A5028615112- Emergency and Acute Care Studies
- Trauma and Emergency Care Studies
- Traumatic Brain Injury and Neurovascular Disturbances
- COVID-19 and healthcare impacts
- Pneumonia and Respiratory Infections
- Sepsis Diagnosis and Treatment
- COVID-19 diagnosis using AI
- COVID-19 Clinical Research Studies
- Radiation Dose and Imaging
- Traumatic Brain Injury Research
- Geriatric Care and Nursing Homes
- Palliative Care and End-of-Life Issues
- Machine Learning in Healthcare
- Respiratory Support and Mechanisms
- Spinal Fractures and Fixation Techniques
- Respiratory viral infections research
- Injury Epidemiology and Prevention
- Cardiac Arrhythmias and Treatments
- Disaster Response and Management
- Cardiac electrophysiology and arrhythmias
- Cardiac pacing and defibrillation studies
- Hip and Femur Fractures
- Frailty in Older Adults
- Cardiac Arrest and Resuscitation
- Chronic Disease Management Strategies
University of Sheffield
2020-2024
Hull York Medical School
2017-2019
Hull and East Yorkshire Hospitals NHS Trust
2019
University of Hull
2018-2019
University of York
2019
Hull Royal Infirmary
2015-2016
Hull Lifesaving Museum
2016
Objectives We aimed to derive and validate a triage tool, based on clinical assessment alone, for predicting adverse outcome in acutely ill adults with suspected COVID-19 infection. Methods undertook mixed prospective retrospective observational cohort study 70 emergency departments across the United Kingdom (UK). collected presenting data from 22445 people attending between 26 March 2020 28 May 2020. The primary was death or organ support (respiratory, cardiovascular, renal) by record...
Background Traumatic brain injury (TBI) is an important global public health burden, where those injured by high-energy transfer (e.g., road traffic collisions) are assumed to have more severe and prioritised emergency medical service trauma triage tools. However recent studies suggest increasing TBI disease burden in older people through low-energy falls. We aimed assess the prevalence of falls among patients presenting hospital with TBI, compare their characteristics, care pathways,...
Background Hospital emergency departments play a crucial role in the initial assessment and management of suspected COVID-19 infection. This needs to be guided by studies people presenting with COVID-19, including those admitted discharged, who do not ultimately have confirmed. We aimed characterise patients attending subgroups based on sex, ethnicity test results. Methods findings undertook mixed prospective retrospective observational cohort study 70 across United Kingdom (UK). collected...
Background The WHO and National Institute for Health Care Excellence recommend various triage tools to assist decision-making patients with suspected COVID-19. We aimed compare the accuracy of predicting severe illness in adults presenting ED Methods undertook a mixed prospective retrospective observational cohort study 70 EDs across UK. collected data from people attending COVID-19 used determine results assessment algorithm, Early Warning Score version 2 (NEWS2), CURB-65, CRB-65, Pandemic...
Measurement of post-exertion oxygen saturation has been proposed to assess illness severity in suspected COVID-19 infection. We aimed determine the accuracy post-exertional for predicting adverse outcome COVID-19.We undertook a substudy an observational cohort study across 70 emergency departments during first wave pandemic UK. collected data prospectively, using standardised assessment form, and retrospectively, hospital records, from patients with COVID-19, reviewed records at 30 days...
Previous studies deriving and validating triage scores for patients with suspected COVID-19 in Emergency Department settings have been conducted high- or middle-income settings. We assessed eight scores’ accuracy death organ support Sudan. an observational cohort study using Covid-19 registry data from emergency unit isolation centres Khartoum State, performance of including: PRIEST, LMIC-PRIEST, NEWS2, TEWS, the WHO algorithm, CRB-65, Quick Severity Index PMEWS COVID-19. A composite primary...
Tools proposed to triage patient acuity in COVID-19 infection have only been validated hospital populations. We estimated the accuracy of five risk-stratification tools recommended predict severe illness and compared existing clinical decision making a prehospital setting.
COVID-19 infected millions of people and increased mortality worldwide. Patients with suspected utilised emergency medical services (EMS) attended departments, resulting in pressures waiting times. Rapid accurate decision-making is required to identify patients at high-risk clinical deterioration following infection, whilst also avoiding unnecessary hospital admissions. Our study aimed develop artificial intelligence models predict adverse outcomes by EMS clinicians.Linked ambulance service...
