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1. Neutralising antibody potency against SARS-CoV-2 wild-type and omicron BA.1 and BA.4/5 variants in patients with inflammatory bowel disease treated with infliximab and vedolizumab after three doses of COVID-19 vaccine (CLARITY IBD): an analysis of a prospective multicentre cohort study

Author

Islam, Madiha, Croft, Nick, Cipriano, Bessie, Francia, Caroline, Khalid, Nosheen, Kingston, Ashley, Lee, Irish, Lehmann, Anouk, Naik, Kinnari, Samuels, Kevin, Plaatjies, Nicolene, Khatun, Hafiza, Bokth, Farjana, Pabriaga, Elise, Saich, Rebecca, Cousins, Hayley, Fraser, Wendy, Thomas, Rachel, Brown, Matthew, White, Benjamin, Kirkineziadis, Nikolaos, Tilley, Bernadette, Porter, Pennie, Bryant, Rachel, Robaczewska, Natalia, Muhammed, Rafeeq, Bi, Rehana, Cotter, Catherine, Grove, Jayne, Hong, Kate, Howman, Ruth, Mitchell, Monica, Clayton, Sophie, Rogers, Louise, Sultan, Sugrah, Rooney, Melanie, Cottrill, Charlotte, Singh, Salil, Dawe, Chris, Hull, Robert, Silva, Natalie, Chadwick, Julie, Robertson, Laura, Manning, Jonathan, Finlayson, Lauren, Roebuck, Allison, Dawson, Joy, Sonwalkar, Sunil, Chambers, Naomi, Robinson, Matthew, Haigh, Andrew, Matapure, Lear, Raine, Tim, George, Varun, Kapizioni, Christina, Strongili, Konstantina, Thompson, Tina, Ahmed, Mohamed, Kontos, Christos, Dawson, Claire, Bourges, Christophe, Barbutti, Isabella, Gozzard, Megan E, Hendy, Philip, Bull, Rhian, Costa, Patricia, Davey, Lisa, Hannington, Hayley, Nundlall, Kribashnie, Martins, Catarina, Avanzi, Laura, Carungcong, Jaime, Barr, Sabrina, Appleby, Richard, Johnson, Emma, Shakweh, Eathar, Phillis, Kath, Gascoyne, Rachel, Crowder, Amanda, Whileman, Amanda, London, Ian, Grounds, Jenny, Martin, Emmeline, Pajak, Susie, Price, Jude, Cawley, Kathryn, Powell, Sandra, Kearsley, Nichola, Dhar, Anjan, Brown, Ellen, Cowton, Amanda, Stamp, Kimberley, Warner, Ben, Stuart, Carmel, Lacey, Louise, de Silva, Shanika, Allcock, Clare, Harvey, Philip, Jones, Lesley, Cooke, Elise, Slater, Jayne, King, Dominic, Brooks, Johanne, Baker, Pearl, Beadle, Hannah, Cruz, Carina, Potter, Debbie, Collum, Joe, Masters, Farzana, Kumar, Aashish, Coetzee, Samantha, Peiu, Mihaela, Icke, Becky, Williams, Jill, Raj, Meena, Gaynor, Edward, Chadokufa, Sibongile, Huggett, Bonita, Meghari, Hamza, El-Khouly, Sara, Kiparissi, Fevronia, Girshab, Waffa, Russell-Walker, Lynda, Jackson, Christopher, Sidler, Sara, Claridge, Andrew, Fowler, Emily, McCafferty, Laura, Haxton, Lesley, Irving, Peter, Christodoulides, Karolina, Clifford, Angela, Dawson, Patrick, Honap, Sailish, Lim, Samuel, Luber, Raphael, Mahiouz, Karina, Meade, Susanna, Raymode, Parizade, Reynolds, Rebecca, Stanton, Anna, Tripoli, Sherill, Hare, Naomi, Odukwe, Sopuluchukwu, Balachandran, Senthuran, North, Emma, North, Jessica, Browne, Bria, Cordle, Jessica, Jameson, Ella, Siaw, Yih Harn, Manzano, Lane, Segal, Jonathan, Al-Bakir, Ibrahim, Khakoo, Imran, Portukhay, Sofiya, Thoua, Nora, Davidson, Katherine, Miah, Jagrul, Canclini, Lisa, Hall, Alex, Furreed, Hassina, Mitchell-Inwang, Christine, Hayes, Melony, Myers, Sally, Talbot, Alison, Turnbull, Jack, Whitehead, Emma, Stamp, Katie, Pattinson, Alison, Mathew, Verghese, Sherris, Leanne, Wilcox, Julie, Ramachandran, Sankaranarayanan, Robertson, Hayley, Harvey, Angela, Hicks, Lucy, Byrne, Tara-Marie, Cabreros, Leilani, Downing-Wood, Hannah, Hunter, Sophie, Saifuddin, Mohammad Aamir, Prabhudev, Hemanth, Balarajah, Sharmili, Krucznski, Jan, Driva, Kalliopi, D'Mello, Andrea, Shah, Parith, Castro-Seoane, Rocio, Ibraheim, Hajir, Constable, Laura E, Lo, Jonathan W, Torkizadeh, Melissa, Hermangild, Sherine K, Sutherland, Helen, Wilhelmsen, Elva, Mackintosh, Katherine, Verma, Ajay M, Sebastian, Juliemol, Peerally, Mohammad Farhad, Guerdette, Anne-marie, Coburn, Susan, Novem lam, Ching Yee, Durrant, Donna, Schaefer, Belinda, Serna, Solange, Shahzad, Muhammad, Kent, Alexandra, Choong, Lee Meng, Pantaloni, Benedetta, Ravdas, Pantelis, Vadamalayan, Babu, Foley, Stephen, Arnold, Becky, Heeley, Cheryl, Lovegrove, Wayne, Sowton, Donna, Allsop, Lynne, Gregory, Heidi, Gill, Mandy, Holmes, Megan, Balan, Valeria, Smith, Susan, Turner, Sarah, Smith, Philip J, Steel, Alan, Bretland, Giovanna, King, Sarah, Lofthouse, Martina, Rigby, Lindsey, Subramanian, Sreedhar, Tyrer, David, Martin, Kate, Probert, Christopher, Kamperidis, Nikolaos, Adedoyin, Temi, Baden, Manisha, Brown, Jeannette, Chacko, Feba, Young, Lisa, Cicchetti, Michela, Saifuddin, Mohammad, Yesupatham, Priya, Gowda, Rohit, Williams, Maureen, Kemp, Karen, Akhand, Rima, Gray, Glaxy, John, Anu, John, Maya, Mohammed, Tasnim, Sathe, Diamond, Jones, Natasha, Soren, Jennifer, Sprakes, Michael, Burton, Julie, Kane, Patricia, Lupton, Stephanie, Bartholomew, Jacqueline, Denis, Elizabeth, Daniels, Alison, MacFaul, George, Scaletta, Diane, Siamia, Loria, Williams, Felicity, Green, Chloe, Ver, Zeljka, Lamb, Chris, Doona, Mary, Hogg, Ashleigh, Jeffrey, Lesley, King, Andrew, Speight, R Alexander, Doyle, Jennifer, Owen, Ruth, Haworth, Jenny, Patterson, Linda, Varnaulasingam, Vithusa, Mowat, Craig, Rice, Debbie, MacFarlane, Susan, MacLeod, Anne, Mohammed, Samera, Murray, Shona, Elliott, Anne, Anne Morris, Mary, Coke, Louise, Hindle, Grace, Kolokouri, Eirini, Wright, Catherine, Lee, Claire, Ward, Nicola, Dann, Adele, Lockett, Melanie, Cranfield, Charlotte, Jennings, Louise, Srivastava, Ankur, Ward, Lana, Jeynes, Nouf, Ranga, Poonam, Rajasekhar, Praveen, Gallagher, Lisa, Ward, Jill, Basnett, Rae, Murphy, Judy, Parking, Lauren, Lawson, Emma, Short, Stacey, Devadason, David, Moran, Gordon, Khan, Neelam, Tarr, Lauren, Olivia, Charmaine, Warbarton, Samantha, Kelly, Sian, Limdi, Jimmy, Goulden, Kay, Javed, Asad, McKenzie, Lauren, Melville, Julie, Liu, Eleanor, Sabine, Joseph, Jacob, Patricia, McSorland, Denise, Schofield, Nick, Cornwall, Lisa, Quirke, James, Crook, Emma, Turner, Anne, Bhandari, Pradeep, Baker-Moffatt, Michelle, Dash, Joanne, Le