11 results on '"Gaukroger, Andrew"'
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2. Introduction to Big Data in trauma and orthopaedics
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Koziara, Michal, Gaukroger, Andrew, Hing, Caroline, and Eardley, Will
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- 2021
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3. Surgical versus non-surgical interventions for treating patellar dislocation
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Smith, Toby O, additional, Gaukroger, Andrew, additional, Metcalfe, Andrew, additional, and Hing, Caroline B, additional
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- 2023
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4. Supracondylar fractures of the humerus in children: is departmental documentation hitting national standards?
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Jones, Neil J, primary, Clough, Oliver, additional, Gaukroger, Andrew, additional, and Patnaik, Surendra, additional
- Published
- 2021
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5. Overcoming barriers in hallux valgus surgery: an assessment of variation in clinical commissioning in England
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Coffey, Duncan, primary, Ahluwalia, Raju, additional, Hudson-Phillips, Sarah, additional, Clark, Calum, additional, Dusu, Kent Keli, additional, Gaukroger, Andrew, additional, and Vig, Stella, additional
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- 2020
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6. Does skin preparation alter suture strength characteristics? Assessing the effect of chlorhexidine and isopropyl alcohol on common skin closure suture material
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Gaukroger, Andrew J., primary, Jones, Robin J.S., additional, Evans, Jonathan P., additional, and Dixon, Sean M., additional
- Published
- 2020
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7. Students' participation in collaborative research should be recognised
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Borakati, Aditya, McLean, Kenneth, Drake, Thomas M., Harrison, Ewen M., Kamarajah, Sivesh K., Khatri, Chetan, Nepogodiev, Dmitri, Abbas, Minaam, Abdalkoddus, Muhammad, Abdel-Fattah, Areej, Abdelgalil, Reem, Abdikadir, Haweya, Adams, Ryan, Adams, Sarah, Adelaja, Inioluwa, Adeogun, Abiola, Adjei, Helena, Adlan, Amirul, Adwan, Hussamuddin, Aeyad, Sara, Aftab, Raiyyan, Afzul, Amir, Agarwal, Vani, Aglan, Hosam, Agrawal, Medha, Agrawal, Rishi, Ahmed, Fiza, Akhtar, Sobia, Akpenyi, Onyinye, Al-Attar, Maithem, Al-Ausi, Muhammed, Al-Khyatt, Waleed, Al-Mousawi, Alia, Al-Nasser, Zainab, Alagappan, Anand, Alberts, Justin, Alfa-Wali, Maryam, Ali, Abdulmajid, Ali, Adnan, Ali, Tamara, Alkhaffaf, Bilal, Allen, Rachael, Alubaidi, Kassem, Andah, Edemanwan, Anderson, Richard, Andrew, Kirstine, Ang, Andrew, Ang, Eshen, Anyomih, Theophilus, Archer, James, Archer, Matt, Arnell, Steven, Arnold, Matthew, Arora, Esha, Ashraf, Nadeem, Ashraf, Raees, Ashwood, Jordan, Asif, Usama, Atayi, Andrew, Auckburally, Sameera, Austin, Ralph, Azam, Sultana, Yahaya, Aishah