Publications by authors named "F Lecky"
Introduction: The aim of this trial was to investigate the impact of early thoracic and shoulder girdle exercises on chronic pain and Health-Related Quality of Life in patients with blunt chest wall trauma, when compared to normal care.
Methods: A multi-centre, parallel, randomised controlled trial, in which adult patients presenting to hospital with blunt chest wall trauma were allocated to either control or intervention group. The intervention was an exercise programme consisting of four simple thoracic and shoulder girdle exercises, completed for one week.
Article Synopsis
- Traumatic brain injury (TBI) is a significant health issue, particularly in low- and middle-income countries like India, which presents different epidemiological trends and care practices compared to Europe.
- Data from studies in India (CINTER-TBI) and Europe (CENTER-TBI) reveal that patients in India tend to be younger and more severely injured than those in Europe, with falls being the main cause in Europe and traffic incidents in India.
- Access to pre-hospital care is markedly higher in Europe, with Indian patients more likely to receive certain surgical interventions for severe TBI, indicating differences in acute care responsiveness between the regions.
Article Synopsis
- A chronic subdural haematoma (cSDH) is an increasingly common condition in older adults, characterized by a collection of fluid and blood in the subdural space, with no existing guidelines for optimal care from symptom onset to recovery.
- This paper outlines the creation of consensus-based recommendations for the management of cSDH, developed by a multidisciplinary committee that included healthcare professionals, patients, and caregivers.
- The final guideline features 67 recommendations spread across eight themes, addressing key aspects such as diagnosis, surgical procedures, non-operative management, and post-operative care despite a general lack of high-quality evidence in the literature.
Objective: To investigate the moderating effects of socio-demographic social determinants of health (SDH) in the relationship between types of childhood hospitalisation (ie, none, injury, non-injury, injury+non-injury) and academic performance.
Design, Setting And Patients: Children residing in Wales 2009-2016 (N=369 310). Secure Anonymised Information Linkage databank linked Tagged Electronic Cohort Cymru (five data sources) from the Wales Electronic Cohort for Children.
Article Synopsis
- The study aimed to assess the long-term prevalence and risk factors of depression symptoms in individuals 10 years after a traumatic brain injury (TBI), comparing it with rates found at 10 weeks and 1 year post-injury.
- Out of 1130 TBI patients initially recruited, follow-up at 10 years showed a decrease in depression prevalence from 56.3% at 10 weeks to 38.4%, though individual scores varied widely.
- Key risk factors for long-term depression included lower Glasgow Coma Scale (GCS) scores, social deprivation, being female, having a history of psychiatric issues, alcohol use, and unemployment, while factors like age and ethnicity had no