Royal Liverpool University Hospital

Continuous versus intermittent, non-invasive monitoring of vital signs in hospitalised, ward based adult patients: A systematic review and narrative synthesis

Background: Intermittent monitoring (IM) of vital signs remains the standard of care for hospitalised ward patients, yet this approach creates gaps during which patient deterioration may go unrecognised. Wearable wireless devices capable of continuously measuring physiological pa...

Guidance to inform communication with bereaved relatives about patient participation in emergency and critical care trials before death

Background Research in emergency and critical care is essential to improve outcomes for critically ill patients, yet many patients lack capacity to provide informed consent at the point of enrolment. Alternative consent models, including research without prior consent, are theref...

Is primary metatarsalgia associated with a longer 2nd metatarsal? A comparison of metatarsal lengths in individuals with and without metatarsalgia

Background Metatarsalgia is a generic term used to describe localised forefoot pain around the metatarsals. Primary metatarsalgia is thought to be caused by excessive loading over one or multiple metatarsal heads resulting in localised inflammation and painful callosities. An ide...

Survival, stigma and structural barriers: a qualitative study exploring the oral health experiences of women attending sex work support services in Liverpool

Aims Globally, sex workers experience significant oral health inequalities, including higher levels of dental decay, tooth loss, and trauma. Sex workers face intersecting challenges including homelessness, addiction, and stigma. In the UK, no qualitative research has explored the...

Cost-consequence analysis and patient-reported outcomes of vitreoretinal surgery in Rwanda: a health economics feasibility study

Abstract Background Investment in vitreoretinal (VR) surgery in sub-Saharan Africa (SSA) is constrained by perceptions of high cost and limited benefit, yet no economic evaluations exist to inform policy decisions. This study assessed the feasibility of conducting economic evalua...

Can you FORCE research implementation? A PERUKI survey to evaluate knowledge translation of the FORCE study

Aims: To assess the uptake of the Forearm Fracture Recovery in Children Evaluation (FORCE) trial findings into clinical practice, and to identify the influence of targeted dissemination tools on implementation. Methods: A cross-sectional electronic survey was distributed via the...

Management of high-risk (B3) breast lesions in symptomatic practice: evidence review and practical recommendations for multidisciplinary care

Borderline breast lesions (B3 lesions, also termed lesions of uncertain malignant potential or high-risk lesions) represent a heterogeneous group of entities associated with variable risks of malignancy. While the management of screen-detected B3 lesions has become increasingly s...