Research Development

Staff Publications

 Small purple icon of a book with a magnifying glass on top  Staff Publications

Find out what your colleagues have been writing. This section features articles published by staff working for St Helens and Knowsley Teaching Hospitals and Halton, Knowsley and St Helens community staff.

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All publications by 'Muttoni E'



Mersey and West Lancashire Teaching Hospitals Staff

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St Helens and Knowsley Hospital Staff - Publications pre April 2024

Co-relation between clinical assessment, CT and intra-operative findings in emergency laparotomy. Is it time to rethink the algorithm?

Aims Although clinical diagnosis has essential value in an emergency setting, CT (computed tomography) has become the central tool of diagnosis to aid the need for emergency laparotomy. Delay in CT can often drastically alter the outcome, especially in patients over the age 60. We aimed to assess if initial clinical..

Published: 01/09/2019
Authors: Patnam V, Altaf K, Holdsworth J, Muttoni E, Rajaganeshan R

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SP 5.9- Clinical and cost effectiveness of CT scan as first lineinvestigation in diagnosis and treatment of acute abdominal pain – Is it time to change?

Background Abdominal x-ray (AXR) is currently used as a first line radiological investigation in assessing acute abdominal pain, often followed by a CT scan, which may delay diagnosis and treatment.We aimed to assess if AXR was needed at all in assessing these patients and its impact on patient outcomes...

Published: 01/09/2019
Authors: Altaf K, Muttoni E, Holdsworth J, Patnam V, Rajaganeshan R, MacDonald S

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Effect of body mass index on depression in a UK cohort of 363 037 obese patients: A longitudinal analysis of transition

​With obesity levels increasing, it is important to consider the mental health risks associated with this condition to optimize patient care. Links between depression and obesity have been explored, but few studies focus on the risk profiles of patients across stratified body mass index (BMI) classes above 30 kg/m2 . This..

Published: 12/03/2019
Authors: Muttoni E

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Idiopathic intracranial hypertension in the British population with obesity

Purpose Idiopathic intracranial hypertension (IIH) is a syndrome that is characterized by persistently high intracranial pressure and associated with high rates of morbidity and visual loss. Its exact etiology and clinical picture is poorly understood, but it is known to be associated with obesity. The aim of this study was..

Published: 20/02/2019
Authors: Muttoni E

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Decompressive craniectomy in paediatric traumatic brain injury

​ Introduction Paediatric traumatic brain injury (pTBI) is one of the most frequent neurological presentations encountered in emergency departments worldwide. Every year, more than 200,000 American children suffer pTBIs, many of which lead to long-term damage. Objectives We aim to review the existing evidence on the efficacy of the decompressive craniectomy (DC)..

Published: 24/09/2018
Authors: Muttoni E

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Idiopathic intracranial hypertension in class III obese patients

​ Objectives Idiopathic intracranial hypertension (IIH) is a syndrome characterised by persistently high intracranial pressure (ICP) in the absence of identifiable ventricular or parenchymal disease. It mainly affects obese patients, with symptoms ranging from persistent headache to complete visual loss. IIH often requires lifelong medical treatment or neurosurgical intervention. Despite its..

Published: 24/09/2018
Authors: Muttoni E

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St Helens Community Staff

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Knowsley Community Staff

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Halton Community Staff

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North West Boroughs Community Health Staff

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