Poidevin, Alison, Downe, Hayley, Bombeo, Lucille, Blackman, Helen, Smith, Rebecca, Wiles, Alan, Bloxham, Hannah, Dias, Jose, Nadar, Evelyn, Curgenven, Hollie, Gilham, Ellie, Macdonald, Jonathan, Finan, Shona, McMeeken, Faye, Mahmood, Misbah, Shields, Stephanie, Seenan, John Paul, DeSilva, Des, Malkakorpi, Susanna, Carson, Rachel, Lawrence, Holly, Boateng, Ofori, Kpodo, Felix, Whiteoak, Simon, Edger-Earley, Kelli, Vamplew, Luke, Samways, Joanna, Roffe, Sue, Ingram, Sarah, James, Joel, Botfield, Sharon, Hammonds, Fiona, James, Clare, Berry, Zoe, Aspinall, Gemma, Hawkins, Sarah, Parkinson, Marian, Gardner-Thorpe, Helen, Marriott, Suzie, Redstone, Clare, Windak, Halina, Adam, Ana-Marie, Mabb, Hannah, Stevenson, Emma, Record, Jessica, Murray, Charles, Diaba, Cynthia, Joseph, Fexy, Pakou, Glykeria, Gleeson, Yvonne, Nunag, Annalyn, Berrill, James, Stroud, Natalie, Pothecary, Carla, Roche, Lisa, Turner, Keri, Deering, Lisa, Israel, Lynda, Baker, Evelyn, Nash, Maxine, Fagbemi, Andrew, Jennings, Felicia, Mayor, Imelda, Wilson, Jill, Wheeler, Alice, Phillips, Nicola, Gordon, John, Levell, Emma, Zagalo, Silvia, Hoad, Ina, Anil, Bindu, Russell, Richard, Henderson, Paul, Millar, Margaret, Alexakis, Christopher, Michalak, Natalia, Marriott, Cheryl, Stone, Sarah, Pristopan, Veronika, Saunders, John, Burton, Helen, Cambridge, Vanessa, Clark, Tonia, Ekblad, Charlotte, Hierons, Sarah, Katebe, Joyce, Saunsbury, Emma, Perry, Rachel, Brookes, Matthew, Davies, Kathryn, Green, Marie, Plumbe, Ann, Ormerod, Clare, Christensen, Helen, Howlett, Hannah, Keen, Anne, Ogor, Jonathan, Greenhaigh, Marie, Knowles, Karen, Yin, Shanzi, Poulaka, Maria, Anthony, Alpha, Newitt, Emily, Trim, Fiona, Casey, Ruth, Seymour, Katherine, Reed, Catherine, Joy, Lijo, Fogden, Edward, Russell, Kalisha, Hussain, Samia, Phillips, Anne, Abdulla, Muaad, Butterworth, Jeff, Adams, Colene, Carnahan, Mandy, Buckingham, Elizabeth, Childs, Danielle, Magness, Alison, Stickley, Jo, Motherwell, Nichola, Tonks, Louise, Gibson, Hannah, Wistance, Kate, Thomas, Caradog, Brinkworth, Elaine, Connor, Lynda, Cook, Amanda, Rees, Tabitha, Harford, Rachel, Farley, Sean, Jones, Marie, Wesley, Emma, Moss, Alison, Lucas, Jacob, Lorimer, Claire, Oleary, Maria, Dixon, Maxine, Goodchild, Fiona, Twenlow, Rebecca, Pawley, Corinne, Ramadas, Arvind, Tregonning, Julie, Okeke, Olaku, Jackson, Wendy, Koumoutsos, Ioannis, George, Viji, Kunhunny, Swapna, Laverick, Sophie, Anderson, Isla, Smith, Sophie, Joyce, Joan, Janarthan, Sarala, Patel, Kamal, Ali, Mariam, Mhandu, Hilda, Rana, Aleem, Spears, Katherine, Teixeira, Joana, Mencias, Mark, Seaward, Abigail, Sousa, Jessica, Said, Nooria, Soomaroo, Mark, Raspa, Valentina, Tacouri, Asha, Reps, Nicholas, Martin, Rebecca, Samakomva, Tinashe, Selinger, Christian, Carbonell, Jenelyn, Onovira, Felicia, Quartey, Doris, L'Anson, Alice, Ashworth, Andrew, Bailey, Jessica, Dunn, Angie, Bespaloi, Gjuzel, Rasalan, Harold, Mahmood, Zahid, Campbell, Racheal, Marsh, Liane, Coughlan, Tricia, Jafar, Wisam, Marrs, Janet, McPheat, Christopher, Rahman, Monira, Davies, Sarah, Habibi, Ruth, Jessup-Dunton, Ellen, Joefield, Teishel, Layug, Reina, Patel, Vinod, Vere, Joanne, Turner, Victoria, Kilroy, Susan, Coulding, Martina, Clark, Martyn, McCormick, Jacqueline, Nisar, Attiya, Walker, Gareth, Atkins, Stacey, Growdon, Jasmine, George, Becky, McNeill, Charlotte, Reed, Bryony, Foulds, Angela, Marshall, Catherine, Allison, Michele, Dillon, Briony, Cooney, Rachel, Bennett, Lillie, Bowlas, Louise, Shariff, Sharafaath, Fraser, Aileen, Punnette, Dwayne, Lambert, Rebecca, Bishop-Hurman, Charlotte, Undrell, Elizabeth, Belfield, Katherine, Din, Said, Addleton, Catherine, Appleby, Marie, Brown, Johanna, Holding, Kathleen, Fraser, Catherine, Birkenshaw, Janice, Williams, Jodie, Maulion, Kamille, Lane, Meg, Kravale, Arita, Smith, Claud, Hooper, Patricia, deCaestecker, John, Watchorn, Olivia, Clarke, Ellie, Hayward, Chris, Inniss, Susan, Pritchard, Lucy, Rudge, Karen, Carney, Amanda, Griffee, Sarah, Andreyev, Jervoise, Babu, Sathish, Hayhurst, Caroline, Lockwood, Carol, Osborne, Lynn, Roper, Amanda, Warner, Karen, Hindle, Julia, Lawrence, Tara, Netherton, Kimberley, Watt, Caroline, Szymiczek, Kinga, Mehta, Shameer, Bell, James, Blad, William, Whitley, Lisa, Jastrub, Roman, Durai, Dhamaraj, Baker, Mark, John Sivamurugan, Elizabeth, Evans, Mim, Cummings, Fraser, Harris, Clare, Jones, Amy, Krauze, Liga, Rahmany, Sohail, Earl, Michelle, Vowles, Jenny, Torokwa, Audrey, Petrova, Mirela, Procter, Andrew, Stanley, Jo, Silvamoniz, Claudia, Bettey, Marion, Wahid, Amar, Morrison, Zoe, Thomas-Turner, Rhian, Yendle, Louise, Muller, Jennifer, Mitchell, Marcus, Kirkwood, John, Barnes, Anna, Chaudhary, Rakesh, Claridge, Melanie, Ellis, Chiara, Kemp, Cheryl, Tobi, Ogwa, Milton, Jentus, Johnston, Emma, Oblak, Metod, Winpenny, Carmen, Svensson, Marie-Louise, Godden, Jo, Ashhar, Marium, Alexander, Debbie, Covil, Kate, Derikx, Lauranne, Siakavellas, Sryros, Baxter, Helen, Robertson, Scott, Smith, Linda, Poulose, Beena, Colemam, Anne, Balint, Margareta, Rhys-Jones, Gareth, Watters, Helen, Begg, Susan, Grosalcalde, Beatriz, Coyle, Judy, Johns, Kerrie, Hughes, Rachel, Phipps, Janet, Taylor, Abigail, MacPhee, Catherine, Brooks, Suzanne, John, Jolene, Edwards, Michelle, Smith, Katie, Howard, Linda, Wood, Dianne, Muddu, Ajay, Barman, Laura, Mallinson, Janine, Neale, Tania, Ionita, Diana, Elliot, Kerry, Turnball, Alison, Thomas, Iola, Thomas, Alice, Andrews, Kelly, Sutton, Jonathon, Mulvaney Jones, Caroline, Roberts, Julia, Bishop, Jeannie, Liu, Zhigang, Le, Kaixing, Zhou, Xin, Alexander, James L, Lin, Simeng, Bewshea, Claire, Chanchlani, Neil, Nice, Rachel, McDonald, Timothy J, Lamb, Christopher A, Sebastian, Shaji, Kok, Klaartje, Lees, Charlie W, Hart, Ailsa L, Pollok, Richard C, Boyton, Rosemary J, Altmann, Daniel M, Pollock, Katrina M, Goodhand, James R, Kennedy, Nicholas A, Ahmad, Tariq, and Powell, Nick

