Publications by authors named "G Radcliffe"

Introduction: Hip fractures have a high patient burden and mortality rate, particularly following revision surgery. Cement augmentation of cephalomedullary nails has been shown to lower the risk of cut-out, aiming to reduce the need and expense of revision surgeries. The aim of this study was to assess the economic impact of cement augmentation for the fixation of trochanteric hip fractures in fragile, elderly patients, across a range of European countries (UK, Spain, Italy, Germany, and France), from both a provider (hospital) and a payer perspective.

View Article and Find Full Text PDF

Background: Obstructive sleep apnoea (OSA) is the most common sleep-related breathing disorder. Non-invasive ventilation (NIV) is essential for managing hypercapnic respiratory failure in patients with obesity hypoventilation syndrome (OHS) and those with co-existing OSA, where continuous positive airway pressure (CPAP) alone is insufficient. However, adherence to NIV can be challenging, with substantial non-compliance occurring due to factors such as discomfort and phobia.

View Article and Find Full Text PDF
Article Synopsis
  • Sniff nasal inspiratory pressure (SNIP) is a method to evaluate respiratory muscle strength, particularly in neuromuscular diseases like ALS, and the effects of nostril occlusion and mouth sealing on SNIP measurements were examined.
  • A study involving 81 participants found that occluding the contralateral nostril significantly increased SNIP measurements across all groups, while opening the mouth led to a notable decrease in SNIP values.
  • The results highlight the importance of proper technique in measuring SNIP, as using nostril occlusion could lead to fewer individuals qualifying for non-invasive ventilation, affecting clinical decisions and longitudinal studies.
View Article and Find Full Text PDF

Purpose: Magnetic resonance imaging (MRI) is the gold standard investigation for lumbosacral degenerative disc disease. However, there is controversy regarding the clinical value of repeating an MRI scan within 12 months when a patient presents with recurring or changing symptoms. This study measures rates of radiological change in a real-world cohort to guide clinicians when deciding to repeat a scan.

View Article and Find Full Text PDF

Disparities relating to postpartum recovery outcomes in different socio-economic and racial ethnic groups are underexplored. We conducted a planned analysis of a large prospective caesarean delivery cohort to explore the relationship between ethnicity, socio-economic status and postpartum recovery. Eligible patients were enrolled and baseline demographic, obstetric and medical history data were collected 18 h and 30 h following delivery.

View Article and Find Full Text PDF