the 18 bulletin
Cardiothoracic Interdisciplinary Research Network (CIRN) Professor Gavin Murphy (Cardiac SSL) Ricky Vaja & Luke J. Rogers (Cardiac aSSL) Professor Julie Sanders & Rosalie Magboo (NAHP Leads) Keith Wilson & Jeremy Dearling (Patient & Public Involvement & Engagement Co-Leads)
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ince the last Cardio-Thoracic Interdisciplinary Research Network (CIRN) update in the January 2021 edition, the collaborative has continued to develop academically minded healthcare professionals in cardiothoracic surgery and deliver some high-quality outputs. Most notably, “The early outcomes and complications following cardiac surgery in patients testing positive for coronavirus disease 2019” has been published in collaboration with the COVIDSurg Collaborative in the JTCVS and the protocol for a further Cochrane Review Figure 1. Visual abstract ‘Target Wound Infection’ “Antithrombotic treatment following coronary artery bypass grafting (CABG) Network Meta-Analysis” This work started following the James Lind has been accepted. This has been supported Alliance Priority Setting Partnership in which by a successful application for a BHF CRC 10 key research priorities were identified in Research Development Fund grant. In adult cardiac surgery. “Infection Prevention” addition, the collaboration has undertaken was one of these key priorities leading to a rapid review of consent in adult cardiac the formation of a Clinical Study Group surgery. This has involved the work of nearly (CSG7) which includes patient and public 50 individuals, across 17 UK & Ireland Trusts representation, healthcare professionals from and has collated data from 420 consent forms nursing, cardiac surgery, wound surveillance, in under three weeks from conception of the infection control and microbiology and health audit! An incredible feat in and of itself. The service researches including representatives results of this will hopefully be presented at from Public Health England (PHE). Figure the SCTS Annual Conference 2022 and will 1 illustrates some of the work that has hopefully catalyse a larger program of work. underpinned this successful grant application.
The focus of this update however will be on the NIHR Program Development Grant funded ...
This work will involve three distinct packages, which we hope, will ultimately facilitate a successful application for a Programme Grant for Applied Research (PGfAR) in 18 months’ time. The packages are as follows:
1. A review of all previous studies to identify patient factors that increase the risk of wound infection. These factors will then be used to develop a new risk prediction tool for adult cardiac surgery patients incorporating routinely collected data. 2. Different hospitals and frequently even different consultant teams utilise treatments or preventative strategies to reduce wound infection in a different manner. We hope to identify why this is the case and make recommendations as to how this might be modified. 3. Identification of factors limiting PHE monitoring of wound infection rates in adult cardiac surgery and development of a strategy to improve monitoring and increase the number of participating hospitals.
