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Articles 1 - 10 of 10
Full-Text Articles in Medicine and Health Sciences
Heart Failure In Patients Presenting With Dyspnoea To The Emergency Department In The Asia Pacific Region: An Observational Study, Gerben Keijzers, Anne-Maree Kelly, Louise Cullen, Sharon Klim, Colin A Graham, Simon Craig, Win Sen Kuan, Peter Jones, Anna Holdgate, Charles Lawoko, Said Laribi
Heart Failure In Patients Presenting With Dyspnoea To The Emergency Department In The Asia Pacific Region: An Observational Study, Gerben Keijzers, Anne-Maree Kelly, Louise Cullen, Sharon Klim, Colin A Graham, Simon Craig, Win Sen Kuan, Peter Jones, Anna Holdgate, Charles Lawoko, Said Laribi
Gerben Keijzers
OBJECTIVES: To describe demographic features, assessment, management and outcomes of patients who were diagnosed with heart failure after presenting to an emergency department (ED) with a principal symptom of dyspnoea. DESIGN: Planned substudy of the prospective, descriptive cohort study: Asia, Australia and New Zealand Dyspnoea in Emergency Departments (AANZDEM). SETTING: 46 EDs in Australia, New Zealand, Singapore, Hong Kong and Malaysia collected data over 3 72-hour periods in May, August and October 2014. PARTICIPANTS: Patients with an ED diagnosis of heart failure. OUTCOME MEASURES: Outcomes included patient epidemiology, investigations ordered, treatment modalities used and patient outcomes (hospital length of stay …
Heart Failure In Patients Presenting With Dyspnoea To The Emergency Department In The Asia Pacific Region: An Observational Study, Gerben Keijzers, Anne-Maree Kelly, Louise Cullen, Sharon Klim, Colin A Graham, Simon Craig, Win Sen Kuan, Peter Jones, Anna Holdgate, Charles Lawoko, Said Laribi
Heart Failure In Patients Presenting With Dyspnoea To The Emergency Department In The Asia Pacific Region: An Observational Study, Gerben Keijzers, Anne-Maree Kelly, Louise Cullen, Sharon Klim, Colin A Graham, Simon Craig, Win Sen Kuan, Peter Jones, Anna Holdgate, Charles Lawoko, Said Laribi
Gerben Keijzers
OBJECTIVES: To describe demographic features, assessment, management and outcomes of patients who were diagnosed with heart failure after presenting to an emergency department (ED) with a principal symptom of dyspnoea. DESIGN: Planned substudy of the prospective, descriptive cohort study: Asia, Australia and New Zealand Dyspnoea in Emergency Departments (AANZDEM). SETTING: 46 EDs in Australia, New Zealand, Singapore, Hong Kong and Malaysia collected data over 3 72-hour periods in May, August and October 2014. PARTICIPANTS: Patients with an ED diagnosis of heart failure. OUTCOME MEASURES: Outcomes included patient epidemiology, investigations ordered, treatment modalities used and patient outcomes (hospital length of stay …
Epidemiology, Prehospital Care And Outcomes Of Patients Arriving By Ambulance With Dyspnoea: An Observational Study., Anne Maree Kelly, Anna Holdgate, Gerben Keijzers, Sharon Klim, Colin A. Graham, Simon Craig, Win Sen Kuan, Peter Jones, Charles Lawoko, Said Laribi
Epidemiology, Prehospital Care And Outcomes Of Patients Arriving By Ambulance With Dyspnoea: An Observational Study., Anne Maree Kelly, Anna Holdgate, Gerben Keijzers, Sharon Klim, Colin A. Graham, Simon Craig, Win Sen Kuan, Peter Jones, Charles Lawoko, Said Laribi
Gerben Keijzers
Background This study aimed to determine epidemiology and outcome for patients presenting to emergency departments (ED) with shortness of breath who were transported by ambulance. Methods This was a planned sub-study of a prospective, interrupted time series cohort study conducted at three time points in 2014 and which included consecutive adult patients presenting to the ED with dyspnoea as a main symptom. For this sub-study, additional inclusion criteria were presentation to an ED in Australia or New Zealand and transport by ambulance. The primary outcomes of interest are the epidemiology and outcome of these patients. Analysis was by descriptive statistics …
Impact Of Influenza Across 27 Public Emergency Departments In Australia: A 5-Year Descriptive Study, Justin Boyle, Julia Crilly, Gerben Keijzers, Marianne Wallis, James Lind, Ross Sparks, Louise Ryan
Impact Of Influenza Across 27 Public Emergency Departments In Australia: A 5-Year Descriptive Study, Justin Boyle, Julia Crilly, Gerben Keijzers, Marianne Wallis, James Lind, Ross Sparks, Louise Ryan
Gerben Keijzers
Objective: To describe the incidence, characteristics and outcomes of patients with influenza-like symptoms presenting to 27 public hospital emergency departments (EDs) in Queensland, Australia. Methods: A descriptive retrospective study covering 5 years (2005-9) of historical data from 27 hospital EDs was undertaken. State-wide hospital ED Information System data were analysed. Annual comparisons between influenza and non-influenza cases were made across the southern hemisphere influenza season (June-September) each year. Results: Influenza-related presentations increased significantly over the 5 years from 3.4% in 2005 to 9.4% in 2009, reflecting a 276% relative increase. Differences over time regarding characteristics of patients with influenza-like symptoms, …
The Effect Of A Chest Imaging Lecture On Emergency Department Doctors' Ability To Interpret Chest Ct Images: A Randomized Study, Gerben Keijzers, Vasugi Sithirasenan
The Effect Of A Chest Imaging Lecture On Emergency Department Doctors' Ability To Interpret Chest Ct Images: A Randomized Study, Gerben Keijzers, Vasugi Sithirasenan
Gerben Keijzers
Objective: To assess the chest computed tomography (CT) imaging interpreting skills of emergency department (ED) doctors and to study the effect of a CT chest imaging interpretation lecture on these skills.
