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Your search keyword '"Khaira A."' showing total 17 results
Start Over Author "Khaira A." Journal british journal of surgery
17 results on '"Khaira A."'

1. TU3.4 A relook into the effects of Covid-19 on emergency theatre utilisation

Author

Nagy Rizkalla, Ayesha Khalid, Jack Merrit, Abdual Khaliq, and Harmeet Khaira

Subjects
Surgery
Abstract

Background In 2020 we assessed changes in delivery of emergency surgeries due to the pandemic in a local district general hospital. Significant delays in emergency theatre utilisation were partly abrogated with the early introduction of a second emergency theatre so that Covidpositive, negative and unknown cases could be operated in series (and occasionally in parallel) with minimal disruption. Aims We aimed to re-audit emergency theatre utilisation later on during the pandemic to assess the effects of having more established protocols and following recommendations from our first audit. Methods Retrospective study of all emergency theatre cases performed during the month of July 2021 compared with previously presented November 2020. Parameters of theatre utilisation included: sending times, anaesthetic times, operating times, recovery time in theatre and total recovery time Results The mean time taken to send for patients from wards decreased by 27% in late pandemic versus early (n=110 vs 111, p=1.25*10–7); this was also an improvement on pre-pandemic figures by 17%. Anaesthetic time decreased by 31% (p=0.0001, n=110 vs 111). Recovery time required in theatre decreased by 26% (p = 0.06, n=110 vs 111). Total recovery time however increased by 19% (p=0.097, n=110 vs 111). Conclusion Improved Covid testing and testing protocols have most likely had a positive impact on theatre utilisation by reducing sending times, anaesthetic times and recovery times in theatre. Increases in total recovery time are likely a by-product of increased elective work.

Published
2022

4. Cost-effectiveness analysis of a randomized clinical trial of early versus deferred endovenous ablation of superficial venous reflux in patients with venous ulceration

Author

D M Epstein, M S Gohel, F Heatley, X Liu, A Bradbury, R Bulbulia, N Cullum, I Nyamekye, K R Poskitt, S Renton, J Warwick, A H Davies, D Read, S Hargreaves, K Dhillon, M Anwar, A Liddle, H Brown, K Mercer, F Gill, A Liu, W Jepson, A Wormwell, H Rafferty, R Kaur, E Solomon, K Sritharan, R Velineni, C S Lim, A Busuttil, R Bootun, C Bicknell, M Jenkins, T Lane, E Serjeant, K Poskitt, J Waldron, G Wolfrey, F Slim, C Davies, L Emerson, M Grasty, M Whyman, C Wakeley, A Cooper, J Clapp, N Hogg, J Howard, J Dyer, S Lyes, D Teemul, K Harvey, M Pride, A Kindon, H Price, L Flemming, G Birch, H Holmes, J Weston, T Joseph, R Eiffel, T Ojimba, T Wilson, A Hodgson, L Robinson, J Todhunter, D Heagarty, A Mckeane, R McCarthy, J Barwell, C Northcott, A Elstone, C West, P Chong, D Gerrard, A Croucher, S Levy, C Martin, T Craig, D Carradice, A Firth, E Clarke, A Oswald, J Sinclair, I Chetter, J El-Sheikha, S Nandhra, C Leung, J Scott, N Dewhirst, J Woods, D Russell, R Darwood, M Troxler, J Thackeray, D Bell, D Watson, L Williamson, J Coulston, P Eyers, K Darvall, I Hunter, A Stewart, A Moss, J Rewbury, C Adams, L Vickery, L Foote, H Durman, F Venn, P Hill, K James, F Luxton, D Greenwell, K Roberts, S Mitchell, M Tate, H Mills, A Garnham, S Hobbs, D McIntosh, M Green, K Collins, J Rankin, P Poulton, V Isgar, M Trivedi, M Kafeza, S Parsapour, H Moore, M Najem, S Connarty, H Albon, C Lloyd, J Trant, R Vohra, J McCormack, J Marshall, V Hardy, R Rogoveanu, W Goff, R Gidda, S Merotra, S Shiralkar, A Jayatunga, R Pathak, A Rehman, K Randhawa, J Lewis, S Fullwood, S Jennings, S Cole, M Wall, C Ranaboldo, S Hulin, C Clarke, R Fennelly, R Cooper, R Boyes, C Draper, L Harris, D Mead, L Kelly, G Bate, H Davies, M Popplewell, M Claridge, M Gannon, H Khaira, M Scriven, T Wilmink, D Adam, H Nasr, D Dodd, S Nawaz, J Humphreys, M Barnes, J Sorrell, D Swift, P Phillips, H Trender, N Fenwick, D Rittoo, S Baker, R Mitchell, S Andrews, S Williams, J Stephenson, S Holloway, W Hayes, J Day, C Clayton, D Harding, A Thompson, A Gibson, Z Murphy, and T Smith

