A5000965000- Sepsis Diagnosis and Treatment
- Emergency and Acute Care Studies
- Neonatal Respiratory Health Research
- Pneumonia and Respiratory Infections
- Orthopedic Surgery and Rehabilitation
- Bacterial Infections and Vaccines
- Healthcare Policy and Management
- Congenital Diaphragmatic Hernia Studies
- Delphi Technique in Research
- Blood disorders and treatments
- Sports injuries and prevention
- Elbow and Forearm Trauma Treatment
- Child and Adolescent Health
- Nosocomial Infections in ICU
- Respiratory viral infections research
Evelina London Children's Healthcare
2020-2025
Queen's Hospital
2019
BackgroundThe most common fractures in children are torus (buckle) of the wrist. Controversy exists over treatment, which ranges from splint immobilisation and discharge to cast immobilisation, follow-up, repeat imaging. This study compared pain function affected offered a soft bandage immediate with those receiving rigid follow-up as per treating centre protocol.MethodsIn this randomised controlled equivalence trial we included 965 (aged 4–15 years) distal radius fracture 23 hospitals UK....
Background Early identification of children at risk sepsis in emergency departments (EDs) is crucial for timely treatment and improved outcomes. Existing scores criteria paediatric are not well-suited early diagnosis ED. Objective To develop evaluate machine learning models to predict clinical interventions patient outcomes with suspected sepsis. Design Retrospective observational study. Setting ED a tertiary care hospital, UK. Patients Electronic health records <16 years age attending...
Objective We report the utilisation and impact of a novel triage-based electronic screening tool (eST) combined with clinical assessment to recognise sepsis in paediatric ED. Methods An was implemented EDs two large UK secondary care hospitals between June 2018 January 2019. Patients eligible for were children < 16 years ages excluding those minor injuries or who brought directly resuscitation. Subsequently, retrospective evaluation performed determine performance alone combination after...
Interventions introduced to reduce the spread of SARS-CoV-2 led a widespread reduction in childhood infections. However, from spring 2021 onwards United Kingdom and Ireland experienced an unusual out-of-season epidemic respiratory disease.
<h3>Objectives</h3> <b>Background:</b> Sepsis is a life-threatening and preventable condition that kills children worldwide.<sup>1</sup> Predictive models developed from electronic health records (EHR), using artificial intelligence (AI) demonstrated high precision to detect sepsis<sup>2</sup> predict clinical outcomes<sup>3</sup> in attending the emergency department (ED). We report performance of ML outcomes serious infection sepsis ED. <h3>Methods</h3> <b>Strategy:</b> Develop...
<h3>Objective</h3> To determine the accuracy of a novel triage-based electronic screening algorithm and sepsis protocol (SP) to recognise community-acquired in paediatric emergency department (ED). <h3>Design</h3> A retrospective, cross-sectional observational study. <h3>Setting</h3> Paediatric ED. <h3>Patients</h3> All children<16 years age triaged between June – August 2018 were consecutively included. <h3>Primary outcome</h3> Culture-Positive Sepsis: 1) children who received...
Aim To develop a model for paediatric sepsis registry use in emergency care settings. A regional study, the UK, was undertaken to identify most basic components which are desirable and feasible using concept of minimum viable product. Methods Two‐round survey clinicians modified Delphi methodology conjunction with data collection project three departments across London. Results The identified 34 information items be included registry. Fifteen currently from our experience collection....
<h3>Background</h3> Paediatric emergencies can be challenging, time critical and often stressful situations. Recall of protocols treatments from memory, including correct drug dosages, is fraught by human error. Although paediatric guidelines are available in printed or web-based format, quite frequently these not immediately. Consequently, there treatment delays, sub-optimal protocol adherence errors, leading to patient harm. Studies have shown that a simulated environment, the accuracy...