scholarly journals A utilisation-focused evaluation of a clinical supervision programme for nurses and health visitors in one national health service trust

1999 ◽  
Vol 51 (4) ◽  
pp. 493-505 ◽  
Author(s):  
Anita Green
Keyword(s):  
National Health Service ◽  
Health Service ◽  
Clinical Supervision ◽  
National Health ◽  
Health Visitors ◽  
National Health Service Trust

scholarly journals Association of smoking status with hospitalisation for COVID-19 compared with other respiratory viruses a year previous: a case-control study at a single UK National Health Service trust

F1000Research ◽  
2021 ◽  
Vol 10 ◽  
pp. 846
Author(s):  
David Simons ◽  
Olga Perski ◽  
Lion Shahab ◽  
Jamie Brown ◽  
Robin Bailey
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Case Control Study ◽  
Smoking Status ◽  
Respiratory Viruses ◽  
Case Control ◽  
Outcome Variable ◽  
National Health Service Trust ◽  
Control Study

Background: It is unclear whether smoking increases the risk of COVID-19 hospitalisation. We first examined the association of smoking status with hospitalisation for COVID-19 compared with hospitalisation for other respiratory viral infections a year previous. Second, we examined the concordance between smoking status recorded on the electronic health record (EHR) and the contemporaneous medical notes. Methods: This case-control study enrolled adult patients (446 cases and 211 controls) at a single National Health Service trust in London, UK. The outcome variable was type of hospitalisation (COVID-19 vs. another respiratory virus a year previous). The exposure variable was smoking status (never/former/current smoker). Logistic regression analyses adjusted for age, sex, socioeconomic position and comorbidities were performed. The study protocol and analyses were pre-registered in April 2020 on the Open Science Framework. Results: Current smokers had lower odds of being hospitalised with COVID-19 compared with other respiratory viruses a year previous (ORadj=0.55, 95% CI=0.31-0.96, p=.04). There was no significant association among former smokers (ORadj=1.08, 95% CI=0.72-1.65, p=.70). Smoking status recorded on the EHR (compared with the contemporaneous medical notes) was incorrectly recorded for 168 (79.6%) controls (χ2(3)=256.5, p=<0.001) and 60 cases (13.5%) (χ2(3)=34.2, p=<0.001). Conclusions: In a single UK hospital trust, current smokers had reduced odds of being hospitalised with COVID-19 compared with other respiratory viruses a year previous, although it is unclear whether this association is causal. Targeted post-discharge recording of smoking status may account for the greater EHR-medical notes concordance observed in cases compared with controls.

Sign in / Sign up

Export Citation Format

Share Document