Azri, Babatunde, Fiyin, Bach, Simon, Bachar, Roudi, Badran, Abdul, Baillie, Caroline, Balai, Edward, Baldwin, Alexander, Balian, Vartan, Banfield, Danielle, Bannard-Smith, Jonathan, Barker, Connor, Barmayehvar, Behrad, Barnfield, Jane, Bartlett, David, Bartlett, Richard, Baryeh, Kwaku, Basetti, Siddharth, Bateman, Kellie, Bath, Michael, Beamish, Andrew, Beasley, William, Beecroft, Simon, Begaj, Ardit, Beghal, Gurpreet, Belchos, Jessica, Bera, Katarzyna, Bergara, Tara, Betts, Anna, Bhangu, Aneel, Bhaskaran, Gayathri, Bhatti, Amina, Bica, Mihai, Billyard, Caitlin, Birkin, Emily, Blazeby, Jane, Blege, Harry, Blencowe, Natalie, Blore, Christopher, Boddy, Alex, Boissaud-Cooke, Matthew, Bolina, Anita, Bolton, William, Bosanquet, David, Bowley, Doug, Boyce, Kathryn, Branagan, Graham, Brayley, Jessica, Brecher, Joanna, Bresges, Kristina, Briggs, Emily, Broll, Ryan, Brown, Damien, Brown, Elliot, Brown, Leo, Brown, Robin, Brown, Rory, Bruce, Connor, Bruce, Pepa, Buckle, Rory, Budd, Emily, Buka, Richard, Burke, Dermot, Burke, Joshua, Burman, Alisha, Burney, Laura, Burrows, Amy, Bux, Mohammed, Cahill, Ronan, Calabria, Clementina, Camilleri-Brennan, Julian, Campbell, Amy, Campbell, Bill, Cant, Matthew, Cao, Yun, Carlson, Sophie, Carr, Grace, Carr, Luke, Carr, Rebecca, Carr, Richard, Cartwright, Eleanor, Castle, Alice, Cattle, Kirsty, Cave, Daniel, Chapman, Stephen, Charalabopoulos, Alexandros, Chaudhri, Sanjay, Chaudhry, Ahmad, Chauhan, Paresh, Chauhan, Priyesh, Chebbout, Ryad, Chen, Yunzi, Chenciner, Louisa, Cheng, Jingjie, Cheng, Natalie, Chew, Lin, China, Zenab, Chitnis, Abhishek, Chitsabesan, Praminthra, Choi, Paul, Choi, Sarah, Choudhry, Mariam, Choy, Chern, Ciurleo, Claudia, Claireaux, Henry, Coe, Peter, Cole, Simon, Concannon, Katy, Cope, Edward, Corbridge, Olivia, Court, Jessica, Cox, Louise, Craig-Mcquaide, Anna, Cresswell, Ben, Crozier, Lauren, Cruickshank, Neil, Cuckow, Lucy, Cui, Helen, Cumber, Elspeth, Cumming, Sarah, Cundy, Olivia, Cunha, Melissa, Cunha, Pedro, Cunliffe, Laura, Dada, Jazleen, Daliya, Prita, Dalli, Jeffrey, Daniels, Ian, Daniels, James, Daoub, Ahmed, Dar, Sabeera, Das, Emma, Das, Kaustuv, Davies, Emily, Davies, Gareth, Davies, Kirsty, Davies, Kristen, Davies, Rachel, Dawe, Victoria, Lucas de Carvalho, Joshua, De Jong, Katie, Deasy, Katherine, Deekonda, Praveena, Deepak, Sahil, Desai, Henal, Desai, Karishma, Devlin, Ryan, Dewan, Nishat, Dhillon, Akashdeep, Dhillon, Priya, Dhir, Tanya, Di Saverio, Salomone, Diamond, Julia, Dib, Peter, Dimitriadis, Panagiotis