Fiona Lecky is Clinical Professor of Emergency Medicine at the University of Sheffield, holds an Honorary Chair at the University of Manchester and is an Honorary Consultant Emergency Physician at Salford Royal Hospitals NHS Foundation Trust. She is also Research Director of the Trauma Audit and Research Network – the largest European Trauma Registry (www.tarn.ac.uk), chaired the 2014 NICE Head Injury Guideline Development Group and is an investigator for “Collaborative European Neurotrauma Effectiveness Research in Traumatic Brain Injury (CENTER-TBI)” a multicentre 21 European Country Study to improve understanding of “the most complex disease in the most complex organ.
WORLD CONGRESS PRESENTATION
Keynote Lecture: Recent Changes in Traumatic Brain Injury Patient Characteristics Care Processes and Outcomes in England and Wales
Background: Traumatic Brain Injury is known to be the major cause of death and disability in UK citizens aged under 44, yet there have been no new widely accepted treatments for more than 20 years. The work presented during the lecture will enable us to understand whether – despite this absence of new technologies – trauma system changes in England and Wales have benefited patients with traumatic brain injury since 1999. A analysis of of the largest European Trauma Registry will be presented to determine firstly whether or not patients admitted with traumatic brain injury visible on CT brain scan have changed over time in terms of injury and demographic characteristics.The presentation will also include an an analysis of trends in care processes in the pre-hospital, Emergency Department, imaging suite, operating room and critical care environments. A state of the art TBI prognostic model has been employed to determine trends over time in risk adjusted mortality with sensitivity analysis in order to assess whether system changes have benefited or disadvantaged TBI patients. Finally the lecture will try and attribute changes in TBI patient outcome to these system changes – for better or worse.