{"id":1937,"date":"2025-08-28T15:18:43","date_gmt":"2025-08-28T15:18:43","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmjopen\/?p=1937"},"modified":"2025-08-28T15:22:04","modified_gmt":"2025-08-28T15:22:04","slug":"top-10-most-read-in-july-risk-of-myocardial-infarction-and-stroke-following-urinary-tract-infection-chronic-health-consequences-of-the-covid-19-pandemic-on-school-workers-development-and-preliminar","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmjopen\/2025\/08\/28\/top-10-most-read-in-july-risk-of-myocardial-infarction-and-stroke-following-urinary-tract-infection-chronic-health-consequences-of-the-covid-19-pandemic-on-school-workers-development-and-preliminar\/","title":{"rendered":"Top 10 most read in July: Risk of myocardial infarction and stroke following urinary tract infection, chronic health consequences of the COVID-19 pandemic on school workers, development and preliminary evaluation of a cervical screening informed-choice tool for women with severe mental illness"},"content":{"rendered":"

\"Image<\/a><\/p>\n

Image by <a href (Pixabay)<\/p>\n

In July, we had five new articles to enter our top ten most read list. The Top 10 is compiled based on full text views, including downloads of the full article PDFs.<\/span><\/p>\n

Risk of myocardial infarction and stroke following microbiologically confirmed urinary tract infection: a self-controlled case series study using linked electronic health data<\/b><\/p>\n

Our most read new entry is a case-series study by Reeve et al.<\/a> which investigated the risk of myocardial infarction and stroke following microbiologically confirmed urinary tract infection. This study used individually linked general practice, hospital admission and microbiology data for the population of Wales and was a self-controlled case series, with risk periods 1\u20137, 8\u201314, 15\u201328 and 29\u201390\u2009days after UTI. The primary outcome was acute MI or stroke identified using the International Classification of Disease V.10 codes from inpatient diagnoses recorded in the Patient Episode Database for Wales. The authors found 51\u2009660 individuals had a hospital admission for MI, of whom 2320 (4.5%) had 3900 microbiologically confirmed UTIs, and 58\u2009150 had a hospital admission for stroke, of whom 2840 (4.9%) had 4600 microbiologically confirmed UTIs. Reeve et al concluded that UTI may be a trigger for MI or stroke. The authors note limitations of the study such as, the use of routine data meaning that outcome ascertainment relied on accurate coding and residual confounding may have been an issue. Reeve et al. state that further work is needed to understand mechanisms and test interventions to reduce the risk of cardiovascular events among people with UTIs in primary care.<\/span><\/p>\n

Chronic health consequences of the COVID-19 pandemic on school workers: a cross-sectional post-pandemic analysis<\/b><\/p>\n

The next new entry on the list is a cross-sectional analysis of the chronic health consequences of the COVID-19 pandemic on school workers by Watts et al.<\/a> This study is a post-pandemic analysis using health questionnaires and serology testing data to determine the prevalence and the functional and mental health impact of pandemic-related chronic health symptoms among school workers towards the end of the COVID-19 pandemic. The main outcomes included self-reported, new-onset pandemic-related chronic health symptoms that started within the past year, lasting at least 3\u2009months, after a positive viral test among those with a known infection. The authors found that 31.1% (95% CI: 28.4% to 34.0%) staff reported new-onset chronic symptoms. These symptoms appeared to be more frequently reported in staff with viral test-confirmed infections (38.0% (95% CI: 34.3% to 41.9%)) compared with those with positive serology who were unaware that they had COVID-19 (14.3% (95% CI: 7.6% to 23.6%); p<0.001) or those with a negative serology (18.1% (95% CI: 12.7% to 24.6%); p<0.001). Watts et al. concluded that many individuals reported post-COVID-19 or pandemic-related chronic health symptoms. Some limitations were noted, such as, non-random participation which may have contributed to selection bias and recall biases and the subjective nature of symptom, which may have impacted how participants responded to questions about chronic symptoms. The authors state that these findings have important public health implications mandating further research in this area, and the need to develop health programmes to address this significant disease burden and mitigate the long-term effects of the pandemic on school staff.<\/span><\/p>\n

Development and preliminary evaluation in community mental health teams of a cervical screening informed-choice tool for women with severe mental illness in England: a mixed-method study<\/b><\/p>\n

