Journal articles: 'Birmingham General Hospital'

1

Boon, A. P., L. A. Smallman, and H. Thompson. "Teaching surgical pathology at the Birmingham General Hospital." Journal of Pathology 155, no. 4 (August 1988): 355–56. http://dx.doi.org/10.1002/path.1711550411.

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Husain, Asma, Arwa Ashoor, Mirza Baig, Ian Rea, and Javeria Iqbal. "Overview of Mucinous Cancers at City Hospital Birmingham." European Journal of Surgical Oncology 48, no. 1 (January 2022): e25. http://dx.doi.org/10.1016/j.ejso.2021.11.107.

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Nigam, A., J. B. Campbell, and D. J. Brain. "The Birmingham and Midland ear, nose and throat hospital." Journal of Laryngology & Otology 103, no. 9 (September 1989): 816–18. http://dx.doi.org/10.1017/s0022215100110199.

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Ollivere, B., S. Duckett, A. August, and M. Porteous. "The Birmingham Hip Resurfacing: 5-year clinical and radiographic results from a District General Hospital." International Orthopaedics 34, no. 5 (June 9, 2009): 631–34. http://dx.doi.org/10.1007/s00264-009-0821-2.

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Lander, Anthony. "Everyone has an Agenda but the Media Control the Timeframe." Bulletin of the Royal College of Surgeons of England 92, no. 3 (March 1, 2010): 80–81. http://dx.doi.org/10.1308/147363510x491772.

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In late 2008 I was Clinical Lead for General Surgery and Urology at the Children's Hospital in Birmingham (BCH) and was Vice-chair of the senior medical and dental staff committee. Our hospital provides local, regional and some supra-regional services for children covering all medical and surgical specialties. The hospital is well loved by patients and parents and we thought we had good relationships with the media. Of course no organisation is perfect and we all have something we wish to see improved. For staff the hospital easily passed the test: 'would you want your own child treated here?'

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Kmietowicz, Z. "Care at Birmingham Children's Hospital had "serious potential risks," says watchdog." BMJ 338, mar23 1 (March 23, 2009): b1207. http://dx.doi.org/10.1136/bmj.b1207.

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Sooch, S., A. Kaur, and B. Ahmed. "A ten year experience of medical emergencies at Birmingham Dental Hospital." British Dental Journal 224, no. 2 (January 2018): 89–91. http://dx.doi.org/10.1038/sj.bdj.2017.1000.

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Herbert, Katie. "Meet the BANN Committee members." British Journal of Neuroscience Nursing 17, no. 5 (October 2, 2021): 214. http://dx.doi.org/10.12968/bjnn.2021.17.5.214.

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Katie Elizabeth Herbert is a clinical nurse specialist in neurosurgery at Birmingham Children's Hospital. As Katie has recently joined the British Association for Neuroscience Nurses' committee, she will take this opportunity to introduce herself to the community.

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Bradley, C. R., and G. A. J. Ayliffe. "Hospital infections in Birmingham, England, in the nineteenth and twentieth centuries." Journal of Hospital Infection 100, no. 1 (September 2018): 9–12. http://dx.doi.org/10.1016/j.jhin.2018.06.027.

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Knightly, Rachel, George Tadros, Juhi Sharma, Peter Duffield, Emma Carnall, Jacqui Fisher, and Shaza Salman. "Alcohol screening for older adults in an acute general hospital: FAST v. MAST-G assessments." BJPsych Bulletin 40, no. 2 (April 2016): 72–76. http://dx.doi.org/10.1192/pb.bp.114.049734.

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Aims and methodDocumented prevalence of alcohol misuse among older adult patients at Birmingham Heartlands Hospital is significantly lower than the national prevalence. We aimed to evaluate our alcohol misuse screening protocol for older adults to identify possible shortcomings. Hospital protocol is to screen all adults for alcohol misuse in the accident and emergency (A&E) department using the Fast Alcohol Screening Test (FAST). One hundred consecutive consenting in-patients aged 65–94 admitted via A&E subsequently undertook an additional alcohol screening test (Michigan Alcoholism Screening Test-Geriatric version; MAST-G). Results of the two tests were compared.ResultsFAST screening was completed for 71 patients and none were FAST-positive for alcohol misuse, yet using MAST-G, 18 patients scored positively for alcohol misuse. FAST screening failed to identify 8 patients with a documented history of alcohol misuse.Clinical implicationsOlder adult alcohol misuse prevalence is significantly underreported using FAST. Screening older adults for alcohol problems requires a different approach to screening the general population.

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Crucean, Adrian, William J. Brawn, Diane E. Spicer, Rodney C. Franklin, and Robert H. Anderson. "Holes and channels between the ventricles revisited." Cardiology in the Young 25, no. 6 (September 23, 2014): 1099–110. http://dx.doi.org/10.1017/s104795111400170x.

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AbstractBackgroundAlthough holes, or channels, between the ventricles are the commonest congenital cardiac malformations, there is still no consensus as to how they can best be described and categorised. So as to assess whether it is possible to produce a potentially universally acceptable system, we have analysed the hearts categorised as having ventricular septal defects in a large archive held at Birmingham Children’s Hospital.Materials and methodsWe analysed all the hearts categorised as having isolated ventricular septal defects, or those associated with aortic coarctation or interruption in the setting of concordant ventriculo-arterial connections, in the archive of autopsied hearts held at Birmingham Children’s Hospital, United Kingdom.ResultsWe found 147 hearts within the archive fulfilling our criterions for inclusion. All could be classified within one of three groups depending on their borders as seen from the right ventricle. To provide full description, however, it was also necessary to take account of the way the defects opened to the right ventricle, and the presence or absence of alignment between the septal components.ConclusionsBy combining information on the phenotypic specificity defined on the basis of their borders, the direction of opening into the right ventricle, and the presence or absence of septal malalignment, it proved possible to categorise all hearts examined within the archive of Birmingham Children’s Hospital. Our findings have necessitated creation of new numbers within the European Paediatric Cardiac Code.