Published
2023
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2. LET IT RAIN

Author

Bentivogli, Daniel L. and Davey, Lisa A.

Published
2006

3. Post intensive care syndrome following cardiothoracic critical care: feasibility of a complex intervention

Author

Henderson, Philip, Quasim, Tara, Asher, Annette, Campbell, Lucy, Daniel, Malcolm, Davey, Lisa, Devine, Helen, Gall, Martyn, MacTavish, Pamela, McGroarty, Karen, Nolan, Fiona, Purdie, Colin, Quasim, Isma, Sharp, John, Shaw, Martin, Iwashyna, Theodore J., and McPeake, Joanne

Abstract

Objectives: To describe the long-term outcomes of cardiac intensive care unit patients and their primary caregivers, and to explore the feasibility of implementing a complex intervention, designed to support problems associated with post-intensive care syndrome and post-intensive care syndrome–family, in the year following discharge from the cardiac intensive care unit.\ud Design: A complex multidisciplinary rehabilitation programme, delivered as a quality improvement initiative, in a single centre in the West of Scotland.\ud Participants: Patients and their caregivers were invited to participate 12 weeks after hospital discharge. Twenty-seven patients and 23 caregivers attended the programme.\ud Results: Over 90% of patients had problems in at least one quality of life domain at baseline, 41% of patients had symptoms of anxiety and 22% had symptoms of depression. During the baseline visit, caregiver strain was present in 20% of caregivers, 57% had symptoms of anxiety, and 35% had symptoms of depression. Distinct improvements in outcomes were seen in both patients and caregivers at 1-year follow-up. The programme was implemented, and iterative learning obtained about the content and the operationalization of the service, in order to understand feasibility.\ud Conclusion: This small-scale quality improvement project has demonstrated that this complex multidisciplinary rehabilitation programme is feasible and appears to have positive implications for patients following discharge from the cardiac intensive care unit, and their caregivers.

