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Full-Text Articles in Medicine and Health Sciences
The Ratchet Effect: Dramatic And Sustained Changes In Health Care Utilization Following Admission To Hospital With Chronic Disease, David Whyatt, Raji Tenneti, Julie Marsh, Sarah E. Bolt, Anna Kemp, Laura Firth, Kevin Murray, Berwin Turlach, Alistair Vickery
The Ratchet Effect: Dramatic And Sustained Changes In Health Care Utilization Following Admission To Hospital With Chronic Disease, David Whyatt, Raji Tenneti, Julie Marsh, Sarah E. Bolt, Anna Kemp, Laura Firth, Kevin Murray, Berwin Turlach, Alistair Vickery
Illawarra Health and Medical Research Institute
Objective: To describe the previously unexamined association between admissions to hospital with chronic disease and changes in all-cause health service utilization over time. Research Design: A cohort study examining the population of Western Australia with hospitalizations for chronic disease from 2002 to 2010. A "rolling" clearance period is used to define "cardinal events," that is, a disease-specific diagnosis upon hospital admission, where such an event has not occurred in the previous 2 years. Changes in the rate of cardinal events associated with diagnoses of heart failure, type 2 diabetes, chronic obstructive pulmonary disease, cataract with diabetes, asthma, and dialysis are …
Telemonitoring Can Assist In Managing Cardiovascular Disease In Primary Care: A Systematic Review Of Systematic Reviews, Renee Purcell, Susan Mcinnes, Elizabeth J. Halcomb
Telemonitoring Can Assist In Managing Cardiovascular Disease In Primary Care: A Systematic Review Of Systematic Reviews, Renee Purcell, Susan Mcinnes, Elizabeth J. Halcomb
Faculty of Science, Medicine and Health - Papers: part A
Background There has been growing interest regarding the impact of telemonitoring and its ability to reduce the increasing burden of chronic diseases, including chronic cardiovascular disease (CVD), on healthcare systems. A number of randomised trials have been undertaken internationally and synthesised into various systematic reviews to establish an evidence base for this model of care. This study sought to synthesise and critically evaluate this large body of evidence to inform clinicians, researchers and policy makers. Methods A systematic review of systematic reviews investigating the impact of telemonitoring interventions in the primary care management of CVD was conducted. Reviews were included …
Socioeconomic Status And Heart Failure In Sydney, Glenn R. Close, Phillip J. Newton, Simon C. Fung, Alan R. Denniss, Elizabeth J. Halcomb, Pramesh Kovoor, Simon Stewart, Patricia M. Davidson
Socioeconomic Status And Heart Failure In Sydney, Glenn R. Close, Phillip J. Newton, Simon C. Fung, Alan R. Denniss, Elizabeth J. Halcomb, Pramesh Kovoor, Simon Stewart, Patricia M. Davidson
Faculty of Science, Medicine and Health - Papers: part A
Background Socioeconomic disadvantage is associated with an increased risk of developing heart failure and with inferior health outcomes following diagnosis. Methods Data for hospitalisations and deaths due to heart failure in the Sydney metropolitan region were extracted from New South Wales hospital records and Australian Bureau of Statistics databases for 1999-2003. Standardised rates were analysed according to patients' residential local government area and correlated with an index of socioeconomic disadvantage. Results Eight of the 13 local government areas with standardised separation rate ratios significantly higher than all NSW, and those with the six highest standardised separation rate ratios, were in …
Cardiac Physiology And Clinical Efficacy Of Dietary Fish Oil Clarified Through Cellular Mechanisms Of Omega-3 Polyunsaturated Fatty Acids, Peter L. Mclennan
Cardiac Physiology And Clinical Efficacy Of Dietary Fish Oil Clarified Through Cellular Mechanisms Of Omega-3 Polyunsaturated Fatty Acids, Peter L. Mclennan
Faculty of Science, Medicine and Health - Papers: part A
Reduced cardiac mortality and morbidity have long been observed in association with omega-3 long chain polyunsaturated fatty acids (LC-PUFA), eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA) from fish consumption, without clear physiological explanation. This review seeks to identify mechanisms of action based on evidence: of physiological effects, active components and effective intakes. Fish oil pleiotropic effects reveal actions that are either intrinsic: effects on cardiac function dependent upon membrane incorporation; or extrinsic: indirect cardiac effects through vascular disease. Extrinsic actions require EPA + DHA doses >3 g/day. Intrinsic effects derive from usual dietary intakes, /day and include improved myocardial oxygen …