Professor Fiona Lecky
MB Ch B, FRCS, DA, MSc, PhD, FCEM
Population Health, School of Medicine and Population Health
Clinical Professor of Emergency Medicine
+44 114 222 4345
Full contact details
Population Health, School of Medicine and Population Health
3023
Regent Court (ScHARR)
30 Regent Street
Sheffield
S1 4DA
- Profile
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Fiona Lecky is Clinical Professor in Emergency Medicine at CURE (the Centre for Urgent and Emergency Care Research) in the School of Health and Related Research at the University of Sheffield, Honorary Consultant in Emergency Medicine at Salford Royal Hospital and holds an Honorary Chair as Research Director of the Trauma Audit and Research Network (TARN) at the University of Manchester and Research Professor of the Humanitarian Conflict Response Institute (HCRI). She chaired the 2014 update of the NICE Head Injury Guideline and has been a member of the International Federation for Emergency Medicine Research Committee since 2010.
Fiona has a 60/40 commitment to her University and clinical roles. She supervises under and postgraduate research students and is a lead investigator in international multicentre trauma research initiatives which are her major research interest.
- Research interests
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Fiona Lecky is Clinical Professor in Emergency Medicine at CURE (the Centre for Urgent and Emergency Care Research) in the School of Health and Related Research at the University of Sheffield, Honorary Consultant in Emergency Medicine at Salford Royal Hospital and holds an Honorary Chair as Research Director of the Trauma Audit and Research Network (TARN) at the University of Manchester and Research Professor of the Humanitarian Conflict Response Institute (HCRI). She chaired the 2014 update of the NICE Head Injury Guideline and has been a member of the International Federation for Emergency Medicine Research Committee since 2010. Fiona has a 60/40 commitment to her University and clinical roles. She supervises under and postgraduate research students and is a lead investigator in international multicentre trauma research initiatives which are her major research interest. Research Professor Humanitarian Conflict Response Institute, University of Manchester from November 2018 Topic Adviser National Institute of Health and Care Excellence Head Injury Guideline Update from July 2020
Fiona’s research interests include: Traumatic Brain Injury, Major Trauma, Biomarkers in Emergency Care and Injury Epidemiology. Latterly she has been Chair of the College of Emergency Medicine Research Committee – successfully setting up PhD studentships for Trainee Emergency Physicians, and the NW EM Walport Programme lead with a competitive ACF programme.
Recent publications include those looking at TBI epidemiology, trends in major trauma outcome and clinical effectiveness in trauma care and venour thromboembolism with a particular focus on head injury.
Current projects:
- Global Emergency Care Research Network (GEMCARN)/Lead applicant/GCRF-QR/£50,000/2019-20
- Major Trauma Triage tool Study (MATTS)/Co-applicant/NIHR HTA/£612,243/ 2018-2021
- Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA)/Co-applicant /HTA / £500,000/ 2017-2020
- Collaborative European Neurotrauma Effectiveness Research in Traumatic Brain Injury TBI/ EU FP7/Co-applicant/ € 30, 000,000 2013-20
- Trauma Audit & Research Network (TARN) Research Grant / Lead (Sole) applicant/ NHS Trusts / £350,000 per year recurrent /2002 -2008 £600,000 2009 and 2010 / £1 million recurrent for future.
- Validating Injury Burden Estimates Study Junior – Co applicant / Australian National Health Medical Research Council /ASD600,000/2018-20
- Canadian Program on Low Value Clinical Practices in Injury Care – Co applicant / Canadian Institutes of Health Research / Can$ 800,000 / 2015-2023
- STUdy of the Management of BLunt chest wall trauma (STUMBL)/ Co-researcher/ HCRW/ £300,000/ 2016-2018
- Injury Research Workshop /Newton Fund Lead Applicant, £30,000/ 2016-2018
- Diagnosis of Pulmonary Embolism in Pregnancy (DiPEP) Study – Co Applicant/ Health Technology Assessment/ £600,000 20-14-18
- Publications
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Show: Featured publications All publications
Featured publications
Journal articles
- Impact of the SIGN head injury guidelines and NHS 4-hour emergency target on hospital admissions for head injury in Scotland: an interrupted times series. BMJ Open, 8(12). View this article in WRRO
- Pharmacological management of post-traumatic seizures in adults: current practice patterns in the UK and the Republic of Ireland. Acta Neurochirurgica. View this article in WRRO
- Changing the system - major trauma patients and their outcomes in the NHS (England) 2008–17. EClinicalMedicine, 2-3, 13-21. View this article in WRRO
- The incidence of anosmia after traumatic brain injury: the SHEFBIT cohort. Brain Injury, 32(9), 1122-1128. View this article in WRRO
- The Risk of Deterioration in GCS13–15 Patients with Traumatic Brain Injury Identified by Computed Tomography Imaging: A Systematic Review and Meta-Analysis. Journal of Neurotrauma, 35(5), 703-718. View this article in WRRO
- Traumatic brain injury: integrated approaches to improve prevention, clinical care, and research. The Lancet Neurology, 16(12), 987-1048. View this article in WRRO
- Survival Trends After Surgery for Acute Subdural Hematoma in Adults Over a 20-year Period. Annals of Surgery, 265(3), 590-596. View this article in WRRO
- Is there a ‘weekend effect’ in major trauma?. Emergency Medicine Journal, 33(12), 836-842. View this article in WRRO
- Traumatic brain injury in England and Wales: prospective audit of epidemiology, complications and standardised mortality. BMJ Open, 6(11). View this article in WRRO
- Older patients with traumatic brain injury present with a higher GCS score than younger patients for a given severity of injury. Emergency Medicine Journal, 33(6), 381-385. View this article in WRRO
- A profile of suspected child abuse as a subgroup of major trauma patients. Emergency Medicine Journal, 32(12), 921-925.