Published
2021

4. Home and Online Management and Evaluation of Blood Pressure (HOME BP) using a digital intervention in poorly controlled hypertension: randomised controlled trial

Author

McManus, Richard J., Little, Paul, Stuart, Beth, Morton, Katherine, Raftery, James, Kelly, Jo, Bradbury, Katherine, Zhang, Jin, Zhu, Shihua, Murray, Elizabeth, May, Carl R., Mair, Frances S., Michie, Susan, Smith, Peter, Band, Rebecca, Ogburn, Emma, Allen, Julie, Rice, Cathy, Nuttall, Jacqui, Williams, Bryan, Yardley, Lucy, HOME BP investigators, Jones, Adam, Hussain, Ajmal, McHardy, Alistair, Harrison, Anna, LaLonde, Anna, Malik, Asim, Hernandez-Diaz, Basilio, Cranfield, Ben, Nicholson, Brian, Anandan, Carl, Neden, Catherine, Bobrow, Cathy, Evans, Chloe, Keast, Christopher, Henderson, Clare, Sutherland, Corrine, Kyte, Craig, Henderson, Dan, Noble, Debbie, Capo-Bianco, Ed, Williams, Edward, Shaw, Elizabeth, Mohri, Fatima, Asal, Gaurav, Dougall, Greig, Bhupal, Hardeep, Luckhurst, Heidi, Dosanjh, Hergeven, Nowell, Hilary, Brown, Jan, Flett, Jennifer, Barber, Julian, Rutter, Heather, Thompson, Julian, Ramanan, Kanjhana, Madronal, Karen, Malone, Karen, Etherington, Katie, Tsoi, Kenney, Knox, Kyle, Amin, Laila, Hirst, Lisa, Allen, Lucy, Skellern, Luke, Flynn, Lynne, McEwan, Lorne, Pugsley, Mark, Frassen, Marloes, Gaw, Matthew, Prendergast, Matthew, Wallard, Matthew, Faisal, Muhammad, Wooding, Nick, Lees, Nienke, Wainman, Paul, Nanda, Nithya, Moore, Patrick, Conley, Paul, Johnson, Paul, Wilson, Penny, Jacobs, Phillip, Whitbred, Pippa, Zamir, Rebecca, Reed, Richard, Tribley, Richard, Woof, Richard, Danson, Ruth, Lawes, Ruth, Gallagher, Sarah, Wadsworth, Sarah, Macanovic, Serge, Cartwright, Simon, Pettitt, Simon, Tucker, Simon, Doggett, Stephen, Sevenoaks, Tamsin, Watson, Tara, Talbot, Tess, Imrie, Ruth, Herbert, Thomas, Crockett, Tony, Wright, Tony, Sharma, Vanshika, Telford, Vicki, Almashta, Zaid, Cheng, Zelda, Ali, Zishan, Grube, Alice, Claxton, Andy, Asante, Barbara, Weare, Becki, McKee, Eleanor, Werrett, Bertha, Barwell, Carmel, Mulvihill, Carole, Sherwood, Caroline, MacDonald, Clare, Tabor, Dadirayi, Denning, Dawn, Roberts, Debbie, Adshead, Diane, Clarke, Gemma, Huntley, Heather, Pinder, Heather, Qasim, Irene, Merrison, Jane, King, Jill, Allison, Julie, Johal, Kam, Terry, Karen, Wood, Karine, Balmford, Kathryn, Barnes, Katie, Post, Katie, Bowden, Kelly-Marie, Edmunds, Kirsty, Whittle, Klaire, Peniket, Lara, Carnegie, Leann, Neale, Linda, Davey, Lisa, Bartlett, Liz, Smith, Louise, Clack, Lucy, Brown, Martina, McKenna, Naomi, Kay, Pam, Jacobs, Polly, Cutts, Rebecca, Pearse, Robert, Atkinson, Ruth, Barter, Sally, Mackie, Sally, Norris, Sam, Cook, Sandra, Elderfield, Sarah, Nzante, Sarah, Cronin, Sharon, Maslen, Sophie, Marchant, Stephanie, Wright, Stephanie, Keene, Sue, Smith, Sue, Cimelli, Suzie, Stone, Tracy, Joyce, Tricia, Le Marechal, Trudie, Kettle, Vicky, Osborne, Victoria, Cubiss, Wendy, Marsden, Wendy, Kowalczyk-Williams, Wioletta, and Bailey, Zoe

Abstract

Objective: The HOME BP (Home and Online Management and Evaluation of Blood Pressure) trial aimed to test a digital intervention for hypertension management in primary care by combining self-monitoring of blood pressure with guided self-management. Design: Unmasked randomised controlled trial with automated ascertainment of primary endpoint. Setting: 76 general practices in the United Kingdom. Participants: 622 people with treated but poorly controlled hypertension (>140/90 mm Hg) and access to the internet. Interventions: Participants were randomised by using a minimisation algorithm to self-monitoring of blood pressure with a digital intervention (305 participants) or usual care (routine hypertension care, with appointments and drug changes made at the discretion of the general practitioner; 317 participants). The digital intervention provided feedback of blood pressure results to patients and professionals with optional lifestyle advice and motivational support. Target blood pressure for hypertension, diabetes, and people aged 80 or older followed UK national guidelines. Main outcome measures: The primary outcome was the difference in systolic blood pressure (mean of second and third readings) after one year, adjusted for baseline blood pressure, blood pressure target, age, and practice, with multiple imputation for missing values. Results: After one year, data were available from 552 participants (88.6%) with imputation for the remaining 70 participants (11.4%). Mean blood pressure dropped from 151.7/86.4 to 138.4/80.2 mm Hg in the intervention group and from 151.6/85.3 to 141.8/79.8 mm Hg in the usual care group, giving a mean difference in systolic blood pressure of −3.4 mm Hg (95% confidence interval −6.1 to −0.8 mm Hg) and a mean difference in diastolic blood pressure of −0.5 mm Hg (−1.9 to 0.9 mm Hg). Results were comparable in the complete case analysis and adverse effects were similar between groups. Within trial costs showed an incremental cost effectiveness ratio of £11 ($15, €12; 95% confidence interval £6 to £29) per mm Hg reduction. Conclusions: The HOME BP digital intervention for the management of hypertension by using self-monitored blood pressure led to better control of systolic blood pressure after one year than usual care, with low incremental costs. Implementation in primary care will require integration into clinical workflows and consideration of people who are digitally excluded. Trial registration: ISRCTN13790648.

