A5073219518- Hip and Femur Fractures
- Frailty in Older Adults
- Cardiac, Anesthesia and Surgical Outcomes
- Trauma and Emergency Care Studies
- Pelvic and Acetabular Injuries
- Pregnancy-related medical research
- COVID-19 and healthcare impacts
- Acute Myocardial Infarction Research
- Healthcare Systems and Public Health
- Surgical Simulation and Training
- Blood Coagulation and Thrombosis Mechanisms
- Vascular Procedures and Complications
- Healthcare Systems and Challenges
- Cardiovascular Issues in Pregnancy
- Patient-Provider Communication in Healthcare
- Medical and Biological Sciences
- Clinical practice guidelines implementation
- Global Health Workforce Issues
- Geriatric Care and Nursing Homes
- Spinal Fractures and Fixation Techniques
- Cardiac pacing and defibrillation studies
- Apelin-related biomedical research
- Telemedicine and Telehealth Implementation
- Healthcare Systems and Technology
- Aortic aneurysm repair treatments
Royal London Hospital
2021-2024
Barts Health NHS Trust
2014-2024
University Hospitals Sussex NHS Foundation Trust
2011
Kent and Sussex Hospital
2010
Abstract Background The burden of frailty on older people is identifiable by its adverse effect mortality, morbidity and long term functional health outcomes. In patients suffering from a traumatic injury there increasing evidence that it rather than age impacts greatest these outcomes early identification can guide specific care. aim this study was to evaluate the feasibility nurse-led assessment in trauma ED admitted major centres. Methods Patients 65 years over attending Emergency...
Abstract Background Pre-injury frailty is associated with adverse in-hospital outcomes in older trauma patients, but the association longer term survival and recovery unclear. We aimed to investigate post discharge health-related quality of life (HRQoL) frail patients at six months after Major Trauma Centre (MTC) admission. Methods This was a multi-centre study aged ≥ 65 years admitted five MTCs. Data were collected via questionnaire hospital later. The primary outcome patient-reported HRQoL...
Pelvic fractures are an increasingly common injury seen in the older population and represent a significant burden of morbidity mortality this age group, as well large financial on health service. It is established that early fixation femoral neck acetabular improves outcomes increases chances patients returning close to their premorbid functional baseline. However, fragility pelvis less current practice. There has been recent development novel stabilisation techniques for unstable pelvic...
Lateral compression type-1 pelvic fractures are a common fragility fracture in older adults. Patients who do not mobilise due to ongoing pain at greater risk of immobility-related complications. Standard treatment the United Kingdom is provision relief and early mobilisation, unlike hip fractures, which usually treated surgically based on evidence that surgery associated with better outcomes. Currently there no whether patients lateral would have recovery than non-surgical management.
Abstract Background Lateral compression type1 (LC-1) fragility fractures are a common, painful injury in older adults resulting reduced mobility. The incidence of these is increasing with the growing adult population. current standard care non-surgical management; however, patients this at risk long-term immobility and related complications. INFIX pelvic fixation device used younger high-energy fractures. fitted via percutaneous technique no external pin sites has good purchase even...
This case report illustrates the of a patient who developed recurrent strokes after pace maker lead was inserted into his left ventricle. It removed successfully by cardiothoracic surgeons but he remained very dependant functionally. highlights importance always reviewing electrocardiogram and chest radiograph insertion pacemaker as late diagnosis this complication can leave with significant morbidity.
Aims/Background The post-take ward round is often the first time that a senior clinician reviews patient on acute medical take. Despite this, there no official guidance regarding structure or documentation of round. aim this quality improve project was to develop proforma specifically tailored care older people's service and encourage initiation comprehensive geriatric assessment. Methods An initial audit carried out assessing key information assessment during A subsequently designed...
Abstract Introduction There is growing awareness of the harms caused by racial abuse and discrimination from patients towards healthcare professionals, including anecdotal reports ‘requesting a white doctor’ (Kline, BMJ Opinion, 2020); yet there limited understanding impact in Geriatric settings. We conducted survey an inpatient Older Persons Service (OPS) on prevalence, actions taken response to patient racism staff. Methods A cross-sectional (Total N = 47; Black Minority Ethnic (BME)...
Use of telemedicine has increased following the Coronavirus 2019 (COVID-19) pandemic; however, much literature is based in outpatient settings. There have also historically been concerns about efficacy older patients. This service evaluation implemented virtual consultations into ward-round setting, using a 'robot' device. Twenty-six patients undergoing major trauma surgery were surveyed, with all reporting very high satisfaction rates. Ninety percent 'very happy' or 'happy' remote...
Abstract Background Frailty is associated with adverse in-hospital outcomes after major trauma in older people, but the association longer term survival and recovery unclear. We aimed to investigate post discharge health-related quality of life (HRQoL) patients at six months centre (MTC) admission. Methods This was a multi-centre study aged ≥65 years admitted five MTCs. Data were collected via questionnaire hospital later. The primary outcome patient-reported HRQoL follow up using Euroqol...
Abstract Introduction As the population ages, an increasing proportion of neurosurgical caseload is comprised older patients. This trend reinforced by technical advances and anaesthetic considerations within field, allowing a higher patients eligible for surgery. Comprehensive geriatric assessment (CGA) gold standard clinical approach evaluating Peri-operative care people (POPS) has provided strong evidence that CGA services can result in fewer post-operative complications. However, this...