- The changing face of major trauma in the UK. Emergency Medicine Journal, 32(12), 911-915. View this article in WRRO
- Prediction modelling for trauma using comorbidity and ‘true’ 30-day outcome. Emergency Medicine Journal, 32(12), 933-938. View this article in WRRO
- Early management of head injury: Summary of updated NICE guidance. BMJ (Online), 348, 1-7.
- Trends in head injury outcome from 1989 to 2003 and the effect of neurosurgical care: An observational study. Lancet, 366(9496), 1538-1544.
- The Head Injury Transportation Straight to Neurosurgery (HITS-NS) randomised trial: a feasibility study. Health Technology Assessment, 20(1), 1-198. View this article in WRRO
All publications
Journal articles
- One-year employment outcome prediction after traumatic brain injury: A CENTER-TBI study. Disability and Health Journal, 101716-101716.
- Parsimonious immune-response endotypes and global outcome in patients with traumatic brain injury. eBioMedicine, 108, 105310-105310.
- Association of early blood-based biomarkers and six-month functional outcomes in conventional severity categories of traumatic brain injury: capturing the continuous spectrum of injury. eBioMedicine, 107, 105298-105298.
- Lights out at TARN after 33 years: A better future as NMTR?. Injury, 111750-111750.
- Conservative management versus invasive management of significant traumatic pneumothoraces in the emergency department (the CoMiTED trial): a study protocol for a randomised non-inferiority trial. BMJ Open, 14(6), e087464-e087464.
- Head Injury Evaluation and Ambulance Diagnosis (HOME) Study protocol: a feasibility study assessing the implementation of the Canadian CT Head Rule in the prehospital setting. BMJ Open, 14(6), e077191-e077191.
- The accuracy of prehospital triage decisions in English trauma networks – a case-cohort study. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, 32. View this article in WRRO
- Research priorities for the management of major trauma: an international priority setting partnership with the James Lind Alliance. BMJ Open, 14(5), e083450-e083450.
- Cervical spine immobilisation following blunt trauma in pre-hospital and emergency care: a systematic review. PLOS ONE, 19(4). View this article in WRRO
- Clinical descriptors of disease trajectories in patients with traumatic brain injury in the intensive care unit (CENTER-TBI): a multicentre observational cohort study. The Lancet Neurology, 23(1), 71-80.
- Impact of an injury hospital admission on childhood academic performance: a Welsh population-based data linkage study. Injury Prevention, ip-2023.
- Pediatric TBI in the MENA region: A systematic review and meta-analysis to assess characteristics, mechanisms, and risk factors. Journal of the Neurological Sciences, 455, 121899-121899.
- Emergency Department Resuscitative Endovascular Balloon Occlusion of the Aorta in Trauma Patients With Exsanguinating Hemorrhage. JAMA, 330(19), 1862-1862.
- Sport-related major trauma incidence in young people and adults in England and Wales: a national registry-based study. Injury Prevention. View this article in WRRO
- Pediatric Traumatic Brain Injury in the Middle East and North Africa Region: A Systematic Review and Meta-Analysis to Assess Characteristics, Mechanisms, and Risk Factors. Neurotrauma Reports, 4(1), 693-714.
- Comparative effectiveness of decompressive craniectomy versus craniotomy for traumatic acute subdural hematoma (CENTER-TBI): an observational cohort study. eClinicalMedicine, 63, 102161-102161.
- Major trauma presentations and patient outcomes in English hospitals during the COVID-19 pandemic: An observational cohort study.. PLoS Med, 20(6), e1004243.
- French guidelines for the management of patients with mild traumatic brain injury. Anaesthesia Critical Care & Pain Medicine, 42(4), 101261-101261.
- Prognostic Models for Global Functional Outcome and Post-Concussion Symptoms Following Mild Traumatic Brain Injury: A Collaborative European NeuroTrauma Effectiveness Research in Traumatic Brain Injury (CENTER-TBI) Study. Journal of Neurotrauma, 40(15-16), 1651-1670.
- National neurotrauma registry data in low- and middle-income countries - current status and future requirements; comment on "Neurotrauma surveillance in national registries of low- and middle-income countries: a scoping review and comparative analysis of data dictionaries". International Journal of Health Policy and Management, 12.
- Severe trauma with associated pelvic fractures: the impact of regional trauma networks on clinical outcome. Injury.
- Towards exploring current challenges and future opportunities relating to the prehospital triage of patients with traumatic brain injury: a mixed-methods study protocol. BMJ Open, 13.
- Correction: High arterial oxygen levels and supplemental oxygen administration in traumatic brain injury: insights from CENTER-TBI and OzENTER-TBI. Intensive Care Medicine, 49(2), 269-272.
- Comparison of trauma care structures, processes and outcomes between the English National Health Service and Quebec, Canada. Canadian Journal of Surgery, 66(1), E32-E41.
- 1358 The association between major trauma centre care and outcomes of adult patients injured by low falls in England and Wales. Emergency Medicine Journal, 39(12), A966.1-A966.
- Geriatrician assessment and immortal time bias in the FiTR 2 study – Authors' reply. The Lancet Healthy Longevity, 3(11), e736-e736.
- A comparison between the clinical frailty scale and the hospital frailty risk score to risk stratify older people with emergency care needs. BMC Emergency Medicine, 22(1).
- Traumatic brain injury: progress and challenges in prevention, clinical care, and research. The Lancet Neurology, 21(11), 1004-1060.
- A national study of 23 major trauma centres to investigate the effect of frailty on clinical outcomes in older people admitted with serious injury in England (FiTR 1): a multicentre observational study. The Lancet Healthy Longevity, 3(8), e540-e548.