A., Dindyal, Shiva, Doe, Matthew, Doehrty, Ciaran, Dogra, Tara, Doshi, Arpan, Downey, Alison, Doyle, Joseph, Draper, Ashleigh, Duff, Sarah, Duncumb, Joseph, Dupre, Sophie, Durno, Justine, Dzieweczynski, Michal, Eardley, Nicola, Easby, Sarah, Easdon, Sam, Ebdewi, Hamdi, Eccles, Lydon, Edwards, Jacob, Eedarapalli, Padma, Elbuzidi, Mohamed, Elder, Patrick, Elliott, Lucy, Elsaddig, Malaz, Embury-Young, Ysabelle, Emesih, Sophie, Engledow, Alec, English, William, Episkopos, Christos, Epstein, Jonathan, Esmail, Rahim, Fatayer, Taher, Favero, Nicolò, Fearnhead, Nicola, Feldman, Maxine, Fennelly, Evelyn, Fenwick, Stephen, Ferguson, Lucie, Fergusson, Stuart, Fessas, Petros, FitzGerald, Isabel, Fitzgerald, J. 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Christianne, Gupta, Rishi, Guy, Claire, Gwozdz, Adam, Haddow, James, Hafiz, Shazia, Halkias, Constantine, Hall, Elisabeth, Hamid, Hasseb, Hamilton, Emma, Harbhajan Singh, Gurvinder Singh, Hardman, John, Harries, Rhiannon, Harris, Rhydian, Harrogate, Suzanne, Harty, Megan, Harvey, Jessica, Hashemi, Rahima, Hassane, Ahmed, Hawkins, Helen, Hawthorne, Thomas, Hayes, John, Hazenberg, Phoebe, Heath, Harry, Hebbar, Madhusoodhana, Heer, R., Hegarty O'Dowd, Roisin, Henshall, David, Herrod, Philip, Hester, Elizabeth, Heywood, Emily, Heywood, Nick, Hill, Frances, Hill, James, Hill, Kirsty, Ho, May, Hollyman, Marianne, Holroyd, David, Home, Joseph, Hornby, Steve, Horne, Laura, Horseman, Charlotte, Hosamuddin, Huma, Hough, Amy, Hourston, George, Hudson-Peacock, Nathan, Hughes, Belinda, Hughes, Katie, Huppatz, Isabel, Hurst, Penelope, Hussain, Mahrukh, Hussain, Shoaib Fahad, Hussain, Syeda, Hutchings, Imogen, Ibrahim, Bilal, Imam, Lema, Ingham, Rory, Ingleton, Rose, Iqbal, Rizwan, Isherwood, Jenny, 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Mandishona, Tinaye, Mangam, Sudhakar, Manimaran, Maniragav, Manimaran, Natarajan, Manson, Chris, Mansoor, Sufyan, Mansour, Fatima, Marcos Rodrigo, Alejandro, Markham, Nicholas, Marks, Maria, Marriott, Paul, Marsden, Hannah, Martin, Laura, Martins, Tiago, Mason, John, Mason, Luke, Masood, Mariam, Math, Nikhil, Mathew, Ginimol, Matthews, Jacob, Mayes, Jonathan, Mc Gee, Ursula, Mcallister, Ross, Mcallister, Sandra, Mccain, Scott, Mccann, Conor, Mccann, Emmet, McCarthy, Cathal, Mccoll, Gillian, Mcconaghie, Greg, Mcdermott, Ace, McDermott, Frank, Mcdougall, Rachel, McDowell, Mark, McFarlane, Gordon, McGregor, Richard, McKechnie, Doug, McKenna, Jillian, McKinstry, Scott, Mclachlan, Georgia, Mclean, E., McLennan, Elizabeth, McNair, Angus, Mealy, Kenneth, Mecia, Lauren, Mehta, Alexander, Mellan, Aidan, Menon, Arathi, Menzies, Donald, Mesbah, Zhubene, Messenger, David, Miller, George, Mishra, Aseem, Mistry, Sona, Mohamed, Tahira, Mushaini, Nisha Mohamed, Mohan, Midhun, Mohd