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- Attempts at surgical removal are of no benefit to asbestos cancer sufferers finds trial led by CORU's Tom Treasure
- CORU's work shows effects of selective citation on surgical practice
- Pandemic flu countermeasure work published in Vaccine
- Editorial praises CORU's simple risk stratification model
- Tom Treasure's talk is ranked among top three presentations
- The Ekjut trial in India is selected as Trial of the Year!
- Christos Vasilakis gives keynote lecture at Young OR 17 conference
- CORU informs national policy on pandemic flu
- CORU work examines the foundations of triage
- Christina Pagel gives invited talk at RCM conference
- Martin Utley gives invited talk at the MASHNET workshop
- Making sense of statistics
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- Christina Pagel has paper published in The Lancet
- Martin Utley promoted to professor
- Professor Tom Treasure attends NICE International conference
- Citation for Steve Gallivan
- NCEPOD report highlights concerns over chemotherapy
- CORU 25 year celebration
- Marfan aortic aneurysm: Golesworthy wins Healthcare Award
- CORU projections of skilled birth attendance rates in world's poorest regions published
- CORU's Skilled Birth Attendance paper is a BMC Highly Accessed paper!
- CORU's visual outcome monitoring tool (VLAD) goes global!
- Number of people living with cancer set to increase significantly
- CORU article highlights challenges in implementing modelling toolkits
- Health financing website receives positive feedback!
- Is surgery to remove secondary cancer always a good thing?
- Sonya Crowe awarded Improvement Science Fellowship by the Health Foundation!
- CORU work helps child heart teams get clearer picture of their results
- CORU's work with the Department of Health's health protection team continues
- UCL Partners successful in bid to host a new £9 million CLAHRC!
- Funding bid to understand complications following children's heart surgery successful!
- Editorial published in Heart discussing the benefits and risks of monitoring mortality
- Health research partnership launches to tackle major health challenges
- CORU's Tom Treasure discusses colorectal cancer in the BMJ
- UK death rates for children’s heart surgery have almost halved over past decade
- Prof. Steve Gallivan
- Improving risk adjustment in the PRAiS model - PRAiS2
- Martin Utley and Sonya Crowe win OR Society Goodeve Medal
- Christina Pagel wins prestigious Harkness Fellowship
- New parent-led website that opens up NHS children's heart surgery data to families launches
Editorial praises CORU's simple risk stratification model
25 May 2011
CORU's recent work with Papworth Hospital, developing a
simple stratification scheme for identfying patients at risk of
excessive post-operative bleeding has been published in the European
Journal of Cardio-thoracic Surgery (EJCTS)1. The work was discussed in an editorial for EJCTS2
where we were praised for the effort that went into the score and for
its easy-to-use nature, facilitating its potential use across several
Severe post-operative bleeding can lead to adverse outcomes for cardiac surgery patients and is a relatively common complication of cardiac surgery. One of the most effective drugs to prevent such bleeding, aprotinin, has been withdrawn from the market due to concerns over its safety. Alternative prophylactic drugs which can be given to patients to prevent bleeding can result in significant side effects and are expensive. For this reason it is difficult to make a clinical or economic case for administering these drugs to all cardiac surgery patients, and the prevailing view is that their use should be targeted at patients considered to be at relatively high risk of post-operative bleeding. However, there is currently no objective method for identifying such patients. Together with clinicians at Papworth Hospital, we devised a risk stratification scheme that could potentially be used to identify a cohort of higher risk patients. Such patients could be treated with the available prophylactic drugs or recruited to studies to evaluate new interventions.
1. Vuylsteke A, Pagel C, Gerrard C, Reddy B, Nashef S, Utley M, The Papworth Bleeding Risk Score: a stratification scheme for identifying cardiac surgery patients at risk of excessive early postoperative bleeding, European Journal of Cardiothoracic Surgery, 39:924-930, 2011.
2. Editorial comment on The Papworth Bleeding Risk Score: a stratification scheme for identifying cardiac surgery patients at risk of excessive early postoperative bleeding, Anders Jeppsson, European Journal of Cardiothoracic Surgery, 39:930-931, 2011.