Publications
87 results found
Fertleman M, Levy S, Meredith G, 2018, Metabolic Bone Diseases, ABC of Orthopaedics and Trauma, Publisher: John Wiley & Sons
Metabolic bone disease (MBD) encompasses several different disorders of bone. The most common of these in the United Kingdom is osteoporosis. Worldwide, 200 million people suffer from this disease, making it a significant public health issue. As the population ages, the prevalence of osteoporosis is expected to increase. Other MBDs are vitamin D deficiency or insufficiency (on the spectrum but nonpathological), which are common worldwide. The aim of this chapter is to provide an overview of MBDs, their diagnoses and management, and how to recognise them as early as possible.
Koizia L, Khan S, Frame A, et al., 2018, Use of the reported Edmonton frail scale in the assessment of patients for transcatheter aortic valve replacement: a possible selection tool in very high-risk patients?, Journal of Geriatric Cardiology, Vol: 15, Pages: 463-466, ISSN: 1671-5411
Koizia L, Kings R, Koizia A, et al., 2018, Major trauma in the elderly: Frailty decline and patient experience after injury, Trauma, Vol: 21, Pages: 21-26, ISSN: 1460-4086
Introduction The prevalence of major trauma in the elderly is increasing with ageing western societies. Frailty is now a well-recognised predictor of poor outcome after injury; however, few studies have focused on the progression of frailty and patients’ perceptions of their injuries after discharge. Aim We hypothesised that the number of elderly patients that survive major trauma is low and, of those that do, frailty post injury worsens with overall negative views about quality of life. To investigate this, we examined mortality, frailty and patient experience for elderly major trauma admissions to a level 1 trauma centre at one year after admission. Method All consecutive patients > 75 with an injury severity score of > 15 were included in the study. Patients were invited to participate in a structured telephone interview to assess change in frailty status as well as assess patient experience after injury. Results A total of 79 patients met inclusion criteria; 34 patients had died and 17 were uncontactable; 88% had become more frail (p < 0.05), and more than half commented positively on their overall quality of life following injury. Conclusions These findings highlight the elevated mortality in elderly major trauma patients, but also indicate that preconceived opinions on quality of life, post injury, might not be appropriate.
Shipway D, Koizia L, Winterkorn N, et al., 2018, Embedded geriatric surgical liaison is associated with reduced inpatient length of stay in older patients admitted for gastrointestinal surgery, Future Healthcare Journal, Vol: 5 (2)
Koizia L, Fertleman M, Peck G, 2018, Cervical spine imaging in major trauma: Do the elderly get a bad deal?, Pan London Major Trauma Symposium
Peck GE, Shipway DJH, Tsang K, et al., 2018, Cervical spine immobilisation in the elderly: a literature review, BRITISH JOURNAL OF NEUROSURGERY, Vol: 32, Pages: 286-290, ISSN: 0268-8697
Atinga A, Shekkeris A, Fertleman M, et al., 2018, Trauma in the elderly patient, BRITISH JOURNAL OF RADIOLOGY, Vol: 91, ISSN: 0007-1285
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- Citations: 26
Lam MC, Kanaganayagam G, Ahmad Y, et al., 2017, Acute myocardial infarction and stroke secondary to valve thrombosis following transcatheter aortic valve replacement-what can happen when antiplatelet agents are stopped, QUANTITATIVE IMAGING IN MEDICINE AND SURGERY, Vol: 7, Pages: 605-607, ISSN: 2223-4292
Braude P, Fertleman M, Jugdeep D, 2017, Collaborative working: who is responsible?, Future Hospital Journal, Vol: 4, Pages: 138-141, ISSN: 2055-3331
As delivery of healthcare becomes more complex, there is an increasing need for collaborative working between specialty teams. Recognition of this need has led to new models of care, for example surgeons, anaesthetists and geriatricians working together in the perioperative pathway. Although there is emerging evidence that these collaborative approaches are effective, there is little guidance on who is responsible for the patient throughout the healthcare episode. Government policy and legislation has increasingly focused on the need for a single named clinician to be responsible for the entirety of a patient’s episode of care, with overall liability resting with the hospital trust as the provider organisation. This discrepancy between delivery of healthcare by teams and responsibility resting with an individual raises questions: how can clinicians and hospital trusts ensure synergistic patient care while maintaining clear lines of responsibility? Who should provide information to patients throughout the pathway? Who should the patient expect to be the point of contact? This dichotomy emphasises the need for new guidance to support the patient, the clinician and the provider organisation as shared models of care evolve and become embedded into routine practice.
