P Aylin

..Pulmonary embolism is associated with a significant mortality although overall trends in mortality are improving in England. Age and comorbidities must be considered when developing guidelines and individual treatment plans...

..To describe trends in mortality of open cardiac surgery in children in Bristol and England since 1991...

..Several studies have identified higher mortality for patients admitted as emergencies at the weekend compared with emergency admissions during the week, but most have focused on specific conditions or have had a limited sample size...

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..To compare patient volume and outcomes in vascular surgery between an administrative data set (Hospital Episode Statistics) and a clinical database (National Vascular Database)...

..If used appropriately, such charts represent a useful tool for monitoring deaths in primary care. However, improvement in data quality is essential...

..Little is known about the acquisition of Clostridium difficile infection (CDI) and whether it represents hospital- or community-acquired infection...

..This observational study aimed to determine national provision and outcome following pouch surgery (restorative proctocolectomy, RPC) and to examine the effect of institutional and surgeon caseload on outcome...

..This study aimed to describe national intermediate-term admission rates for incisional hernia or clinically apparent adhesions following colorectal surgery, and to compare rates following laparoscopic and open approaches...

..This article examines the length of stay and consequent bed resource usage of patients undergoing elective excisional colorectal surgery in English NHS trusts...

..To use the hospital standardised mortality ratio (HSMR), as a tool for Dutch hospitals to analyse their death rates by comparing their risk-adjusted mortality with the national average...

..This study was primarily aimed to quantify perioperative mortality risk in elderly patients undergoing elective colonic resectional surgery. In addition, the safety of minimally invasive colonic surgery in this patient group was evaluated...

..Diverticular disease has a changing disease pattern with limited epidemiological data...

..Identifying the clinical burden among hospitalised patients admitted with inflammatory bowel disease is an essential first step towards identifying and treating severe C. difficile infection in such individuals...

..The incidence of hospital admissions for respiratory and cardiovascular diseases in areas close to operating coke works in England and Wales was investigated...

..The aim of this study was to assess whether variability exists in FTR rates after reoperation for serious surgical complications following colorectal cancer resections in England...

..A comparison was undertaken of trusts that submitted and those that did not submit, or submitted only poorly, voluntarily to a colorectal clinical registry, the National Bowel Cancer Audit Programme (NBOCAP)...

..High quality data are necessary for reliable analysis. This study aims to assess the published accuracy of routinely collected data sets in Great Britain...

..Dump' postcodes, where missing or unknown postcodes are assigned to a local postcode such as that of the hospital, may affect small area analyses and linkage if a proxy patient identifier is constructed that includes postcode...

..A key question was whether or not the mortality statistics in Bristol were unusual compared with other specialist centres. To answer this question, we did a retrospective analysis of mortality in the UK using two datasets...

..If better coding could be encouraged or made mandatory within HES data, then the current dual system of recording might be unnecessary for effective surveillance of orthopaedic SSIs...

..To use routine data to identify patients at high risk of future emergency hospital admissions...

..To estimate the number of deaths and readmissions associated with delay in operation after femoral fracture...

..A new pay-for-performance scheme for primary care physicians was introduced in England in 2004 as part of an initiative to link the quality of primary care with physician pay...

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..We investigate whether in-hospital mortality is higher in the week following the first Wednesday in August than in the previous week...

..To use statistical process control charts to monitor in-hospital outcomes at the hospital level for a wide range of procedures and diagnoses...

..Given the availability of electronic health data in primary care, we explored the potential to build adverse event screening tools using computerised medical record systems...

..According to clinical guidelines, every patient affected by stroke should be given a brain-imaging scan (BIS) - Computerized Tomography or Magnetic Resonance Imaging - immediately after being admitted to hospital...

..To assess the trends in uptake of minimal invasive esophagectomy in England over the last 12 years (1996/1997-2007/2008) and to compare their clinical outcomes with those after open esophagectomy...

..To identify patient and general practice (GP) characteristics associated with emergency (unplanned) first admissions for cancer in secondary care...

..However, a wealth of administrative information already collected routinely by hospitals is currently not used to its maximum potential for surveillance...

..To examine the associations between temperature, housing, deprivation and excess winter mortality using census variables as proxies for housing conditions...

..We aimed to apply 10 of the AHRQ indicators for use in English routine hospital admissions data as the first step in validation, and describe their rates in relation to established measures of negative outcome such as mortality...

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..Laparoscopic appendicectomy is increasingly used in children. This national retrospective study compared outcomes of paediatric open and laparoscopic appendicectomy...

..About two-thirds of the variation remained unaccounted for. CONCLUSION: Despite evidence suggesting that the majority of hysterectomies may be performed vaginally, very few English trust match this...

..To assess rates of abdominoperineal excision of the rectum (APER) for rectal cancer between centers and over time, and to evaluate the influence of patient characteristics, including social deprivation, on APER rate...

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..After standardisation for age group and length of stay, the adjusted mortality rates show no bias against hospitals with more patients staying more than 28 days, or against hospitals with more geriatric beds...

..This study investigated length of stay, readmission rates, and postoperative mortality in adult patients undergoing traditional and laparoscopic appendectomy in England between April 1, 1996, and March 31, 2006...