Tools proposed to triage ED acuity in suspected COVID-19 were derived and validated higher income settings during early waves of the pandemic. We estimated accuracy seven risk-stratification tools recommended predict severe illness Western Cape, South Africa.An observational cohort study using routinely collected data from EDs across 27 August 2020 11 March 2022, was conducted assess performance PRIEST (Pandemic Respiratory Infection Emergency System Triage) tool, NEWS2 (National Early...
International guidelines recommend routine hospital admission for all patients with mild traumatic brain injury (TBI) who have injuries on computed tomography (CT) scan. Only a small proportion of these require neurosurgical or critical care intervention. We aimed to develop an accurate clinical decision rule identify low-risk safe discharge from the emergency department (ED) and facilitate earlier referral those requiring A retrospective cohort study case notes admitted initial Glasgow Coma...
To evaluate the impact of National Institute for Health and Care Excellence (NICE) head injury guidelines on deaths hospital admissions caused by traumatic brain (TBI). All hospitals in England between 1998 2017. Patients admitted to or who died up 30 days following admission with International Classification Diseases (ICD) coding indicating reason death was TBI. An interrupted time series analysis conducted intervention points when each three introduced. Analysis stratified guideline...
To assess accuracy of telephone triage in identifying need for emergency care among those with suspected COVID-19 infection and identify factors which affect accuracy. Observational cohort study. Community provided the UK by Yorkshire Ambulance Service NHS Trust (YAS). 40 261 adults who contacted National Health (NHS) 111 services YAS between 18 March 2020 29 June symptoms indicating were linked to Office Statistics death registrations healthcare data collected Digital. Accuracy disposition...
Uneven vaccination and less resilient health care systems mean hospitals in LMICs are at risk of being overwhelmed during periods increased COVID-19 infection. Risk-scores proposed for rapid triage need admission from the emergency department (ED) have been developed higher-income settings initial waves pandemic.
Introduction Prolonged ambulance response times and unacceptable emergency department (ED) wait are significant challenges in urgent care systems associated with patient harm. This scoping review aimed to evaluate the evidence base for 10 high-impact initiatives identified by National Health Service (NHS) England. Methods A two-stage approach was employed. First, a comprehensive search reviews (2018–2023) conducted across PubMed, Epistemonikos Google Scholar. Additionally, full-text searches...
Background Single-centre studies suggest that successive Coronavirus Disease 2019 (COVID-19)-related “lockdown” restrictions in England may have led to significant changes the characteristics of major trauma patients. There is also evidence from other countries diversion intensive care capacity and healthcare resources treating patients with COVID-19 impacted on outcomes for We aimed assess impact pandemic number, characteristics, pathways, presenting hospitals England. Methods findings...
Abstract Background care home residents aged over 65 have disproportionate rates of emergency department (ED) attendance and hospitalisation. Around 40% attendances may be avoidable, hospitalisation is associated with harms. We synthesised the evidence available in qualitative systematic reviews different stakeholders’ experiences decisions to transfer ED. Methods six electronic databases, references citations included relevant policy documents were searched. Reviews studies exploring...
Background: Frailty is a common condition in older people affecting around 1.8 million the UK and independently associated with adverse outcomes. commonly measured Clinical Scale (CFS) which involves face to assessment. There evidence CFS can be assigned retrospectively from information patient records, but no research has assessed whether scores using routine inpatient records. We aimed assess could accurately hospital records setting. Methods: Forty newly admitted patients aged 65 over...
Background National Institute for Health and Care Excellence guidelines used to triage patients with head injury CT imaging are based on research conducted in populations presenting within 24 h of injury. We aim compare guideline use, outcomes, that undergo within, after Methods ED trauma scan requests over a period 6 months were matched records. Case note review adult had undergone was completed. Logistic regression assess whether presentation affected the guideline's ability predict...
Patients with mild traumatic brain injury on CT scan are routinely admitted for inpatient observation. Only a small proportion of patients require clinical intervention. We recently developed decision rule using traditional statistical techniques that found neurologically intact isolated simple skull fractures or single bleeds <5 mm no preinjury antiplatelet anticoagulant use may be safely discharged from the emergency department. The achieved sensitivity 99.5% (95% CI 98.1% to 99.9%) and...
Objectives Head injury is a common reason for emergency department (ED) attendance. Around 1% of patients have life-threatening injuries, while 80% are discharged. National guidelines (Scottish Intercollegiate Guidelines Network (SIGN)) were introduced in Scotland with the aim achieving early identification those acute intracranial lesions yet safely reducing hospital admissions. This study aims to assess impact these and any effect national 4-hour ED performance target had on admissions...