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Posts by Paul Dark

Worth reading carefully the UK's motivation to prioritise and commision this study (not investigtor-led) and then read it in context with associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/... Have fun ! πŸ˜ƒ

2 days ago 1 0 1 0
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Test shows when safe to stop antibiotics in sepsis patients A simple blood test can tell doctors when it is safe to stop antibiotics in patients recovering from sepsis, a review led by University of Manchester researchers has found.Β The review including 21 stu...

Clinical effectiveness of procalcitonin- or C-reactive protein-guided antibiotic discontinuation protocols for adult patients who are critically ill with sepsis: a rapid systematic review and meta-analysis

www.manchester.ac.uk/about/news/t...

3 months ago 3 0 0 0
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Cost-effectiveness of procalcitonin-guided antibiotic duration for hospitalized patients with sepsis - Critical Care Background Procalcitonin (PCT)-guided antibiotic duration for critically ill adults with sepsis may be clinically effective and safe. However, cost-effectiveness analyses using clinical trial data for...

Cost effectiveness of PCT-guided antibiotic duration explored link.springer.com/article/10.1...

4 months ago 3 0 0 0
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As @ics-updates.bsky.social updates #SOA25 congress draws to a close in Birmingham, Professor Paul Dark @darknatter.bsky.social of manchester.ac.uk emphasises the importance of this charity’s priority setting exercise in ensuring that patient needs are addressed by future sepsis research programmes

9 months ago 7 2 1 0
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Top 10 research priorities for sepsis research determined by patients, carers and clinicians Introduction Sepsis is a high burden syndrome associated with increased morbidity and mortality in both the acute and longer-term phases of illness. Multiple treatment uncertainties remain that requ.....

New from @jomcpeake.bsky.social @iculone.bsky.social @darknatter.bsky.social and colleagues from @sepsisresearch.bsky.social the full publication of the Sepsis Research priorities.
These set out the research priorities from established sepsis survivors, families, carers and healthcare professionals

10 months ago 13 7 1 0

We believe there is no such thing as a negative result - JAMA Editors agree, thankfully πŸ‘

11 months ago 1 0 1 0

More resesrch results from UK critical care πŸ‘

11 months ago 4 3 1 0

Please consider responding to this important survey following on from publication of the ADAPT-Sepsis trial

jamanetwork.com/journals/jam...

#IDsky #Medsky #ICUsky #Ansky πŸ§ͺ

1 year ago 2 3 0 0
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Have your say - an invitation to complete this important survey to inform UK implementation sespsis patient care research in PCT-guided antibiotic duration. www.qualtrics.manchester.ac.uk/jfe/preview/... @benmorton.bsky.social @ics-updates.bsky.social @criticalcarereviews.com

1 year ago 8 7 1 1
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Editor’s choice from the February 25 issue.

➑️ Camrelizumab With Chemotherapy in Patients With Early or Locally Advanced TNBC
➑️ Biomarker-Guided Antibiotic Duration for Hospitalized Patients With Suspected Sepsis
➑️ Essential Thrombocythemia: A Review; and more.

ja.ma/4hR14SI

#JAMA #MedSky

1 year ago 7 2 1 1

@davidaharrison.bsky.social ?

1 year ago 3 0 1 0
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ADAPT-Sepsis: PCT or CRP Guided Antibiotic Duration ADAPT-Sepsis: PCT or CRP-guided Antibiotic Duration for Patients with suspected Sepsis Dark et al. JAMA Dec 9 2024. doi:10.1001/jama.2024.26458 Clinical Question For critically ill adults with suspect...

www.thebottomline.org.uk/summaries/ad...

1 year ago 11 6 1 1
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The third trial result for #CCR25 in Titanic Belfast in June is the UK-Rox Trial

Evaluating the clinical & cost-effectiveness of a conservative approach to oxygen therapy for invasively ventilated adults in ICU

Register via the QR code or on the CCR website
criticalcarereviews.com/meetings/ccr25

1 year ago 18 9 0 0
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Aim for 2025

1 year ago 6 0 0 0

SchΓΆni Wiehnachte πŸ‡¨πŸ‡­ πŸŽ„ β™₯️ ❄️

1 year ago 7 0 1 0

Detailed trial process evaluation coming soon - at least what was possible during the complexity of an unexpected global pandemic and the aftershock.

1 year ago 4 1 0 0

Kathy announced it day 2 - good move!

1 year ago 2 0 0 0
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Thanks - I had dark hair at the start of this!

1 year ago 2 0 0 0

This is the very first part of a programme. You're will hear more about our trial process evaluation and health economic analysis early in 2025 - then a good go at bringing our data into the pool of open label trial results - remember our work also included intervention concealment.

1 year ago 1 1 0 0

Thanks Nick. Our motivation was to address a tight brief from the public funded, government run UK research sector, with mandated 3 arm rct including standard care and one of each, daily pct or crp discontinuation protocols. We wanted to add more quality to the evidence and, of course, MA in time.

1 year ago 2 1 1 0

Thanks Ben, explanation - data linkage with NHS was a nightmare, got this from our team on the way to the conference - you couldn't make it up. We'll find a way to disseminate somehow - but the 90-all cause is in the secondary outcomes.

1 year ago 5 0 1 0

@criticalcarereviews.com
Congratulations to the newly announced PROFESSOR Rob MacSweeney. Richly deserved for a modest person who works tirelessly in support of improving care of the critically ill through world leadership and creativity for clinical research dissemination with real impact. πŸ‘ Prof.

1 year ago 52 10 4 1

... and also meet our funder's pre-specified brief of testing two biomarker protocols in a 3 arm rct.

1 year ago 3 0 0 0

Agree Lars, it's going to be how we get to understand all of this to progress care. I would also say that there are a number of open label pct trials out there that will need to be considered as a body of work - our trial was an attempt to add to knowledge with an intervention concealment strategy

1 year ago 4 2 1 0
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Due to persistent challenges with data linkage for trials in the UK, we didn't get this KM plot into the final online manuscript, but we were able to show @CCR Down Under yesterday . The end of the 90-day follow-up was in September 2024.

1 year ago 5 3 0 0
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See above Jack

1 year ago 3 0 0 0

It's a superiority trial with sample size estimate to detect a 1 day reduction in total antibiotic duration to day 28 for intervention(s) vs control. We were able to monitor safety (28-day all cause mortality)for this sample size with the stated NI margin. + 90-day all cause mortality was reported.

1 year ago 6 2 1 0
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Chief Investigator @darknatter.bsky.social shares insights from the #ADAPTsepsistrial at #CCRdownunder

@adaptsepsis @jama.com

1 year ago 18 7 0 0

Congratulations @darknatter.bsky.social and team!

1 year ago 4 1 0 0

Absolutely fantastic work from @darknatter.bsky.social and team. Looking forward to a deep dive into the paper!
#ccrdownunder24

1 year ago 6 1 1 0