Nikhil Misra
University of Liverpool
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Publication
Featured researches published by Nikhil Misra.
European Journal of Trauma and Emergency Surgery | 2018
Edward J. Nevins; Nicholas Thomas Edward Bird; Hassan Z. Malik; Simon Jude Mercer; Khalid Shahzad; Raimundas Lunevicius; John Vincent Taylor; Nikhil Misra
PurposeEmergency department thoracotomy (EDT) is a potentially life-saving procedure, performed on patients suffering traumatic cardiac arrest. Multiple indications have been reported, but overall survival remains unclear for each indication. The objective of this systematic review is to determine overall survival, survival stratified by indication, and survival stratified by geographical location for patients undergoing EDT across the world.MethodsArticles published between 2000 and 2016 were identified which detailed outcomes from EDT. All articles referring to pre-hospital, delayed, or operating room thoracotomy were excluded. Pooled odds ratios (OR) were calculated comparing differing indications.ResultsThirty-seven articles, containing 3251 patients who underwent EDT, were identified. There were 277 (8.5%) survivors. OR demonstrate improved survival for; penetrating vs blunt trauma (OR 2.10; p 0.0028); stab vs gun-shot (OR 5.45; p < 0.0001); signs of life (SOL) on admission vs no SOL (OR 5.36; p < 0.0001); and SOL in the field vs no SOL (OR 19.39; p < 0.0001). Equivalence of survival was demonstrated between cardiothoracic vs non-cardiothoracic injury (OR 1.038; p 1.000). Survival was worse for USA vs non-USA cohorts (OR 1.59; p 0.0012).ConclusionsPenetrating injury remains a robust indication for EDT. Non-cardiothoracic cause of cardiac arrest should not preclude EDT. In the absence of on scene SOL, survival following EDT is extremely unlikely. Survival is significantly higher in the non-USA publications; reasons for this are highly complex. A UK multicentre prospective study which collects standardised data on all EDTs could provide robust evidence for better patient stratification.
European Journal of Trauma and Emergency Surgery | 2018
Edward J. Nevins; Parisa L. Moori; Jonathan Smith-Williams; Nicholas Thomas Edward Bird; John Vincent Taylor; Nikhil Misra
Journal of Gastrointestinal Surgery | 2018
Mohammed Elniel; Jennie Grainger; Edward J. Nevins; Nikhil Misra; Paul Skaife
International Journal of Surgery | 2014
Caroline Atherton; Raimundas Lunevicius; Richard Ward; Nikhil Misra
International Journal of Surgery | 2013
C.Y. Tan; V.S. Yip; G. Sarno; S. Staettner; M. Terlizzo; Nikhil Misra; S. Fenwick; H. Malik; Paula Ghaneh; Graeme Poston
Ejso | 2013
Declan Dunne; Nikhil Misra; Glyn Estebanez; Hassan Z. Malik; Graeme Poston; Stephen W. Fenwick
Ejso | 2012
S. Staettner; Vincent Yip; V. Kaliyaperumal; Nikhil Misra; S. Fenwick; Graeme Poston; H. Malik
Ejso | 2012
S. Staettner; Robert P. Jones; V.S. Yip; Nikhil Misra; H. Malik; T. Grünberger; S. Fenwick; Graeme Poston
Ejso | 2012
S. Staettner; V.S. Yip; K. Buchanan; Robert P. Jones; Nikhil Misra; H. Malik; S. Fenwick; Graeme Poston
Ejso | 2012
S. Staettner; Robert Jones; Nikhil Misra; V.S. Yip; Declan Dunne; S. Fenwick; H. Malik; G.J. Poston