Published
2021

5. Missense mutations in TCF8 cause late-onset Fuchs corneal dystrophy and interact with FCD4 on chromosome 9p

Author

Riazuddin, S. Amer, Zaghloul, Norann A., Al-Saif, Amr, Davey, Lisa, Diplas, Bill H., Meadows, Danielle N., Eghrari, Allen O., Minear, Mollie A., Yi-Ju Li, Klintworth, Gordon K., Afshari, Natalie, Gregory, Simon G., Gottsch, John D., and Katsanis, Nicholas

Subjects
Corneal diseases -- Genetic aspects, Corneal diseases -- Diagnosis, Corneal diseases -- Care and treatment, Gene mutations -- Analysis, Haplotypes -- Analysis, Biological sciences
Abstract

A study reports five missense mutations in TCF8, a transcription factor whose deficiency causes posterior polymorphous corneal dystrophy (PPCD) in late-onset Fuchs corneal dystrophy (FCD) patients. A genome-wide scan also reveals their association with a late-onset FCD locus FCD4 on chromosome 9p, suggesting that PPCD and FCD are allelic variants of the same disease and the interaction of their genes results in an increased severity of FCD manifestation.

Published
2010

6. Toll-like Receptor 3 and Geographic Atrophy in age-related macular degeneration

Author

Zhenglin Yang, Stratton, Charity, Francis, Peter J., Kleinman, Mark E., Tan, Perciliz L., Gibbs, Daniel, Zongzhong Tong, Haoyu Chen, Constantine, Ryan, Xian Yang, Yuhong Chen, Jiexi Zeng, Davey, Lisa, Xiang Ma, Hau, Vincent S., Chi Wang, Harmon, Jennifer, Buehler, Jeanette, Pearson, Erik, Patel, Sherna, Yuuki Kaminoh, Watkins, Scott, Ling Luo, Zabriskie, Norman A., Wongil Cho, Schwager, Andrea, Hinton, David R., Klein, Michael L., Hamon, Sara C., Simmons, Emily, Beifeng Yu, Campochiaro, Betsy, Sunness, Janet S., Campochiaro, Peter, Jorde, Lynn, Parmigiani, Giovanni, Zack, Donald J., Katsanis, Nicholas, Ambati, Jayakrishna, and Kang Zhang

Subjects
Cell receptors -- Usage, Cell receptors -- Health aspects, Macular degeneration -- Genetic aspects, Vision disorders -- Causes of
Abstract

A study was conducted to investigate the role of toll-like Receptor 3 in the development of geographic atrophy and age-related macular degeneration which is a major cause of irreversible blindness. Results indicated that toll-like Receptor 3 does play a vital role in the development of geographic atrophy.

Published
2008

7. Home and Online Management and Evaluation of Blood Pressure (HOME BP) using a digital intervention in poorly controlled hypertension: randomised controlled trial

Author

McManus, Richard J, Little, Paul, Stuart, Beth, Morton, Katherine, Raftery, James, Kelly, Jo, Bradbury, Katherine, Zhang, Jin, Zhu, Shihua, Murray, Elizabeth, May, Carl R, Mair, Frances S, Michie, Susan, Smith, Peter, Band, Rebecca, Ogburn, Emma, Allen, Julie, Rice, Cathy, Nuttall, Jacqui, Williams, Bryan, Yardley, Lucy, Jones, Adam, Hussain, Ajmal, McHardy, Alistair, Harrison, Anna, LaLonde, Anna, Malik, Asim, Hernandez-Diaz, Basilio, Cranfield, Ben, Nicholson, Brian, Anandan, Carl, Neden, Catherine, Bobrow, Cathy, Evans, Chloe, Keast, Christopher, Henderson, Clare, Sutherland, Corrine, Kyte, Craig, Henderson, Dan, Noble, Debbie, Capo-Bianco, Ed, Williams, Edward, Shaw, Elizabeth, Mohri, Fatima, Asal, Gaurav, Dougall, Greig, Bhupal, Hardeep, Luckhurst, Heidi, Dosanjh, Hergeven, Nowell, Hilary, Brown, Jan, Flett, Jennifer, Barber, Julian, Rutter, Heather, Thompson, Julian, Ramanan, Kanjhana, Madronal, Karen, Malone, Karen, Etherington, Katie, Tsoi, Kenney, Knox, Kyle, Amin, Laila, Hirst, Lisa, Allen, Lucy, Skellern, Luke, Flynn, Lynne, McEwan, Lorne, Pugsley, Mark, Frassen, Marloes, Gaw, Matthew, Prendergast, Matthew, Wallard, Matthew, Faisal, Muhammad, Wooding, Nick, Lees, Nienke, Wainman, Paul, Nanda, Nithya, Moore, Patrick, Conley, Paul, Johnson, Paul, Wilson, Penny, Jacobs, Phillip, Whitbred, Pippa, Zamir, Rebecca, Reed, Richard, Tribley, Richard, Woof, Richard, Danson, Ruth, Lawes, Ruth, Gallagher, Sarah, Wadsworth, Sarah, Macanovic, Serge, Cartwright, Simon, Pettitt, Simon, Tucker, Simon, Doggett, Stephen, Sevenoaks, Tamsin, Watson, Tara, Talbot, Tess, Imrie, Ruth, Herbert, Thomas, Crockett, Tony, Wright, Tony, Sharma, Vanshika, Telford, Vicki, Almashta, Zaid, Cheng, Zelda, Ali, Zishan, Grube, Alice, Claxton, Andy, Asante, Barbara, Weare, Becki, McKee, Eleanor, Werrett, Bertha, Barwell, Carmel, Mulvihill, Carole, Sherwood, Caroline, MacDonald, Clare, Tabor, Dadirayi, Denning, Dawn, Roberts, Debbie, Adshead, Diane, Clarke, Gemma, Huntley, Heather, Pinder, Heather, Qasim, Irene, Merrison, Jane, King, Jill, Allison, Julie, Johal, Kam, Terry, Karen, Wood, Karine, Balmford, Kathryn, Barnes, Katie, Post, Katie, Bowden, Kelly-Marie, Edmunds, Kirsty, Whittle, Klaire, Peniket, Lara, Carnegie, Leann, Neale, Linda, Davey, Lisa, Bartlett, Liz, Smith, Louise, Clack, Lucy, Brown, Martina, McKenna, Naomi, Kay, Pam, Jacobs, Polly, Cutts, Rebecca, Pearse, Robert, Atkinson, Ruth, Barter, Sally, Mackie, Sally, Norris, Sam, Cook, Sandra, Elderfield, Sarah, Nzante, Sarah, Cronin, Sharon, Maslen, Sophie, Marchant, Stephanie, Wright, Stephanie, Keene, Sue, Smith, Sue, Cimelli, Suzie, Stone, Tracy, Joyce, Tricia, Le Marechal, Trudie, Kettle, Vicky, Osborne, Victoria, Cubiss, Wendy, Marsden, Wendy, Kowalczyk-Williams, Wioletta, and Bailey, Zoe

