SWARM Audit Project 1: The proportion of patients undergoing emergency surgery who are at risk of post-operative pulmonary complications
This was the first multi-centred prospective audit completed by the SWARM research collaborative. It involved 6 trusts, 70 trainees and 25 consultants.
Its primary objective was to test and develop the organisational structure of our new trainee-led research network. Its secondary objective was to collect data that would guide future research projects planned by the collaborative.
The data collected during SWARM AP 1 included:
1. The ARISCAT & Revised Cardiac Risk Index scores of patients undergoing emergency / urgent surgery on the NCEPOD list
2. The timing of emergency surgery on the 24 hour clock (Royal College of Anaesthesia Audit Compendium 2006 Section 4.2)
During a 2 week period in 2012 we recruited 437 patients and achieved a recruitment rate of 85%. This data has been presented at national meetings. The success of our first project implies that the concept of trainee-led research networks is viable and we look forward to refining the model in future endeavours.
Presentations
National
Winter Anaesthesia Research Society Meeting, 13th December 2012, Dr Julie Lewis
Regional
Society of Anaesthetists of the South Western Region Meeting, 16-18th May 2013, Dr Peter Thomas
Local
To be presented at the Plymouth Hospitals NHS Trust Research Conference, September 2013
Musgrove Park Hospital (Taunton), 25th February 2013, Dr Borys Topor
Royal Devon & Exeter Hospital (Exeter), 6th February 2013, Dr Sandeep Kusre
North Devon District Hospital (Barnstaple), 22nd January 2013, Dr Matthew Browning
Derriford Hospital (Plymouth), 13th December 2012, Dr Thomas Clark
Royal Cornwall Hospital (Truro), 20th November 2012, Dr Nicholas Boyd
Torbay Hospital (Torquay), 7th November 2012, Dr Tod Guest
Abstracts
Proportion of patients undergoing emergency surgery at risk of postoperative pulmonary and cardiac complications, British Journal of Anaesthesia, 110(5): 863-864P.
Written by Dr Thomas Clark & edited by Dr Gary Minto & Prof Robert Sneyd on behalf of SWARM (2013).
Regional Project Leads
Dr Thomas Clark
Dr Gary Minto
Local Trust Project Leads
Dr Nicholas Boyd
Dr Sandeep Kusre
Dr Borys Topor
Dr Claire Hamer
Dr Matthew Browning
Local Trust Project Investigators
Dr Kate Sharpe
Dr Elizabeth Fontaine
Dr Julie Lewis
Dr Elizabeth Teare
Dr Alan Ch’ng
Dr Rupa Jayaraj
Dr James Blackburn
Dr Peter Thomas
Dr Benjamin Plumb
Dr Francois Wessels