Internal medicine journal
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Internal medicine journal · Jul 2022
Rhabdomyolysis-associated acute kidney injury: clinical characteristics and intensive care unit transfer analysis.
Information on rhabdomyolysis-associated acute kidney injury (AKI) in the emergency department or general ward is limited. ⋯ Rhabdomyolysis-associated AKI was common in the emergency department or general ward and led to more severe outcomes. It was also associated with an increased risk of ICU transfer.
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Internal medicine journal · Jul 2022
Comparison of clinical manifestation among Australian Indigenous and non- Indigenous patients presenting with pleural effusion.
There is sparse evidence in the literature in relation to the nature and causes of pleural effusion among Australian Indigenous population. ⋯ There are significant differences in the way pleural effusion manifests among Australian Indigenous patients. Understanding these differences might facilitate approaches to management and to implementation of strategies to reduce morbidity and mortality in this population.
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Internal medicine journal · Jul 2022
Observational StudyTelehealth in outpatient delivery of palliative care: a prospective survey evaluation by patients and clinicians.
In Australia during the COVID-19 pandemic new funding models were introduced to support telehealth consultations, resulting in their widescale adoption in palliative care service delivery. Clarity around the clinical circumstances and patient populations that might be most appropriate for telehealth models was required. ⋯ Telehealth has high utility in palliative care practice. A future hybrid model of care comprising both face-to-face and telehealth consultations seems favoured by patients and physicians but must be accompanied by targeted support for specific patient groups to ensure equitable healthcare access. Further evaluation of telehealth during a time of fewer public health emergency measures and lower community anxiety is required to fully understand its ongoing role.
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Internal medicine journal · Jul 2022
Prevalence and factors associated with Advance Health Directives in frail older inpatients.
Advance health directives (AHD) can be used to explore and document patient preferences for treatment and are therefore an important aspect of care planning. ⋯ The presence of AHD is associated with sociodemographic factors, as well as higher frailty levels. Prevalence of AHD among inpatients has increased over the past decade but remains modest.