Azmilssss, Ameerah, Mohite, Ajay, Moorthy, Krishna, Moradzadeh, Jalal, Morgan, Richard, Morley, Gabriella, Mortimer, Alice, Mownah, Hannah, Moxey, Paul, Mudalige, Gagira, Muhammad, Umarah, Munday, Samuel, Murphy, Ben, Murphy, Ciaran, Murray, Caoimhe, Murray, Hannah, Murray, Michael, Murtaza, Mohammed Ibrar, Mushtaq, Jameel, Mustafa, Ameer, Mustafa, Shams, Myers, Laura, Myers, Sam, Naasan, Adeeb, Nadeem, Kiran, Naeem, Hanzla, Naik, Prashant, Nair, Arun, Nambiar, Keshav K., Naqi, Muhammad, Naqvi, Zehra, Neo, Yan Ning, Neophytou, Georgia Irene, Neville, Jonathan, Newman, Tom, Ng, Benjamin, Ng, Guat, Ng, Jing Qi, Ng, Vincent, Ng, Zhan Herr, Ni Bhoirne, Maire, Nicholas, James, Nicholson, Gary, Ninkovic-Hall, George, Nixon, Gemma, Norwood, Mike, Noton, Toby, Nourzaie, Romman, Novell, Richard, Nyanhongo, Donald, O'Brien, James, O'Kane, Rory, O'Neill, Stephen, O'Sullivan, Hugh, Oakley, Thomas, Ogbuokiri, Chinomso, Ogunleye, Oluwafunto, Oh, Su, Okorocha, Emezie, Olivier, James, Ologunde, Rele, Omara, Sharif, Ormrod, Alice, Osborne, Caroline, Osmanska, Joanna, Owasil, Raisah, Owczarek, Sebastian, Ozcan, Ezgi, Palaniappan, Sri, Palazzo, Francesco, Palkhi, Abbas, Pandey, Gargi, Park, James, Parker, Jennifer, Parry, Anna, Parsonage, James, Passby, Lauren, Patel, Bhavi, Patel, Bhavik, Patel, Chantal, Patel, Dinisha, Patel, Kirtan, Patel, Panna, Patel, Pratiksha, Patel, Trupesh, Pathmarajah, Mariasoosai, Patil, Amogh, Patil, Pradeep, Patrick, Yusuf, Pearce, Jessica, Pearce, Lyndsay, Peirce, Colin, Peiris, Bryony, Pendrill, Amy, Periketi, Sreelata, Perry, Michael, Petrov, George, Phillips, Charlotte, Pike, Grace, Pinho-Gomes, Ana Catarina, Polly, Parhana, Ponweera, Arachchige, Poolovadoo, Yanish, Poonawala, Raunak, Popova, Petya, Pournaras, Dimitri, Powell, Brooke, Prabakaran, Praveena, Prakash, Esha, Pratumsuwan, Tapani, Prem Kumar, Anusha, Puddy, Helen, Pullinger, Michael, Punjabi, Nikita, Putt, Oliver Charles, Qadir, Omar, Qamar, Mubasher, Quinn, Patrick, Qureshi, Arham, Rabie, Mohamed, Radford, Angus, Radhakrishnan, Anand, Radotra, Ansh, Rafiq, Nasir, Rahem, Aria, Rahman, Nahim, Rahman, Syed, Rajagopal, Ramesh, Rajan, Nick, Rajaraman, Nikitha, Rajendran, Sumetha, Ramachenderam, Liandra, Ramakrishnan, Divya, Ramjas, Denisha, Rammell, James, Rampal, Ritika, Ramsay, George, Randhawa, Ratan, Rea, Ellis, Rees, Stephanie, Rehman, Saad, Rehman, Salwah, Rehnnuma, Nabila, Rejayee, Melina, Rob, Zakaria, Roberts, Charlotte, Roberts, Grace, Roberts, Ben, Robinson, Harry, Robinson, Stephen, Rogers, Ailin, Rogers, Alex, Rook, William, Ross, Talisa, Roy, Chloe, Rushd, Azelea, Rutherford, Duncan, Saat, Michael, Sadanand, Kaushik, Sagar, Rebecca, Sagoo, Harkiran, Saha, Arin, Sahnan, Kapil, Sait, Mohammed