Abstract AIMS Brain metastases carry significant morbidity and mortality. The survival of patients with metastatic disease has improved due to systemic therapy advances conferring greater extracranial control. Optimal intracranial local control is probably surgical resection or stereotactic radiosurgery. However, there a cohort for whom this inappropriate, either patient fitness reasons. Tradit...

Abstract Background Although strong association between self-reported health and coronary heart disease (CHD) exists, related quality of life (HRQOL) has not been conceptualized as a predictor for fatality in CHD patients. We investigated whether HRQOL may predict the risk death six years Methods There were overall, 614 cases national representative Chronic Diseases Risk Factors Survey Turkey, ...

Abstract Background Surgical Site Infections (SSI) are common after abdominal surgery, and more so emergency laparotomy. Despite Single Use Negative Pressure Dressings (SUNPDs) having mixed evidence regarding effectiveness, they recommended in the WHO SSI Prevention guidelines. SUNRRISE is an international, multi-centre, trainee devised, led delivered randomised controlled trial, funded by NIHR...

Aims, Objectives and Background Acute healthcare outcomes for older people living with frailty are not meaningfully measured using only service delivery metrics (time targets) or broad (mortality). This programme developed field-tested a novel Patient Reported Outcome Measure (PROM). Method Design 1: To define important goals, interviews were conducted during acute care. 2: A systematic review ...

STUDY DESIGN Analysis of prospectively collected data in a national register. OBJECTIVE The aim of this study was to, in a nationwide perspective, evaluate whether there exist sex differences in outcome of lumbar disc herniation (LDH) surgery and whether the gender-specific referral pattern influence the outcome. SUMMARY OF BACKGROUND DATA Previous studies infer that women are referred to L...

OBJECTIVE To identify pre-operative predictors of patient-reported outcomes of primary total knee replacement (TKR) surgery. METHODS The Elective Orthopaedic Centre database is a large prospective cohort of 1991 patients receiving primary TKR in south-west London from 2005 to 2008. The primary outcome is the 6-month post-operative Oxford Knee Score (OKS). To classify whether patients had a cl...

OBJECTIVE Cardiac rehabilitation (CR) is pivotal in preventing recurring events of myocardial infarction (MI). This study aims to investigate the effect of a smartphone-based home service delivery (Care Assessment Platform) of CR (CAP-CR) on CR use and health outcomes compared with a traditional, centre-based programme (TCR) in post-MI patients. METHODS In this unblinded randomised controlled...

BACKGROUND Self-harm and suicide increase in times of economic recession. Factors including job loss, austerity measures, financial difficulties and house repossession contribute to the risk. Vulnerable individuals commonly experience difficulties in navigating the benefits system and in accessing the available sources of welfare and debt advice, and this contributes to their distress. Our aim ...

The need of rehabilitation in sub-acute and non-acute patients has been continuously increased. Rehabilitation services in Thailand are considered only as part of acute care so that the providers are not motivated to provide intensive services to patients because the payment based on diagnosis related group focuses on acute phase. This study aimed to develop an appropriate model for SNAP Casemi...

INTRODUCTION The purpose of the study was to assess the long term outcome and quality of life of patients with acute respiratory distress syndrome (ARDS) receiving extracorporeal membrane oxygenation (ECMO) for refractory hypoxemia. METHODS A retrospective observational study with prospective health related quality of life (HRQoL) assessment was conducted in ARDS patients who had ECMO as a re...