people in Dublin (Safetynet). The health of this group will be compared to previous studies on homelessness conducted in Dublin prior to the establishment of this service (in 1997 and 2005). Methods Participants were recruited through Safetynet clinics. A 133-item questionnaire was administered to determine participants’ physical and mental well-being, use of health services and healthcare needs. Prescription data was extracted from participants’ electronic health records. Results A total of 105 participants were recruited. The majority were < 45 years of age (69%), male (75%), single (52%), Irish (74%) and had children (52%). Multimorbidity was common; with 5.3 ± 2.7 (mean ± SD) physical conditions reported per person. A large proportion of participants had at some point received a formal diagnosis of a mental health condition (70%; 73/105), including depression (50%; 52/105), addiction disorder (39%), anxiety (36%; 38/105), schizophrenia (13%; 14/105) and bipolar disorder (6%; 6/105). With regards to illicit drug use, 60% (63/105) of participants reported ever using drugs, while 33% (35/105) reported being active drug users. Based on AUDIT C criteria, 53% had an alcohol problem. Compared to previous studies, participants reported more positive ratings of health (70% vs. 57% in 1997 and 46% in 2005). The proportion of participants on one or more prescription medication was higher than in previous studies (81% vs. 32% in 1997 and 49% in 2005) and there was a decrease in attendance at outpatients departments (17% vs. 27% in 2005) and a trend towards a decrease in attendance at Accident and Emergency departments (A & E) (29% vs. 37% in 2005). Conclusions This vulnerable population has many physical and mental health problems. Use of drugs, alcohol and smoking is common. Following the establishment of Safetynet, self-reported health was rated more positively, there was also a decrease in the use of A & E and outpatient services and an increase in prescription medicines. %B BMC Health Services Research %V 15 %8 02/15 %G eng %U http://www.biomedcentral.com/1472-6963/15/58/abstract %N 58 %9 Published Journal Article %R 10.1186/s12913-015-0716-4 %0 Journal Article %J Ann of Fam Med %D 2014 %T Developing an International Register of Clinical Prediction Rules for Use in Primary Care: A Descriptive Analysis %A Keogh, C %A Wallace, E %A O'Brien, K %A Galvin, R %A Smith, SM %A Lewis, Cliona %A Cummins, Anthony %A Cousins, G %A Dimitrov, B %A Fahey, T %K clinical decision support systems %K clinical prediction rule %K decision aid %K decision making %K primary care %K score card %X Abstract PURPOSE We describe the methodology used to create a register of clinical prediction rules relevant to primary care. We also summarize the rules included in the register according to various characteristics. METHODS To identify relevant articles, we searched the MEDLINE database (PubMed) for the years 1980 to 2009 and supplemented the results with searches of secondary sources (books on clinical prediction rules) and personal resources (eg, experts in the field). The rules described in relevant articles were classified according to their clinical domain, the stage of development, and the clinical setting in which they were studied. RESULTS Our search identified clinical prediction rules reported between 1965 and 2009. The largest share of rules (37.2%) were retrieved from PubMed. The number of published rules increased substantially over the study decades. We included 745 articles in the register; many contained more than 1 clinical prediction rule study (eg, both a derivation study and a validation study), resulting in 989 individual studies. In all, 434 unique rules had gone through derivation; however, only 54.8% had been validated and merely 2.8% had undergone analysis of their impact on either the process or outcome of clinical care. The rules most commonly pertained to cardiovascular disease, respiratory, and musculoskeletal conditions. They had most often been studied in the primary care or emergency department