Sonya Crowe

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BACKGROUND The fifth Millennium Development Goal target for 90% of births in low and middle income countries to have a skilled birth attendant (SBA) by 2015 will not be met. In response to this, policy has focused on increasing SBA access. However, reducing maternal mortality also requires policies to prevent deaths among women giving birth unattended. We(More)
OBJECTIVE To implement routine in-house monitoring of risk-adjusted 30-day mortality following paediatric cardiac surgery. DESIGN Collaborative monitoring software development and implementation in three specialist centres. PATIENTS AND METHODS Analyses incorporated 2 years of data routinely audited by the National Institute of Cardiac Outcomes Research(More)
OBJECTIVES To explore changes over time in the 30-day mortality rate for paediatric cardiac surgery and to understand the role of attendant changes in the case mix. METHODS SETTING AND PARTICIPANTS Included were: all mandatory submissions to the National Institute of Cardiovascular Outcomes Research (NICOR) relating to UK cardiac surgery in patients aged(More)
BACKGROUND Provision of essential newborn care (ENC) can save many newborn lives in poor resource settings but coverage is far from universal and varies by country and place of delivery. Understanding gaps in current coverage and where coverage is good, in different contexts and places of delivery, could make a valuable contribution to the future design of(More)
Tackling childhood malnutrition is a global health priority. A key indicator is the estimated prevalence of malnutrition, measured by nutrition surveys. Most aspects of survey design are standardised, but data 'cleaning criteria' are not. These aim to exclude extreme values which may represent measurement or data-entry errors. The effect of different(More)
Outcomes following paediatric cardiac surgery have long been the subject of clinical , regulatory, media and public scrutiny. There are several reasons for this. The work is among the most technically challenging , resource intensive and emotionally charged clinical activity undertaken. In the UK, past events, public inquiries and intentions to reduce the(More)
AIMS To describe the ways in which parents recognise and make decisions about their child's symptoms following discharge home after congenital heart interventions in the first year of life and their experiences of seeking help. METHODS This was a qualitative study involving semistructured interviews with parents. Twenty-one parents were recruited to the(More)
BACKGROUND Improvements in hospital-based care have reduced early mortality in congenital heart disease. Later adverse outcomes may be reducible by focusing on care at or after discharge. We aimed to identify risk factors for such events within 1 year of discharge after intervention in infancy and, separately, to identify subgroups that might benefit from(More)
A clinical intervention known as 'bridging to transplant', in which a patient is placed on life-sustaining support, can be used to increase the chance of an individual surviving until a donor heart becomes available. However, the impact of this on other patients on the waiting list and the wider implications for the resourcing of cardiac units remains(More)
OBJECTIVE During the early phase of evaluation of a new intervention, data exist for present practice. The authors propose a method of constructing a fair comparator group using these data. In this case study, the authors use the example of external aortic root support, a novel alternative to aortic root replacement. DESIGN A matched comparison group, of(More)