Salik, Sait, Saif, Salekin, Damien, Salem, Mostafa, Salloum, Nadia, Sanders, Emma, Sandhu, Jasmesh, Sandhu, N., Sandison, Lorna, Sandland-Taylor, Laura, Sangal, Ron, Sanghera, Chandan, Saramunda, Josephine, Satterthwaite, Lauren, Schramm, Moritz, Scott, Rupert, Searle, Chloe, Seehra, Harkiran, Segura-Sampedro, Juan Jose, Sekhon Inderjit Singh, Harpreet Kaur, Seraj, Shaikh Sanjid, Seth, Ishani, Sethi, Rajiv, Shah, Apar, Shaid, Mario, Shaikh, Shafaque, Shamali, Awad, Sharkey, Elizabeth, Sharma, Abhi, Sharma, Neil, Sharma, Sachin, Shenoy, Aniruddh, Shergill, Maleasha, Shirazi, Shahram, Siddiqui, Imran, Sim, Raykal, Simmonds, Lucy, Simon, Andrew, Simpson, William, Singh, Bharpoor, Singh, J., Singh, Prashant, Sinha, Anant, Sinha, Sidhartha, Sinnerton, Robert, Sivakumar, Chaamanti, Skelly, Brendan, Slater, Richard, Small, Samuel, Smart, Neil, Smart, Yat Wing, Smith, Alexander, Smith, Charlotte, Smith, Jason, Smith, Rebecca, Smith, Scott, Sodde, Peter, Soh, Zhi Min, Sonsale, Aniket, Soualhi, Ahmed, Spearman, John, Spencer, Robert, Spiers, Harry, Stather, Philip, Stoddart, Michael, Storey, Bradley, Stringer, Howard, Stringfellow, Thomas, Stubbs, Ben, Sukir, Niv, Sukirthan, Nivian, Suleman, Yasir, Sureshkumar, Aparnah, Suri, Ashwin, Swartbol, Timen, Tahir, Hyder, Tan, E. Tian, Tan, Huai Ling, Tan, Laura, Tang, Alethea, Taribagil, Priyal, Tay, Yao Zong, Taylor, Beth, Taylor, Zara, Thatcher, Alexandra, Thavayogan, Rachel, Thomaa, Michael, Thomas, Daniah, Thomas, Jenny, Thomas, Paul, Pinkney, Thomas, Thompson, Chris, Ting, Mag, Toner, Ethan, Tong, Godwin, Torkington, Jared, Traish, Molly, Triniman, Miles, Trotter, John, Tsang, Kwong, Turaga, Sanchit, Turley, Hannah, Turner, James, Urbonas, Tomas, Urquhart, Alexandra, Vadgama, Nimai, Vaidya, Aashay, van Boxel, Gijs, Vara, Swati, Varcada, Massimo, Varley, Rebecca, Varma, Dee, Vella-Baldacchino, Martinique, Venturini, Sara, Verma, Naina, Verma, Saurabh, Vernet, Gabrielle, Vipond, Mark, von Roon, Alex, Wadood, Qasim, Waite, Kathryn, Walker, Lewis, Walker, Nathan, Wan, Jonathan C.M., Wang, Liyang, Wang, Xue, Ward, Alex, Ward, Thomas, Warnaar, Nienke, Warren, Lloyd, Warren, Oliver, Waters, Sam, Watson, Angus, Watson, Laura Jayne, Waugh, Dominic, Weinberg, Daniel, West, Malcolm, White, Carla, White, Tim, Whitehurst, Katharine, Whitham, Robert, Wijekoon, Tharindri, Wijeyaratne, Manuk, Wilkin, Richard, Wilkins, Alex, Williams, Adam, Williams, Gethin, Williams, Luke, Williams, Robert, Williamson, Andrew, Willson, Jacinthe, Wilson, Andrew, Wilson, Holly, Wilson, James, Wilson, Lizzie, Wilson, Megan, Wilson, Michael, Wilson, Rebekah, Wilson, Tim, Woin, Evelina, Wright, Esther, Wright, Jenny, Wroe, Nicholas, Wylie, Joanne, Xu, Yiwang, Yalamarthi, Satheesh, Yan, Angela, Yang, Narisu, Yardimci, Eda, Yasin, Ibrahim, Yasin, Ismael, Yasin, Noor, Yates, Joseph, Yau, Jih Dar, Yeoh, Tricia, Yip, Joshua, Yong, Cissy, Zaver, Vasudev, Zhelezniakova, Tatiana, and Zulkifli, Adreana
- Published
- 2017
- Full Text
- View/download PDF
