CURE research impact
The research conducted by the Centre for Urgent and Emergency Care Research (CURE) has had a significant impact on the field of urgent and emergency care.
Reducing hospital admissions for suspected heart attacks
University of 91直播 research has led to changes in NICE guidelines which improves how clinicians test suspected heart attack patients. The result is a quicker diagnosis leading to huge economic savings.
Reducing hospital admissions for suspected heart attacks
How we remodelled England鈥檚 National Ambulance Service
England鈥檚 National Ambulance Service provides care for millions of people every year. However, too often patients have been left waiting hours for care. But the University of 91直播 has helped to change all that, with a recent change being called the biggest overhaul for the service in 40 years.
How we remodelled England鈥檚 National Ambulance Service
Improving treatment for heart attack patients
Our evaluation of the National Infarct Angioplasty Pilot showed that primary angioplasty for ST-elevation myocardial infarction (heart attack) is feasible, cost-effective and acceptable to patients and carers. As a direct result, a new national strategy using primary angioplasty was published in the National Service Framework for Coronary Heart Disease.
National audit data has since shown the proportion of patients receiving primary angioplasty increasing from 42% to 73% and mortality falling from 10.6% to 8.7%. An impact assessment based on our economic analysis estimated a 拢294 million net benefit to the NHS.
Changed clinical guidelines to improve the diagnosis of deep vein thrombosis (DVT)
Our research has led to the development of guidelines on the diagnosis of deep vein thrombosis (DVT), reducing the risk of death and saving resources by reducing unnecessary tests and treatments.
Our meta-analysis and decision-analysis modelling studies formed the basis of the National Institute for Health and Clinical Excellence (NICE) and the American College of Chest Physicians (ACCP) guidelines for diagnosing DVT. These guidelines determine the management of over 140,000 patients each year in the United Kingdom with suspected DVT and many more in other countries.
Identifying poor trauma care: a new measure implemented by NHS England
The 2014 Trauma Probability of Survival Model 鈥淧S14鈥 was developed as a direct result of research led by CURE researchers. Trauma probability of survival models is used to predict outcomes after a serious injury and provide a comparison against which actual outcomes can be compared for research and quality assurance purposes.
PS14 is now the sole survival prediction model used for quality assurance in trauma care in NHS England, Wales, the Irish Republic and some hospitals in continental Europe. It is used to evaluate changes to the trauma system and improve the quality of trauma care.
Safely reducing hospital transfers for older patients
Research from the Faculty of Health has shown that paramedics with extended skills can leave older patients safely at home with potential cost savings to the NHS of over 拢50 million, reducing unnecessary journeys to the hospital.