- A national study of 23 major trauma centres to investigate the effect of a geriatrician assessment on clinical outcomes in older people admitted with serious injury in England (FiTR 2): a multicentre observational cohort study. The Lancet Healthy Longevity, 3(8), e549-e557.
- Clustering identifies endotypes of traumatic brain injury in an intensive care cohort: a CENTER-TBI study. Critical Care, 26(1).
- The leap to ordinal: detailed functional prognosis after traumatic brain injury with a flexible modelling approach. PLoS ONE, 17(7).
- Health care utilization and outcomes in older adults after Traumatic Brain Injury: A CENTER-TBI study. Injury, 53(8), 2774-2782.
- The effectiveness and cost-effectiveness of resuscitative endovascular balloon occlusion of the aorta (REBOA) for trauma patients with uncontrolled torso haemorrhage : study protocol for a randomised clinical trial (the UK-REBOA trial). Trials, 23(1).
- Surgery versus conservative treatment for traumatic acute subdural haematoma: a prospective, multicentre, observational, comparative effectiveness study. The Lancet Neurology, 21(7), 620-631.
- Regional Variation in the Provision of Major Trauma Services for the Older Injured Patient. Injury.
- Early exercise in blunt chest wall trauma: protocol for a mixed-methods, multicentre, parallel randomised controlled trial (ELECT2 trial). BMJ Open, 12(4).
- Care of the older trauma patient following low-energy transfer trauma—highlighting a research void. Age and Ageing, 51(4).
- 750 Is higher-level trauma centre care associated with better outcomes in patients injured by low-energy trauma? A systematic review. Emergency Medicine Journal, 39(3), 267.3-26268.
- The diagnostic accuracy of prehospital triage tools in identifying patients with traumatic brain injury: a systematic review. Injury.
- Prognostic accuracy of triage tools for adults with suspected COVID-19 in a prehospital setting : an observational cohort study. Emergency Medicine Journal. View this article in WRRO
- Effect of frailty on 6-month outcome after traumatic brain injury: a multicentre cohort study with external validation. The Lancet Neurology, 21(2), 153-162.
- Quality Indicators Targeting Low-Value Clinical Practices in Trauma Care. JAMA Surgery.
- Neurocognitive correlates of probable posttraumatic stress disorder following traumatic brain injury. Brain and Spine, 2, 100854-100854.
- Extended Coagulation Profiling in Isolated Traumatic Brain Injury: A CENTER-TBI Analysis. Neurocritical Care, 36(3), 927-941.
- Can We Cluster ICU Treatment Strategies for Traumatic Brain Injury by Hospital Treatment Preferences?. Neurocritical Care, 36(3), 846-856.
- Injured patients who would benefit from expedited major trauma centre care: a consensus-based definition for the United Kingdom. British Paramedic Journal, 6(3), 7-14. View this article in WRRO
- Health-related quality of life (HRQoL) outcomes following injury in childhood and adolescence using EuroQol (EQ-5D) responses with pooled longitudinal data. International Journal of Environmental Research and Public Health, 18(19). View this article in WRRO
- Occurrence and timing of withdrawal of life-sustaining measures in traumatic brain injury patients: a CENTER-TBI study. Intensive Care Medicine, 47(10), 1115-1129.
- The burden of traumatic brain injury from low-energy falls among patients from 18 countries in the CENTER-TBI Registry : a comparative cohort study. PLoS Medicine, 18(9).
- Primary versus early secondary referral to a specialized neurotrauma center in patients with moderate/severe traumatic brain injury: a CENTER TBI study. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, 29. View this article in WRRO
- Imputation strategies for missing baseline neurological assessment covariates after traumatic brain injury: A CENTER-TBI study. PLoS ONE, 16(8).
- Global Characterisation of Coagulopathy in Isolated Traumatic Brain Injury (iTBI): A CENTER-TBI Analysis. Neurocritical Care, 35(1), 184-196.
- Fluid balance and outcome in critically ill patients with traumatic brain injury (CENTER-TBI and OzENTER-TBI): a prospective, multicentre, comparative effectiveness study. The Lancet Neurology, 20(8), 627-638.
- Survey evaluating clinical equipoise around platelet transfusion after head injury and traumatic intracranial haemorrhage (ICH) in patients on antiplatelet medications. Emergency Medicine Journal. View this article in WRRO
- Defining major trauma : a Delphi study. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, 29(1).
- Vocational outcomes after traumatic brain injury; prevalence and risk factors after 1 Year in a multivariable model. Journal of Head Trauma Rehabilitation. View this article in WRRO
- Healthcare system impacts of the 2017 Manchester Arena bombing: Evidence from a national trauma registry patient case series and hospital performance data. Emergency Medicine Journal.
- Characteristics, management and outcomes of patients with severe traumatic brain injury in Victoria, Australia compared to United Kingdom and Europe: A comparison between two harmonised prospective cohort studies. Injury.
- Predicting need for hospital admission in patients with traumatic brain injury or skull fractures identified on CT imaging: A machine learning approach. Emergency Medicine Journal.
- Effect of tranexamic acid on intracranial haemorrhage and infarction in patients with traumatic brain injury: a pre-planned substudy in a sample of CRASH-3 trial patients. Emergency Medicine Journal, 38(4), 270-278. View this article in WRRO
- New horizons in understanding appropriate prehospital identification and trauma triage for older adults. Open Access Emergency Medicine, 13, 117-135.
- Emergency Medicine Journal COVID-19 monthly top five. Emergency Medicine Journal, 38(2), 158-160.
- Frequency of fatigue and its changes in the first 6 months after traumatic brain injury: results from the CENTER-TBI study. Journal of Neurology, 268(1), 61-73. View this article in WRRO
- Economic Evaluation of In-Hospital Clinical Practices in Acute Injury Care: A Systematic Review. Value in Health.
