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Full-Text Articles in Medicine and Health Sciences
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 …
Tertiary Survey Performance In A Regional Trauma Hospital Without A Dedicated Trauma Service, Gerben Keijzers, Don Campbell, Jeffrey Hooper, Nerolie Bost, Julia Crilly, Michael Steele, Blake Eddington, Leo Geeraedts Jr.
Tertiary Survey Performance In A Regional Trauma Hospital Without A Dedicated Trauma Service, Gerben Keijzers, Don Campbell, Jeffrey Hooper, Nerolie Bost, Julia Crilly, Michael Steele, Blake Eddington, Leo Geeraedts Jr.
Gerben Keijzers
Background:Initial management of trauma patients is focused on identifying life- and limb-threatening injuries and may lead to missed injuries. A tertiary survey can minimise the number and effect of missed injuries and involves a physical re-examination and review of all investigations within 24 hours of admission. There is little information on current practice of tertiary survey performance in hospitals without a dedicated trauma service. We aimed to determine the rate of tertiary survey performance and the detail of documentation as well as the baseline rate of missed injuries. Methods:We performed a retrospective, descriptive study of all multitrauma patients who presented …
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 …