8. Can Medical Students Lead Effective Quality Improvement Initiatives? A Systematic Review
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Sayma, Meelad, primary, Saleh, Dina, additional, Saleh, Keenan, additional, Gaukroger, Andrew, additional, Howard, Theodore, additional, Hesford, Christian, additional, Williams, Hywel Rhys, additional, Ejaimike, Lady-Namera, additional, Zolfaghari, Yasmin, additional, and Ong, Ashley, additional
- Published
- 2018
- Full Text
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9. Improving the use of treatment escalation plans: a quality-improvement study
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Sayma, Meelad, primary, Nowell, George, additional, O’Connor, Aedamar, additional, Clark, Gemma, additional, Gaukroger, Andrew, additional, Proctor, Dominic, additional, Walsh, Jamie, additional, Rigney, Brian, additional, Norman, Storm, additional, Adedeji, Andrew, additional, Wilson, David, additional, O’hagan, Darren, additional, Cook, Victoria, additional, Carrington, Robbie, additional, Sekaran, Preshgena, additional, Wehbe, Maya, additional, Paterson, Duncan, additional, Welchman, Sophie, additional, Over, Jay, additional, and Payne, Sheila, additional
- Published
- 2018
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10. Can Medical Students Lead Effective Quality Improvement Initiatives? A Systematic Review.
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Sayma, Meelad, Saleh, Dina, Saleh, Keenan, Gaukroger, Andrew, Howard, Theodore, Hesford, Christian, Williams, Hywel Rhys, Ejaimike, Lady-Namera, Zolfaghari, Yasmin, and Ong, Ashley
- Abstract
Quality improvement project (QUIP) concepts are becoming embedded into medical school curricula, with many students now expected to conduct a QUIP as part of their progression. This study aimed to assess whether student-led QUIPs can be effective and sustainable. A systematic literature search was conducted using 5 databases: MEDLINE, Embase, Ovid, CINAHL, and PsycINFO. The authors searched for articles published between January 28, 1978, and January 28, 2018. In all, 3965 articles were identified through database searching, and an additional 9 articles through hand searches. After screening and full-text analysis, 12 articles were included. Greater than 50% of QUIPs described a statistically significant improvement in the primary outcome. However, effective student-led QUIPs were not necessarily sustainable, with a mean final audit at 4.4 months. Medical students have the potential to produce effective QUIPs. There now needs to be a structured approach to give medical students the freedom to test and validate more unique interventions. [ABSTRACT FROM AUTHOR]
- Published
- 2019
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11. UK Foot and Ankle Thromboembolism (UK-FATE).