Participants and methods: Sixty doctors in two EDs were randomized, using computerized randomization, to either attend a chest CT interpretation lecture or not to attend this lecture. Within 2 weeks of the lecture, the participants completed a questionnaire on demographic variables, anatomical knowledge, and diagnostic interpretation of 10 chest CT studies. Outcome measures included anatomical knowledge score, diagnosis score, and the combined overall score, all expressed as a percentage …
Predicting Influenza A And 2009 H1n1 Influenza In Patients Admitted To Hospital With Acute Respiratory Illness, Gerben Keijzers, Caleb Vossen, Ping Zhang, Deborough Macbeth, Petra Derrington, John Gerrard, Jenny Doust
Predicting Influenza A And 2009 H1n1 Influenza In Patients Admitted To Hospital With Acute Respiratory Illness, Gerben Keijzers, Caleb Vossen, Ping Zhang, Deborough Macbeth, Petra Derrington, John Gerrard, Jenny Doust
Gerben Keijzers
Objective: To create a clinical decision tool for suspected influenza A (including 2009 H1N1) to facilitate treatment and isolation decisions for patients admitted to hospital with an acute respiratory illness from the emergency department (ED) during a 2009 H1N1 pandemic.
Methods: Cross-sectional study conducted in two hospitals in Queensland, Australia. All patients admitted to hospital from the ED between 24 May and 16 August 2009 with an acute respiratory illness were included. All had nasal and throat swabs taken. Data were collected from clinical chart review regarding clinical symptoms, co-morbidities, examination findings, pathology and radiology results. Influenza A …
The Impact Of A Temporary Medical Ward Closure On Emergency Department And Hospital Service Delivery Outcomes, Julia Crilly, Gerben Keijzers, Dirken Krahn, Michael Steele, David Green, Janeen Freeman
The Impact Of A Temporary Medical Ward Closure On Emergency Department And Hospital Service Delivery Outcomes, Julia Crilly, Gerben Keijzers, Dirken Krahn, Michael Steele, David Green, Janeen Freeman
Gerben Keijzers
OBJECTIVE: To describe the effect of a 3-week closure of a 28-bed medical ward on Emergency Department (ED) and hospital outcomes.
METHODS: This was a prospective comparative observational study of all ED attendances (visits; n = 11 383) made to a regional teaching hospital in Queensland, Australia, during a 9-week period (November 24, 2008-January 4, 2009). A 3-week period of ward closure was compared with equal time periods before and after. Hospital health information systems data were linked manually to describe and compare outcomes: median ED length of stay, access block, hospital length of stay, and in-hospital mortality.
RESULTS: Ward …
Does A Dedicated Pediatric Team Within A Busy Mixed Emergency Department Make A Difference In Waiting Times, Satisfaction, And Care Transition?, Gerben Keijzers, Julia Crilly, Benjamin Walters, Rosalind Crawford, Christa Bell
Does A Dedicated Pediatric Team Within A Busy Mixed Emergency Department Make A Difference In Waiting Times, Satisfaction, And Care Transition?, Gerben Keijzers, Julia Crilly, Benjamin Walters, Rosalind Crawford, Christa Bell
Gerben Keijzers
Objectives: To evaluate the impact of a dedicated, free-floating, pediatric-targeted care delivery model on emergency department (ED) waiting times, parent satisfaction, and transition of care.
Methods: A prospective, observational study was conducted between July 16 and August 12, 2007. It incorporated a before-and-after design with a 2-week preintervention and a 2-week intervention group. In the intervention period, the pediatric ED initiative (PEDI) team was introduced, which consisted of a free-floating doctor and nurse equipped to see pediatric patients. Consenting patients/parents were followed up by telephone 7 to 14 days after discharge regarding satisfaction and waiting times.
Results: …
Clinical Diagnostic Criteria For Isolating Patients Admitted To Hospital With Suspected Pandemic Influenza, John Gerrard, Gerben Keijzers, Ping Zhang, Caleb Vossen, Deborough Macbeth
Clinical Diagnostic Criteria For Isolating Patients Admitted To Hospital With Suspected Pandemic Influenza, John Gerrard, Gerben Keijzers, Ping Zhang, Caleb Vossen, Deborough Macbeth
Gerben Keijzers
Extract: Australian hospitals have now experienced the first wave of pandemic H1N1 influenza during a southern hemisphere winter. Patients admitted to Australian hospitals with suspected pandemic influenza during this period were identified by use of approved national clinical diagnostic criteria. However, the imprecise nature of clinical diagnosis limited the ability of hospitals to isolate infectious patients effectively before the laboratory confirmation of infection (which typically takes a minimum of 48 h).
How Would Australian Hospital Staff React To An Avian Influenza Admission, Or An Influenza Pandemic, Franco Martinese, Gerben Keijzers, Steven Grant, James Lind
How Would Australian Hospital Staff React To An Avian Influenza Admission, Or An Influenza Pandemic, Franco Martinese, Gerben Keijzers, Steven Grant, James Lind
Gerben Keijzers
Objective: To estimate the expected staff absentee rates and work attitudes in an Australian tertiary hospital workforce in two hypothetical scenarios: (i) a single admission of avian influenza; and (ii) multiple admissions of human pandemic influenza. Methods: A survey conducted at hospital staff meetings between May and August 2006. Results: Out of 570 questionnaires distributed, 560 were completed. For scenario one, 72 (13%) indicated that they would not attend work, and an additional 136 (25%) would only work provided that immunizations and/or antiviral medications were immediately available, so that up to 208 (38%) would not attend work. For scenario two, …