Hiren C. Patel
Salford Royal NHS Foundation Trust
Internal medicineRadiologyNeurosurgerySurgeryOdds ratioRetrospective cohort studyGlasgow Coma ScalePediatricsProspective cohort studyEmergency medicineCohort studyAneurysmIntracerebral hemorrhageSubarachnoid hemorrhageExternal ventricular drainMEDLINESubarachnoid haemorrhageSurgical site infectionIn patientAnesthesiaIncidence (epidemiology)Confidence intervalClinical trialMedicine
Publications 57
#1Samuel HallH-Index: 11
#2Ashraf Abouharb (Belfast Health and Social Care Trust)H-Index: 1
Last. Diederik BultersH-Index: 24
view all 31 authors...
Objective null Unruptured intracranial aneurysms (UIA) are common. For many the treatment risks outweigh their risk of subarachnoid haemorrhage and patients undergo surveillance imaging. There is little data to inform if and how to monitor UIAs resulting in widely varying practices. This study aimed to determine the current practice of unruptured UIA surveillance in the United Kingdom. null Methods null A questionnaire was designed to address the themes of surveillance protocols for UIA includin...
#1Mueez Waqar (MAHSC: Manchester Academic Health Science Centre)H-Index: 12
#2Saffwan Mohamed (MAHSC: Manchester Academic Health Science Centre)
Last. Hiren C. Patel (MAHSC: Manchester Academic Health Science Centre)H-Index: 16
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BACKGROUND Ventriculomegaly is common in aneurysmal subarachnoid haemorrhage (aSAH). An imaging measure to predict the need for cerebrospinal fluid (CSF) diversion may be useful. The bicaudate index (BCI) has been previously applied to aSAH. Our aim was to derive and test a threshold BCI above which CSF diversion may be required. METHODS Review of prospective registry. The derivation group (2009-2015) included WFNS grade 1-2 aSAH patients who deteriorated clinically, had a repeat CT brain and un...
Abstract null null Background null The incidence of external ventricular drain (EVD) infections remains high. Chlorhexidine dressings have demonstrated efficacy in reducing infections associated with indwelling catheters at other body sites, although evidence for their use with EVDs is limited. null null null Aim null The aim of this systematic review and meta-analysis was to evaluate the efficacy of chlorhexidine dressings in reducing EVD associated cerebrospinal fluid infection (EVDAI). null n...
#1Jatinder S. Minhas (University of Leicester)H-Index: 13
#2Camilla Sammut-Powell (University of Manchester)H-Index: 2
Last. Adrian R Parry-Jones (University of Manchester)H-Index: 20
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Implementation of an acute bundle of care for intracerebral haemorrhage (ICH) was associated with a marked improvement in survival at our centre, mediated by a reduction in early (
#1Laura N. Verboon (University of Manchester)H-Index: 1
#2Hiren C. Patel (University of Manchester)H-Index: 16
Last. Andrew D. Greenhalgh (University of Manchester)H-Index: 21
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Mild traumatic brain injury (mild TBI), often referred to as concussion, is the most common form of TBI and affects millions of people each year. A history of mild TBI increases the risk of developing emotional and neurocognitive disorders later in life that can impact on day to day living. These include anxiety, depression, as well as neurodegenerative conditions such as chronic traumatic encephalopathy (CTE) and Alzheimer’s disease (AD). Actions of brain resident or peripherally recruited immu...
#1Louise Dulhanty (University of Manchester)H-Index: 6
#2Sharon Hulme (University of Manchester)H-Index: 12
Last. Sarah F TysonH-Index: 30
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AbstractBackground: Despite advances in the acute care of subarachnoid haemorrhage, longer-term services remain under-developed. Clinical measures are commonly used to assess outcome and quality of...
#1Jay Kotecha (Queen's University)H-Index: 1
#2Milo Hollingworth (Queen's University)H-Index: 6
Last. Robert K. Lenthall (Queen's University)H-Index: 1
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Background There is a disparity between the number of interventional neuroradiologists (INRs) in the UK and the number needed to provide a comprehensive 24/7 interventional neurovascular service. It is recognized that trainees from other specialties such as neurosurgery may be able to provide INR services after appropriate training. At present gaining skills in INR is not a mandatory requirement of the neurosurgical training curriculum in the UK. The views on this issue of current neurosurgical ...
AbstractIntroduction: Surgical site infection (SSI) is a common postoperative complication that causes significant morbidity, particularly in patients undergoing cranial neurosurgery. The treatment...
#1Carlo Berzuini (University of Manchester)H-Index: 32
#2Cathal J. Hannan (University of Salford)H-Index: 4
Last. Hiren C. Patel (National Health Service)H-Index: 16
view all 14 authors...
Objectives Being able to predict which patients with COVID-19 are going to deteriorate is important to help identify patients for clinical and research practice. Clinical prediction models play a critical role in this process, but current models are of limited value because they are typically restricted to baseline predictors and do not always use contemporary statistical methods. We sought to explore the benefits of incorporating dynamic changes in routinely measured biomarkers, non-linear effe...
#1Andrew T. King (MAHSC: Manchester Academic Health Science Centre)H-Index: 51
#2Andy Vail (MAHSC: Manchester Academic Health Science Centre)H-Index: 62
Last. Sharon Hulme (MAHSC: Manchester Academic Health Science Centre)H-Index: 12
view all 12 authors...
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