مجال التميز | تميز دراسي وبحثي + جوائز تفوقية |
البحوث المنشورة |
|
البحث (1): | |
عنوان البحث: |
Rapid Response System in the Recognising of the Deteriorating Patients: Respiratory Complaints are the Origins |
رابط إلى البحث: | |
تاريخ النشر: |
18/07/2016 |
موجز عن البحث: |
Rapid response team (RRT) system is a structure that contains a set of clinical criteria for certain conditions to detect and intervene on any abnormal signs and symptoms that do not meet these criteria by a qualified expert team [1]. |
البحث (2): | |
عنوان البحث: |
Risk factors for all-cause hospital readmission following exacerbation of COPD: a systematic review and meta-analysis |
رابط إلى البحث: | |
تاريخ النشر: |
03/06/2020 |
موجز عن البحث: |
Background: Readmission rates following hospitalisation for COPD exacerbations are unacceptably high, and the contributing factors are poorly understood. Our objective was to summarise and evaluate the factors associated with 30- and 90-day all-cause readmission following hospitalisation for an exacerbation of COPD. Methods We systematically searched electronic databases from inception to 5 November 2019. Data were extracted by two independent authors in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Study quality was assessed using a modified version of the Newcastle–Ottawa Scale. We synthesised a narrative from eligible studies and conducted a meta-analysis where this was possible using a random-effects model. Results In total, 3533 abstracts were screened, 208 full-text manuscripts were reviewed, a total of 32 papers met the inclusion criteria and 14 studies were included in the meta-analysis. The readmission rate ranged from 8.8–26.0% at 30 days and from 17.5–39.0% at 90 days. Our narrative synthesis showed that comorbidities, previous exacerbations and hospitalisations, and increased length of initial hospital stay were the major risk factors for readmission at 30 and 90 days. Pooled adjusted odds ratios (95% confidence intervals) revealed that heart failure (1.29 (1.22–1.37)), renal failure (1.26 (1.19–1.33)), depression (1.19 (1.05–1.34)) and alcohol use (1.11 (1.07–1.16)) were all associated with an increased risk of 30-day all-cause readmission, whereas being female was a protective factor (0.91 (0.88–0.94)). Conclusions Comorbidities, previous exacerbations and hospitalisation, and increased length of stay were significant risk factors for 30- and 90-day all-cause readmission after an index hospitalisation with an exacerbation of COPD. |
البحث (3): | |
عنوان البحث: |
Global Current Practices of Ventilatory Support Management in COVID-19 Patients: An International Survey |
رابط إلى البحث: | |
تاريخ النشر: |
18/11/2020 |
موجز عن البحث: |
Background: As the global outbreak of COVID-19 continues to ravage the world, it is important to understand how frontline clinicians manage ventilatory support and the various limiting factors. Methods: An online survey composed of 32 questions was developed and validated by an international expert panel. Results: Overall, 502 respondents from 40 countries across six continents completed the survey. The mean number (±SD) of ICU beds was 64 ± 84. The most popular initial diagnostic tools used for treatment initiation were arterial blood gas (48%) and clinical presentation (37.5%), while the national COVID-19 guidelines were the most used (61.2%). High flow nasal cannula (HFNC) (53.8%), non-invasive ventilation (NIV) (47%), and invasive mechanical ventilation (IMV) (92%) were mostly used for mild, moderate, and severe COVID-19 cases, respectively. However, only 38.8%, 56.6% and 82.9% of the respondents had standard protocols for HFNC, NIV, and IMV, respectively. The most frequently used modes of IMV and NIV were volume control (VC) (36.1%) and continuous positive airway pressure/pressure support (CPAP/PS) (40.6%). About 54% of the respondents did not adhere to the recommended, regular ventilator check interval. The majority of the respondents (85.7%) used proning with IMV, with 48.4% using it for 12– 16 hours, and 46.2% had tried awake proning in combination with HFNC or NIV. Increased staff workload (45.02%), lack of trained staff (44.22%) and shortage of personal protective equipment (PPE) (42.63%) were the main barriers to COVID-19 management. Conclusion: Our results show that general clinical practices involving ventilatory support were highly heterogeneous, with limited use of standard protocols and most frontline clinicians depending on isolated and varied management guidelines. We found increased staff workload, lack of trained staff and shortage of PPE to be the main limiting factors affecting global COVID-19 ventilatory support management. |
المؤتمرات العلمية |
|
المؤتمر (1): | |
عنوان المؤتمر: |
American Thoracic Society Conference |
تاريخ الإنعقاد: |
15/05/2020 |
مكان الإنعقاد: |
Pennsylvania. USA |
طبيعة المشاركة: |
Poster Presentation |
عنوان المشاركة: |
Limitation of Inspiratory and Expiratory Flow and Re-Admission Risk at Exacerbation of COPD |
ملخص المشاركة: |
