The Medical journal of Australia
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Multicenter Study
Emergency department presentations with mammalian bite injuries: risk factors for admission and surgery.
The incidence of animal bite injuries in Australia is high. There is currently no established method for reliably predicting whether a patient with a bite injury will require admission to hospital or surgery. ⋯ Our study provides a detailed epidemiological analysis of animal bite injuries at seven major hospitals in Victoria. Risk factors for hospitalisation and surgery may assist in identifying patients who require admission and surgical intervention.
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Randomized Controlled Trial Multicenter Study
Socio-demographic and structural barriers to being tested for chlamydia in general practice.
To investigate socio-demographic and structural factors associated with not providing a specimen for chlamydia testing following a request by a general practitioner. ⋯ One in five young people did not submit a specimen for chlamydia testing despite their GP requesting it. This highlights the need for clinics to establish systems which ensure that men and those aged 16-19 years undertake chlamydia tests requested by a GP.
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Multicenter Study
Acute heart failure admissions in New South Wales and the Australian Capital Territory: the NSW HF Snapshot Study.
The primary aim of the NSW Heart Failure (HF) Snapshot was to obtain a representative cross-sectional view of patients with acute HF and their management in New South Wales and Australian Capital Territory hospitals. ⋯ Patients admitted to hospital with acute HF in NSW and the ACT were generally elderly and frail, with multiple comorbidities. Evidence-based therapies were underused, and there was substantial interhospital variation in the length of stay. We anticipate that the results of the HF Snapshot will inform the development of strategies for improving the uptake of evidence-based therapies, and hence outcomes, for HF patients.
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Multicenter Study Comparative Study
SEPSIS KILLS: early intervention saves lives.
To implement a statewide program for the early recognition and treatment of sepsis in New South Wales, Australia. ⋯ The SEPSIS KILLS program has improved the process of care for patients with sepsis in NSW hospitals. The program has focused attention on sepsis management in the wards.
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To assess factors associated with second-line delays in the management of patients diagnosed with lung cancer. ⋯ There are significant delays at various stages of the patient journey after referral for initial definitive management. Having a greater understanding of these delays will enable strategies to be developed that improve the timeliness of care for patients with lung cancer.