- Biomarkers for Traumatic Brain Injury: Data Standards and Statistical Considerations. Journal of Neurotrauma, 38(18), 2514-2529.
- The volume-outcome relationship among severely injured patients admitted to English major trauma centres : a registry study. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, 28. View this article in WRRO
- Understanding the neuroprotective effect of tranexamic acid : an exploratory analysis of the CRASH-3 randomised trial. Critical Care, 24(1).
- 59 Performance of the mTBI decision rule for early discharge of patients with findings on CT: a center-TBI validation study. Emergency Medicine Journal, 37(12), 824-825.
- Characterisation of 22445 patients attending UK emergency departments with suspected COVID-19 infection : observational cohort study. PLoS ONE, 15(11). View this article in WRRO
- Health-related quality of life after traumatic brain injury: deriving value sets for the QOLIBRI-OS for Italy, The Netherlands and The United Kingdom. Quality of Life Research, 29(11), 3095-3107. View this article in WRRO
- Prehospital management of traumatic brain injury across Europe: a CENTER-TBI Study. Prehospital Emergency Care.
- Traumatic brain injury probability of survival assessment in adults using iterative random comparison classification. Healthcare Technology Letters, 7(5), 119-124. View this article in WRRO
- Impact of Antithrombotic Agents on Radiological Lesion Progression in Acute Traumatic Brain Injury: A CENTER-TBI Propensity-Matched Cohort Analysis. Journal of Neurotrauma, 37(19), 2069-2080.
- Low-value clinical practices in adult traumatic brain injury : an umbrella review. Journal of Neurotrauma.
- Cost-effectiveness analysis of tranexamic acid for the treatment of traumatic brain injury, based on the results of the CRASH-3 randomised trial: a decision modelling approach. BMJ Global Health, 5(9).
- Predictors of access to rehabilitation in the year following traumatic brain injury: a European prospective and multicenter study. Neurorehabilitation and Neural Repair, 34(9), 814-830.
- Harnessing inter-disciplinary collaboration to improve emergency care in low- and middle-income countries (LMICs): results of research prioritisation setting exercise. BMC Emergency Medicine, 20(1). View this article in WRRO
- A consensus building exercise to determine research priorities for silver trauma. BMC Emergency Medicine, 20(1).
- Post-exertion oxygen saturation as a prognostic factor for adverse outcome in patients attending the emergency department with suspected COVID-19: Observational cohort study.
- Clinical characteristics and outcomes in patients with traumatic brain injury in China: a prospective, multicentre, longitudinal, observational study. The Lancet Neurology, 19(8), 670-677.
- Tracheal intubation in traumatic brain injury: a multicentre prospective observational study. British Journal of Anaesthesia. View this article in WRRO
- Have changes in computerised tomography guidance positively impacted detection of cervical spine injury in children? A review of the Trauma Audit and Research Network data. Trauma.
- Helicopter and ground emergency medical services transportation to hospital after major trauma in England: a comparative cohort study. Trauma Surgery & Acute Care Open, 5(1).
- Updated framework on quality and safety in emergency medicine. Emergency Medicine Journal, 37(7), 437-442. View this article in WRRO
- Blood biomarkers on admission in acute traumatic brain injury: Relations to severity, CT findings and care path in the CENTER-TBI study. EBioMedicine, 56. View this article in WRRO
- The CRASH3 study: prehospital TXA for every injured patient?. Emergency Medicine Journal, 37(6), 392-394. View this article in WRRO
- Machine learning algorithms performed no better than regression models for prognostication in traumatic brain injury. Journal of Clinical Epidemiology, 122, 95-107.
- How do 66 European institutional review boards approve one protocol for an international prospective observational study on traumatic brain injury? Experiences from the CENTER-TBI study. BMC Medical Ethics, 21(1). View this article in WRRO
- Informed consent procedures in patients with an acute inability to provide informed consent: Policy and practice in the CENTER-TBI study. Journal of Critical Care, 59, 6-15.
- Changing care pathways and between-center practice variations in intensive care for traumatic brain injury across Europe: a CENTER-TBI analysis. Intensive Care Medicine, 46(5), 995-1004. View this article in WRRO
- Serious sports-related injury in England and Wales from 2012-2017: a study protocol. Injury Epidemiology, 7(1). View this article in WRRO
- Cross-validation of two prognostic trauma scores in severely injured patients. European Journal of Trauma and Emergency Surgery. View this article in WRRO
- Accuracy of PE rule-out strategies in pregnancy : secondary analysis of the DiPEP study prospective cohort. Emergency Medicine Journal. View this article in WRRO
- Survey of major trauma centre preparedness for mass casualty incidents in Australia, Canada, England and New Zealand. EClinicalMedicine, 21. View this article in WRRO
- Quality indicators for patients with traumatic brain injury in European intensive care units: a CENTER-TBI study. Critical Care, 24(1).
- Prognostic Validation of the NINDS Common Data Elements for the Radiologic Reporting of Acute Traumatic Brain Injuries: A CENTER-TBI Study. Journal of Neurotrauma, 37(11), 1269-1282.
