Publications by authors named "Phoebe Scarfield"
Article Synopsis
- An observational cohort study was conducted at a tertiary referral center to analyze the medical and surgical characteristics of patients assessed for abdominal aortic aneurysm repair and their 12-month outcomes.
- Data were collected from patients at an aortic multidisciplinary meeting, revealing that 621 patients were discussed, with 292 undergoing surgery and 138 receiving non-operative management, which had a significantly higher mortality rate at 41%.
- It was found that non-operative patients generally had more comorbidities, were older, and often lived with frailty, indicating the importance of comprehensive geriatric assessments and shared decision-making in managing asymptomatic aortic aneurysms.
Background: The majority of those diagnosed with aortic aneurysm in the UK are older, multi-morbid patients. Decision-making as to who may benefit from intervention (open or endovascular aneurysm repair) is highly variable across the NHS (as is the mode of intervention), in part because there are no detailed guidelines or consensus on preoperative assessment. Thus, there is likely to be significant variation in the pre-operative assessment and optimisation of these patients.
View Article and Find Full Text PDFDischarge summaries are important medical documents that summarise a patient's hospital admission. The Royal College of Physicians provides standardised guidance on the content of discharge summaries, given their important role as a handover document to general practitioners (GPs). Our project started in June 2020 on an acute medical ward, where significant variation had been noted in the quality and content of discharge summaries.
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