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Mortality Related to Bariatric Surgery (MORSE Study): A Retrospective, International Collaborative Audit (2025)

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Type of publication:

Journal article

Author(s):

Balasubaramaniam, Vignesh; Wong, Geoffrey Yuet Mun; Martinino, Alessandro; *Riera, Manel; Abouelazayem, Mohamed; Pereira, Juan Pablo Scarano; Said, Amira; Graham, Yitka; *Jain, Rajesh Kumar; Imseeh, Helen; Aljaiuossi, Osama; Jayyab, Mustafa Ahmad Abu; Alyacoubi, Said N A; Mahawar, Kamal; Singhal, Rishi.

Citation:

Clinical Obesity. e70031, 2025 Jun 18.

Abstract:

Bariatric surgery is associated with low but definite early and late mortality. This study aims to further understand early (<= 90 days) and delayed (> 90 days) mortality related to bariatric surgery. This is a retrospective collaborative audit of patients who had undergone bariatric surgery and developed complications that ultimately led to death. Individuals who were 18 years or older and had undergone bariatric surgery (primary, revisional, and endoscopic procedures) and subsequently died within 90 days or after 90 days following the surgery between 1 January 2022, and 31 December 2022. A descriptive analysis was conducted. About 30 centres from 21 countries submitted data on 82 patients where patient death was deemed to be related to bariatric surgery. Mortality within 90 days post-surgery was observed in 58 individuals (70.7%), while 24 patients (29.3%) died after this period. Causes of mortality after SG include GI leak, PE, respiratory infection, and malnutrition. Causes of mortality after RYGB include GI leak, coronary heart disease, and bleeding. Reported common causes of early mortality in this study were gastrointestinal leaks, bleeding, coronary heart disease, and pulmonary embolism. Reported common causes of delayed mortality were gastrointestinal leaks and malnutrition. This study characterises patients where death was attributed to a bariatric procedure and identifies common causes of death in these patients. This could aid development of strategies for preventing and managing these complications in the future.

DOI: 10.1111/cob.70031

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Trial of lateral flow devices for COVID/Flu A+B ±RS (2024)

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Type of publication:

Service evaluation

Author(s):

*Rebecca Kerrigan

Citation:

SaTH Service Evaluation

Abstract:

We attempted to evaluate the use of dual/triple lateral flow devices to screen patients for winter viruses (COVID, Flu A and B, RSV). Lateral flow kits were sent to Ward 17 at Princess Royal Hospital and Ward 24 at Royal Shrewsbury Hospital. Instructions were given to staff on how to take the samples and complete the paperwork, and how to return samples and paperwork.

No samples or paperwork were returned to the Microbiology department during the trial period, therefore no analysis can be performed, and no conclusions on the effectiveness of either lateral flow device can be drawn.

The Microbiology department recommends that the Trust contacts the POCT team if a repeat trial is required.

Link to full-text

Improving In-Hospital Falls Management Through In-situ Simulation (2024)

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Type of publication:

Conference abstract

Author(s):

*Claire Swindell, *Omar Hassouba

Citation:

Journal of Healthcare Simulation 2024;4(Suppl 1):A1–A102

Abstract:

Introduction: This quality improvement initiative focuses on utilising in-situ simulation techniques to promote active participation from the multidisciplinary healthcare team to improve in-patient falls management. The project focused on a simulated patient that had sustained a fractured neck of Femur after experiencing a fall on the ward. Safe transfer of the fallen patient and identification of equipment needed was central to the project’s objectives. In doing so, learner centred engagement assisted in the identification of organisational and systematic barriers that impinge on best practice. As in-situ simulation can proactively identify latent system issues that may be acting as barriers in achieving best practice, how effective can it be in improving staff management, in response to a fallen in-patient that has sustained a Fractured neck of Femur? Methods: A collaborative approach was initiated and fostered to allow key stakeholders to identify fall-related issues and areas most in need of improvement within the Trust relating to falls. Using in-situ simulation, a standardised patient was utilised to recreate a realistic scenario, where a patient falls on the way to the toilet. The standardised patient ‘role plays’ that they have sustained a hip injury which presents as a fractured neck of femur, hence unable to get up from the floor. The multidisciplinary ward team were then observed to see how they collectively managed the fallen patient and how they safely transfer the patient from the floor. A protected, inclusive debrief was then carried out to enhance understanding of the scenario undertaken and to highlight barriers encountered. Results: Although the multidisciplinary team appeared to have a good awareness of Trust policy and procedure pertaining to post-fall care, accessibility to essential equipment needed was lacking. A need for staff training in the safe use of this essential equipment was apparent. Discussion: By carrying out this immersive in-situ simulation, specific ward issues that required attention were identified, problems that may have gone unnoticed if not presented in a realistic scenario, recreating real-time patient care needs. Therefore, in-situ simulation is an ideal and effective modality in capturing authentic latent issues that may occur during the management of a fallen patient that has sustained a fractured neck of femur. The need for improvements were identified and cascaded to the relevant teams to remove barriers for best practice.

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