Publications by authors named "W L Gray"
Objective: The optimal method for cerebral protection during aortic arch reconstruction in neonates and infants is unknown. We compare the outcomes of deep hypothermic circulatory arrest and selective antegrade cerebral perfusion strategies in neonatal and infant cardiac surgery.
Methods: We retrospectively identified all patients aged less than 1 year who underwent aortic arch reconstruction from 2012 to 2023.
Background: To evaluate the clinical outcomes of valve-in-valve transcatheter aortic valve replacement (ViV TAVR) with newer-generation self-expanding Evolut valves according to the size of the failed surgical bioprosthesis.
Methods: This single-center retrospective study evaluated consecutive patients undergoing ViV TAVR with the Evolut Pro/Pro+/Fx between 2018 and 2022. These patients were compared based on the true internal diameter (ID) of the failed bioprosthesis, specifically ≤19 mm (small group) vs.
Assessing mental health transition readiness in youth with medical conditions.
Health Care Transit
November 2024
Purpose: Many youth with medical conditions also have co-occurring mental health concerns. Limited attention has been given to the mental health transition needs of these youth. We explore bringing transition readiness assessment into the mental health care of youth with co-occurring disorders.
View Article and Find Full Text PDFBackground: Atrial fibrillation (AF) is a recognized risk factor for mortality after transcatheter aortic valve replacement for severe aortic stenosis, but the impact of different types of AF on clinical outcomes remains unclear.
Methods: This retrospective study included 982 patients divided into 3 groups: no AF, paroxysmal AF, and nonparoxysmal AF (persistent or permanent). Clinical outcomes were analyzed using inverse probability weighting and multivariate models.
Article Synopsis
- The study aimed to assess how a community diabetes specialist nurse (cDSN) collaborating with district nurses (DNs) could improve insulin therapy management and optimize patient care.
- The research involved monitoring 148 patients before and after implementing the intervention, focusing on hypoglycaemic and hyperglycaemic events and overall DN workload.
- Results showed a significant decrease in both types of events, reduced DN visits, and substantial cost savings of £1.9 million, suggesting the intervention's effectiveness and the potential for broader application in other areas.