A5017338084- Frailty in Older Adults
- Cardiac, Anesthesia and Surgical Outcomes
- Delphi Technique in Research
- Hip and Femur Fractures
- Health Systems, Economic Evaluations, Quality of Life
- Neuroscience of respiration and sleep
- Respiratory Support and Mechanisms
- Obstructive Sleep Apnea Research
- Chronic Disease Management Strategies
- Total Knee Arthroplasty Outcomes
- Nutrition and Health in Aging
- Cancer survivorship and care
- Palliative Care and End-of-Life Issues
- Healthcare Quality and Management
- Surgical Simulation and Training
Sir Charles Gairdner Hospital
2020-2022
Guy's and St Thomas' NHS Foundation Trust
2019-2021
Thomas Foundation
2020
<h3>ABSTRACT</h3> Perioperative medicine for older people undergoing surgery (POPS) services are gaining traction, in acknowledgment of the poorer outcomes experienced by surgical patients. In response to NHS9 growing focus on scaling innovation, a logic model POPS service at Guy9s and St Thomas9 NHS Foundation Trust was developed articulate founding centre9s experience. The applied as means evaluation guide implementation new district general trust. This is novel study within field...
Abstract The use of adaptive servo ventilation to treat central sleep apnea in the clinical setting is incompletely understood and could be under‐utilized. We reviewed our experience patients with apnea. This study shows effectiveness treating apnea, irrespective a predisposing factor, as assessed during 4‐week treatment trial. Results show that was effective superior continuous positive airway pressure controlling improving symptoms. Only small proportion these had comorbid heart failure....
Growing research in geriatric medicine is a priority area. Currently, involvement of geriatricians lags behind other specialties. The reasons for this are multifactorial, but lack training infrastructure within higher specialist contributory. This widespread across European countries and internationally. Geriatric Medicine Research Collaborative (GeMRC) offers an opportunity to engage trainees research, regardless their previous individual experiences. Utilising national trainee networks,...
<h3>Background</h3> Perioperative medicine (POM) for older people is an emerging geriatric subspecialty where effective leadership essential to support national growth. POPS evidenced-based, geriatrician-led, multidisciplinary team, providing comprehensive assessment(CGA) patients undergoing elective and emergency surgery. There heterogeneity observed in the UK, with only 53% of trusts services 2018.<sup>1</sup> UK surveys demonstrate current provision does not meet demand, meaning...
Devas and colleagues are credited with pioneering orthogeriatric care in the 1950s Hastings, United Kingdom.1 He described need to carefully consider all patient's circumstances when planning their care.2 This approach remains highly relevant 70 years on. Shared models of now well recognized specialties like orthopaedics where benefits mortality, morbidity reduced length stay have been shown mainly hip fracture surgery.3-8 Other disciplines slow replicating this model, perhaps due lack...
Key content Gynae‐oncology patients are increasingly older and living with frailty multimorbidity, resulting in higher rates of perioperative or treatment‐associated adverse outcomes. Collaborative shared decision making (SDM), where healthcare professionals work partnership to reach a treatment decision, can be used engage decisions. Comprehensive geriatric assessment (CGA), multidimensional, interdisciplinary process assessing medical, psychological functional capabilities, inform...
Abstract Introduction Over the past five years number of Perioperative medicine for Older People undergoing Surgery (POPS) services in UK has increased.1,2 This expansion occurred response to needs an older, multimorbid surgical population with drivers change coming from national reports and audit results. Different models care have emerged; this study aimed describe detail specialties, components staffing as delivered by current POPS services.3,4 Methods An electronic ten-question survey...