The next top ten entry is a mixed methods study by Lamontagne-Godwin et al.<\/a>, which aimed to develop and test an informed-choice tool to help women with severe mental illness (SMI) make informed decisions about screening attendance. The tool was developed using a realist review of physical health interventions and a systematic review of informed-choice tools for people with SMI. Usability and acceptability were assessed through semi-structured interviews and the think-aloud method with service users (n=18), clinicians (n=16) and key informants. A preliminary proof-of-concept (n=25) evaluated the impact on decisional conflict\u2014the uncertainty around making value-sensitive choices. The authors found that the tool was usable and acceptable, especially for women overdue or never screened, and note that a feasibility study is underway. Lamontagne-Godwin et al. note possible limitations including that the tool was only tested as a paper leaflet in a proof-of-concept study using validated scales and that other formats of the tool may be more acceptable to some women with SMI. The authors concluded that the tool may reduce decisional conflict and increase screening uptake, potentially improving survival and suggest that future research may involve further assessments of the real-world impact of the tool and its adaptation to other health-related decisions. <\/span><\/p>\n\n\n\n\n\n\n\n\n\n\n\n\n\n
*Most read figures are based on pdf downloads and full text views. Abstract views are excluded.<\/span><\/caption>\n
Rank*<\/td>\nAuthor(s)<\/td>\nTitle<\/td>\n<\/tr>\n
1<\/td>\nArabi et al.<\/em><\/td>\nTiming of mechanical ventilation and its association with in-hospital outcomes in patients with cardiogenic shock following ST-elevation myocardial infarction: a multicentre observational study<\/span><\/a><\/td>\n<\/tr>\n
2<\/td>\nHarcourt et al.<\/em><\/td>\nInformal caregiving following stroke: a qualitative exploration of carer self-identification, care-related language and support experiences<\/span><\/a><\/td>\n<\/tr>\n
3<\/td>\nLiu et al.<\/em><\/td>\n\n
Association between herpes simplex virus type 1 and the risk of Alzheimer\u2019s disease: a retrospective case\u2013control study<\/span><\/a><\/div>\n<\/td>\n<\/tr>\n
4<\/td>\nPradelli et al.<\/em><\/td>\nHealthcare professional perspective on barriers and facilitators of multidisciplinary team working in acute care setting: a systematic review and meta-synthesis<\/span><\/a><\/td>\n<\/tr>\n
5<\/td>\nRous et al.<\/em><\/td>\nAssessment of the impact of multi-cancer early detection test screening intervals on late-stage cancer at diagnosis and mortality using a state-transition model<\/span><\/a><\/td>\n<\/tr>\n
6<\/td>\nReeve et al.<\/em><\/td>\nRisk of myocardial infarction and stroke following microbiologically confirmed urinary tract infection: a self-controlled case series study using linked electronic health data<\/span><\/a><\/td>\n<\/tr>\n
7<\/td>\nWatts et al.<\/em><\/td>\nChronic health consequences of the COVID-19 pandemic on school workers: a cross-sectional post-pandemic analysis<\/span><\/a><\/td>\n<\/tr>\n
8<\/td>\nZhang et al.<\/em><\/td>\nEffectiveness of music therapy and Tai Chi exercise on anxiety, depression and quality of life for patients with cancer: a protocol for systematic reviews and meta-analysis<\/span><\/a><\/td>\n<\/tr>\n
9<\/td>\nLamontagne-Godwin et al.<\/em><\/td>\nDevelopment and preliminary evaluation in community mental health teams of a cervical screening informed-choice tool for women with severe mental illness in England: a mixed-method study<\/span><\/a><\/td>\n<\/tr>\n
10<\/td>\nRonold et al.<\/em><\/td>\nCognitive deficits in treatment-resistant depression: protocol for a systematic review and meta-analysis<\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

<\/p>\n","protected":false},"excerpt":{"rendered":"

Image by <a href (Pixabay) In July, we had five new articles to enter our top ten most read list. The Top 10 is compiled based on full text views, including downloads of the full article PDFs. Risk of myocardial infarction and stroke following microbiologically confirmed urinary tract infection: a self-controlled case series study using […]<\/p>\n

Read More…<\/a><\/p>\n","protected":false},"author":505,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2471],"tags":[],"class_list":["post-1937","post","type-post","status-publish","format-standard","hentry","category-highly-accessed"],"yoast_head":"\nTop 10 most read in July: Risk of myocardial infarction and stroke following urinary tract infection, chronic health consequences of the COVID-19 pandemic on school workers, development and preliminary evaluation of a cervical screening informed-choice tool for women with severe mental illness - BMJ Open<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/bmjopen\/2025\/08\/28\/top-10-most-read-in-july-risk-of-myocardial-infarction-and-stroke-following-urinary-tract-infection-chronic-health-consequences-of-the-covid-19-pandemic-on-school-workers-development-and-preliminar\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Top 10 most read in July: Risk of myocardial infarction and stroke following urinary tract infection, chronic health consequences of the COVID-19 pandemic on school workers, development and preliminary evaluation of a cervical screening informed-choice tool for women with severe mental illness - BMJ Open\" \/>\n<meta property=\"og:description\" content=\"Image by <a href (Pixabay) In July, we had five new articles to enter our top ten most read list. 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