- The effect of socioeconomic deprivation on 12 month Traumatic Brain Injury (TBI) outcome. Brain Injury, 34(3), 343-349. View this article in WRRO
- What is the inter-rater agreement of injury classification using the WHO minimum data set for emergency medical teams?. Emergency Medicine Journal, 37(2), 58-64. View this article in WRRO
- Trends in admission timing and mechanism of injury can be used to improve general surgical trauma training. The Annals of The Royal College of Surgeons of England, 102(1), 36-42. View this article in WRRO
- The DiPEP study : an observational study of the diagnostic accuracy of clinical assessment, D-dimer and chest x-ray for suspected pulmonary embolism in pregnancy and postpartum. Obstetric Anesthesia Digest, 39(4), 215-216. View this article in WRRO
- Global outcome after traumatic brain injury in a prospective cohort. Clinical Neurology and Neurosurgery, 186. View this article in WRRO
- Effects of tranexamic acid on death, disability, vascular occlusive events and other morbidities in patients with acute traumatic brain injury (CRASH-3): a randomised, placebo-controlled trial. The Lancet, 394(10210), 1713-1723. View this article in WRRO
- Low-value clinical practices in adult traumatic brain injury : an umbrella review protocol. BMJ Open, 9(10). View this article in WRRO
- Development of a clinical decision rule for the early safe discharge of patients with mild traumatic brain injury and findings on CT brain scan : a retrospective cohort study. Journal of Neurotrauma. View this article in WRRO
- Case-mix, care pathways, and outcomes in patients with traumatic brain injury in CENTER-TBI : a European prospective, multicentre, longitudinal, cohort study. The Lancet Neurology, 18(10), 923-934. View this article in WRRO
- Evaluating the impact of cycle helmet use on severe traumatic brain injury and death in a national cohort of over 11000 pedal cyclists : a retrospective study from the NHS England trauma audit and research network dataset. BMJ Open, 9(9). View this article in WRRO
- Should plasma GFAP guide the management of patients with traumatic brain injury and a negative CT scan?. The Lancet Neurology, 18(10), 908-909.
- A multicentre randomised feasibility STUdy evaluating the impact of a prognostic model for management of BLunt chest wall trauma patients : STUMBL Trial. BMJ Open, 9(7). View this article in WRRO
- Low-value clinical practices in injury care: a scoping review and expert consultation survey. Journal of Trauma and Acute Care Surgery, 86(6), 983-993. View this article in WRRO
- Evaluation of the impact of the NICE head injury guidelines on inpatient mortality from traumatic brain injury: an interrupted time series analysis.. BMJ Open, 9(6). View this article in WRRO
- Urethral injury in major trauma. Injury, 50(5), 1053-1057. View this article in WRRO
- Strengthening emergency care systems to serve the injured. Injury, 50(5), 1005-1006.
- Development of a quality indicator set to measure and improve quality of ICU care for patients with traumatic brain injury. Critical Care, 23. View this article in WRRO
- The DiPEP study: an observational study of the diagnostic accuracy of clinical assessment, D-dimer and chest x-ray for suspected pulmonary embolism in pregnancy and postpartum. BJOG: An International Journal of Obstetrics & Gynaecology, 126(3), 383-392. View this article in WRRO
- Comparison of early and late depression after TBI; (the SHEFBIT study). Brain Injury. View this article in WRRO
- Correction to: Variation in neurosurgical management of traumatic brain injury: a survey in 68 centers participating in the CENTER-TBI study. Acta Neurochirurgica, 161(3), 451-455.
- Impact of the SIGN head injury guidelines and NHS 4-hour emergency target on hospital admissions for head injury in Scotland: an interrupted times series. BMJ Open, 8(12). View this article in WRRO
- Incidence of combined burns and major trauma in England and Wales. Trauma (United Kingdom). View this article in WRRO
- Prehospital trauma care among 68 European neurotrauma centers : results of the CENTER-TBI provider profiling questionnaires. Journal of Neurotrauma, 36(1), 176-181. View this article in WRRO
- Brain death and postmortem organ donation: report of a questionnaire from the CENTER-TBI study. Critical Care, 22(1). View this article in WRRO
- Disparities in the management of paediatric splenic injury. British Journal of Surgery. View this article in WRRO
- The volume-outcome relationship in severely injured patients: A systematic review and meta-analysis. Journal of Trauma and Acute Care Surgery, 85(4), 810-819. View this article in WRRO
- Pharmacological management of post-traumatic seizures in adults: current practice patterns in the UK and the Republic of Ireland. Acta Neurochirurgica. View this article in WRRO
- Selecting pregnant or postpartum women with suspected pulmonary embolism for diagnostic imaging: the DiPEP diagnostic study with decision-analysis modelling.. Health Technology Assessment, 22(47). View this article in WRRO
- Changing the system - major trauma patients and their outcomes in the NHS (England) 2008–17. EClinicalMedicine, 2-3, 13-21. View this article in WRRO
- Validating injury burden estimates using population birth cohorts and longitudinal cohort studies of injury outcomes: The VIBES-Junior study protocol. BMJ Open, 8(8). View this article in WRRO
- The incidence of anosmia after traumatic brain injury: the SHEFBIT cohort. Brain Injury, 32(9), 1122-1128. View this article in WRRO
- A Pilot of a UK Emergency Medical Team (EMT) Medical Record During a Deployment Training Course. Prehospital and Disaster Medicine, 33(4), 441-447. View this article in WRRO
- A protocol for the development of a prediction model in mild traumatic brain injury with CT scan abnormality: which patients are safe for discharge?. Diagnostic and Prognostic Research, 2. View this article in WRRO
- Motorcyclists and pillion passengers with open lower-limb fractures: A study using TARN data 2007-2014. Annals of the Royal College of Surgeons of England, 100(3), 203-208. View this article in WRRO
- The Risk of Deterioration in GCS13–15 Patients with Traumatic Brain Injury Identified by Computed Tomography Imaging: A Systematic Review and Meta-Analysis. Journal of Neurotrauma, 35(5), 703-718. View this article in WRRO
- Comparison of two prognostic models in trauma outcome. British Journal of Surgery. View this article in WRRO
- Fractures of the femoral shaft in children: National epidemiology and treatment trends in England following activation of major trauma networks. Bone and Joint Journal, 100B(1), 109-118. View this article in WRRO
- Prevalence of depression after TBI in a prospective cohort: The SHEFBIT study. Brain Injury, 32(1), 84-90. View this article in WRRO
- 4 The risk of deterioration in CT identified mild traumatic brain injury: a systematic review and meta-analysis. Emergency Medicine Journal, 34(12), A862-A863.