Rationale: The latest UK National COPD Audit data shows that the readmission rate to hospital following exacerbation of COPD is 24% within 30 days of discharge. Our objectives were to explore the relationships between inspiratory and expiratory flow parameters and readmission risk. Methods: A prospective cohort study design was used, with 30 consecutive COPD patients admitted due to exacerbations of COPD. Patients were followed for three months after their discharge. Just prior to discharge, patients underwent measurements of EFL using within-breath changes in reactance at 5Hz (ΔXrs5Hz) (forced oscillation technique; FOT), PIFR (using the InCheckTM DIAL) and spirometry (EasyOne Air Spirometer, NDD Medzintechnik AG, Switzerland). The presence of EFL was defined as (ΔXrs5Hz ) >2.8 cmH2O/(L/s), as proposed by Dellaca et al. 2004. A PIFR ≤60 L/min was defined as suboptimal. Receiver-Operating-Characteristic (ROC) curve analysis was used to determine if parameters were predictive of the readmission. Results: 30 patients (13 male) with COPD exacerbations were consecutively recruited with a mean age of 73.9± 10.3 years and BMI of 24.4±8.8 kg/m2. The mean FEV1 was 0.87±0.37 L, 35.4±12.9% predicted and FEV1/FVC % was 41.7±8.7. The readmission rate within 30 days was 36.6% (n=11). 45.5 % of those readmitted had EFL in the seated position and 72.7% had EFL in the supine position. With the exception of EFL, there were statistically significant differences in measurements between those who were readmitted vs those who were not (Table 1). Table 1 also shows area under the ROC curve (AUC) values, which were statistically significant for most parameters. The FEV1 % and PIFR values performed better than other variables in AUC, indicating a better ability to predict readmission. Conclusion: Readmission risk is associated with a number of lung function parameters which can be measured at discharge. As demonstrated by the FEV1 and FEV1/FVC ratio, COPD disease severity is an important factor associated with increased risk of readmission. The clinical implications of impaired PIFR may also be important, as this could affect patients’ ability to appropriately use inhalers devices. |
الرابط: | |
المؤتمر (2): | |
عنوان المؤتمر: |
ERS International Congress 2020 |
تاريخ الإنعقاد: |
7–9 /09/2020 |
مكان الإنعقاد: |
Vienna, Austria ( Virtual) |
طبيعة المشاركة: |
Paper presentation |
عنوان المشاركة: |
Frailty and Risk of COPD Readmission within 30 Days Following Exacerbation of COPD |
ملخص المشاركة: |
Background: COPD readmission rates following hospitalisation for exacerbation are high and predicting who is at greatest risk of re-admission would allow targeted intervention. Aims and Objectives: We hypothesised that frailty would predict increased risk of COPD readmission within 30 days after an index COPD exacerbation. Methods: COPD patients admitted due to exacerbations were recruited. At discharge, patients underwent assessments of frailty and were followed for three months. Frailty was measured using the Reported Edmonton Frail Scale; the total score is categorised into five levels. Results: 51 hospitalised patients (24 male) were consecutively recruited with a mean age of 72.53±10.65 years and mean FEV1% of 35.86±13.03% predicted. The readmission rate was 41%, with 21 patients readmitted within 30 days. No significant differences were found between the two groups (readmitted vs not readmitted) in age (71.0 vs 73.6, p= 0.39) or FEV1% predicted (32.73% vs 38.07%, p= 0.17). Frailty was seen in both groups with a statistically significant difference in score between groups (p =0.003) (see figure 1). We found frailty to be an independent risk factor for predicting readmission with an odds ratio (95% confidence intervals of 1.94 (1.29–2.93), adjusted for age and severity of airflow obstruction. Conclusion: Frailty was found to be an independent risk factor for predicting readmission within 30 days, independent of age and COPD severity. |
الرابط: | |
جوائز التكريم |
|
الجائزة (1): | |
مسمى الجائزة: |
2020 Most Cited Peer-Reviewed Publication (3rd Faculty Research Day) |
الجهة المانحة: |
Prince Sultan Military College of Health Sciences |
تاريخ الجائزة: |
02/12/2020 |
مجال التكريم: |
The Most Cited Paper Award for the paper: Prevalence, Severity and Mortality associated with COPD and Smoking in patients with COVID-19: A Rapid Systematic Review and Meta-Analysis published in 2020 which received the highest numbers of citations (189) according to the Google Citation Index which indicates the most influential papers in the 2020 year. |
الرابط: | |
الجائزة (2): | |
مسمى الجائزة: |
Best Research Poster Award (First Place) |
الجهة المانحة: |
Prince Sultan Military College of Health Sciences |
تاريخ الجائزة: | 02/12/2020 |
مجال التكريم: |
The Best Research Poster Award is given to the best research poster, which two dimensions are considered with equal weight in order to select a poster for the ‘Best Research Poster Award. 1. The originality and quality of the research idea are judged as well as the methodology and execution of the research and the interpretation of the results. 2. Presentation: The poster and the poster presenter are assessed for their ability to convey the research and its results to the audience. |
المرفقات
- https://uksacb.org/wp-content/uploads/2017/01/MSc-certificate.pdf
- https://uksacb.org/wp-content/uploads/2017/01/MSc-certificate.pdf
- https://uksacb.org/wp-content/uploads/2020MostCitedPeer-ReviewedPublication.pdf
- https://uksacb.org/wp-content/uploads/FirstPlaceBestResearchPosterAward.pdf
- https://uksacb.org/wp-content/uploads/Researchpaper1.pdf
- https://uksacb.org/wp-content/uploads/Researchpaper2-1.pdf