Fertleman M, 2017, Collaborative working: who is responsible?, Future Hospital Journal, ISSN: 2055-3331
Demir OM, Ruparelia N, Frame A, et al., 2017, Management of failing bioprosthesis in elderly patients who have undergone transcatheter aortic valve replacement, EXPERT REVIEW OF MEDICAL DEVICES, Vol: 14, Pages: 763-771, ISSN: 1743-4440
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- Citations: 2
Ruparelia N, Panoulas VF, Frame A, et al., 2016, Impact of clinical and procedural factors upon C reactive protein dynamics following transcatheter aortic valve implantation, World Journal of Cardiology, Vol: 8, Pages: 425-431, ISSN: 1949-8462
AIM: To determine the effect of procedural and clinical factors upon C reactive protein (CRP) dynamics following transcatheter aortic valve implantation (TAVI). METHODS: Two hundred and eight consecutive patients that underwent transfemoral TAVI at two hospitals (Imperial, College Healthcare NHS Trust, Hammersmith Hospital, London, United Kingdom and San Raffaele Scientific Institute, Milan, Italy) were included. Daily venous plasma CRP levels were measured for up to 7 d following the procedure (or up to discharge). Procedural factors and 30-d safety outcomes according to the Valve Academic Research Consortium 2 definition were collected. RESULTS: Following TAVI, CRP significantly increased reaching a peak on day 3 of 87.6 ± 5.5 mg/dL, P < 0.001. Patients who developed clinical signs and symptoms of sepsis had significantly increased levels of CRP (P < 0.001). The presence of diabetes mellitus was associated with a significantly higher peak CRP level at day 3 (78.4 ± 3.2 vs 92.2 ± 4.4, P < 0.001). There was no difference in peak CRP release following balloon-expandable or self-expandable TAVI implantation (94.8 ± 9.1 vs 81.9 ± 6.9, P = 0.34) or if post-dilatation was required (86.9 ± 6.3 vs 96.6 ± 5.3, P = 0.42), however, when pre-TAVI balloon aortic valvuloplasty was performed this resulted in a significant increase in the peak CRP (110.1 ± 8.9 vs 51.6 ± 3.7, P < 0.001). The development of a major vascular complication did result in a significantly increased maximal CRP release (153.7 ± 11.9 vs 83.3 ± 7.4, P = 0.02) and there was a trend toward a higher peak CRP following major/life-threatening bleeding (113.2 ± 9.3 vs 82.7 ± 7.5, P = 0.12) although this did not reach statistical significance. CRP was not found to be a predictor of 30-d mortality on univariate analysis. CONCLUSION: Careful attention should be paid to baseline clinical characteristics and procedura
Mitchell HK, Fulton AL, Fertleman MR, et al., 2015, Are you “Jane” or “Dr Smith”? Does formality between trainers and trainees affect training and clinical practice?, BMJ, Pages: h6427-h6427, ISSN: 0959-8138
Reilly P, Fertleman M, 2015, Orthopaedics, Clinical Negligence, Editors: Powers, Barton, London, Publisher: Bloomsbury, ISBN: 978-1780434858
Hendrickson S, Osei-Kuffour D, Aylwin C, et al., 2015, 'Silver' trauma: Predicting mortality in elderly major trauma based on place of injury, Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, Vol: 23(Suppl 2):A4, ISSN: 1757-7241
Porter A, Levy S, Fertleman M, 2015, Venous thromboembolism prophylaxis post-discharge in hip fracture surgery patients: what to do if the patient is taking antiplatelets., Clin Med (Lond), Vol: 15 Suppl 3
Costopoulos C, Sutaria N, Ariff B, et al., 2015, Balloon aortic valvuloplasty as a treatment option in the era of transcatheter aortic valve implantation, EXPERT REVIEW OF CARDIOVASCULAR THERAPY, Vol: 13, Pages: 457-460, ISSN: 1477-9072
Wolf M, Brice SE, Fertleman M, 2010, A pigmented octogenarian, AGE AND AGEING, Vol: 39, Pages: 400-401, ISSN: 0002-0729
Fertleman M, Mani S, Nurse B, et al., 2009, Effective cognitive assessment in the management of post-operative delirium, 13th Congress of the European-Federation-of-Neurological-Societies, Publisher: WILEY-BLACKWELL PUBLISHING, INC, Pages: 199-199, ISSN: 1351-5101
Warrens A, Persey M, Fertleman M, et al., 2005, A Guide to the MRCP Part 2 Written Paper, Publisher: CRC Press, ISBN: 978-0340806586
Fertleman M, Barnett N, Patel T, 2005, Improving medication management for patients: the effect of a pharmacist on post-admission ward rounds, QUALITY & SAFETY IN HEALTH CARE, Vol: 14, Pages: 207-211, ISSN: 1475-3898
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- Citations: 74
Fox AT, Fertleman M, Cahill P, et al., 2003, Medical slang in British hospitals, ETHICS & BEHAVIOR, Vol: 13, Pages: 173-189, ISSN: 1050-8422
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- Citations: 11
Fertleman M, Fox A, Cahill P, 2002, Medical slang, BMJ: British Medical Journal, Vol: 325, Pages: 0207225-0207225, ISSN: 0959-535X
Fertleman M, Fox A, 2002, The Law Of Consent In England As Applied To The Sick Neonate, The Internet Journal of Pediatrics and Neonatology, Vol: 3, ISSN: 1528-8374
“Paediatricians are vocationally committed to promoting children's health, treating their illnesses and saving their lives. There are, however, occasionally tragic circumstances in which we are forced to wrestle with dreadful choices”
Touquet R, Fothergill J, Fertleman M, et al., 1999, Ten clinical governance safeguards for Accident and Emergency departments, AVMA Medical & Legal Journal, Vol: 5, Pages: 44-49
Fertleman M, 1997, A doctor's life after a patient's death: Guide to coroners and certificates, Student BMJ, Vol: 5, Pages: 12-14
Fertleman M, 1996, A guide to medical negligence, Student BMJ, Vol: 4, Pages: 449-450
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