- Author
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Mangwani J, Houchen-Wolloff L, Malhotra K, Booth S, Smith A, Teece L, Mason LW, Shaikh R, Alfred W, Okhifun I, Cinar E, Bua N, Vemulapalli K, Acharya A, Gadd R, Money-Taylor J, Kantharaju R, Bhosale A, Bahri S, Broadbent R, Drummond I, Jones N, Shah S, Ravindrarjah T, Yasen Z, Singh K, Al-Habs R, Jeyaseelan L, Habbiba A, Walker T, Dewhurst M, Glasgow N, Eze D, Carter G, Rajan P, Patil V, Amer O, Malik K, Pavanerathan P, Mallick A, Seferiadis I, Currall V, Sadasivan P, Kumar S, Sanjani SR, Ciaccio M, Ayyaswamy B, Prasad P, Anand M, Sunilraj D, Lane S, Prathap S, Kankate R, Aktselis I, Davda K, Vijapur A, Tayyem M, Chau J, Azhar MS, Sturdee S, Hussain H, Sonde S, Luqman MQ, Farooq R, Wells G, Shenolikar A, Simons M, Hodgson P, Thomas R, Stevens S, Elhassan Y, Adeniyi A, Aspinall W, Joseph V, Day M, Tong A, Joyner C, Alzaranky M, Elhassan O, Chhantyal K, Arora A, Abiddin Z, Kucharski R, Ahmad I, Zeb J, Ishaq U, Thomas J, Jain K, Deol R, Faroug R, Johal K, Mordecai S, Argyropouos M, Chawla A, Ibrahim M, Pereira M, Barr L, Julies E, Hill F, Kapoor S, Bailey J, Mukhopadhyay I, Rana S, Tarig H, Qualaghassi M, Seewoonarian S, Rose B, Crate G, Abbott S, Fenner C, Geleit R, Yousaf S, Akram N, Al-Hubeshy Z, Patel B, Hussein M, Clark C, Giddie J, Dega R, Dasari K, Nandhara G, Kumar P, Gupta P, Poole H, Zace P, Alvi F, Jacob J, Reddy R, Sateesh V, Gledhill A, Craven J, Cichero M, Yates B, Newton A, Grice J, Fawcett N, Fraig H, Hamad F, Marsland D, Elliot R, Ghani Y, Chandrashekhar S, Millan RK, Clark A, Rahman K, Sykes M, Little Z, Saleem J, Jolly L, Jain A, Qadri A, Rymaruk S, Kulkarni A, Garabadi M, Akhtar M, Hossain M, Yunus S, Saleem M, Fong J, Islam A, Nusir B, Chapman J, Holmes D, Mamoowala N, Almond K, Wright C, Caruana E, Watson T, Allison G, Pillai A, Madhi I, Alsalihy M, Elamin K, Yip CR, Tew L, Dahiya R, Goff T, Bagshaw O, Slade H, Andrzejowski P, Gomati A, Drake C, Hind J, Morgan R, Khalaf A, Ditta A, Ramasamy A, McIntyre J, Blacklock C, Middleton S, Clayton R, Hrycaiczuk A, Thornhill C, Jeyakumar G, Vaithilingam D, Potter K, Jamal/Pete Chan B, Mohamed M, Fraser D, Elhalawany A, Beastall J, Cousins G, Nunag P, Loveday D, Bawa A, Gilmore R, Schankat K, Walls A, Corin N, Robinson P, Hepple S, Harries W, Riddick A, Winson I, Marsh L, Bashir MA, Saini J, Atkinson H, Limaye R, Johnson-Lynn S, Sethi M, Flanagan G, Uddin A, Reilly I, Martin R, Pujol-Nichol A, Carroll N, Boucher A, Alward M, Myint Y, Butler K, Kendal A, Bugeja M, Mooteeram J, Saedi F, Koc T, Morcos Z, Robertson G, Holmes N, Tribe H, Pearkes T, Soliman A, Prasanna A, Teoh K, Kamat S, Bajracharya A, Reeves J, Ngwayi M, Imtiaz G, Blackmore N, Lau B, Naik A, Tung E, Murhekar S, Ray R, Lyle S, Makwana N, Kaisi KA, Al-Musabi M, Dean M, Hughes A, Shuttlewood K, Welck M, Patel S, Sykes A, Thibbaiah MM, Hadi H, Haldar A, Ardakani AG, Jani P, Kutuzov V, Gibbons J, Trussler D, Hawley E, Akhtar S, Rajgor HD, Budair B, Prem H, Mckenzie J, Thurston D, O'Sullivan M, Elmajee M, Pond E, Zahra W, Heaver C, Igbagiri K, Gaukroger A, Solan M, Peacock C, Fan KS, Barton T, Robinson D, Graham S, Zeolla J, Everett S, Iqbal M, Gourbault L, Singh S, Tang C, Tarhini M, Khan S, Balasubramanian S, Lever C, Bansod V, Iyengar K, Wadood A, McMillan L, Toh E, Masunda S, Federer S, Ahmad F, Lashin A, Kaddah A, Oladeji E, Dawe E, Nolan C, El-Bayouk K, Dhukaram V, Chapman A, Beddard L, Thomas A, Garg V, Taylor H, Kelsall N, Roslee C, Akram N, Lowdon H, Kamel-Sherif A, Jones A, Best A, Zabaglo M, Sayani J, Kyaw O, Khin C, Ali R, Shaik Y, Hossain N, Valente L, Ajis A, Guha A, Pereira M, Ayoub A, Paraoan V, Hali N, Baird C, Kugan R, Abdallatif A, Blomfield M, Jackson G, Craven J, Malhotra A, Toner A, Render L, Ashley C, Limb R, Smith R, Hughes L, Matthews H, Shiers-Gelalis F, Ting J, Place S, Budgen A, Stanley J, and Jowett C
