Internal medicine journal
-
Internal medicine journal · Jun 2022
Epidemiology and Microbiology of Severe Community-Acquired Pneumonia in Central Australia: A Retrospective Study.
Severe community-acquired pneumonia (SCAP) has high mortality and morbidity. ⋯ A high incidence of SCAP was observed in Central Australia, disproportionately affecting the indigenous population. Prevention strategies are imperative, as well as early identification of SCAP and appropriate empiric antibiotic regimens.
-
Internal medicine journal · Jun 2022
Regional variation in cardiac implantable electronic device implants trends in New Zealand over the past decade (ANZACS-QI 54).
Permanent pacemaker (PPM) and implantable cardioverter defibrillator (ICD) implant rates have increased in New Zealand over the past decade. ⋯ There was significant variation in PPM and ICD implant rates across regions and DHB, suggesting potential inequity in patient access across New Zealand.
-
Internal medicine journal · Jun 2022
Inflammation-based modified Glasgow prognostic score and renal outcome in chronic kidney disease patients: is there a relationship?
Chronic kidney disease (CKD) progression is presumably related to inflammatory response. The modified Glasgow prognostic score (mGPS), based on a combination of albumin and C-reactive protein, has been derived from oncology and validated in multiple diseases. ⋯ The inflammation-based mGPS score was associated with eGFR decline in CKD patients. Therefore, could prove useful in improving risk stratification of CKD patients.
-
Internal medicine journal · Jun 2022
Timely goals of care documentation in frail patients in the COVID era: A retrospective multi-site study.
Older frail patients are more likely to have timely goals of care (GOC) documentation than non-frail patients. ⋯ Timely GOC documentation occurred less frequently in frail patients during the COVID-19 pandemic than in the pre-COVID-19 era.
-
Internal medicine journal · Jun 2022
Prevalence of gestational diabetes in the Waikato region of New Zealand.
Gestational diabetes mellitus (GDM) during pregnancy is associated with health complications for both mother and infant, but patient numbers in the Waikato District Health Board region of New Zealand have not been well characterised. This study reviewed the full 2018 cohort of Waikato District Health Board hospital births (n = 4970) to report on GDM prevalence by ethnicity and age. The overall prevalence of GDM was 5.7% and is more likely to affect Asian, Pacific and Māori women as well as those of advanced maternal age.