settings. CONCLUSIONS Many clinical prediction rules have been derived, but only about half have been validated and few have been assessed for clinical impact. This lack of thorough evaluation for many rules makes it difficult to retrieve and identify those that are ready for use at the point of patient care. We plan to develop an international web-based register of clinical prediction rules and computer-based clinical decision support systems. %B Ann of Fam Med %V 12 %P 359-366 %8 07/2014 %G eng %U http://www.ncbi.nlm.nih.gov/pubmed/25024245 %N 4 %9 Published Article Journal %& 359 %R 10.1370/afm.1640 %0 Journal Article %J BMC Public Health %D 2009 %T Comparison of self-reported health & healthcare utilisation between asylum seekers and refugees: an observational study %A Toar, Magzoub %A O'Brien, K %A Fahey, T %K Adult %K Aged %K Cross-Sectional Studies %K Female %K Health Services %K Humans %K Male %K Middle Aged %K Observation %K Patient Acceptance of Health Care %K Psychometrics %K Questionnaires %K Refugees %K Stress Disorders, Post-Traumatic %X BACKGROUND: Adult refugees and asylum seekers living in Western countries experience a high prevalence of mental health problems, especially post traumatic stress disorder (PTSD), depression and anxiety. This study compares and contrasts the prevalence of health problems, and potential risk factors as well as the utilisation of health services by asylum seekers and refugees in the Irish context. METHODS: Cross sectional study using validated self reported health status questionnaires of adult asylum seekers (n = 60) and refugees (n = 28) from 30 countries, living in Ireland. Outcome measures included: general health status (SF-36), presence of PTSD symptoms and anxiety/depression symptoms. Data on chronic conditions and pre or post migration stressors are also reported. The two groups are compared for utilisation of the health care system and the use of over the counter medications. RESULTS: Asylum seekers were significantly more likely than refugees to report symptoms of PTSD (OR 6.3, 95% CI: 2.2-17.9) and depression/anxiety (OR 5.8, 95% CI: 2.2-15.4), while no significant difference was found in self-reported general health. When adjusted by multivariable regression, the presence of more than one chronic disease (OR 4.0, 95%CI: 1.3-12.7; OR 3.4, 95% CI: 1.2-10.1), high levels of pre migration stressors (OR 3.6, 95% CI: 1.1-11.9; OR 3.3, 95% CI: 1.0-10.4) or post migration stressors (OR 17.3, 95% CI: 4.9-60.8; OR 3.9, 95% CI: 1.2-12.3) were independent predictors of self reported PTSD or depression/anxiety symptoms respectively, however, residence status was no longer significantly associated with PTSD or depression/anxiety. Residence status may act as a marker for other explanatory variables; our results show it has a strong relationship with post migration stressors (chi2 = 19.74, df = 1, P < 0.001).In terms of health care utilisation, asylum seekers use GP services more often than refugees, while no significant difference was found between these groups for use of dentists, medication, hospitalisation or mental health services. CONCLUSION: Asylum seekers have a higher level of self reported PTSD and depression/anxiety symptoms compared to refugees. However, residence status appears to act as a marker for post migration stressors. Compared to refugees, asylum seekers utilise GP services more often, but not mental health services. %B BMC Public Health %V 9 %P 214 %8 2009 %G eng %R 10.1186/1471-2458-9-214 %0 Journal Article %J British Journal of General Practice %D 2014 %T Clinical prediction rules in practice:review of clinical guidelines and survey of GPs %A Plüddemann, A %A Wallace, E %A Bankhead, Clare %A Keogh, C %A Van der Windt, D %A Lasserson, D %A Galvin, R %A Moschetti, I %A Kearley, K %A O'Brien, K %A Sanders, S %A Mallett, S %A Malanda, U %A Thompson, M %A Fahey, T %A Stevens, R %K clinical guidelines %K clinical prediction rules %K survey %X Abstract Background The publication of clinical prediction rules (CPRs) studies has risen