The British journal of general practice : the journal of the Royal College of General Practitioners
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Meta Analysis
Osteoporosis and fracture as risk factors for self-harm and suicide: a systematic review and meta-analysis.
Increase in presentations of self-harm to primary care, a risk factor of suicide, has led to a growing interest in identifying at-risk populations. ⋯ Patients with vertebral fractures, a risk potential factor for suicide, may benefit from clinical case finding for mood disorders with personalised primary care management. However, because of the limited number and quality of studies and mixed findings, further examination of these associations is warranted.
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Routinely collected clinical data based on electronic medical records could be used to define frailty. ⋯ This study showed that of four frailty measures based on electronic medical records in primary care only the CCI had an acceptable performance to assess frailty compared with frailty assessments done by professionals. In the youngest age groups diagnostic performance was acceptable for all measures. However, performance declined with older age and was least accurate in the oldest age group, thereby limiting the use in patients of most interest.