Subjects
Male, medicine.medical_specialty, Cost effectiveness, Cost-Benefit Analysis, Venous leg ulcer, law.invention, Time-to-Treatment, Varicose Ulcer, 03 medical and health sciences, 0302 clinical medicine, Randomized controlled trial, law, Medicine, Humans, 030212 general & internal medicine, health care economics and organizations, Aged, Wound Healing, Intention-to-treat analysis, business.industry, 030503 health policy & services, Endovascular Procedures, Reflux, Cost-effectiveness analysis, Middle Aged, medicine.disease, Quality-adjusted life year, Surgery, Treatment Outcome, Catheter Ablation, Female, Quality-Adjusted Life Years, 0305 other medical science, business
Abstract

Background Treatment of superficial venous reflux in addition to compression therapy accelerates venous leg ulcer healing and reduces ulcer recurrence. The aim of this study was to evaluate the costs and cost-effectiveness of early versus delayed endovenous treatment of patients with venous leg ulcers. Methods This was a within-trial cost-utility analysis with a 1-year time horizon using data from the EVRA (Early Venous Reflux Ablation) trial. The study compared early versus deferred endovenous ablation for superficial venous truncal reflux in patients with a venous leg ulcer. The outcome measure was the cost per quality-adjusted life-year (QALY) over 1 year. Sensitivity analyses were conducted with alternative methods of handling missing data, alternative preference weights for health-related quality of life, and per protocol. Results After early intervention, the mean(s.e.m.) cost was higher (difference in cost per patient £163(318) (€184(358))) and early intervention was associated with more QALYs at 1 year (mean(s.e.m.) difference 0·041(0·017)). The incremental cost-effectiveness ratio (ICER) was £3976 (€4482) per QALY. There was an 89 per cent probability that early venous intervention is cost-effective at a threshold of £20 000 (€22 546)/QALY. Sensitivity analyses produced similar results, confirming that early treatment of superficial reflux is highly likely to be cost-effective. Conclusion Early treatment of superficial reflux is highly likely to be cost-effective in patients with venous leg ulcers over 1 year. Registration number: ISRCTN02335796 (http://www.isrctn.com).

Published
2019

6. Cost-effectiveness analysis of a randomized clinical trial of early versus deferred endovenous ablation of superficial venous reflux in patients with venous ulceration

