A5025796479- Peripheral Artery Disease Management
- Cerebrovascular and Carotid Artery Diseases
- Cardiac, Anesthesia and Surgical Outcomes
- Aortic aneurysm repair treatments
- Acute Ischemic Stroke Management
- Vascular Procedures and Complications
- Diagnosis and Treatment of Venous Diseases
- Clinical practice guidelines implementation
- Diabetic Foot Ulcer Assessment and Management
- Venous Thromboembolism Diagnosis and Management
- Reconstructive Surgery and Microvascular Techniques
- Aortic Disease and Treatment Approaches
- Cardiovascular Health and Disease Prevention
- Intracranial Aneurysms: Treatment and Complications
- COVID-19 and healthcare impacts
- Health Policy Implementation Science
- Cardiac and Coronary Surgery Techniques
- Health Systems, Economic Evaluations, Quality of Life
- Musculoskeletal pain and rehabilitation
- Interprofessional Education and Collaboration
- Blood transfusion and management
- Body Contouring and Surgery
- Stroke Rehabilitation and Recovery
- Oropharyngeal Anatomy and Pathologies
Royal College of Surgeons of England
2016-2024
The Honourable Society of Lincoln's Inn
2021
Royal College of Physicians
2011
ObjectiveTo determine the peri-operative mortality rate for intact and ruptured abdominal aortic aneurysm (AAA) repair in 10 countries to compare practice outcomes over a six year period by age, sex, geographic location.MethodsThis VASCUNET study used prospectively collected data from vascular registries on primary of AAAs undertaken between January 2014 December 2019. The outcome was death (30 day or hospital). Logistic regression models were estimate association death, patient...
Vascular services in England are organized into regional hub-and-spoke models, with hubs performing arterial surgery. This study examined time to revascularization for chronic limb-threatening ischaemia (CLTI) within and across different care pathways, its association postrevascularization outcomes.Three inpatient four outpatient pathways were identified patients CLTI undergoing between April 2015 March 2019 using Hospital Episode Statistics data. Differences times from presentation analysed...
Abstract Background Patients with diabetes and peripheral arterial disease are at increased risk of minor amputation. The aim study was to assess the rate re-amputations death after an initial amputation, identify associated factors. Methods Data on all patients aged 40 years over and/or disease, who underwent amputation between January 2014 December 2018, were extracted from Hospital Episode Statistics. had bilateral index procedures or in 3 before excluded. Primary outcomes ipsilateral...
Background Delays in the pathway from first symptom to treatment of chronic limb-threatening ischaemia (CLTI) are associated with worse mortality and limb loss outcomes. This study examined processes used by vascular services provide urgent care patients suspected CLTI referred community. Methods Vascular surgery units various regions England were invited participate a process mapping exercise. Clinical non-clinical staff at participating interviewed, maps created that captured key...
The aim of this study was to investigate the illness trajectories patients with peripheral artery disease (PAD) after revascularization and estimate independent risks major amputation death (from any cause) their interaction.
Abstract Background The aim of this study was to examine patterns 10-year survival after elective repair unruptured abdominal aortic aneurysms (AAAs) in different patient groups. Methods Patients having open or endovascular aneurysm (EVAR) the English National Health Service between January 2006 and December 2015 were identified from Hospital Episode Statistics data. Postoperative among patients age Royal College Surgeons England (RCS) modified Charlson co-morbidity score profiles analysed...
Background and Purpose- Carotid endarterectomy (CEA) reduces the risk of stroke in recently symptomatic patients less so asymptomatic patients. Recent evidence suggests that number CEAs may be declining. The aim this study was to investigate annual patterns CEA England from 2011 2017. Methods- Data National Vascular Registry were used describe (1) procedures its 9 geographic regions 2017, (2) characteristics undergoing CEA, (3) whether rates correlated with vascular arterial units within...
BackgroundMany studies evaluating care in hospitals England use the Hospital Episode Statistics (HES) administrative database. The aim of this study was to explore whether International Classification Diseases 10th Revision (ICD-10) system used by HES supported evaluation received patients with peripheral arterial disease (PAD) who had revascularisation.MethodsThis retrospective cohort records on revascularisation for PAD between 1st January 2017 and 31st December 2019 England, collected...
Abstract Background Carotid endarterectomy (CEA) reduces the risk of stroke in patients with internal carotid stenosis 50–99 per cent. This study assessed national surgical practice through audit CEA procedures and outcomes. Methods was a prospective cohort UK surgeons performing CEA, using clinical data collected continuously reported two rounds, covering operations from December 2005 to 2007, January 2008 September 2009. Results Some 352 (92·6 cent) 380 eligible contributed data. Of 19 935...
Abstract Background The aim of this study was to estimate separate risks major lower limb amputation and death following revascularization for peripheral artery disease (PAD) using competing analysis. Methods Routinely collected data from Hospital Episode Statistics (HES) were used identify patients who underwent endovascular or open PAD in England 2005 2015. primary outcomes within 5 years revascularization. Cox proportional hazards Fine–Gray regression examine the these outcomes. Results...
Background: The availability and diversity of lower limb revascularization procedures have increased in England the past decade. We investigated whether these developments care translated to improvements patient pathways outcomes. Methods: Individual-patient records from Hospital Episode Statistics were used identify 103 934 patients who underwent endovascular (angioplasty) or surgical (endarterectomy, profundaplasty, bypass) for infrainguinal peripheral artery disease between January 2006...
Abstract Introduction Patients in the community with suspected Chronic limb‐threatening ischaemia (CLTI) should be urgently referred to vascular services for investigation and management. The Theoretical Domains Framework (TDF) allows identification of influences on health professional behaviour order inform future interventions. Here, TDF is used explore primary care clinicians' behaviours regards recognition referral CLTI. Methods Semi‐structured interviews were conducted 20 podiatrists,...
Prompt revascularization in patients with chronic limb-threatening ischaemia (CLTI) is important, and recent guidance has suggested that should undergo within 5 days of an emergency admission to hospital. The aim this cohort study was identify factors associated the ability UK vascular services meet standard care.Data on all admitted non-electively CLTI who underwent open or endovascular between 2016 2019 were extracted from National Vascular Registry. primary outcome interval procedure,...