Melika Akhbari
- Cardiac, Anesthesia and Surgical Outcomes
- Acute Kidney Injury Research
- COVID-19 and healthcare impacts
- Spinal Cord Injury Research
- Spine and Intervertebral Disc Pathology
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Asthma and respiratory diseases
- Enhanced Recovery After Surgery
- Zoonotic diseases and public health
- Art Therapy and Mental Health
- Global Health and Surgery
- Spinal Hematomas and Complications
- Respiratory Support and Mechanisms
- Abdominal Surgery and Complications
- Congenital Anomalies and Fetal Surgery
- Traumatic Brain Injury and Neurovascular Disturbances
- Global Maternal and Child Health
- Music Therapy and Health
- Pituitary Gland Disorders and Treatments
- Cervical and Thoracic Myelopathy
- Meningioma and schwannoma management
- Agriculture Sustainability and Environmental Impact
- Spinal Fractures and Fixation Techniques
- Delphi Technique in Research
- Computational Drug Discovery Methods
King's College London
2018-2024
Addenbrooke's Hospital
2021-2024
University of Cambridge
2021-2024
Cancer Research UK
2024
King's College School
2018-2022
King's College Hospital NHS Foundation Trust
2022
Myeloma UK
2021
Institut de Virologie
2021
University of Birmingham
2020
Toronto Western Hospital
2020
BackgroundCongenital anomalies are the fifth leading cause of mortality in children younger than 5 years globally. Many gastrointestinal congenital fatal without timely access to neonatal surgical care, but few studies have been done on these conditions low-income and middle-income countries (LMICs). We compared outcomes seven most common low-income, middle-income, high-income globally, identified factors associated with mortality.MethodsWe did a multicentre, international prospective cohort...
Abstract Background Ileus is common after elective colorectal surgery, and associated with increased adverse events prolonged hospital stay. The aim was to assess the role of non-steroidal anti-inflammatory drugs (NSAIDs) for reducing ileus surgery. Methods A prospective multicentre cohort study delivered by an international, student- trainee-led collaborative group. Adult patients undergoing resection between January April 2018 were included. primary outcome time gastrointestinal recovery,...
Many surgeons routinely place intraperitoneal drains after elective colorectal surgery. However, enhanced recovery surgery guidelines recommend against their routine use owing to a lack of clear clinical benefit. This study aimed describe international variation in drain placement and the safety this practice.COMPASS (COMPlicAted intra-abdominal collectionS Surgery) was prospective, international, cohort which enrolled consecutive adults undergoing (February March 2020). The primary outcome...
This study aimed to determine the impact of pulmonary complications on death after surgery both before and during severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic.
There are many questions that remain unanswered regarding outcomes following cranioplasty including the timing of craniectomy as well material used.To establish and evaluate 30-d for all cranial reconstruction procedures in United Kingdom (UK) Ireland through a prospective multicenter cohort study.Patients undergoing insertion or revision between June 1, 2019 November 30, 25 neurosurgical units were included. Data collected include demographics, date indication, date, outcome.In total, 313...
Abstract Background Ileus is common after colorectal surgery and associated with an increased risk of postoperative complications. Identifying features normal bowel recovery the appropriateness for hospital discharge challenging. This study explored safety before return function. Methods A prospective, multicentre cohort was undertaken across international collaborative network. Adult patients undergoing elective resection between January April 2018 were included. The main outcome interest...
Abstract Background This study aimed to determine the impact of preoperative exposure intravenous contrast for CT and risk developing postoperative acute kidney injury (AKI) in patients undergoing major gastrointestinal surgery. Methods prospective, multicentre cohort included adults resection, stoma reversal or liver resection. Both elective emergency procedures were included. Preoperative was defined as administered purposes up 7 days before The primary endpoint rate AKI within days....
Coronavirus disease 2019 (COVID-19) was declared a pandemic by the WHO on 11 March 2020 and global surgical practice compromised. This Commission aimed to document reflect changes seen in environment during pandemic, reviewing colleagues' experiences published evidence. In late 2020, BJS contacted colleagues across community asked them describe how severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) had affected their practice. addition this, undertook literature review impact of...
The importance of Social Prescribing (SP) has been highlighted in the National Health Service (NHS) Long-Term Plan. SP is enabling healthcare professionals to refer patients a link worker, co-design non-clinical social prescription improve their health and well-being. Our aim was explore perceptions, understanding, awareness amongst United Kingdom (UK) medical students.Views were collected using pre- post-session surveys around teaching sessions 27 UK schools as part NHS England's Student...
Introduction Recent decades have seen a growth in multisectoral and transdisciplinary approaches to improving global health, particularly across human, animal environmental health-related sciences that advocate for participatory, systems-based perspectives understanding promoting health well-being the context of social ecological interactions. For several issues, including human food security, researchers highlighted need One Health assess sustainability interventions. To understand current...
Abstract Background The intermediate-term impact of acute kidney injury (AKI) in patients after major gastrointestinal and liver surgery has not been well characterized. This study aimed to evaluate the 1-year mortality rate renal outcomes associated with postoperative AKI a national prospective cohort. Methods multicentre, observational cohort follow-up included adults undergoing across UK Ireland between 23 September 18 November 2015. was defined according Kidney Disease Improving Global...
# Background Global health is the study, research, and practice of medicine focused on improving achieving equity for all persons worldwide. Such focuses are core tenets modern medical practice. The General Medical Council (GMC) have published several documents that outline specific global learning outcomes competencies essential, non-elective components UK school curricula. However, there a paucity evidence demonstrating schools integrated these mandatory within their This multicentre study...