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Nath, H., and R. J. Stanley. "History of diagnostic radiology at the University of Alabama at Birmingham Hospital." American Journal of Roentgenology 162, no. 3 (March 1994): 713–17. http://dx.doi.org/10.2214/ajr.162.3.8109527.

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Ahmed, Bilal, Azza Al-Mossallami, and Michael M. Bornstein. "Geographic information system mapping of oral surgery referrals to the Birmingham Dental Hospital." British Dental Journal 227, no. 6 (September 2019): 477–81. http://dx.doi.org/10.1038/s41415-019-0713-9.

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Glennie, J., and M. S. Bailey. "UK Role 4 Military Infectious Diseases at Birmingham Heartlands Hospital in 2005-9." Journal of the Royal Army Medical Corps 156, no. 3 (September 1, 2010): 162–64. http://dx.doi.org/10.1136/jramc-156-03-07.

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Tang, Lawrence, Jane Cuthbert, Manjit S. Obhrai, John R. Newton, Geofferey Holder, Marion Bluck, Seamus S. Lynch, Robert S. Sawers, and Hamish O. Nicholson. "Clinical results of the in vitro fertilization (IVF) and gamete intrafallopian transfer (GIFT) program at Birmingham Maternity Hospital, Birmingham, United Kingdom." Journal of In Vitro Fertilization and Embryo Transfer 6, no. 2 (April 1989): 125–26. http://dx.doi.org/10.1007/bf01130742.

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Gallier, Suzy, Catherine Atkin, Vinay Reddy-Kolanu, Dhruv Parekh, Xiaoxu Zou, Felicity Evison, Simon Ball, and Elizabeth Sapey. "Applying a COVID Virtual Ward model, assessing patient outcomes and staff workload." Acute Medicine Journal 20, no. 4 (October 1, 2021): 266–75. http://dx.doi.org/10.52964/amja.0876.

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A COVID virtual ward (CVW) is recommended by NHS England, but ‘usual care’ outcomes have not been reported. A retrospective study of all adults with COVID-19 attending Queen Elizabeth Hospital Birmingham between 01/06/2020-31/01/2021, assessed against CVW criteria and followed for 28 days. Of 2301 COVID-19 patients, 571(25%) would have met CVW criteria. Of these, 325(57%) were discharged after review and 246(43%) admitted. Of admitted patients who met CVW criteria, 81% required hospital-supported therapies; 11% died. Of the 325 discharged, 13% re-presented, 9% with COVID-related symptoms, 2% required intensive care admission, and one died (0.3%). In this comparison, discharging patients without a CVW did not lead to more re-presentations, re-admissions, ITU escalations or deaths compared to published outcomes for hospitals with a CVW.

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Khaleeq-Ur-Rehman. "Emergency Dental Services: Review of the Community Health NHS Trust Service in Birmingham between 1997 and 2000." Primary Dental Care os10, no. 3 (July 2003): 93–96. http://dx.doi.org/10.1308/135576103322497066.

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Aims and Objectives To confirm the need for an emergency dental service in Birmingham and to review the emergency dental service run by the South Birmingham Community Health NHS Trust. Design A retrospective study of patients attending the emergency dental service from March 1997 to August 2000, using computerised patient records and a supplementary questionnaire for a nine-month period between August 1997 and April 1998. Setting Birmingham Dental Hospital. Results A review of the computerised records revealed that a total of 10,799 patients were seen during the study period. In the first year, on average five patients were seen on weekday evening sessions and 13 patients at weekends/public holidays. By the final year of the study, these figures increased to ten on weekday evenings and 16 at weekends/public holidays. Forty-three per cent of the attendees were in the 31–50 year age group and 33% in 19–30 year age group. Twenty-five per cent of patients required extractions, 20% received temporary dressings, 17% a prescription for antibiotics and 9% were treated for acute mucosal conditions such as pericoronitis. The remainder received other items of treatments, such as for dry sockets. The supplementary questionnaire revealed that during the period August 1997 to April 1998, 67% of the patients lived in Birmingham and the other 33% in the surrounding areas, and some 59% of patients claimed that they were registered with a dentist of whom 60% of patients were not exempt from NHS charges. Conclusions The results indicate that the service was widely and increasingly used during the study period. A similar pattern of emergency dental care in dedicated clinics could be established throughout the United Kingdom. A profile of users of the service during its first three-and-a-half years has been established.

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Clare, Sarbjit, Susan M. Fair, Nigel J. Langford, and Brian C. Lee. "Specialist Registrars in Acute Medicine Receiving Patients in the Resuscitation Room: A Key Component in the Training Curriculum." Acute Medicine Journal 6, no. 2 (April 1, 2007): 82–83. http://dx.doi.org/10.52964/amja.0167.

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A key component of training in Acute Medicine is the assessment and initial resuscitation of severely ill medical patients. The curriculum for General Internal Medicine (Acute Medicine) states that all specialists in Acute Medicine should attain Level 3 competencies in all emergency presentations.1 Different training programmes have variable exposure to the emergency department, to which the majority of these patients present. One module, currently being developed at City Hospital, Birmingham, is for the Acute Medicine Specialist Registrars (SpRs) to attend all medical alerts in Accident and Emergency (A&E) Department. This means that the SpR works as part of the receiving team, seeing patients first hand, rather than taking secondary referrals. At our hospital over 80% of alerts brought in the resuscitation room are medical emergencies.

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Talwar, Sachin, Robert H. Anderson, Amolkumar Bhoje, Adrian Crucean, Saurabh Kumar Gupta, Shiv Kumar Choudhary, and Balram Airan. "Double Outlet Right Ventricle With Right-Sided Aorta From the Left-Sided Morphologically Right Ventricle in the Setting of Discordant Atrioventricular Connections." World Journal for Pediatric and Congenital Heart Surgery 11, no. 4 (September 21, 2017): NP72—NP76. http://dx.doi.org/10.1177/2150135117709458.