- The impact of age on major orthopaedic trauma: An analysis of the United Kingdom trauma audit research network database. Bone and Joint Journal, 99B(12), 1677-1680. View this article in WRRO
- Traumatic brain injury: integrated approaches to improve prevention, clinical care, and research. The Lancet Neurology, 16(12), 987-1048. View this article in WRRO
- 12 A multi-centre randomised feasibility study evaluating the impact of a prognostic model for management of blunt chest wall trauma patients: stumbl trial. Emergency Medicine Journal, 34(12), A868.2-A868.
- Implementing the National Institute for Health and Clinical Excellence Head Injury 2014 Guidelines in a major children’s hospital emergency department. European Journal of Emergency Medicine. View this article in WRRO
- Bypassing nearest hospital for more distant neuroscience care in head-injured adults with suspected traumatic brain injury: findings of the head injury transportation straight to neurosurgery (HITS-NS) pilot cluster randomised trial.. BMJ Open, 7(10). View this article in WRRO
- The civilian validation of the Modified Physiological Triage Tool (MPTT): an evidence-based approach to primary major incident triage.. Emerg Med J. View this article in WRRO
- Variation in monitoring and treatment policies for intracranial hypertension in traumatic brain injury: a survey in 66 neurotrauma centers participating in the CENTER-TBI study. Critical Care, 21(1). View this article in WRRO
- Major trauma from suspected child abuse: a profile of the patient pathway. Emergency Medicine Journal, 34(9), 562-567. View this article in WRRO
- Feasibility of the Manchester Acute Coronary Syndromes (MACS) decision rule to safely reduce unnecessary hospital admissions: a pilot randomised controlled trial. Emergency Medicine Journal, 34(9), 586-592. View this article in WRRO
- Differential effects of the Glasgow Coma Scale Score and its Components: An analysis of 54,069 patients with traumatic brain injury. Injury, 48(9), 1932-1943. View this article in WRRO
- ‘Major trauma’: now two separate diseases?. Emergency Medicine Journal, 34, 494-494. View this article in WRRO
- Consensus-derived clinical decision rules to guide advanced imaging decisions for pulmonary embolism in pregnancy and the postpartum period. European Journal of Emergency Medicine. View this article in WRRO
- Protocol for a multicentre randomised feasibility STUdy evaluating the impact of a prognostic model for Management of BLunt chest wall trauma patients: STUMBL trial. BMJ Open, 7(7). View this article in WRRO
- Survival Trends After Surgery for Acute Subdural Hematoma in Adults Over a 20-year Period. Annals of Surgery, 265(3), 590-596. View this article in WRRO
- Improved outcomes for hepatic trauma in England and Wales over a decade of trauma and hepatobiliary surgery centralisation. European Journal of Trauma and Emergency Surgery. View this article in WRRO
- Short-term neurocognitive and symptomatic outcomes following mild traumatic brain injury: A prospective multi-centre observational cohort study. Brain Injury, 31(3), 304-311. View this article in WRRO
- The use of whole-body computed tomography in major trauma: variations in practice in UK trauma hospitals. Emergency Medicine Journal. View this article in WRRO
- Are first rib fractures a marker for other life-threatening injuries in patients with major trauma? A cohort study of patients on the UK Trauma Audit and Research Network database. Emergency Medicine Journal. View this article in WRRO
- View this article in WRRO Analysis of the influence of trauma injury factors on the probability of survival. International Journal of Biology and Biomedical Engineering, 11, 88-94.
- A review of the management of blunt splenic trauma in England and Wales: have regional trauma networks influenced management strategies and outcomes?. The Annals of The Royal College of Surgeons of England, 99(1), 63-69. View this article in WRRO
- Health State Preference Weights for the Glasgow Outcome Scale Following Traumatic Brain Injury: A Systematic Review and Mapping Study. Value in Health, 20(1), 141-151. View this article in WRRO
- Is there a ‘weekend effect’ in major trauma?. Emergency Medicine Journal, 33(12), 836-842. View this article in WRRO
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- Prognostic accuracy of emergency department triage tools for adults with suspected COVID-19: the PRIEST observational cohort study. Emergency Medicine Journal.
- Derivation and validation of a clinical severity score for acutely ill adults with suspected COVID-19: The PRIEST observational cohort study. PLOS ONE, 16(1), e0245840-e0245840.
- Bypassing the nearest emergency department for a more distant neurosurgical centre in traumatic brain injury patients. British Journal of Neurosurgery, 1-7.
- Post-exertion oxygen saturation as a prognostic factor for adverse outcome in patients attending the emergency department with suspected COVID-19: a substudy of the PRIEST observational cohort study. Emergency Medicine Journal.
- Characterisation of 22446 patients attending UK emergency departments with suspected COVID-19 infection: Observational cohort study. View this article in WRRO
- Need for a UK injury control strategy. Emergency Medicine Journal.
- Correction to: Frequency of fatigue and its changes in the first 6 months after traumatic brain injury: results from the CENTER-TBI study. Journal of Neurology.
- Machine Learning for Prediction of Mortality and Unfavorable Outcome in Traumatic Brain Injury: A CENTER-TBI Study. SSRN Electronic Journal.
- Predictive Statistical Diagnosis to Determine the Probability of Survival in Adult Subjects with Traumatic Brain Injury. Technologies, 6(2), 41-41.
