Nicola Wyer
- Clinical Nutrition and Gastroenterology
- Nutrition and Health in Aging
- Child Nutrition and Feeding Issues
- Intensive Care Unit Cognitive Disorders
- Stoma care and complications
- Abdominal Surgery and Complications
- COVID-19 Clinical Research Studies
- Childhood Cancer Survivors' Quality of Life
- Congenital gastrointestinal and neural anomalies
- Long-Term Effects of COVID-19
- COVID-19 and healthcare impacts
- Frailty in Older Adults
- Pancreatic and Hepatic Oncology Research
- Electrolyte and hormonal disorders
- Palliative Care and End-of-Life Issues
- Intestinal Malrotation and Obstruction Disorders
University Hospitals Coventry and Warwickshire NHS Trust
2018-2025
University Hospital Coventry
2017-2022
Background and aim No marker to categorise the severity of chronic intestinal failure (CIF) has been developed. A 1-year international survey was carried out investigate whether European Society for Clinical Nutrition Metabolism clinical classification CIF, based on type volume intravenous supplementation (IVS), could be an indicator CIF severity. Methods At baseline, participating home parenteral nutrition (HPN) centres enrolled all adults with ongoing due non-malignant disease; demographic...
Introduction Each year in the UK, 140 000 patients are discharged from intensive care units (ICUs) to general hospital wards, almost all with complex rehabilitation needs. 84% of still require nutritional support and 98% not physically independent. Despite this, many ICU without a nutrition plan, failure recognise malnutrition is common. Consequently, persists ward environment, leading poor outcomes acting as barrier successful physical rehabilitation. This transition represents key stage...
To investigate the incidence and severity of COVID-19 infection in patients enrolled database for home parenteral nutrition (HPN) chronic intestinal failure (CIF) European Society Clinical Nutrition Metabolism (ESPEN).Period observation: March 1st, 2020 2021.patients included since 2015 still receiving HPN on as well new during period observation. Data related to previous 12 months recorded 1st 2021: 1) occurrence beginning pandemic (yes, no, unknown); 2) (asymptomatic; mild,...
The direct effect of the coronavirus disease 2019 (COVID-19) pandemic on patients with intestinal failure (IF) has not been described.We conducted a nationwide study UK IF centers to evaluate infection rates, presentations, and outcomes in types 2 3 IF.A total 45 contracted COVID-19 between March August 2020; this included 26 2191 (1.2%) home parenteral nutrition (HPN)-dependent adults 19 298 (6.4%) hospitalized type IF. proportion receiving nursing care for HPN administration was higher...
<h3>Introduction</h3> Early identification of patients who are (or at risk becoming) malnourished using a nutritional screening tool is vital to provide timely and effective interventions. NICE guidelines in 2006<sup> (1)</sup> recommend for malnutrition validated all adult on admission, outpatients first clinic appointment. We introduced 'MUST' 2012 inpatients. Initial attempts launch the across outpatient department met with little success due time taken complete paperwork perceived...