Cristina Fernandez-García

ORCID: 0000-0002-7113-225X
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About
Contact & Profiles
Research Areas
  • Acute Ischemic Stroke Management
  • Pregnancy and Medication Impact
  • Stroke Rehabilitation and Recovery
  • Botulinum Toxin and Related Neurological Disorders
  • Maternal Mental Health During Pregnancy and Postpartum
  • Cardiac Valve Diseases and Treatments
  • Cardiac and Coronary Surgery Techniques
  • Delphi Technique in Research
  • Health disparities and outcomes
  • Cardiovascular Issues in Pregnancy
  • Healthcare Policy and Management
  • Cardiac Structural Anomalies and Repair
  • Nutrition and Health in Aging
  • Human Resource and Talent Management
  • Infant Development and Preterm Care
  • Nutritional Studies and Diet
  • Maternal and fetal healthcare
  • Nutrition, Genetics, and Disease
  • Evaluation and Performance Assessment
  • Reading and Literacy Development
  • School Health and Nursing Education
  • scientometrics and bibliometrics research
  • Resilience and Mental Health
  • Musculoskeletal pain and rehabilitation
  • Traumatic Brain Injury and Neurovascular Disturbances

Newcastle University
2019-2024

Loss of arm function is a common problem after stroke. Robot-assisted training might improve and activities daily living. We compared the clinical effectiveness robot-assisted using MIT-Manus robotic gym with an enhanced upper limb therapy (EULT) programme based on repetitive functional task practice usual care.RATULS was pragmatic, multicentre, randomised controlled trial done at four UK centres. Stroke patients aged least 18 years moderate or severe limitation, between 1 week 5 their first...

10.1016/s0140-6736(19)31055-4 article EN cc-by The Lancet 2019-05-22

Importance The safety and effectiveness of mitral valve repair via thoracoscopically-guided minithoracotomy (minithoracotomy) compared with median sternotomy (sternotomy) in patients degenerative regurgitation is uncertain. Objective To compare the vs a randomized trial. Design, Setting, Participants A pragmatic, multicenter, superiority, clinical trial 10 tertiary care institutions UK. were adults undergoing surgery. Interventions 1:1 concealed allocation to receive either or performed by...

10.1001/jama.2023.7800 article EN JAMA 2023-06-13

Loss of arm function is common after stroke. Robot-assisted training may improve outcomes.The objectives were to determine the clinical effectiveness and cost-effectiveness robot-assisted training, compared with an enhanced upper limb therapy programme usual care.This was a pragmatic, observer-blind, multicentre randomised controlled trial embedded health economic process evaluations.The set in four NHS centres.Patients moderate or severe functional limitation, between 1 week 5 years...

10.3310/hta24540 article EN publisher-specific-oa Health Technology Assessment 2020-10-01

Objective: To report the fidelity of enhanced upper limb therapy programme within Robot-Assisted Training for Upper Limb after stroke (RATULS) randomized controlled trial, types goals selected and proportion achieved. Design: Descriptive analysis data on fidelity, goal selection achievement from an intervention group a trial. Setting: Out-patient rehabilitation four UK NHS centres. Subjects: 259 participants with moderate-severe activity limitation (Action Research Arm Test 0–39) between one...

10.1177/0269215520953833 article EN cc-by Clinical Rehabilitation 2020-09-11

Introduction Numbers of patients undergoing mitral valve repair (MVr) surgery for severe regurgitation have grown and will continue to rise. MVr is routinely performed via median sternotomy; however, there a move towards less invasive surgical approaches. There debate within the clinical National Health Service (NHS) commissioning community about widespread adoption minimally in absence robust research evidence; implementation requires investment staff infrastructure. The UK Mini Mitral...

10.1136/bmjopen-2020-047676 article EN cc-by BMJ Open 2021-04-01

To determine whether robot-assisted training is cost-effective compared with an enhanced upper limb therapy (EULT) programme or usual care.Economic evaluation within a randomised controlled trial.Four National Health Service (NHS) centres in the UK: Queen's Hospital, Barking, Havering and Redbridge University Hospitals NHS Trust; Northwick Park London Northwest Healthcare Queen Elizabeth Greater Glasgow Clyde; North Tyneside General Northumbria Foundation Trust.770 participants aged 18 years...

10.1136/bmjopen-2020-042081 article EN cc-by BMJ Open 2021-05-01

Autistic people commonly have physical and mental health conditions. They also frequently experience barriers to accessing healthcare, contributing problems identifying treating These factors may lead increased earlier morbidity lower average life expectancy for autistic people. Health checks specifically designed people, incorporating adjustments help overcome these reduce inequalities. This trial aims investigate the clinical cost-effectiveness of a primary care check adults explore...

10.1186/s13063-024-08641-5 article EN cc-by Trials 2024-12-31

Around one-third of pregnant women suffer from moderate to severe nausea and vomiting, causing physical emotional distress reducing their quality life. There is no cure for vomiting in pregnancy. Management focuses on relieving symptoms preventing morbidity, often requires antiemetic therapy. National guidelines make recommendations about first-, second- third-line therapies, although care varies different hospitals report feeling unsupported, dissatisfied depressed.To determine whether or...

10.3310/hta25630 article EN publisher-specific-oa Health Technology Assessment 2021-11-01

El pseudoaneurisma de arteria uterina es una causa hemorragia puerperal poco frecuente y gran gravedad cuya principal manifestación el sangrado tardío. Esta complicación suele ocurrir manera tardía tras cirugía pélvica, aunque también está descrito parto. La prueba elección para diagnóstico esta la angiografía que permite además su tratamiento en mismo acto, asociando menor morbilidad preservando fertilidad paciente. Presentamos caso un cesárea fue hemoperitoneo masivo a los 17...

10.4067/s0717-75262019000400320 article ES cc-by Revista chilena de obstetricia y ginecología 2019-01-01
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