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Bone & Joint 360
Vol. 13, Issue 5 | Pages 5 - 6
1 Oct 2024
Ollivere B


Bone & Joint 360
Vol. 13, Issue 4 | Pages 5 - 6
2 Aug 2024
Ollivere B


Bone & Joint 360
Vol. 13, Issue 3 | Pages 5 - 6
3 Jun 2024
Ollivere B


Bone & Joint 360
Vol. 13, Issue 2 | Pages 5 - 6
1 Apr 2024
Ollivere B


The Bone & Joint Journal
Vol. 106-B, Issue 4 | Pages 412 - 418
1 Apr 2024
Alqarni AG Nightingale J Norrish A Gladman JRF Ollivere B

Aims

Frailty greatly increases the risk of adverse outcome of trauma in older people. Frailty detection tools appear to be unsuitable for use in traumatically injured older patients. We therefore aimed to develop a method for detecting frailty in older people sustaining trauma using routinely collected clinical data.

Methods

We analyzed prospectively collected registry data from 2,108 patients aged ≥ 65 years who were admitted to a single major trauma centre over five years (1 October 2015 to 31 July 2020). We divided the sample equally into two, creating derivation and validation samples. In the derivation sample, we performed univariate analyses followed by multivariate regression, starting with 27 clinical variables in the registry to predict Clinical Frailty Scale (CFS; range 1 to 9) scores. Bland-Altman analyses were performed in the validation cohort to evaluate any biases between the Nottingham Trauma Frailty Index (NTFI) and the CFS.


Bone & Joint 360
Vol. 13, Issue 1 | Pages 5 - 5
1 Feb 2024
Ollivere B


Bone & Joint 360
Vol. 12, Issue 6 | Pages 3 - 4
1 Dec 2023
Ollivere B


Bone & Joint 360
Vol. 12, Issue 6 | Pages 6 - 12
1 Dec 2023
Vallier HA Breslin MA Taylor LA Hendrickson SB Ollivere B


Bone & Joint 360
Vol. 12, Issue 5 | Pages 3 - 4
1 Oct 2023
Ollivere B


Bone & Joint 360
Vol. 12, Issue 4 | Pages 3 - 4
1 Aug 2023
Ollivere B


Bone & Joint 360
Vol. 12, Issue 4 | Pages 6 - 9
1 Aug 2023
Craxford S Marson BA Ollivere B


Bone & Joint 360
Vol. 12, Issue 3 | Pages 3 - 3
1 Jun 2023
Ollivere B


Bone & Joint 360
Vol. 12, Issue 1 | Pages 3 - 4
1 Feb 2023
Ollivere B


Bone & Joint 360
Vol. 11, Issue 6 | Pages 3 - 4
1 Dec 2022
Ollivere B


Bone & Joint 360
Vol. 11, Issue 5 | Pages 3 - 4
1 Oct 2022
Ollivere B


Bone & Joint 360
Vol. 11, Issue 4 | Pages 3 - 3
1 Aug 2022
Ollivere B


Bone & Joint 360
Vol. 11, Issue 3 | Pages 3 - 3
1 Jun 2022
Ollivere B


The Bone & Joint Journal
Vol. 104-B, Issue 6 | Pages 729 - 735
1 Jun 2022
Craxford S Marson BA Nightingale J Forward DP Taylor A Ollivere B

Aims

The last decade has seen a marked increase in surgical rib fracture fixation (SRF). The evidence to support this comes largely from retrospective cohorts, and adjusting for the effect of other injuries sustained at the same time is challenging. This study aims to assess the impact of SRF after blunt chest trauma using national prospective registry data, while controlling for other comorbidities and injuries.

Methods

A ten-year extract from the Trauma Audit and Research Network formed the study sample. Patients who underwent SRF were compared with those who received supportive care alone. The analysis was performed first for the entire eligible cohort, and then for patients with a serious (thoracic Abbreviated Injury Scale (AIS) ≥ 3) or minor (thoracic AIS < 3) chest injury without significant polytrauma. Multivariable logistic regression was performed to identify predictors of mortality. Kaplan-Meier estimators and multivariable Cox regression were performed to adjust for the effects of concomitant injuries and other comorbidities. Outcomes assessed were 30-day mortality, length of stay (LoS), and need for tracheostomy.


Bone & Joint 360
Vol. 11, Issue 2 | Pages 3 - 4
1 Apr 2022
Ollivere B


Bone & Joint 360
Vol. 11, Issue 1 | Pages 3 - 4
1 Feb 2022
Ollivere B