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Clinical outcomes have improved since consolidation of emergency surgery in Derry, says Dr. Brendan Lavery
Derry Journal
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24/03/2025
Clinical outcomes have improved since consolidation of emergency surgery in Derry, says Dr. Brendan Lavery
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News
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00:00
Two years since the collapse, the change,
00:05
are the outcomes the same for the people of Romana
00:08
as they were prior to that two years ago?
00:10
Well, I'm gonna give you quite a long answer with that.
00:13
The good news is the outcomes are actually better.
00:15
So we use a company called CHKS,
00:19
and what they do is they analyze admissions
00:21
all across every trust in England, Wales,
00:23
and Northern Ireland.
00:24
They look at every admission to basically
00:27
thousands and thousands of admissions.
00:29
They do a statistical analysis.
00:31
It looks at age, sex, any comorbidities,
00:35
what diagnosis you've been admitted with.
00:37
They look at 260 diagnoses.
00:39
And they use all of this data to generate a figure
00:42
called a risk-adjusted mortality index.
00:45
And what that is, that is the number of deaths
00:48
divided by the number of expected deaths.
00:50
Now, effectively, 100 is your baseline.
00:53
So if you have a figure of more than 100,
00:56
that means there are more patients dying
00:57
than you would expect.
00:59
If you have a figure of less,
01:00
you're doing very well.
01:02
At the time of the temporary suspension,
01:05
the figure for South West acute was 110,
01:08
and the figure for Altona-Gelvin was 85, okay?
01:12
We have looked at the figures,
01:13
and we got those in approximately July
01:17
or August of last year.
01:18
And effectively, the RAMI scores in Altona-Gelvin
01:22
have continued to fall to the extent
01:25
that if you extrapolate the data
01:27
and look at average mortality rates,
01:29
we now have effectively one patient surviving
01:32
who wouldn't have survived every 40 days
01:35
due to the change that we've made.
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