- Subjects
- Humans, Male, Female, United Kingdom epidemiology, Middle Aged, Prospective Studies, Risk Factors, Adult, Incidence, Aged, Postoperative Complications epidemiology, Postoperative Complications prevention & control, Rupture surgery, Venous Thromboembolism prevention & control, Venous Thromboembolism epidemiology, Venous Thromboembolism etiology, Achilles Tendon injuries, Achilles Tendon surgery, Anticoagulants therapeutic use
- Abstract
Aims: Venous thromboembolism (VTE) is a potential complication of foot and ankle surgery. There is a lack of agreement on contributing risk factors and chemical prophylaxis requirements. The primary outcome of this study was to analyze the 90-day incidence of symptomatic VTE and VTE-related mortality in patients undergoing foot and ankle surgery and Achilles tendon (TA) rupture. Secondary aims were to assess the variation in the provision of chemical prophylaxis and risk factors for VTE., Methods: This was a multicentre, prospective national collaborative audit with data collection over nine months for all patients undergoing foot and ankle surgery in an operating theatre or TA rupture treatment, within participating UK hospitals. The association between VTE and thromboprophylaxis was assessed with a univariable logistic regression model. A multivariable logistic regression model was used to identify key predictors for the risk of VTE., Results: A total of 13,569 patients were included from 68 sites. Overall, 11,363 patients were available for analysis: 44.79% were elective (n = 5,090), 42.16% were trauma excluding TA ruptures (n = 4,791), 3.50% were acute diabetic procedures (n = 398), 2.44% were TA ruptures undergoing surgery (n = 277), and 7.10% were TA ruptures treated nonoperatively (n = 807). In total, 11 chemical anticoagulants were recorded, with the most common agent being low-molecular-weight heparin (n = 6,303; 56.79%). A total of 32.71% received no chemical prophylaxis. There were 99 cases of VTE (incidence 0.87% (95% CI 0.71 to 1.06)). VTE-related mortality was 0.03% (95% CI 0.005 to 0.080). Univariable analysis showed that increased age and American Society of Anesthesiologists (ASA) grade had higher odds of VTE, as did having previous cancer, stroke, or history of VTE. On multivariable analysis, the strongest predictors for VTE were the type of foot and ankle procedure and ASA grade., Conclusion: The 90-day incidence of symptomatic VTE and mortality related to VTE is low in foot and ankle surgery and TA management. There was notable variability in the chemical prophylaxis used. The significant risk factors associated with 90-day symptomatic VTE were TA rupture and high ASA grade., Competing Interests: J. Mangwani reports support from the Leicester Hospitals Charity, related to this study. J. Mangwani reports payment or honoraria for lectures, presentations, educational events from Orthosolutions, and royalties from Meshworks, unrelated to this study. K. Malhotra reports payment or honoraria for lectures, presentations, speaker bureaus, manuscript writing or educational events from NewClip Technics, unrelated to this study. L. W. Mason reports royalties or licenses, consulting fees, and patents planned, issued or pending from Orthosolutions, unrelated to this study., (© 2024 The British Editorial Society of Bone & Joint Surgery.)
- Published
- 2024
- Full Text
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