Dr Atul Anand
Senior Clinical Research Fellow

- Centre for Cardiovascular Science
- HighSTEACS Research Group
Contact details
- Email: atul.anand@ed.ac.uk
Research summary
I am interested in the use of routine health and social care data to improve outcomes for older people. This is in line with my clinical work as a consultant geriatrician at the Royal Infirmary of Edinburgh. I am the clinical data lead for the DataLoch programme – a data repository of health and social care data in South East Scotland – that is improving access to research-ready datasets for the region. I am interested in understanding the impact of multimorbidity in our population, and refining the way we establish the presence of chronic health conditions from electronic health records. I am a co-investigator on the AIM-CISC Programme (AI in Multimorbidity: Clustering in Individuals, Space and Clinical Context) in which we are better defining multiple long-term conditions using datasets from across the UK. I am also interested in the use of routine electronic health records in hospital to identify frailty and rehabilitation needs. I have developed a tool that was used to triage patient care of frail older adults at Royal Infirmary of Edinburgh in response to the COVID-19 pandemic. We are currently developing a tool to predict rehabilitation need from hospital data available early in an admission. My PhD assessed the role of cardiac biomarkers in providing objective evidence of disease control in aortic stenosis, where many older patients have complex symptomology due to multimorbidity. I retain a wider interest in the impact of cardiovascular disease on older adults, and have been a co-investigator on the HighSTEACS and HiSTORIC cluster randomised trials. I am a passionate advocate for these methodologies to improve representation and inclusion of older people in clinical trials.
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High-Sensitivity Cardiac Troponin for Risk Assessment in Patients with Chronic Coronary Artery Disease
In:
Journal of the American College of Cardiology
Research output: Contribution to Journal › Article (Accepted/In press) -
Delirium is under-reported in discharge summaries and in hospital administrative systems: a systematic review
In:
Delirium
DOI: https://doi.org/10.56392/001c.74541
Research output: Contribution to Journal › Article (E-pub ahead of print) -
Machine learning for diagnosis of myocardial infarction using cardiac troponin concentrations
In:
Nature Medicine
DOI: https://doi.org/10.1038/s41591-023-02325-4
Research output: Contribution to Journal › Article (Published) -
Effectiveness of holistic assessment-based interventions in improving outcomes in adults with multiple long-term conditions and/or frailty: an umbrella review protocol
In:
JBI evidence synthesis
DOI: https://doi.org/10.11124/JBIES-22-00406
Research output: Contribution to Journal › Article (Published) -
Symptom onset and the early diagnosis of acute myocardial infarction
In:
European Heart Journal
Research output: Contribution to Journal › Article (Accepted/In press) -
Response to Letter Regarding Article, “Influence of age on the diagnosis of myocardial infarction”
In:
Circulation, vol. 147, pp. 1315-1316
DOI: https://doi.org/10.1161/CIRCULATIONAHA.123.064130
Research output: Contribution to Journal › Letter (Published) -
Sex differences in cardiac troponin trajectories over the life course
In:
Circulation
DOI: https://doi.org/10.1161/CIRCULATIONAHA.123.064386
Research output: Contribution to Journal › Article (Accepted/In press) -
Impact of MidMed1-8, a general practitioner-led modified comprehensive geriatric assessment for patients with frailty
(9 pages)
In:
Age and Ageing, vol. 52
DOI: https://doi.org/10.1093/ageing/afad006
Research output: Contribution to Journal › Article (Published) -
Sex-differences in oral anticoagulation therapy in patients hospitalized with atrial fibrillation: a nationwide cohort study
In:
Journal of the American Heart Association Cardiovascular and Cerebrovascular Disease
DOI: https://doi.org/10.1161/JAHA.122.027211
Research output: Contribution to Journal › Article (E-pub ahead of print) -
Impact of patient selection on performance of an early rule-out pathway for myocardial infarction: from research to the real world
In:
Circulation
DOI: https://doi.org/10.1161/CIRCULATIONAHA.122.062419
Research output: Contribution to Journal › Letter (Published) -
Improving Risk Stratification for Patients with Type 2 Myocardial Infarction
In:
Journal of the American College of Cardiology, vol. 81, pp. 156-168
DOI: https://doi.org/10.1016/j.jacc.2022.10.025
Research output: Contribution to Journal › Article (Published) -
Influence of age on the diagnosis of myocardial infarction
In:
Circulation, vol. 146, pp. 1135-1148
DOI: https://doi.org/10.1161/CIRCULATIONAHA.122.059994
Research output: Contribution to Journal › Article (Published) -
The prognostic and discriminatory utility of the Clinical Frailty Scale and modified frailty Index compared to age
In:
Geriatrics, vol. 7
DOI: https://doi.org/10.3390/geriatrics7050087
Research output: Contribution to Journal › Article (Published) -
Efficacy of telemedicine for the management of cardiovascular disease: a systematic review and meta-analysis
In:
The Lancet Digital Health
DOI: https://doi.org/10.1016/S2589-7500(22)00124-8
Research output: Contribution to Journal › Article (Published) -
Performance status: A key factor in predicting mortality in the first wave of COVID-19 in South-East Scotland
In:
Journal of the Royal College of Physicians of Edinburgh
DOI: https://doi.org/10.1177/14782715221120137
Research output: Contribution to Journal › Article (Published) -
Assessment of Oxygen Supply-Demand Imbalance and Outcomes Among Patients With Type 2 Myocardial Infarction: A Secondary Analysis of the High-STEACS Cluster Randomized Clinical Trial
In:
JAMA Network Open
DOI: https://doi.org/10.1001/jamanetworkopen.2022.20162
Research output: Contribution to Journal › Article (Published) -
Divergent confidence intervals among pre-specified analyses in the HiSTORIC stepped wedge trial: an exploratory post-hoc investigation
In:
PLoS ONE
DOI: https://doi.org/10.1371/journal.pone.0271027
Research output: Contribution to Journal › Article (Published) -
A literature review on the analysis of symptom-based clinical pathways: Time for a different approach?
In:
PLOS Digital Health
DOI: https://doi.org/10.1371/journal.pdig.0000042
Research output: Contribution to Journal › Review article (Published) -
Validation of the myocardial-ischaemic-injury-index machine learning algorithm to guide the diagnosis of myocardial infarction in a heterogenous population: a prespecified exploratory analysis
(9 pages)
In:
The Lancet Digital Health, pp. e300
DOI: https://doi.org/10.1016/S2589-7500(22)00025-5
Research output: Contribution to Journal › Article (E-pub ahead of print) -
Positive Scores on the 4AT Delirium Assessment Tool at Hospital Admission are Linked to Mortality, Length of Stay, and Home Time: Two-Centre Study of 82,770 Emergency Admissions
In:
Age and Ageing, vol. 51
DOI: https://doi.org/10.1093/ageing/afac051
Research output: Contribution to Journal › Article (Published)