Subjects
Male, medicine.medical_specialty, General Practice, Psychological intervention, Blood Pressure, law.invention, Randomized controlled trial, law, Diabetes mellitus, Clinical endpoint, Humans, Medicine, Antihypertensive Agents, Aged, business.industry, Research, Self-Management, General Medicine, Blood Pressure Monitoring, Ambulatory, Middle Aged, medicine.disease, Telemedicine, United Kingdom, Confidence interval, Mean blood pressure, Blood pressure, Hypertension, Physical therapy, Female, Physical and Mental Health, business, Incremental cost-effectiveness ratio
Abstract

Objective The HOME BP (Home and Online Management and Evaluation of Blood Pressure) trial aimed to test a digital intervention for hypertension management in primary care by combining self-monitoring of blood pressure with guided self-management. Design Unmasked randomised controlled trial with automated ascertainment of primary endpoint. Setting 76 general practices in the United Kingdom. Participants 622 people with treated but poorly controlled hypertension (>140/90 mm Hg) and access to the internet. Interventions Participants were randomised by using a minimisation algorithm to self-monitoring of blood pressure with a digital intervention (305 participants) or usual care (routine hypertension care, with appointments and drug changes made at the discretion of the general practitioner; 317 participants). The digital intervention provided feedback of blood pressure results to patients and professionals with optional lifestyle advice and motivational support. Target blood pressure for hypertension, diabetes, and people aged 80 or older followed UK national guidelines. Main outcome measures The primary outcome was the difference in systolic blood pressure (mean of second and third readings) after one year, adjusted for baseline blood pressure, blood pressure target, age, and practice, with multiple imputation for missing values. Results After one year, data were available from 552 participants (88.6%) with imputation for the remaining 70 participants (11.4%). Mean blood pressure dropped from 151.7/86.4 to 138.4/80.2 mm Hg in the intervention group and from 151.6/85.3 to 141.8/79.8 mm Hg in the usual care group, giving a mean difference in systolic blood pressure of −3.4 mm Hg (95% confidence interval −6.1 to −0.8 mm Hg) and a mean difference in diastolic blood pressure of −0.5 mm Hg (−1.9 to 0.9 mm Hg). Results were comparable in the complete case analysis and adverse effects were similar between groups. Within trial costs showed an incremental cost effectiveness ratio of £11 ($15, €12; 95% confidence interval £6 to £29) per mm Hg reduction. Conclusions The HOME BP digital intervention for the management of hypertension by using self-monitored blood pressure led to better control of systolic blood pressure after one year than usual care, with low incremental costs. Implementation in primary care will require integration into clinical workflows and consideration of people who are digitally excluded. Trial registration ISRCTN13790648 .

Published
2020

9. Toll-like Receptor 3 and Geographic Atrophy in Age-Related Macular Degeneration

Author

Yang, Zhenglin, Stratton, Charity, Francis, Peter J., Kleinman, Mark E., Tan, Perciliz L., Gibbs, Daniel, Tong, Zongzhong, Chen, Haoyu, Constantine, Ryan, Yang, Xian, Chen, Yuhong, Zeng, Jiexi, Davey, Lisa, Ma, Xiang, Hau, Vincent S., Wang, Chi, Harmon, Jennifer, Buehler, Jeanette, Pearson, Erik, Patel, Shrena, Kaminoh, Yuuki, Watkins, Scott, Luo, Ling, Zabriskie, Norman A., Bernstein, Paul S., Cho, Wongil, Schwager, Andrea, Hinton, David R., Klein, Michael L., Hamon, Sara C., Simmons, Emily, Yu, Beifeng, Campochiaro, Betsy, Sunness, Janet S., Campochiaro, Peter, Jorde, Lynn, Parmigiani, Giovanni, Zack, Donald J., Katsanis, Nicholas, Ambati, Jayakrishna, and Zhang, Kang

Published
2008
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11. TTC21B contributes both causal and modifying alleles across the ciliopathy spectrum.

Author

Davis, Erica E., Qi Zhang, Qin Liu, Diplas, Bill H., Davey, Lisa M., Hartley, Jane, Stoetzel, Corinne, Szymanska, Katarzyna, Ramaswami, Gokul, Logan, Clare V., Muzny, Donna M., Young, Alice C., Wheeler, David A., Cruz, Pedro, Morgan, Margaret, Lewis, Lora R., Cherukuri, Praveen, Maskeri, Baishali, Hansen, Nancy F., and Mullikin, James C.

Subjects
GENE frequency, CILIARY body, ASPHYXIA, DYSTROPHY, GENETIC disorders, FUNCTIONAL analysis
Abstract

Ciliary dysfunction leads to a broad range of overlapping phenotypes, collectively termed ciliopathies. This grouping is underscored by genetic overlap, where causal genes can also contribute modifier alleles to clinically distinct disorders. Here we show that mutations in TTC21B, which encodes the retrograde intraflagellar transport protein IFT139, cause both isolated nephronophthisis and syndromic Jeune asphyxiating thoracic dystrophy. Moreover, although resequencing of TTC21B in a large, clinically diverse ciliopathy cohort and matched controls showed a similar frequency of rare changes, in vivo and in vitro evaluations showed a significant enrichment of pathogenic alleles in cases (P < 0.003), suggesting that TTC21B contributes pathogenic alleles to ∼5% of ciliopathy cases. Our data illustrate how genetic lesions can be both causally associated with diverse ciliopathies and interact in trans with other disease-causing genes and highlight how saturated resequencing followed by functional analysis of all variants informs the genetic architecture of inherited disorders. [ABSTRACT FROM AUTHOR]

Published
2011
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12. Genetic and Functional Dissection of HTRA1 and LOC387715 in Age-Related Macular Degeneration.