significantly. It is unclear if this reflects increasing usage of these tools in clinical practice or how this may vary across clinical areas. Aim To review clinical guidelines in selected areas and survey GPs in order to explore CPR usefulness in the opinion of experts and use at the point of care. Design and setting A review of clinical guidelines and survey of UK GPs. Method Clinical guidelines in eight clinical domains with published CPRs were reviewed for recommendations to use CPRs including primary prevention of cardiovascular disease, transient ischaemic attack (TIA) and stroke, diabetes mellitus, fracture risk assessment in osteoporosis, lower limb fractures, breast cancer, depression, and acute infections in childhood. An online survey of 401 UK GPs was also conducted. Results Guideline review: Of 7637 records screened by title and/or abstract, 243 clinical guidelines met inclusion criteria. CPRs were most commonly recommended in guidelines regarding primary prevention of cardiovascular disease (67%) and depression (67%). There was little consensus across various clinical guidelines as to which CPR to use preferentially. Survey: Of 401 responders to the GP survey, most were aware of and applied named CPRs in the clinical areas of cardiovascular disease and depression. The commonest reasons for using CPRs were to guide management and conform to local policy requirements. Conclusion GPs use CPRs to guide management but also to comply with local policy requirements. Future research could focus on which clinical areas clinicians would most benefit from CPRs and promoting the use of robust, externally validated CPRs. %B British Journal of General Practice %V 64 %P 233-243 %8 01/2014 %G eng %U http://bjgp.org/content/64/621/e233.full %N 621 %9 Published Journal Article %& 233 %R 10.3399/bjgp14X677860 %0 Journal Article %J BMC Med %D 2011 %T The Alvarado score for predicting acute appendicitis: a systematic review %A Ohle, Robert %A O'Reilly, Fran %A O'Brien, K %A Fahey, T %A Dimitrov, B %K Appendicitis %K Humans %K Predictive Value of Tests %K Severity of Illness Index %X BACKGROUND: The Alvarado score can be used to stratify patients with symptoms of suspected appendicitis; the validity of the score in certain patient groups and at different cut points is still unclear. The aim of this study was to assess the discrimination (diagnostic accuracy) and calibration performance of the Alvarado score. METHODS: A systematic search of validation studies in Medline, Embase, DARE and The Cochrane library was performed up to April 2011. We assessed the diagnostic accuracy of the score at the two cut-off points: score of 5 (1 to 4 vs. 5 to 10) and score of 7 (1 to 6 vs. 7 to 10). Calibration was analysed across low (1 to 4), intermediate (5 to 6) and high (7 to 10) risk strata. The analysis focused on three sub-groups: men, women and children. RESULTS: Forty-two studies were included in the review. In terms of diagnostic accuracy, the cut-point of 5 was good at 'ruling out' admission for appendicitis (sensitivity 99% overall, 96% men, 99% woman, 99% children). At the cut-point of 7, recommended for 'ruling in' appendicitis and progression to surgery, the score performed poorly in each subgroup (specificity overall 81%, men 57%, woman 73%, children 76%). The Alvarado score is well calibrated in men across all risk strata (low RR 1.06, 95% CI 0.87 to 1.28; intermediate 1.09, 0.86 to 1.37 and high 1.02, 0.97 to 1.08). The score over-predicts the probability of appendicitis in children in the intermediate and high risk groups and in women across all risk strata. CONCLUSIONS: The Alvarado score is a useful diagnostic 'rule out' score at a cut point of 5 for all patient groups. The score is well calibrated in men, inconsistent in children and over-predicts the probability of appendicitis in women across all strata of risk. %B BMC Med %V 9 %P 139 %8 2011 %G eng %U http://www.biomedcentral.com/1741-7015/9/139 %R 10.1186/1741-7015-9-139 %0 Generic %D 2009 %T A systematic review of the diagnostic accuracy of signs