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We describe the anatomic findings in a 2-year-old patient with double outlet right ventricle with right-sided aorta in the setting of usual atrial arrangement and discordant atrioventricular connections, making comparison with a specimen from the pathological archive of the Birmingham Children’s Hospital in the United Kingdom having this rare combination of anatomic features. We discuss the challenges involved in diagnosis and management.

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Burns, Daniel S., M. R. Riley, A. Mason, and M. S. Bailey. "UK Role 4 military infectious diseases and tropical medicine cases in 2005–2013." Journal of the Royal Army Medical Corps 164, no. 2 (December 25, 2017): 77–82. http://dx.doi.org/10.1136/jramc-2017-000815.

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IntroductionInfectious diseases are a frequent cause of morbidity among British troops. The aim of this paper is to describe the spectrum of infectious diseases seen when UK service personnel are evacuated for definitive care to the Role 4 Medical Treatment Facility based at Birmingham Heartlands Hospital.MethodA retrospective analysis of all military patients presenting with infectious diseases and treated at Birmingham Heartlands Hospital between 14 April 2005 and 31 December 2013 was undertaken.ResultsDuring this period, 502 patients were identified. Infections originated in 49 countries, most commonly Afghanistan (46% cases), the UK (10% cases) and Belize (9% of cases). The most common presentations were dermatological conditions, gastroenterological illnesses and undifferentiated fevers.ConclusionUK service personnel in significant numbers continue to suffer a wide range of infectious diseases, acquired throughout the globe, which often require specialist tertiary infection services to diagnose and manage. Future prospective data collection is recommended to identify trends, which in turn will inform military training needs and future research priorities in the Defence Medical Services (DMS) and allows development of appropriate policies and clinical guidelines for management of DMS personnel with infectious diseases.

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Manley, Susan Elisabeth, Andreas Karwath, John Williams, Peter Nightingale, Jonathan Webber, Rajeev Raghavan, Alison Barratt, et al. "use of HbA1c for new diagnosis of diabetes in those with hyperglycaemia on admission to or attendance at hospital urgently requires research." British Journal of Diabetes 22, no. 2 (December 21, 2022): 95–104. http://dx.doi.org/10.15277/bjd.2022.386.

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The prevalence of diabetes in Birmingham is 11% but it is 22% in hospital inpatients. Queen Elizabeth Hospital in Birmingham (QEHB) serves a multi-ethnic population with 6% Afro-Caribbean, 19% South Asian and 70% White European. A clinical audit of 18,965 emergency admissions to QEHB showed that 5% were undiagnosed but had admission glucose in the ‘diabetes’ range and 16% were in the ‘at risk’ range. The proportion of Afro-Caribbeans (7%) and South Asians (8%) in the ‘diabetes’ range was higher than White Europeans (5%). Given the magnitude of the problem, this paper explores the issues concerning the use of reﬂex HbA1c testing in the UK for diagnosis of diabetes in hospital admissions. HbA1c testing is suitable for most patients but conditions affecting red blood cell turnover invalidate the results in a small number of people. However, there are pertinent questions relating to the introduction of such testing in the NHS on a routine basis. Literature searches on a topical question ‘Is hyperglycaemia identiﬁed during emergency admission/attendance acted upon?’, were performed from 2016 to 2021 and 2016 to 2022. They identiﬁed 21 different, relevant, research papers - 5 from Australia, 9 from Europe including 4 from the UK, 5 from America and 1 each from Canada and Africa. These papers revealed an absence of established procedures for the management and follow-up of routinely detected hyperglycaemia using HbA1c when no previous diabetes diagnosis was recorded. Further work is required to determine the role of reﬂex HbA1c testing for diagnosis of diabetes in admissions with hyperglycaemia, and the cost-effectiveness and role of point-of-care HbA1c testing.

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Uppal, Harpreet S., Ranit De, Alwyn R. D'Souza, Ken Pearman, and David W. Proops. "Bilateral submandibular duct relocation for drooling: an evaluation of results for the Birmingham Children's Hospital." European Archives of Oto-Rhino-Laryngology 260, no. 1 (January 2003): 48–51. http://dx.doi.org/10.1007/s00405-002-0516-4.

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Riley, Bridget, M. Packer, S. Gallier, Elizabeth Sapey, and Cat Atkin. "Acute, non-COVID related medical admissions during the first wave of COVID-19: A retrospective comparison of changing patterns of disease." Acute Medicine Journal 19, no. 4 (January 10, 2020): 176–82. http://dx.doi.org/10.52964/amja.0825.

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COVID-19 may have altered the case-mix of non-COVID acute medical admissions. Retrospective analysis of acute medical admissions to University Hospitals Birmingham NHS Foundation Trust, showed that medical admissions decreased in April 2020 compared to April 2019. The proportion of young adults, non-cardiac chest pain, musculoskeletal conditions and self-discharges decreased. The proportion of admissions due to alcohol misuse, psychiatric conditions, overdoses and falls increased. There were a higher number of patients admitted to ICU and greater inpatient mortality but not once COVID diagnoses were excluded. There was a significant change in hospitalised case-mix with conditions potentially reflecting social isolation increasing and diagnoses which rarely require hospital treatment, reducing. This analysis will help inform service planning.

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Hammond, Douglas, J. Breeze, and D. Evriviades. "The Reconstructive Trauma Surgery Interface Fellowship and its applicability to military and civilian trainees." Journal of the Royal Army Medical Corps 164, no. 5 (May 16, 2018): 360–61. http://dx.doi.org/10.1136/jramc-2018-000976.

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The Reconstructive Trauma Surgery Fellowship is a based at the Queen Elizabeth Hospital, Birmingham, and focuses on the multidisciplinary management of major trauma from presentation to discharge. It is unique to the UK in that it provides both management and leadership experience as well as operative surgical skills particularly in terms of reconstruction on complex trauma patients including those from the military. This paper describes the relevance of fellowships in modern surgical training, composition of the reconstructive trauma fellowship and the relevance for both civilian and military trainees.

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Simms, M. S., and M. H. Simms. "Iliocaval Venous Obstruction in Pergolide-Induced Retroperitoneal Fibrosis." Phlebology: The Journal of Venous Disease 14, no. 3 (September 1999): 126–27. http://dx.doi.org/10.1177/026835559901400308.