Author

Zhenglin Yang, Zongzhong Tong, Yuhong Chen, Jiexi Zeng, Fang Lu, Xufang Sun, Chao Zhao, Wang, Kevin, Davey, Lisa, Haoyu Chen, London, Nyall, Muramatsu, Daisuke, Salasar, Francesca, Carmona, Ruben, Kasuga, Daniel, Xiaolei Wang, Bedell, Matthew, Dixie, Manjuxia, Peiquan Zhao, and Ruifu Yang

Subjects
RETINAL degeneration, GENETIC mutation, EUGENICS, EYE diseases, GENETICS
Abstract

A common haplotype on 10q26 influences the risk of age-related macular degeneration (AMD) and encompasses two genes, LOC387715 and HTRA1. Recent data have suggested that loss of LOC387715, mediated by an insertion/deletion (in/ del) that destabilizes its message, is causally related with the disorder. Here we show that loss of LOC387715 is insufficient to explain AMD susceptibility, since a nonsense mutation (R38X) in this gene that leads to loss of its message resides in a protective haplotype. At the same time, the common disease haplotype tagged by the in/del and rs11200638 has an effect on the transcriptional upregulation of the adjacent gene, HTRA1. These data implicate increased HTRA1 expression in the pathogenesis of AMD and highlight the importance of exploring multiple functional consequences of alleles in haplotypes that confer susceptibility to complex traits. [ABSTRACT FROM AUTHOR]

Published
2010
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13. Neuropsychologists' training, experience, and judgment accuracy.

Author

Faust, David, Guilmette, Thomas J., Hart, Kathleen, Arkes, Hal R., Fishburne, Francis J., and Davey, Lisa

Abstract

It is often assumed that judgment accuracy improves as clinical training and experience increase, but the few studies on this topic within neuropsychology have yielded negative findings. In an extension of prior research, we obtained information on background training and experience from a nationally representative sample of clinical neuropsychologists and had each practitioner appraise one from among a series of 10 cases. Except for a possible tendency among more experienced practitioners to overdiagnose abnormality, no systematic relations were obtained between training, experience, and accuracy across a series of neuropsychologic judgments. Comparable results were obtained when analysis was limited to the top versus bottom 20% of the sample. This and other studies raise doubt that clinical neuropsychologists train and practice under conditions conducive to experiential learning. The potential benefits of further research on experience and judgment accuracy are discussed. [ABSTRACT FROM PUBLISHER]

Published
1988

15. Corrigendum: TTC21B contributes both causal and modifying alleles across the ciliopathy spectrum.

Author

Davis, Erica E, Zhang, Qi, Liu, Qin, Diplas, Bill H, Davey, Lisa M, Hartley, Jane, Stoetzel, Corinne, Szymanska, Katarzyna, Ramaswami, Gokul, Logan, Clare V, Muzny, Donna M, Young, Alice C, Wheeler, David A, Cruz, Pedro, Morgan, Margaret, Lewis, Lora R, Cherukuri, Praveen, Maskeri, Baishali, Hansen, Nancy F, and Mullikin, James C

Subjects
JOURNALISTIC errors
Abstract

A correction to the article "TTC21B contributes both causal and modifying alleles across the ciliopathy spectrum" is presented.

Published
2011
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16. Post-intensive care syndrome following cardiothoracic critical care: Feasibility of a complex intervention.

Author

Henderson P, Quasim T, Asher A, Campbell L, Daniel M, Davey L, Devine H, Gall M, Mactavish P, Mcgroarty K, Nolan F, Purdie C, Quasim I, Sharp J, Shaw M, Iwashyna TJ, and McPeake J

Subjects
Aged, Cardiovascular Diseases therapy, Depression, Feasibility Studies, Female, Humans, Male, Middle Aged, Quality Improvement, Cardiac Rehabilitation, Caregivers, Critical Care, Critical Illness, Quality of Life
Abstract

Objectives: To describe the long-term outcomes of cardiac intensive care unit patients and their primary caregivers, and to explore the feasibility of implementing a complex intervention, designed to support problems associated with post-intensive care syndrome and post-intensive care syndrome-family, in the year following discharge from the cardiac intensive care unit., Design: A complex multidisciplinary rehabilitation programme, delivered as a quality improvement initiative, in a single centre in the West of Scotland. Outcomes were measured using surveys of health related quality of life, self efficacy, anxiety, depression, pain, caregiver strain, and insomnia., Participants: Patients and their caregivers were invited to participate 12 weeks after hospital discharge. Twenty-seven patients and 23 caregivers attended the programme., Results: Over 90% of patients had problems in at least one quality of life domain at baseline, 41% of patients had symptoms of anxiety and 22% had symptoms of depression. During the baseline visit, caregiver strain was present in 20% of caregivers, 57% had symptoms of anxiety, and 35% had symptoms of depression. Improvements in outcomes were seen in both patients and caregivers at 1-year follow-up. The programme was implemented, and iterative learning obtained about the content and the operationalization of the service, in order to understand feasibility., Conclusion: This small-scale quality improvement project has demonstrated that this complex multidisciplinary rehabilitation programme is feasible and has positive implications for patients following discharge from the cardiac intensive care unit, and their caregivers.

Published
2021
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17. Cavopulmonary support with a microaxial pump for the failing Fontan physiology.

Author

Zhu J, Kato H, Fu YY, Zhao L, Foreman C, Davey L, Weisel RD, Van Arsdell GS, and Honjo O

Subjects
Animals, Cardiac Output, Equipment Design, Heart Defects, Congenital physiopathology, Heart Defects, Congenital surgery, Humans, Models, Animal, Models, Cardiovascular, Stroke Volume, Swine, Translational Research, Biomedical, Fontan Procedure adverse effects, Heart-Assist Devices
Abstract

The number of patients with the failing Fontan physiology is increasing. We tested a novel in situ microaxial pump (Impella) to support the failing atrio-pulmonary Fontan circulation in an acute pig model. A Fontan model was established in eight juvenile pigs by connecting the right atrium to the main pulmonary artery after tricuspid valve destruction. The Impella pump was inserted retrograde from the distal main pulmonary artery into the right atrium. Hemodynamics, blood gas, and echocardiographic data were compared among baseline, pure Fontan physiology (10 minutes), and mechanically assisted Fontan physiology (up to 12 hours). The Impella system generated a blood flow of 75-85 ml/kg/minute in six animals, and 55-65 ml/kg/minute in two animals. The mechanically assisted Fontan attained a significantly higher mean blood pressure (39.6 ± 7 vs. 24.7 ± 3.3 mm Hg, p < 0.01), lower central venous pressure (5 ± 2.4 vs. 12.8 ± 1.7 mm Hg, p < 0.01), and higher mixed venous saturation (60.4 ± 10.8 vs. 23.4 ± 8.4 mm Hg, p < 0.01) compared with pure Fontan physiology. Cardiac output and stroke volume were similar during baseline and mechanically assisted Fontan (p = not significant). This acute pig study demonstrated the feasibility of mechanical circulatory support in the failing Fontan physiology. The in situ microaxial pump maintained cardiac output while increasing blood pressure and reducing venous pressure.

Published
2015
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18. Genetic and functional dissection of HTRA1 and LOC387715 in age-related macular degeneration.