- Age and the distribution of major injury across a national trauma system. Age and Ageing. View this article in WRRO
- Variation in the practice of tracheal intubation in Europe after traumatic brain injury : a prospective cohort study. Anaesthesia. View this article in WRRO
- Trauma models to identify major trauma and mortality in the prehospital setting. British Journal of Surgery. View this article in WRRO
- The Head Injury Transportation Straight to Neurosurgery (HITS-NS) randomised trial: a feasibility study. Health Technology Assessment, 20(1), 1-198. View this article in WRRO
- Predicting short term mortality after investigation for venous thromboembolism. Journal of Thrombosis and Thrombolysis(2013).
- Outcomes and costs of blunt trauma in England and Wales. Critical Care, 12(1). View this article in WRRO
- Performance of the Hull Salford Cambridge Decision Rule (HSC DR) for early discharge of patients with findings on CT scan of the brain: a CENTER-TBI validation study. Emergency Medicine Journal.
Chapters
- Scoring Systems for Trauma and Head Injury, Traumatic Brain Injury (pp. 57-64). Cambridge University Press
- Changing Epidemiology of Polytrauma, Damage Control Management in the Polytrauma Patient (pp. 27-32). Springer International Publishing
- Scoring systems for trauma and head injury, Head Injury (pp. 47-53). Cambridge University Press
- Emergency intubation for acutely ill and injured patients John Wiley & Sons, Ltd
Conference proceedings papers
- 2754 Pre-hospital and emergency care cervical spine immobilisation following blunt trauma: a systematic review. RCEM Annual Scientific Conference 2024 Abstracts (pp A21.1-A21)
- 288 The clinical burden of severe sports injuries in England and Wales. Poster Presentations
- What Is the Outcome After TBI? The SHEFBIT Cohort Experience. JOURNAL OF HEAD TRAUMA REHABILITATION, Vol. 35(2) (pp E232-E233)
- 049 Development of a clinical decision rule for the early safe discharge of patients with mild traumatic brain injury and findings on CT brain scan: a retrospective cohort study. Emergency Medicine Journal, Vol. 36(12) (pp 808)
- 017 Bypassing the nearest emergency department for a more distant neurosurgical centre in traumatic brain injury patients. Emergency Medicine Journal, Vol. 36(12) (pp 783)
- 016 An evaluation of the impact of the NICE head injury guidelines on inpatient mortality from traumatic brain injury: an interrupted time series analysis. Emergency Medicine Journal, Vol. 36(12) (pp 782)
- What is the Global Outcome after TBI? Experience with a Large Prospective Cohort. BRAIN INJURY, Vol. 33 (pp 26-26)
- Prevalence of Depression after TBI in a Large Prospective Cohort; The SHEFBIT Study. BRAIN INJURY, Vol. 33 (pp 26-26)
- The Risk of Deterioration in GCS13-15 Patients with Traumatic Brain Injury Identified by CT Imaging. A Systematic Review and Meta-Analysis. BRAIN INJURY, Vol. 33 (pp 68-68)
- The Impact of the NICE/SIGN Head Injury Guidelines on Deaths and Hospital Admissions in England and Scotland: An Interrupted Times Series. BRAIN INJURY, Vol. 33 (pp 67-68)
- The Development of a Prediction Model in Mild Traumatic Brain Injury with CT Scan Abnormality: Preliminary Findings of A Multi-Centre Cohort Study. BRAIN INJURY, Vol. 33 (pp 67-67)
- The CENTER-TBI Registry: The epidemiology of Traumatic Brain Injuries (TBI) Patients Presenting to 55 European Hospitals. BRAIN INJURY, Vol. 33 (pp 86-86)
- Helicopter and Ground Emergency Medical Services Transportation to Hospital After Major Trauma in England, A Comparative Cohort Study. BRITISH JOURNAL OF SURGERY, Vol. 106 (pp 11-11)
- View this article in WRRO Cycling-related major trauma in Ireland. Conference proceedings International Research Council on the Biomechanics of Injury, IRCOBI, Vol. 2018-September (pp 189-190)
- Computational Analysis of Factors Affecting the Probability of Survival in Trauma Injuries. 2017 Fourth International Conference on Mathematics and Computers in Sciences and in Industry (MCSI), 24 August 2017 - 27 August 2017.