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Design: Case report. Setting: BMI Priory Hospital, Birmingham, UK. Patient: A 67-year-old man presenting with unilateral lower limb oedema. Past history included ipsilateral lower limb melanoma and Parkinson's disease, treated by pergolide. Intervention: Laparotomy to confirm a diagnosis of retroperitoneal fibrosis (RPF) causing iliac vein obstruction. Conclusion: RPF is a rare complication of pergolide therapy for Parkinson's disease. Previous reports have also described iliocaval obstruction and there may be an association between pergolide-induced RPF and venous complications.

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Osman, John, Peter Ormerod, and David Stableforth. "Management of acute asthma: A survey of hospital practice and comparison between thoracic and general physicians in Birmingham and Manchester." British Journal of Diseases of the Chest 81 (January 1987): 232–41. http://dx.doi.org/10.1016/0007-0971(87)90155-0.

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Leyssen, Wouter, Sivakumar Jayachandran, and A. Damien Walmsley. "Complete denture series part 1: referrals for complete dentures – identifying the reasons." Dental Update 46, no. 5 (May 2, 2019): 466–72. http://dx.doi.org/10.12968/denu.2019.46.5.466.

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General dental practitioners (GDPs) continue to refer edentulous patients to secondary care for advice and treatment. The clinical records of edentulous patients referred to Birmingham Dental Hospital were reviewed to determine the common problems encountered by GDPs when constructing complete dentures. The main reasons for referral were resorption of the lower ridge (39%) followed by a series of ill-defined reasons (28%), looseness of either or both dentures (25%), pain (11%), immediate dentures (8%), exaggerated gag reflex (7%) and implants (7%). The reasons for referral do not always correspond to the clinical findings on the New Patient Assessment Clinics. CPD/Clinical Relevance: The findings of the article could be used as a guide for GDPs in identifying problems with problematic dentures.

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Edwards, John, Sarah Walters, and Rodenc K. Griffiths. "Hospital Admissions for Asthma in Preschool Children: Relationship to Major Roads in Birmingham, United Kingdom." Archives of Environmental Health: An International Journal 49, no. 4 (August 1994): 223–27. http://dx.doi.org/10.1080/00039896.1994.9937471.

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Baldwin, D. R., L. P. Ormerod, A. D. Mackay, and D. E. Stableforth. "Changes in hospital management of acute severe asthma by thoracic and general physicians in Birmingham and Manchester during 1978 and 1985." Thorax 45, no. 2 (February 1, 1990): 130–34. http://dx.doi.org/10.1136/thx.45.2.130.

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HOPE, V. D., F. NCUBE, J. V. PARRY, and M. HICKMAN. "Healthcare seeking and hospital admissions by people who inject drugs in response to symptoms of injection site infections or injuries in three urban areas of England." Epidemiology and Infection 143, no. 1 (February 24, 2014): 120–31. http://dx.doi.org/10.1017/s0950268814000284.

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SUMMARYPeople who inject drugs (PWID) are vulnerable to infections and injuries at injection sites. The factors associated with reporting symptoms of these, seeking related advice, and hospital admission are examined. PWID were recruited in Birmingham, Bristol and Leeds using respondent-driven sampling (N = 855). During the preceding year, 48% reported having redness, swelling and tenderness (RST), 19% an abscess, and 10% an open wound at an injection site. Overall, 54% reported ⩾1 symptoms, with 45% of these seeking medical advice (main sources emergency departments and General Practitioners). Advice was often sought ⩾5 days after the symptom first appeared (44% of those seeking advice about an abscess, 45% about an open wound, and 35% for RST); the majority received antibiotics. Overall, 9·5% reported hospital admission during the preceding year. Ever being diagnosed with septicaemia and endocarditis were reported by 8·8% and 2·9%, respectively. Interventions are needed to reduce morbidity, healthcare burden and delays in accessing treatment.

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Tryon, James R. "Medical Relief Mission to Bosnia/Hercegovina: A Case Report." Prehospital and Disaster Medicine 12, no. 2 (June 1997): 96–101. http://dx.doi.org/10.1017/s1049023x00037493.

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AbstractWorld attention has been focused on Bosnia/Hercegovina, where war erupted in 1992. The regional hospital of Mostar, an industrial city with a population of 100,000, operated -with chronic shortages of medical supplies including general anesthetic agents. In February 1992, just prior to the referendum for independence in that republic, a shipment of medical supplies with anesthesics, food, and clothing was delivered safely to Ljubuski, a village near Mostar, for Mostar hospital and surrounding clinics by a small, private organization from Birmingham, Alabama. No difficulties were encountered in delivering the supplies despite warnings from the U.S. State Department, the lengthy transit from Austria through Croatia to Bosnia, an active black market, and the inexperience of the relief agency. This disaster relief effort by a small, private sponsor was representative of both the positive aspects of such a project, as well as typical negative aspects. These efforts had been discouraged in the past, but as disaster medicine matures, there may be room for such endeavors, if properly directed.

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Patel, Monica, K. Cullotty, and A. Richards. "Necrotizing sialometaplasia." Dental Update 49, no. 2 (February 2, 2022): 141–43. http://dx.doi.org/10.12968/denu.2022.49.2.141.

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In this case of a 45-year-old woman, who attended the primary care service at Birmingham Dental Hospital with widespread ulceration affecting the hard palate, histopathological, haematological and immunological testing confirmed a diagnosis of necrotizing sialometaplasia (NS), a rare benign minor salivary gland condition. The aetiology of NS is unknown; however, it is thought to represent necrosis of the mucoserous acini due to ischaemia. The clinical features of NS are similar to of squamous cell carcinoma and histopathological investigations may be required to exclude malignancy. CPD/Clinical Relevance: The article highlights the importance of recognizing necrotizing sialometaplasia to prevent misdiagnosis and ensure correct management is undertaken.

