There are over 1.4 million attendances to emergency departments in the UK following head trauma every year and around 1 in 100 patients having life-threatening injuries. Dr Marincowitz’s research uses statistical analysis to assess the effectiveness of guidelines for the management of head injury in NHS emergency departments.
In England and Scotland, a series of national guidelines have tried to improve outcomes for patients with brain injuries caused by trauma, mostly through improved diagnosis through increased use of CT scans. Later guidelines also recommended that patients with severe injuries are managed in specialist centres. These guidelines were also meant to reduce NHS costs by reducing hospital admissions.
Dr Marincowitz uses a statistical method called interrupted time series analysis and complete national NHS datasets to assess whether the introduction of these guidelines was associated with a reduction in deaths from traumatic brain injuries and reduced hospital admissions. This allows us to understand whether current recommendations for care are clinically and cost-effective. It also identifies where future research and service provision should be concentrated to improve care further.
Dr Carl Marincowitz is an NIHR Doctoral Fellow at Hull York Medical School.
Our Clinical Academics in Training Annual Conference, or CATAC, offers early career researchers the chance to present work and receive feedback from senior panelists in a truly interdisciplinary setting. The conference gives clinical academics the chance to meet people from all areas of biomedical science, and share ideas from many different perspectives.
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