A5043620545- Aortic aneurysm repair treatments
- Vascular Procedures and Complications
- Peripheral Artery Disease Management
- Diabetic Foot Ulcer Assessment and Management
- Central Venous Catheters and Hemodialysis
- Aortic Disease and Treatment Approaches
- Diagnosis and Treatment of Venous Diseases
- Wound Healing and Treatments
- Venous Thromboembolism Diagnosis and Management
- Cardiac, Anesthesia and Surgical Outcomes
- Pressure Ulcer Prevention and Management
- Reconstructive Surgery and Microvascular Techniques
- Infectious Aortic and Vascular Conditions
- Vascular anomalies and interventions
- Cardiac tumors and thrombi
- COVID-19 and healthcare impacts
- Surgical site infection prevention
- COVID-19 Clinical Research Studies
- Sarcoma Diagnosis and Treatment
- Vascular Malformations Diagnosis and Treatment
- Climate Change and Health Impacts
- Long-Term Effects of COVID-19
- Frailty in Older Adults
- Vascular Tumors and Angiosarcomas
- Cardiac Valve Diseases and Treatments
Tan Tock Seng Hospital
2016-2025
Agency for Science, Technology and Research
2025
Nanyang Technological University
2016-2021
University of Santo Tomas
2021
Dwarkadas J. Sanghvi College of Engineering
2020
Abstract The aim of this study is to evaluate the clinical and economic burden wound care in Tropics via a 5‐year institutional population health review. Within our data analysis, wounds are broadly classified into neuro‐ischaemic ulcers (NIUs), venous leg (VLUs), pressure injuries (PIs), surgical site infections (SSIs). Between 2013 2017, there were total 56 583 wound‐related inpatient admissions for 41 461 patients, with 95.1% increase episodes per 1000 over period (142 277 respectively)....
There is a lifetime risk of 15% to 25% development diabetic foot ulcers (DFUs) in patients with diabetes mellitus. DFUs need be followed up on and assessed for complications and/or resolution, which was traditionally performed using manual measurement. Our study aims compare the intra- inter-rater reliability an artificial intelligence-enabled wound imaging mobile application (CARES4WOUNDS [C4W] system, Tetsuyu, Singapore) traditional This prospective cross-sectional 28 from June 2020...
Background: Diabetic foot ulcers (DFUs) are serious complications of diabetes which can lead to lower extremity amputations (LEAs). Risk prediction models identify high-risk patients who benefit from early intervention. Machine learning (ML) methods have shown promising utility in medical applications. Explainable modeling help its integration and acceptance. This study aims develop a risk model using ML algorithms with explainability for LEA DFU patients. Methods: is retrospective review...
The end of 2019 was marked by the emergence a novel coronavirus,1 now termed as Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). SARS-CoV-2 causes coronavirus disease (COVID-19). Since then, COVID-19 has spread globally to more than 190 countries and declared pandemic World Health Organization on March 11, 2020.2 Surgical care is key component any health system. However, during global pandemic, it imperative that surgical workforce will need adapt.3 Elective operations should be...
Background There is a paucity of randomized trials demonstrating superior efficacy drug-coated balloon angioplasty (DCBA) compared with conventional percutaneous transluminal (PTA) for below-the-knee arterial disease in patients critical limb ischemia. Purpose To compare DCBA versus PTA lesions participants critical ischemia through 12 months. Materials and Methods In this prospective, randomized, two-center, double-blind superiority study, rest pain or tissue loss atherosclerotic the...
Abstract Diabetic foot wounds (DFW) are notoriously difficult to treat owing poor vascularity, delayed healing and higher rates of infection. Human‐derived acellular dermal matrices (ADM) have been used in DFW treatment, utilizing a matrix scaffold for new tissue generation. We investigate the efficacy micronized injectable human‐derived ADM treatment DFW. retrospectively recruited 13 patients with diabetic wounds. Wounds were adequately debrided, was applied. Wound sizes recorded prior at 2...
ABSTRACT Purpose Occupational heat strain can impair construction workers’ motor and cognitive functions, potentially leading to accidents, injuries lowered productivity. We examined the effects of physical work under various warm humid tropical conditions on performance in virtual reality (VR)-based tasks. Methods Eighteen healthy men (age: 29 ± 5 years) completed three randomised, counterbalanced experimental trials comprising ~2.5 h exposure wet-bulb globe temperatures 24.6 0.2 °C (COOL),...
Background One of the most common causes arteriovenous fistula (AVF) and/or graft (AVG) failure is thrombosis. Guidelines recommend early AVF salvage within 24–48 hours. Our institution reported poor compliance with these recommendations, a median 3 days prior to vascular access (VA) salvage. We present our initial results following implementation clinical practice improvement programme (CPIP) reduce delay VA Methods The CPIP was conducted in three phases: pre-CPIP (23 January 30 April...
Introduction Diabetes foot disease (DFD) contributes to poor quality of life, clinical and economic burden. Multidisciplinary diabetes teams provide prompt access specialist thereby improving limb salvage. We present a 17-year review an inpatient multidisciplinary care path (MCCP) for DFD in Singapore. Methods This was retrospective cohort study patients admitted enrolled our MCCP 1700-bed university hospital from 2005 2021. Results There were 9279 with mean 545 (±119) admissions per year....
ObjectiveManagement of follow-up protocols after endovascular aortic repair (EVAR), vary significantly between centres and is not standardized according to the sac regression. By designing an international expert-based Delphi consensus, study aimed create recommendations on EVAR evolution.MethodsEight facilitators created appropriate statements regarding topic that were voted, using a 4-point Likert scale, by selected panel experts three-round modified consensus process. Based experts'...
Purpose To identify predictors of arteriovenous fistula (AVF) patency in Asian patients with autogenous radio-cephalic (RCAVF). Methods Retrospective review 436 RCAVFs created between 2009 and 2013. Predictors were identified univariate multivariate analysis. Kaplan-Meier survival analysis log-rank test used to calculate rates. Results Overall secondary rate was 72% at 12 months, 69% 24 58% 36 57% 48 56% 60 months 54% 72 months. Univariate showed that factors which predict for include male...
Present guidelines recommend a multidisciplinary team (MDT) approach to diabetic foot ulcer (DFU) care, but relevant data from Asia are lacking. We aim evaluate the clinical and economic outcomes of an MDT in lower extremity amputation prevention programme (LEAPP) for DFU care Asian population. performed case-control study 84 patients with between January 2017 October (retrospective control) vs 117 December July 2018 (prospective LEAPP cohort). Comparing retrospective cohort cohort, there...
Objective: To review patient characteristics and outcomes after peripheral arterial disease (PAD)-related below-knee amputation (BKA), identify risk factors predicting subsequent above-knee (AKA). Materials Methods: A retrospective study of 210 BKAs between May 2008 December 2015. Results: The mean age the population was 66 years. Most patients had cardiovascular comorbidities, 33% end-stage renal failure (ESRF); 89% were American Society Anesthesiologists 3 or 4. Previous ipsilateral...