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Shah, Mehul A., Shreya M. Shah, Siddharth R. Gosai, Satyam S. Gupta, Raubaq R. Khanna, Kashyap B. Patel, and Chetan D. Rathod. "Comparative study of visual outcome between open- and closed-globe injuries following surgical treatment of traumatic cataract in children." European Journal of Ophthalmology 28, no. 4 (February 26, 2018): 406–11. http://dx.doi.org/10.1177/1120672117747021.

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Objective: To compare final visual outcomes of surgically treated traumatic cataract between open-globe and closed-globe injuries in children, as classified by the Birmingham Eye Trauma Terminology system. Methods: This is an observational cohort study with permission from Hospital Ethical Committee. We enrolled children meeting specific inclusion criteria, examined their eyes to review any co-morbidities due to trauma, performed surgery for traumatic cataracts, and implanted lenses. The patients were re-examined postoperatively. We classified the cases of traumatic cataract as either open-globe (Group 1) or closed-globe (Group 2) according to the Birmingham Eye Trauma Terminology system and compared visual acuity. Result: Our study cohort of 1076 eyes with traumatic cataracts included 405 eyes in Group 1 and 671 in Group 2. Postoperatively, the visual acuity was >20/60 in 223 (55.3%) and 377 (56.3%) operated eyes in Groups 1 and 2, respectively ( p < 0.001, analysis of variance). With further follow-up, >20/60 vision was significantly higher in Group 2 as compared to Group 1 (odds ratio = 1.61; 95% confidence interval = 0.85–3.02). Overall, 600 eyes (55.7%) regained final visual acuity >20/60. Conclusion: Closed-globe injury has more favourable prognosis for the satisfactory (>20/60) visual recovery after effective management of traumatic cataracts in children.

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Gillett, D., J. W. Fairley, T. S. Chandrashaker, A. Bean, and J. Gonzalez. "Bone-anchored hearing aids: results of the first eight years of a programme in a district general hospital, assessed by the Glasgow benefit inventory." Journal of Laryngology & Otology 120, no. 7 (May 4, 2006): 537–42. http://dx.doi.org/10.1017/s0022215106001277.

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Objectives: To report the clinical results of a bone-anchored hearing aid (BAHA) programme in a district general hospital, compared with those in an established, large, university teaching hospital centre.Design: A retrospective postal questionnaire sent to BAHA patients, with two month waiting time and one reminder, combined with case note analysis. Results compared by appropriate statistical tests with published outcomes data from the largest UK series.Setting: Public sector (National Health Service) district general hospital, England. Catchment population: 300 000 (mixed rural and small towns).Participants: Case note analysis of sixty-three patients implanted between 1994 and 2003 (age range, six to 88 years). The commonest indication was chronic otitis media, with inability to wear a conventional hearing aid. Otitis externa, otosclerosis and sensorineural hearing loss were other indications. The questionnaire was sent to 59 patients who had worn their aid for at least six months; it was returned by 41 (69 per cent).Main outcome measures: Glasgow benefit inventory (GBI, change in health status following otolaryngological intervention); incidence of complications.Results: Bone-anchored hearing aid implantation significantly improved quality of life as measured by the GBI (p < 0.001). The degree of improvement was similar to that achieved in Birmingham by Proops et al. (p > 0.05, chi-squared test). Minor temporary skin infection was common (33 per cent). Thickening of the skin around the implant occurred in 17 per cent. One implant (2 per cent) failed. There were no serious complications.Conclusion: The BAHA is a safe, reliable and effective treatment for selected patients. A successful BAHA programme can be run in a district general hospital.

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Durkin, Natalie, and Mark Davenport. "Centralization of Pediatric Surgical Procedures in the United Kingdom." European Journal of Pediatric Surgery 27, no. 05 (September 25, 2017): 416–21. http://dx.doi.org/10.1055/s-0037-1607058.

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AbstractThe NHS provides more than 98% of all surgical procedures in infants and children in the United Kingdom through a comprehensive network of secondary (typically for the general surgery of childhood) and tertiary (specialist neonatal and specialist pediatric surgery) centers [n = 22]), typically located within large conurbations. It was originally envisaged that these specialized centers would be able to provide the full range of surgical interventions (aside from organ transplantation). However, there has been a trend toward centralization of some key procedures, previously thought to be within general neonatal surgery.The architype for centralization is the management of biliary atresia (BA). Since 1999, within England and Wales, this has been exclusively managed in three centers (King's College Hospital, London; Birmingham Children's Hospital and Leeds General Infirmary). All of these provide facilities for the diagnosis of BA, primary surgical management (Kasai portoenterostomy), and liver transplantation if required. The case for centralization was made by rigorous national outcome analysis during the 1990s showing marked disparity based on case volume and driven by parents' organizations and national media. Following centralization, national outcome data showed improvement and provided a benchmark for others to follow.The management of bladder exstrophy was later centralized in England and Wales, albeit not based on strict outcome data, to two centers (Great Ormond Street, London and Royal Manchester Children's Hospital).

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Browne, Catherine, Riad Hosein, and Alistair Jellinek. "127 Fascia iliaca block in the emergency department-a quality improvement project, queen elizabeth hospital Birmingham." Emergency Medicine Journal 37, no. 12 (November 23, 2020): 844–45. http://dx.doi.org/10.1136/emj-2020-rcemabstracts.39.