Author

Epstein, D M, primary, Gohel, M S, additional, Heatley, F, additional, Liu, X, additional, Bradbury, A, additional, Bulbulia, R, additional, Cullum, N, additional, Nyamekye, I, additional, Poskitt, K R, additional, Renton, S, additional, Warwick, J, additional, Davies, A H, additional, Read, D, additional, Hargreaves, S, additional, Dhillon, K, additional, Anwar, M, additional, Liddle, A, additional, Brown, H, additional, Mercer, K, additional, Gill, F, additional, Liu, A, additional, Jepson, W, additional, Wormwell, A, additional, Rafferty, H, additional, Kaur, R, additional, Solomon, E, additional, Sritharan, K, additional, Velineni, R, additional, Lim, C S, additional, Busuttil, A, additional, Bootun, R, additional, Bicknell, C, additional, Jenkins, M, additional, Lane, T, additional, Serjeant, E, additional, Poskitt, K, additional, Waldron, J, additional, Wolfrey, G, additional, Slim, F, additional, Davies, C, additional, Emerson, L, additional, Grasty, M, additional, Whyman, M, additional, Wakeley, C, additional, Cooper, A, additional, Clapp, J, additional, Hogg, N, additional, Howard, J, additional, Dyer, J, additional, Lyes, S, additional, Teemul, D, additional, Harvey, K, additional, Pride, M, additional, Kindon, A, additional, Price, H, additional, Flemming, L, additional, Birch, G, additional, Holmes, H, additional, Weston, J, additional, Joseph, T, additional, Eiffel, R, additional, Ojimba, T, additional, Wilson, T, additional, Hodgson, A, additional, Robinson, L, additional, Todhunter, J, additional, Heagarty, D, additional, Mckeane, A, additional, McCarthy, R, additional, Barwell, J, additional, Northcott, C, additional, Elstone, A, additional, West, C, additional, Chong, P, additional, Gerrard, D, additional, Croucher, A, additional, Levy, S, additional, Martin, C, additional, Craig, T, additional, Carradice, D, additional, Firth, A, additional, Clarke, E, additional, Oswald, A, additional, Sinclair, J, additional, Chetter, I, additional, El-Sheikha, J, additional, Nandhra, S, additional, Leung, C, additional, Scott, J, additional, Dewhirst, N, additional, Woods, J, additional, Russell, D, additional, Darwood, R, additional, Troxler, M, additional, Thackeray, J, additional, Bell, D, additional, Watson, D, additional, Williamson, L, additional, Coulston, J, additional, Eyers, P, additional, Darvall, K, additional, Hunter, I, additional, Stewart, A, additional, Moss, A, additional, Rewbury, J, additional, Adams, C, additional, Vickery, L, additional, Foote, L, additional, Durman, H, additional, Venn, F, additional, Hill, P, additional, James, K, additional, Luxton, F, additional, Greenwell, D, additional, Roberts, K, additional, Mitchell, S, additional, Tate, M, additional, Mills, H, additional, Garnham, A, additional, Hobbs, S, additional, McIntosh, D, additional, Green, M, additional, Collins, K, additional, Rankin, J, additional, Poulton, P, additional, Isgar, V, additional, Trivedi, M, additional, Kafeza, M, additional, Parsapour, S, additional, Moore, H, additional, Najem, M, additional, Connarty, S, additional, Albon, H, additional, Lloyd, C, additional, Trant, J, additional, Vohra, R, additional, McCormack, J, additional, Marshall, J, additional, Hardy, V, additional, Rogoveanu, R, additional, Goff, W, additional, Gidda, R, additional, Merotra, S, additional, Shiralkar, S, additional, Jayatunga, A, additional, Pathak, R, additional, Rehman, A, additional, Randhawa, K, additional, Lewis, J, additional, Fullwood, S, additional, Jennings, S, additional, Cole, S, additional, Wall, M, additional, Ranaboldo, C, additional, Hulin, S, additional, Clarke, C, additional, Fennelly, R, additional, Cooper, R, additional, Boyes, R, additional, Draper, C, additional, Harris, L, additional, Mead, D, additional, Kelly, L, additional, Bate, G, additional, Davies, H, additional, Popplewell, M, additional, Claridge, M, additional, Gannon, M, additional, Khaira, H, additional, Scriven, M, additional, Wilmink, T, additional, Adam, D, additional, Nasr, H, additional, Dodd, D, additional, Nawaz, S, additional, Humphreys, J, additional, Barnes, M, additional, Sorrell, J, additional, Swift, D, additional, Phillips, P, additional, Trender, H, additional, Fenwick, N, additional, Rittoo, D, additional, Baker, S, additional, Mitchell, R, additional, Andrews, S, additional, Williams, S, additional, Stephenson, J, additional, Holloway, S, additional, Hayes, W, additional, Day, J, additional, Clayton, C, additional, Harding, D, additional, Thompson, A, additional, Gibson, A, additional, Murphy, Z, additional, and Smith, T, additional

Published
2019
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7. Letter 3

Author

Jones B, Khaira Hs, and Jewkes A

Subjects
medicine.medical_specialty, Duplex (building), business.industry, Varicose veins, medicine, Surgery, Radiology, medicine.symptom, business
Published
1999

9. Early results with the Lichtenstein tension-free hernia repair

Author

E. L. Hinson, A. N. Kingsnorth, J. E. Marshall, J. H. Brown, Harmeet Khaira, D. Pollock, and M. P. Corlett

Subjects
medicine.medical_specialty, business.industry, medicine.medical_treatment, General surgery, Treatment outcome, MEDLINE, medicine.disease, Hernia repair, Surgery, Patient satisfaction, Early results, medicine, Hernia, business
Published
1995

10. Letter 3

Author

Khaira, H S, primary, Jewkes, A, additional, and Jones, B, additional

Published
1999
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