- 35 To pan-scan or not to pan-scan? Further analysis of the tarn database 2012–2017. Emergency Medicine Journal, Vol. 34(12) (pp A884.2-A885)
- Assessing The Cost-Effectiveness Of The Manchester Acute Coronary Syndrome (MACS) Decision-Aid: A Feasibility Study. Value in Health, Vol. 20(9) (pp A587-A588)
- Fuzzy Logic to Determine the Likelihood of Survival for Trauma Injury Patients. Studies in Health Technology and Informatics, Vol. 242 (pp 385-388) View this article in WRRO
- SURVIVAL AFTER SURGERY FOR ACUTE SUBDURAL HAEMATOMA IN ADULTS - AN OBSERVATIONAL COHORT STUDY OF 2,498 PATIENTS. JOURNAL OF NEUROTRAUMA, Vol. 33(3) (pp A12-A12)
- Adherence to guidelines in adult patients with traumatic brain injury: A systematic review. BRAIN INJURY, Vol. 30(5-6) (pp 516-517)
- Adherence to the 2014 NICE head injury guidelines in a UK adult inner city trauma centre. BRAIN INJURY, Vol. 30(5-6) (pp 700-700)
- The Head Injury Transportation Straight to Neurosurgery (HITS-NS) Trial. JOURNAL OF NEUROSURGERY, Vol. 122(6) (pp A1543-A1543)
- TBI IN AN AGING POPULATION WITH CO-MORBIDITIES AND THEIR THERAPIES. JOURNAL OF NEUROTRAUMA, Vol. 31(5) (pp A23-A23)
- The Epidemiology and Outcome from Pancreatoduodenal Trauma in the UK 1989-2013. PANCREAS, Vol. 43(8) (pp 1397-1397)
- The Head Injury Transportation Straight To Neurosurgery (HITS-NS) Trial: Introduction To The Study, Challenges Of The Set-Up Phase And Progress. JOURNAL OF NEUROSURGERY, Vol. 119(2) (pp A552-A552)
- The epidemiology and outcome from pancreatoduodenal trauma in the UK 1989-2011. BRITISH JOURNAL OF SURGERY, Vol. 100 (pp 49-50)
- The Head Injury Transportation Straight to Neurosurgery (HITS-NS) Trial: An Introduction to the Study and the Challenges of the Set-Up Phase. BRAIN INJURY, Vol. 26(4-5) (pp 534-535)
- Temporal Trends in Head injury outcomes from 2003 to 2010 in England and Wales, and the Effect of Specialist Neurosciences Care: A Cohort Study. BRAIN INJURY, Vol. 26(4-5) (pp 484-484)
- MORTALITY IN EXTRADURAL HAEMATOMAS-IS TIME TO THEATRE A FACTOR?. INTENSIVE CARE MEDICINE, Vol. 38 (pp S221-S222)
- An External Validation of the PECARN Clinical Decision Rule for CT Head Imaging of Infants with Minor Head Injury. BRAIN INJURY, Vol. 26(4-5) (pp 429-430)
- The role of multiple biomarkers in the diagnosis of pulmonary embolism. JOURNAL OF THROMBOSIS AND HAEMOSTASIS, Vol. 9 (pp 733-733)
- Predictors of spinal injury in adult major trauma patients: European cohort study. BRITISH JOURNAL OF SURGERY, Vol. 98 (pp 12-13)
- Biomarkers in mortality prediction after venous thromboembolism. JOURNAL OF THROMBOSIS AND HAEMOSTASIS, Vol. 9 (pp 865-865)
- Pancreatoduodenal trauma in the UK 1989-2009. BRITISH JOURNAL OF SURGERY, Vol. 97 (pp 191-191)
- Cost of blunt trauma in England and Wales. CRITICAL CARE MEDICINE, Vol. 35(12) (pp A184-A184)
- Predicting persistent neck pain (whiplash) following a motor vehicle collision.. ARTHRITIS AND RHEUMATISM, Vol. 52(9) (pp S78-S78)
- PREDICTING PERSISTENCE OF NECK PAIN FOLLOWING A MOTOR VEHICLE ACCIDENT: A PROSPECTIVE STUDY OF PERSONS ATTENDING EMERGENCY DEPARTMENT. RHEUMATOLOGY, Vol. 43 (pp 7-7)
- The effects on outcome of emergency intubation in acutely ill and injured patients. INTENSIVE CARE MEDICINE, Vol. 28 (pp S171-S171)
- Multicentre prospective placebo-controlled trial of high dose methylprednisolone in traumatic brain injury. ICRAN 99: INTERNATIONAL CONFERENCE ON RECENT ADVANCES IN NEUROTRAUMATOLOGY (pp 117-121)
Reports
- View this article in WRRO Major Trauma in Older People.
- View this article in WRRO Framework for Quality and Safety in the Emergency Departments.
- IFEM Framework for Quality and Safety in the Emergency Department.
Posters
- View this article in WRRO First rib fractures as an indicator of injury severity in major trauma. International Conference on Emergency Medicine (ICEM) 2016, Cape Town.
Other
- Response to performance of the Hull Salford Cambridge Decision Rule: the start of the traumatic brain injury (TBI) assessment and recovery journey. Emergency Medicine Journal.
Preprints
- Clinical practice guidelines for the care of patients with a chronic subdural haematoma: multidisciplinary recommendations from presentation to recovery, Cold Spring Harbor Laboratory.
- A study protocol for a retrospective cohort study and interrupted time series analysis to assess the effect of the COVID-19 pandemic on major trauma presentations and patient outcomes in English hospitals, medRxiv.
- The UK Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) Randomized Clinical Trial (the UK-REBOA trial): Study Protocol, Research Square Platform LLC.
- Is higher-level trauma center care associated with better outcomes in patients injured by low-energy trauma?.
- Imputation strategies for missing baseline neurological assessment covariates after traumatic brain injury: A CENTER-TBI study, Cold Spring Harbor Laboratory.
- Defining major trauma: A Delphi study., Research Square Platform LLC.
- Derivation and validation of a clinical severity score for acutely ill adults with suspected COVID-19: The PRIEST observational cohort study, Cold Spring Harbor Laboratory.
- Prognostic accuracy of emergency department triage tools for adults with suspected COVID-19: The PRIEST observational cohort study, Cold Spring Harbor Laboratory.
- Prognostic accuracy of emergency department triage tools for children with suspected COVID-19: The PRIEST observational cohort study, Cold Spring Harbor Laboratory.
- Harnessing Inter-disciplinary Collaboration to Improve Emergency Care in Low- and Middle-income Countries (LMICS): Results of Research Prioritisation Setting Exercise, Research Square Platform LLC.
- Low-Value Clinical Practices In Adult Traumatic Brain Injury: An Umbrella Review, Research Square Platform LLC.
- A retrospective observational study to investigate the effect of frailty on outcomes of older adults admitted with major trauma, Cold Spring Harbor Laboratory.
- The association between major trauma centre care and outcomes of adult patients injured by low falls in England and Wales, Cold Spring Harbor Laboratory.
- The changing major trauma disease burden from low falls in the first two decades of the 21st Century – a longitudinal analysis from the largest European Trauma Registry, Cold Spring Harbor Laboratory.