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Aims/Objectives/BackgroundFractured neck of femur is a common presentation and is associated with high rates of morbidity and mortality. RCEM Best Practice specifies that Fascia Iliaca Block should be available in Emergency Departments as part of the pain management strategy.AimsImprove compliance with RCEM guidance for safe administration, documentation and post-procedure monitoring following FIB.Employ QIP methodology to create a FIB protocol.Empower the junior SHO workforce to gain competence in FIB administration through structured teaching.Improve understanding of post-block monitoring in nursing and medical staff.Methods/DesignData collection identified the number of blocks administered to those presenting with fractured neck of femur in November 2019. Documentation and post-procedure monitoring were evaluated.Interventions were piloted in January 2020. These were: pre-made block packs, a block checklist sticker incorporating post-procedure monitoring chart and laminated ‘quick prompt’ guide.Nurse champions facilitated MDT teaching sessions and junior SHOs were empowered to gain competence in block administration through teaching sessions.Retrospective data from January 2020 was compared to November 2019, allowing us to establish the efficacy of changes.Abstract 127 Figure 1Results/ConclusionsOctober 2019 results demonstrated 59% of patients received a FIB, this increased to 78% in January 2020. Pre-intervention, 45% of patients had the correct dose of local anaesthetic. This increased to 79% post-intervention. Initially, documentation was correct in just 5% of cases, improving to 59% after re-auditing.Feedback from teaching sessions was positive with nursing staff better understanding the need for post-procedure monitoring. SHOs gained increased confidence delivering FIBs, freeing up senior doctors for other tasks.The new protocol has improved the administration of FIBs with better post-procedure care and standardised dosing of local anaesthetic. Interventions are embedded in departmental practice; this will be re-audited in 6 months. Following the transition to e-noting we are developing an electronic template to translate these successes onto the new system.

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Stevenson, D. S., D. W. Proops, M. J. C. Wake, M. J. Deadman, S. J. Worrollo, and J. A. Hobson. "Osseointegrated implants in the management of childhood ear abnormalities: the initial Birmingham experience." Journal of Laryngology & Otology 107, no. 6 (June 1993): 502–9. http://dx.doi.org/10.1017/s0022215100123576.

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Over a four-year period 72 children with ear abnormalities have been referred for assessment by the extraoral osseointegrated implant team at The Queen Elizabeth Hospital, Birmingham. Thirty-two children have been judged suitable for rehabilitation. Twelve children have completed rehabilitation using bone-anchored hearing aids and/or auricular prostheses. Two fixtures (seven per cent of those loaded) have dislodged and required replacement. Audiological assessment of the bone-anchored hearing aid users shows only small improvements in their aided thresholds, compared to thresholds obtained with their previous aid. However all now have thresholds of 30 dB(A) or better and report a marked improvement in sound quality. When surveyed, hearing aid and prosthesis users report high levels of satisfaction with this form of rehabilitation. The technique adds a new dimension to the management of children with aural anomalies. The approach and results of a multidisciplinary programme are reported.

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Williams, H. K., A. A. Hey, and R. M. Browne. "The use by general dental practitioners of an oral pathology diagnostic service over a 20-year period: the Birmingham Dental Hospital experience." British Dental Journal 182, no. 11 (June 1997): 424–29. http://dx.doi.org/10.1038/sj.bdj.4809403.

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Berghs, Maria J., Francesca Horne, Scott Yates, Sadeh Graham, Rachel Kemp, Amy Webster, and Carlton Howson. "Black sickle cell patients’ lives matter: healthcare, long-term shielding and psychological distress during a racialised pandemic in England – a mixed-methods study." BMJ Open 12, no. 9 (September 2022): e057141. http://dx.doi.org/10.1136/bmjopen-2021-057141.

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ObjectiveTo understand the psychological and social impact of shielding on people with sickle cell disorders and their carers in the Midlands region of England. This region was badly affected during the pandemic, with the city of Birmingham having some of the highest rates of COVID-19 deaths.DesignA mixed-methods project with a quantitative survey on shielding and adapted SF36 V.2 questionnaire, which was supplemented by qualitative semistructured interviews analysed using interpretive phenomenological analysis (IPA).ParticipantsFifty-one participants who were predominantly of Black Caribbean or Black African heritage anonymously took part in the online survey. We supplemented this with eight in-depth semistructured interviews with adults with sickle cell disorders using IPA.ResultsThe adapted 36-Item Short Form Survey (SF36) version 2 (V. 2) survey indicated worse quality of life and mental health. The open-ended questions from the adapted survey also identified shielding concerns about hospital care, pain management and knowledge of sickle cell by healthcare professionals. From the interviews, it emerged that the racialised element of the pandemic caused significant psychological distress for a population group that had to regularly access hospitals. It was noted that psychological health needs both during a pandemic and outside of it were poorly understood and became invisible in services. The psychological impact of experiences of hospital care as well as growing up with an invisible chronic condition were important to understand psychologically.

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Jumaian, A., and K. Fergusson. "Psychosis in a patient with Usher syndrome: a case report." Eastern Mediterranean Health Journal 9, no. 1-2 (April 2, 2003): 215–18. http://dx.doi.org/10.26719/2003.9.1-2.215.

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The present report is the case of a 26-year-old man, born with Usher syndrome. The patient had had a significant hearing impairment since birth and had developed retinitis pigmentosa. He had originally been diagnosed with a depressive disorder and treated with antidepressants, with no subsequent improvement in his mental state. Following a deterioration in his mental state he was admitted for reassessment at the Queen Elizabeth Psychiatric Hospital, Birmingham, and antidepressants were stopped. It subsequently became apparent from observations, interviews with the patient and information from the patient’s carers and relatives that he had a psychotic illness. Treatment was started with the antipsychotic drug risperidone, after which he showed significant improvement. The association between Usher syndrome and psychosis is discussed

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Alrushud, Asma S., Alison B. Rushton, Gurjit Bhogal, Fraser Pressdee, and Carolyn A. Greig. "Effect of a combined programme of dietary restriction and physical activity on the physical function and body composition of obese middle-aged and older adults with knee OA (DRPA): protocol for a feasibility study." BMJ Open 8, no. 12 (December 2018): e021051. http://dx.doi.org/10.1136/bmjopen-2017-021051.

