A5056912884- Surgical site infection prevention
- Cardiac, Anesthesia and Surgical Outcomes
- Pressure Ulcer Prevention and Management
- Cardiac and Coronary Surgery Techniques
- Reconstructive Surgery and Microvascular Techniques
- Orthopedic Infections and Treatments
- COVID-19 and healthcare impacts
- Surgical Sutures and Adhesives
- Cardiac Valve Diseases and Treatments
- Diabetic Foot Ulcer Assessment and Management
- Wound Healing and Treatments
- Hip and Femur Fractures
- Trauma and Emergency Care Studies
- Clinical practice guidelines implementation
- Patient Satisfaction in Healthcare
- Tracheal and airway disorders
- Hypothalamic control of reproductive hormones
- Total Knee Arthroplasty Outcomes
- Cardiac Health and Mental Health
- Telemedicine and Telehealth Implementation
- Colorectal Cancer Surgical Treatments
- Intensive Care Unit Cognitive Disorders
- Mobile Health and mHealth Applications
- Coronary Interventions and Diagnostics
- Health Policy Implementation Science
Guy's and St Thomas' NHS Foundation Trust
2023-2025
University of Nottingham
2024
Royal Brompton & Harefield NHS Foundation Trust
2015-2021
Harefield Hospital
2013-2021
Research Network (United States)
2020
Royal Brompton Hospital
2015-2017
University of Ottawa
2004
Objectives To explore patients’ and carers’ preferences for postdischarge surgical wound monitoring. Design Explanatory mixed methods study with an online survey followed by interviews. Setting The was distributed via the Cardiothoracic Interdisciplinary Research Network cardiac surgery patient public involvement groups in London Leicester, UK. Participants were invited to share link other patients carers. Interviewees recruited through survey. Seventy participants completed survey: 74% 26%...
Minimally invasive direct coronary artery bypass (MIDCAB) grafting is regarded as an alternative to conventional (CABG) through full sternotomy, particularly for patients with isolated proximal left anterior descending (LAD) stenosis deemed unsuitable percutaneous intervention. However, the technically demanding nature of procedure and lack long-term published outcomes have precluded its universal adoption. We report comparative short-term survival MIDCAB CABG sternotomy LAD.From February...
Surgical site infections (SSIs) can have a significant impact on patients, their families and healthcare providers. With shortening inpatient periods, the post-discharge element of surveillance is becoming increasingly important. Proactive surveillance, including digital wound images using patient smartphones, may be an efficient alternative to traditional methods for collecting (PDS).To determine success in enrolment engagement reasons non-response, time clinicians respond SSI rates, carbon...
Surgical site infection (SSI) surveillance aims to facilitate a reduction in SSIs through identifying rates, benchmarking, triggering clinical review and instituting control measures. Participation is, however, variable suggesting opportunities improve wider adoption.To gain an in-depth understanding of the barriers facilitators for SSI high-income European setting.Key informant interviews with 16 staff, prevention nurses surgeons from nine cardiac hospitals England. Data were analysed...
Introduction Digital surgical wound monitoring for patients at home is becoming an increasingly common method of follow-up. This regular improves patient outcomes by detecting complications early and enabling treatment to start before worsen. However, reviewing the digital data creates a new additional workload staff. The aim this study assess platform that uses artificial intelligence assist clinicians review patients’ images prioritising concerning urgent review. will manage staff time...
Background/Aims Surgical site infections following cardiac surgery pose significant risks and financial burdens to both patients healthcare systems. This study aimed explore the implementation outcomes of a novel surgical wound monitoring system using patient smartphones for post-discharge surveillance. Methods The was conducted at London-based cardiothoracic tertiary referral centre, where 1358 undergoing between January 2021 March 2023 were enrolled onto system. Data collected from...
Introduction Surgical patients frequently experience post-operative complications at home. Digital remote monitoring of surgical wounds via image-based systems has emerged as a promising solution for early detection and intervention. However, the increased clinician workload from reviewing patient-submitted images presents challenge. This study utilises artificial intelligence (AI) to prioritise wound review, aiming efficiently manage workload. Methods analysis Conducted September 2023 March...
Background/Aims Surgical site infections following cardiac surgery pose significant risks and financial burdens to both patients healthcare systems. This study aimed explore the implementation outcomes of a novel surgical wound monitoring system using patient smartphones for post-discharge surveillance. Methods The was conducted at London-based cardiothoracic tertiary referral centre, where 1358 undergoing between January 2021 March 2023 were enrolled onto system. Data collected from...
Antiseptic skin preparations containing chlorhexidine gluconate and povidone iodine are routinely used to reduce the risk of surgical site infection (SSI). This study assesses efficacy two alcohol-based solutions, 2% chlorhexidine-alcohol 10% iodine-alcohol, on incidence cardiac SSI.A total 738 consecutive patients undergoing surgery had preparation with in 70% isopropanol (ChloraPrep, BD Ltd, UK) were propensity matched prepared povidone-iodine 30% industrial methylated spirit (Videne...
Background: Surgical site infection (SSI) is a costly and devastating complication of surgery. Many cardiac SSIs develop after the patient leaves hospital, but evidence demonstrating benefit patient/carer involvement in process monitoring promptly identifying SSI post-discharge limited. This study estimates probability readmission for coronary artery bypass graft (CABG) patients receiving Photo at Discharge (PaD). Methods: Trained personnel undertook continuous, prospective surveillance...
Photo at Discharge (PaD) is a nurse-led discharge strategy for enhanced wound care information patients and healthcare providers. The purpose of this study to describe implementation PaD in three English cardiac centres.A prospective, cross-sectional design was used evaluate fidelity sustainability on various geographical settings.Three out four hospitals (75%) approached agreed complete surveys fidelity. Implementing the IT component took an average 16 months (range 11-21 months). Across...
Background: Previously, we reported that the Brompton Harefield Infection Score (BHIS) accurately predicts surgical site infection (SSI) after coronary artery bypass grafting (CABG). The BHIS was developed using two-centre data and stratifies SSI risk into three groups based on female gender, diabetes or HbA1c > 7.5%, body mass index ≥ 35, left ventricular ejection fraction < 45% emergency surgery. purpose of this study to prospectively evaluate internally as well externally. Methods:...