and symptoms and the validation of the Centor score in predicting group A haemolytic streptococcal pharyngitis in adults in primary care. 12th Annual Scientific Meeting of the Association of Universi %A O'Brien, K %A Aalbers, Jolien %A Chan, Wai-Sun %A Dimitrov, B %A Falk, G %A Fahey, T %G eng %U http://www.hrbcentreprimarycare.ie/ppt/AalbersJ/Strep%20throat%20poster%20audgpi%20v2.ppt %0 Generic %D 2014 %T Prevalence of Medication Use in Pregnancy Using the Irish Primary Care Research Network Database. RCSI Research Day 20th March 2014 %A Roche, A %A Walsh, DR %A Cronin, K %A Schelten, R %A McDonnell, R %A O'Brien, K %A Boland, F %A Swift-Donnelly, Erica %A Smith, SM %A Fahey, T %G eng %0 Generic %D 2015 %T Patient preferences for breast cancer referral: Development and pilot study. RCSI Research Day. March 2015 %A Aherne, Emma %A O'Brien, K %A Walsh, A %A McDonnell, R %A Joyce, D %A Galvin, R %A Fahey, T %G eng %0 Generic %D 2014 %T Patient preferences for breast cancer referral: Development and pilot study. ICHAMS RCSI Dublin October 2014. Awarded 1st Prize %A Aherne, Emma %A O'Brien, K %A Quinlan, A %A McDonnell, R %A Hardy, C %A Galvin, R %A Fahey, T %G eng %0 Generic %D 2012 %T Health and use of health services of a homeless population in Dublin: A comparison study. SAPC Conference 2012, 2-4 October 2012, Glasgow, Scotland %A O'Connor, D %A Keogh, C %A Hoban, A %A Cronin, M %A O'Brien, K %A O'Carroll, A %A Robinson, J %A Fahey, T %G eng %0 Generic %D 2011 %T Health and Healthcare needs of the homeless in Dublin. Research Summer School, RCSI, October 2011, Royal College of Surgeons, Dublin %A Cronin, M %A Hoban, A %A O'Brien, K %A Keogh, C %A Robinson, J %A O'Carroll, A %A Fahey, T %G eng %U http://hrbcentreprimarycare.ie/ppt/Hoban_AUDGPI_final%20poster.pdf %0 Generic %D 2012 %T Health and healthcare needs of a homeless population in Dublin. RCSI Research Day, 25 April 2012, Dublin %A Hoban, A %A Cronin, M %A Keogh, C %A O'Brien, K %A O'Connor, C %A O'Carroll, A %A Robinson, J %A Fahey, T %G eng %U http://hrbcentreprimarycare.ie/ppt/Hoban_AUDGPI_final%20poster.pdf %0 Generic %D 2012 %T Health and healthcare needs of a homeless population in Dublin. AUDGPI 2012, 9 March 2012 Dublin %A Hoban, A %A Cronin, M %A Keogh, C %A O'Brien, K %A O'Connor, C %A O'Carroll, A %A Robinson, J %A Fahey, T %G eng %U http://hrbcentreprimarycare.ie/ppt/Hoban_AUDGPI_final%20poster.pdf %0 Generic %D 2013 %T Developing a web-based international register of clinical prediction rules for primary care SAPC ASM, University of Nottingham, 3 – 5 July 2013, Nottingham, UK %A Keogh, C %A Wallace, E %A O'Brien, K %A Galvin, R %A Smith, SM %A Fahey, T %G eng %0 Generic %D 2016 %T Cochrane review: Antiviral agents for infectious mononucleosis (glandular fever). SAPC 6th -8th of July 2016 Dublin Castle/RCSI. %A De Paor, M %A O'Brien, K %A Fahey, T %A Smith, SM %G eng %0 Generic %D 2014 %T Antibiotic prescribing patterns of Irish general practitioners in the international context: preliminary results from a pilot study RCSI Research Day 20 March 2014 %A Schelten, K %A Cronin, K %A Walsh, DR %A Roche, A %A McAteer, C %A O'Brien, K %A McDonnell, R %A Smith, SM %A Fahey, T %G eng %0 Generic %D 2010 %T Systematic review of validation studies of the Alvarado Clinical Prediction Rule for Appendicitis. 39th Annual Scientific Meeting of the SAPC, 7- 9 July 2010, University of East Anglia, Norwich, UK %A Cummins, Anthony %A Ohle, Robert %A O'Reilly, Fran %A O'Brien, K %A Dimitrov, B %A Fahey, T %G eng %U http://www.hrbcentreprimarycare.ie/ppt/AlvaradoSAPC2010.pptx %0 Generic %D 2009 %T A Systematic Review of the diagnostic accuracy of signs and symptoms and the validation of the Centor score in predicting group A β-haemolytic streptococcal pharyngitis in adults in primary care. SAPC Conference, 8-10 July 2009, University of Dundee, UK %A O'Brien, K %A Aalbers, Jolien %A Chan, Wai-Sun %A Dimitrov, B %A Falk, G %A Teljeur, C %A Fahey, T %G eng %U http://www.hrbcentreprimarycare.ie/ppt/AalbersJ/Presentation%20Sore%20Throat%2015%20Jan.ppt %0 Generic %D 2011 %T A Systematic Review and Meta-Analysis of the Alvarado Score in Predicting Acute Appendicitis. SSPC National Annual Conference, 19-20 April 2011, Scotland %A O'Brien, K %G eng %U http://www.hrbcentreprimarycare.ie/ppt/KirstyOBrien-SSPC%20conference.ppt %0 Generic %D 2013 %T Quality of Prescribing Indicators for Children in Primary Care. SAPC ASM, University of Nottingham, 3 – 5 July 2013, Nottingham, UK %A O'Brien, K %A Cooper, J %A Boland, F %A Cummins, Anthony %A Redmond, P %A Smith, SM %A Hughes, CM %A Fahey, T %G eng %0 Generic %D 2015 %T Prevalence of prescribing in pregnancy using the Irish Primary Care Research Network: a pilot study . AUDGPI Conference, Belfast March 2015 %A O'Brien, K %G eng %0 Generic %D 2009 %T Predicting severity of pneumonia in general practice: a meta-analysis of the CRB-65 criteria. SAPC Conference, 8-10 July 2009, University of Dundee & St. Andrews on behalf of the Scottish School of Primary Care, Dundee, UK %A McNally, Maggie %A Curtain, James %A O'Brien, K %A Dimitrov, B %A Fahey, T %G eng %U http://www.hrbcentreprimarycare.ie/ppt/Maggie/SAPC%20Presentation.ppt %0 Generic %D 2009 %T Predicting severity of pneumonia in general practice: a meta-analysis of the CRB-65 criteria. 12th Annual Scientific Meeting of the Association of University Departments of General Practice in Ireland, 27 February 2009 RCSI, Dublin, Ireland %A McNally, Maggie %A Curtain, James %A O'Brien, K %A Dimitrov, B %A Fahey, T %G eng %U http://www.hrbcentreprimarycare.ie/ppt/Maggie/SAPC%20Presentation.ppt %0 Generic %D 2014 %T Health, Medication and Use of Health Services in a Homeless Population. SAPC July 9-11 2014 Edinburgh %A O'Brien, K %A Keogh, C %A Hoban, A %A O'Carrol, A %A Fahey, T %G eng %0 Generic %D 2012 %T Health and use of health services of a homeless population in Dublin: a comparison study. Accepted for presentation at the Jacqueline Horgan Bronze Medal RCPI Conference. 15th November 2012, Dublin %A Keogh, C %A Hoban, A %A O'Brien, K %A O'Carroll, A %A Robinson, J %A Fahey, T %G eng %0 Generic %D 2012 %T Developing a Web-based International Register of Clinical Prediction Rules for Primary Care. North American Primary Care Research Group (NAPCRG), 1-5 December 2012, New Orleans, Louisiana, USA %A Smith, SM %A Keogh, C %A Wallace, E %A Galvin, R %A O'Brien, K %A Fahey, T %G eng %U http://www.hrbcentreprimarycare.ie/ppt/International register for primary care CPRs.pptx %0 Generic %D 2009 %T Comparison of self reported health and healthcare utilisation between asylum seekers and refugees: an observational study. 12th ASM, AUDGPI , 27 February 2009 RCSI, Dublin %A Toar, Magzoub %A O'Brien, K %A Fahey, T %G eng %U http://www.hrbcentreprimarycare.ie/ppt/magzoub/Presentation_27_Feb.2009.ppt %0 Generic %D 2010 %T Systematic review of the diagnostic accuracy of signs & symptoms and validation of the Centor Score in predicting group A b-haemolytic streptococcal pharyngitis in adults in Primary Care. International Forum for Diagnostic, HRB Centre, Dublin %A O'Brien, K %A Aalbers, Jolien %A Chan, Wai-Sun %A Dimitrov, B %A Teljeur, C %A Falk, G %A Fahey, T %G eng %U http://www.hrbcentreprimarycare.ie/default.aspx?ID=124 %0 Generic %D 2010 %T A Systematic Review of the Alvarado Score in predicting acute Appendicitis. Clinical Prediction Rules – International Forum for Diagnostic and Prognostic Strategies in Primary Care, 4 June 2010, HRB Centre for Primary Care Research, Dublin %A Ohle, Robert %A O'Reilly, Fran %A O'Brien, K %A Dimitrov, B %A Fahey, T %G eng %U http://www.hrbcentreprimarycare.ie/default.aspx?ID=124 %0 Generic %D 2010 %T International Register and Clinical Domains in Primary Care. Clinical Prediction Rules – International Forum for Diagnostic and Prognostic Strategies in Primary Care, 4 June 2010, HRB Centre for Primary Care Research, Dublin %A Keogh, C %A Wallace, E %A O'Brien, K %A Murphy, Paul J %A Teljeur, C %A McGrath, Brid %A Smith, SM %A Niall Doherty %A Dimitrov, B %A Fahey, T %G eng %U http://www.hrbcentreprimarycare.ie/default.aspx?ID=124