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IntroductionKnee osteoarthritis (OA) is the most common chronic illness among older adults. Up to the submission date of this protocol, there are no published UK studies reporting the efficacy of a combined intervention programme of physical activity and dietary restriction on the musculoskeletal function of obese older adults with knee OA in spite of the clinical recommendation for exercise and diet for people with knee OA. The aim of this study is to assess the feasibility and acceptability of a combined dietary restriction and physical activity intervention programme and collect preliminary data.Method and analysisThis single-arm intervention study is scheduled to begin in September 2017 and conclude in November 2018. It will take place at the Royal Orthopaedic Hospital (ROH), Birmingham and the School of Sport, Exercise and Rehabilitation Sciences (SportExR), University of Birmingham. Participants will receive a physiotherapy usual care programme for knee OA for 1 month, after which they will continue to exercise in their local gym/leisure facility for 3 months. Participants will also follow dietary restriction throughout the 4-month intervention. Mixed analysis techniques will be used to analyse the quantitative and qualitative outcome measures.Ethics and disseminationIt is approved by ROH R&D Foundation Trust and the Health Research Authority. The Consort Guidelines and checklist will be reviewed prior to generating any publications for the trial to ensure they meet the standards required for submission to high-quality peer-reviewed journals.Trial registration numberISRCTN12906938.

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Clarkson, J., P. Paterson, G. Thorburn, K. El-Ali, B. Richard, M. Hammond, and M. Wake. "Alveolar bone grafting: achieving the organisational standards determined by CSAG, a baseline audit at the Birmingham Children's Hospital." Annals of The Royal College of Surgeons of England 87, no. 6 (November 1, 2005): 461–65. http://dx.doi.org/10.1308/003588405x60605.

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Torliński, Tomasz, Lucas Rakasz, Barbara Wysota, Marcin Czyż, and Catherine Snelson. "AN INTERDISCIPLINARY APPROACH TO THE MANAGEMENT OF CRITICALLY ILL PATIENTS DURING COVID-19 PANDEMIC; AN EXPERIENCE OF A UNIVERSITY HOSPITAL IN ENGLAND." Wiadomości Lekarskie 73, no. 7 (2020): 1576–79. http://dx.doi.org/10.36740/wlek202007147.

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COVID-19 pandemic presents significant challenges in delivering safe and efficient patient care, especially during the surges. In all health care systems, provision of available critical care facilities is a scarce resource, even in normal times. Problematic is not just the limitation of physical spaces in intensive care units, but also the availability of trained personnel. The critical care model, developed in Queen Elizabeth Hospital Birmingham to cope with the surge of COVID-19 patients, is based on early implementation of an interdisciplinary approach and extensive cooperation between the branches of practice, allowing to address both challenges. The main pillars are early upskilling of non-critical care staff, creation of safe, streamlined clinical pathways, adjustment of the physical layout of critical care units and comprehensive cross-town cooperation allowing to accommodate an increased number of patients, requiring intensive care. The model was well tested in clinical practice, enabling the hospital to increase the critical care footprint by more than 200% during the pandemic’s surge between March and May 2020.

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Dashora, Umesh, Punith Kempegowda, Adrian Li, Sophie Harris, Erwin Castro, Rowan Hillson, Christine Jones, and Ketan Dhatariya. "Rowan Hillson Inpatient Safety Award 2022." British Journal of Diabetes 22, no. 2 (December 21, 2022): 139–46. http://dx.doi.org/10.15277/bjd.2022.389.

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Introduction: The annual National Diabetes Inpatient Audit (NaDIA and NaDIA-Harms) in the UK continues to show signiﬁcant problems with patient care. During the COVID pandemic patient care has been even more difﬁcult. New initiatives are urgently required to improve inpatient safety for people with diabetes. Method: The Joint British Diabetes Societies for Inpatient Care (JBDS-IP) organised the seventh national Rowan Hillson Inpatient Safety Award on the theme of “the best interventions: redesigning, rebuilding and maintaining safe inpatient diabetes care during COVID”. Result: The winner was the DEKODE team, led by Dr Punith Kempegowda from University Hospitals Birmingham NHS Foundation Trust, for their innovative quality improvement project across hospitals during COVID to improve diabetes-related ketoacidosis (DKA) management and study DKA in people with COVID. Adherence to national guidance improved in some hospitals, with falls in hypoglycaemia, and overall there was a signiﬁcant improvement in awareness about DKA amongst junior doctors. The King’s College NHS Foundation Trust team, led by Adrian Li and colleagues, received the highly commended award for their innovative project of remote blood glucose (BG) monitoring across healthcare boundaries. This improved diabetes control and tackled health inequalities. Summary and conclusion: These and similar schemes need to be developed, promoted and shared to improve safety for people with diabetes admitted in hospital during COVID times.

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Thompson, Daniel Cameron, M. S. Bailey, D. Bowley, and S. Jacob. "Encephalitis on deployment in Kenya: think beyond the infections." Journal of the Royal Army Medical Corps 165, no. 5 (April 16, 2019): 374–76. http://dx.doi.org/10.1136/jramc-2018-001115.

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A 34-year-old female soldier presented with fever and behavioural changes while deployed in Kenya and was diagnosed with encephalitis. The patient underwent urgent aeromedical evacuation to the Queen Elizabeth Hospital, Birmingham for further management. Microbiology tests excluded common infectious causes that are endemic in the East Africa region. However, an autoantibody screen was positive for antibodies against the N-methyl-D-aspartate receptor (NMDAR). Full body imaging confirmed the presence of limbic encephalitis and an ovarian mass suggestive of a teratoma. The patient was diagnosed with ovarian teratoma-associated anti-NMDAR encephalitis, a potentially fatal disease. The patient underwent surgery to remove the teratoma and commenced immunotherapy with steroids, plasma exchange and rituximab. This case highlights the diagnostic challenges of fever with behavioural changes in military personnel deployed in a tropical environment.

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Moore, P. L. A., D. Kim, G. Selby, and D. W. Proops. "Detection of laryngeal carcinoma and epithelial hyperplastic laryngeal lesions via a rapid-access dysphonia clinic." Journal of Laryngology & Otology 118, no. 8 (August 2004): 633–36. http://dx.doi.org/10.1258/0022215041917907.