Author

Yang Z, Tong Z, Chen Y, Zeng J, Lu F, Sun X, Zhao C, Wang K, Davey L, Chen H, London N, Muramatsu D, Salasar F, Carmona R, Kasuga D, Wang X, Bedell M, Dixie M, Zhao P, Yang R, Gibbs D, Liu X, Li Y, Li C, Li Y, Campochiaro B, Constantine R, Zack DJ, Campochiaro P, Fu Y, Li DY, Katsanis N, and Zhang K

Subjects
Aged, Case-Control Studies, Chromosomes, Human, Pair 10 genetics, Cohort Studies, Enzyme Assays, Female, Gene Expression Regulation, Genetic Predisposition to Disease, Haplotypes genetics, High-Temperature Requirement A Serine Peptidase 1, Humans, Luciferases metabolism, Male, Polymorphism, Single Nucleotide genetics, Proteins metabolism, Serine Endopeptidases metabolism, Utah, Macular Degeneration genetics, Proteins genetics, Serine Endopeptidases genetics
Abstract

A common haplotype on 10q26 influences the risk of age-related macular degeneration (AMD) and encompasses two genes, LOC387715 and HTRA1. Recent data have suggested that loss of LOC387715, mediated by an insertion/deletion (in/del) that destabilizes its message, is causally related with the disorder. Here we show that loss of LOC387715 is insufficient to explain AMD susceptibility, since a nonsense mutation (R38X) in this gene that leads to loss of its message resides in a protective haplotype. At the same time, the common disease haplotype tagged by the in/del and rs11200638 has an effect on the transcriptional upregulation of the adjacent gene, HTRA1. These data implicate increased HTRA1 expression in the pathogenesis of AMD and highlight the importance of exploring multiple functional consequences of alleles in haplotypes that confer susceptibility to complex traits., Competing Interests: The authors have declared that no competing interests exist.

Published
2010
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19. Linkage of a mild late-onset phenotype of Fuchs corneal dystrophy to a novel locus at 5q33.1-q35.2.

Author

Riazuddin SA, Eghrari AO, Al-Saif A, Davey L, Meadows DN, Katsanis N, and Gottsch JD

Subjects
Aged, Female, Fuchs' Endothelial Dystrophy diagnosis, Genotype, Humans, Lod Score, Male, Microsatellite Repeats, Middle Aged, Pedigree, Phenotype, Polymerase Chain Reaction, Chromosomes, Human, Pair 5 genetics, Fuchs' Endothelial Dystrophy genetics, Genetic Linkage, Polymorphism, Single Nucleotide
Abstract

Purpose: To identify the disease locus associated with autosomal dominant Fuchs corneal dystrophy (FCD) in a large family and to compare the progression of severity in families mapped to the FCD1 and FCD2 loci., Methods: Seventeen individuals in a large family were examined by slit lamp biomicroscopy. Blood samples were collected, DNA was extracted, and a genome-wide scan was performed with a microarray SNP chip. After initial generation of a genome-wide, two-point LOD score, linkage was confirmed and the critical interval was established by genotyping of short tandem repeat (STR) microsatellite markers., Results: A genome-wide linkage scan localized the disease interval to the long arm of chromosome 5, with a maximum two-point parametric LOD score of 3.41. Haplotype analyses refined the critical interval to 5q33.1-q35.2, spanning a 27-Mb (29-cM) region. Clinical examination of affected individuals in this family revealed an early onset of FCD at approximately age 40, after which progression of the disease was significantly attenuated compared to the FCD1- and FCD2-linked families., Conclusions: Late-onset FCD is linked to a novel locus on 5q33.1-q35.2 and is associated with a milder severity in age at onset and rate of progression than the FCD1 and FCD2 loci. Correlation of individual genotypes with unique rates of disease progression will provide important tools for disease management, as well as for identifying the underlying genetic lesion, offer insight into the pathomechanism of FCD.

Published
2009
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20. The functional intraoperative pulmonary blood flow study is a more sensitive predictor than preoperative anatomy for right ventricular pressure and physiologic tolerance of ventricular septal defect closure after complete unifocalization in patients with pulmonary atresia, ventricular septal defect, and major aortopulmonary collaterals.

Author

Honjo O, Al-Radi OO, MacDonald C, Tran KC, Sapra P, Davey LD, Chaturvedi RR, Caldarone CA, and Van Arsdell GS

Subjects
Adolescent, Child, Child, Preschool, Female, Follow-Up Studies, Heart Septal Defects, Ventricular physiopathology, Humans, Infant, Magnetic Resonance Imaging, Male, Pulmonary Atresia physiopathology, Ventricular Function, Right, Collateral Circulation, Heart Septal Defects, Ventricular surgery, Pulmonary Artery abnormalities, Pulmonary Atresia surgery, Pulmonary Circulation, Systole
Abstract

Background: The objective was to determine if intraoperative pulmonary artery (PA) flow studies after complete unifocalization correlate with postrepair hemodynamics for pulmonary atresia (PA), ventricular septal defects (VSD), and major aortopulmonary collaterals., Methods and Results: Twenty patients (median age, 8 months; weight, 7.9 kg) underwent unifocalization between 2003 and 2008. A functional PA flow study was achieved by cannulating the unifocalized central PA before intracardiac repair and increasing flow incrementally to 2.5 L/min per m(2). Mean PA pressure (mPAP) was measured. The intent was to close the VSD for a mPAP of <30 mm Hg. Right ventricular systolic pressure (RVSP) and systemic systolic pressure were recorded. Total incorporated pulmonary segments, pulmonary segment artery ratio (ratio of incorporated segments to 18), and total neopulmonary artery index (the sum of major aortopulmonary collaterals and native PA index) were calculated. The VSD was successfully closed in 18 patients (90%). One attempted closure required an intraoperative fenestration. The study mPAP correlated with RVSP (rho=0.72; P=0.0027) and RVSP/systemic systolic pressure (rho=0.67; P=0.0063). Total neopulmonary artery index had a nonsignificant negative correlation with RVSP (rho=-0.42; P=0.079). Total incorporated pulmonary segments and pulmonary segment artery ratio were not correlated. Flow study mPAP had the highest accuracy in predicting successful VSD closure: area under the receiver-operator curve (0.83) versus total neopulmonary artery index (0.42), pulmonary segments (0.35), and pulmonary segment artery ratio (0.33)., Conclusions: The intraoperative pulmonary flow study predicted postoperative physiology significantly better than did standard anatomic measures. Conventional measures should be used with caution when determining the possibility for complete repair.

Published
2009
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