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Recent government initiatives in the UK have focused on streamlining oncology services by reducing waiting times between urgent referral, assessment and treatment of patients with possible cancer. The performance of the Quick Early Diagnosis Dysphonia Clinic of the Queen Elizabeth Hospital, Birmingham, between May 1997 and April 2001 was reviewed. Of 721 patients reviewed, 123 (17 per cent) had clinically suspicious laryngeal lesions. Thirteen cases of epithelial hyperplastic laryngeal lesions and 27 laryngeal malignancies were diagnosed. There was no statistical link between early cancer detection and assessment within two weeks of referral. However, rapid-access clinics for dysphonia serve an important role in the reassurance and multidisciplinary management of patients with persistent hoarseness. Greater financial commitments are necessary to achieve compliance with objectives for a maximum two-week wait for patients with suspected laryngeal malignancy.

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Saha, Shuva, and Anthony J. Summerwill. "Quality of Written Reports Provided by Consultants in Restorative Dentistry to Referring General Dental Practitioners in the West Midlands." Primary Dental Care os13, no. 2 (April 2006): 63–69. http://dx.doi.org/10.1308/135576106776337841.

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Objectives The primary objective of this study was to assess the views of general dental practitioners (GDPs) on the content, style, and readability of written reports provided by restorative consultants at a dental hospital in response to referral letters from the GDPs. The secondary objective was to determine the style of the written consultant report preferred by GDPs. Setting Referral letters received and replied to by four consultants in the restorative department at Birmingham Dental Hospital. Method The quality of written reports sent by the four consultants to 100 referring GDPs in the West Midlands area was evaluated using a postal questionnaire, which assessed 100 GDPs’ satisfaction with the content, style, and readability of the reports. To assess which format they favoured a second questionnaire was subsequently sent to the same GDPs with three versions of the original report in: (a) a standard format, (b) a summary format, and (c) a bullet point format. Results The results of the initial questionnaire revealed that 79 (96%) of practitioners were satisfied with the existing style of the reports. Following a second questionnaire in which GDPs were asked to choose which format they preferred, 61 (81%) expressed a preference for a bullet point or summary style report. Conclusion The GDPs who responded to the questionnaires felt that a bullet point format or summary style report from the consultants concerned would summarise cases more clearly and concisely than the conventional standard format letters which they had previously received. Opportunities may exist for improving the quality of consultant reply letters through the use of structured templates and/or a summary or bullet point format.

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Lawrence, J. C. "Some aspects of burns and burns research at Birmingham Accident Hospital 1944–1993: A.B. Wallace Memorial Lecture, 1994." Burns 21, no. 6 (September 1995): 403–13. http://dx.doi.org/10.1016/0305-4179(95)00016-5.

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Hutton, A., S. McKaig, P. Bardsley, A. Monaghan, and S. Parmar. "Oral Carcinoma Cuniculatum in a Young Child." Journal of Clinical Pediatric Dentistry 35, no. 1 (September 1, 2010): 89–94. http://dx.doi.org/10.17796/jcpd.35.1.9qt8601640386651.

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From the Department of Dental Specialties, Birmingham Children's Hospital. This case study describes a rare case of oral carcinoma cuniculatum in a 7 year old female. She presented with an enlarged mass of the anterior maxilla arising from the gingiva. An anterior maxillectomy with immediate prosthetic replacement and obturation of the residual defect were carried out. The management of this case was challenging given the rare nature of the disease, unclear etiology, the patient's young age and the mutilating effects of surgery. The treatment involved a large multidisciplinary team. The provision of obturators was particularly difficult due to poor patient compliance and the extent of surgery carried out in a growing child. Oral cancer in children under 15 years old is extremely rare and this is the youngest case of oral carcinoma cuniculatum reported in the literature.

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Shields, Adrian, Sian E. Faustini, Marisol Perez-Toledo, Sian Jossi, Erin Aldera, Joel D. Allen, Saly Al-Taei, et al. "SARS-CoV-2 seroprevalence and asymptomatic viral carriage in healthcare workers: a cross-sectional study." Thorax 75, no. 12 (September 11, 2020): 1089–94. http://dx.doi.org/10.1136/thoraxjnl-2020-215414.

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ObjectiveTo determine the rates of asymptomatic viral carriage and seroprevalence of SARS-CoV-2 antibodies in healthcare workers.DesignA cross-sectional study of asymptomatic healthcare workers undertaken on 24/25 April 2020.SettingUniversity Hospitals Birmingham NHS Foundation Trust (UHBFT), UK.Participants545 asymptomatic healthcare workers were recruited while at work. Participants were invited to participate via the UHBFT social media. Exclusion criteria included current symptoms consistent with COVID-19. No potential participants were excluded.InterventionParticipants volunteered a nasopharyngeal swab and a venous blood sample that were tested for SARS-CoV-2 RNA and anti-SARS-CoV-2 spike glycoprotein antibodies, respectively. Results were interpreted in the context of prior illnesses and the hospital departments in which participants worked.Main outcome measureProportion of participants demonstrating infection and positive SARS-CoV-2 serology.ResultsThe point prevalence of SARS-CoV-2 viral carriage was 2.4% (n=13/545). The overall seroprevalence of SARS-CoV-2 antibodies was 24.4% (n=126/516). Participants who reported prior symptomatic illness had higher seroprevalence (37.5% vs 17.1%, χ2=21.1034, p<0.0001) and quantitatively greater antibody responses than those who had remained asymptomatic. Seroprevalence was greatest among those working in housekeeping (34.5%), acute medicine (33.3%) and general internal medicine (30.3%), with lower rates observed in participants working in intensive care (14.8%). BAME (Black, Asian and minority ethnic) ethnicity was associated with a significantly increased risk of seropositivity (OR: 1.92, 95% CI 1.14 to 3.23, p=0.01). Working on the intensive care unit was associated with a significantly lower risk of seropositivity compared with working in other areas of the hospital (OR: 0.28, 95% CI 0.09 to 0.78, p=0.02).Conclusions and relevanceWe identify differences in the occupational risk of exposure to SARS-CoV-2 between hospital departments and confirm asymptomatic seroconversion occurs in healthcare workers. Further investigation of these observations is required to inform future infection control and occupational health practices.

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Journal articles on the topic 'Birmingham General Hospital'

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