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Issue

Vol 127 No 1394: 23 May 2014

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Issue Summary

SUMMARY

Why do patients self-present to Middlemore Hospital Emergency Department?

Vanessa Thornton, Annie Fogarty, Peter Jones, Nouran Ragaban, Catherine Simpson

Almost 25% of self-presenting patients had contacted their GP or a health professional prior to their Emergency Department (ED) presentation and were advised to attend Emergency Department. The most common reason for patients to self-present at Middlemore Hospital Emergency Department is the belief that a hospital emergency department is the appropriate service to treat acute sickness. Neither cost nor knowledge of the Shorter Stays in Emergency Departments Health Target featured as a reason for attendance.

SUMMARY

Risk factors for general medicine readmissions and association with mortality

Manaf Aljishi, Ketna Parekh

Characteristics of patients who get readmitted back to hospital within a month of discharge have been examined in this study. It has been found that these patients tend to be older, use more medicines and have more serious medical conditions compared to the ones who have not been readmitted. There is a higher probability of death within 1 year if patients get readmitted multiple times for the same illness, which usually signals a patients deteriorating health condition.

SUMMARY

From ICU to hospital-wide: extending central line associated bacteraemia (CLAB) prevention

Mary E Seddon, Catherine J Hocking, Elizabeth A Bryce, Jackie Hillman, Vicki McCoubrie

Infections associated with central lines are some of the most frequent and serious hospital infections, and can result in longer stays in hospital and even death. Previous work has shown that these infections can be largely prevented in the intensive care unit (ICU). This study (for the first time in Australasia) extends this work to wards and units outside the ICU. Using a simple checklist and standardising care we have significantly reduced these hospital-acquired infections from central lines in our hospital.

SUMMARY

Does seasonal level of serum 25-OH vitamin D correlate with the activity of Crohn's disease?

Geogry Peter Kini, Brian Young, Peter Herbison, Michael Schultz

Vitamin D, the so-called sunlight vitamin, plays a crucial role in health and has been implicated in various diseases including Crohns disease, a type of inflammatory bowel disease. Earlier studies suggested that vitamin D deficiency could result in a more active Crohns disease. Whether vitamin D deficiency results in or is a consequence of more active Crohns disease remains unresolved.

ALL ARTICLES
SUMMARY

Medical image. A benign glossal lesion

Tarun Gupta, Naveen Kumar Kansal

Risk of a thrombotic event after the 6-week postpartum period

Why do patients self-present to Middlemore Hospital Emergency Department?

Vanessa Thornton, Annie Fogarty, Peter Jones, Nouran Ragaban, Catherine Simpson

Cancer services to 2025 in New Zealand—investing in research-driven quality care

Christopher Jackson, Bridget Robinson, Michael Findlay

Chewing the saturated fat: should we or shouldn’t we?

Simon Thornley, George Henderson, Grant Schofield

Endocrine encephalopathy

King W Yong, Steven Soule, Penny Hunt

Case of hydroa aestivale

Performance of funded point-of-care capillary blood glucose meters at altitude

Steven C M Miller

Risk factors for general medicine readmissions and association with mortality

Manaf Aljishi, Ketna Parekh

Book review: The Women’s Health Book. A complete guide to health and wellbeing for women of all ages (The Royal Women’s Hospital, Victoria)

Book review: Migration, Ethnicity, Race and Health in Multicultural Societies (2nd edition; RS Bhopal)

From ICU to hospital-wide: extending central line associated bacteraemia (CLAB) prevention

Mary E Seddon, Catherine J Hocking, Elizabeth A Bryce, Jackie Hillman, Vicki McCoubrie

The leprosy problem in the South Pacific

Colin Crawford

Does seasonal level of serum 25-OH vitamin D correlate with the activity of Crohn's disease?

Geogry Peter Kini, Brian Young, Peter Herbison, Michael Schultz

Book review: The Rise and Fall of National Women's Hospital. A history (L Bryder)

Allowing violence in New Zealand hospitals is bad business

Steven Kelly

Book review: The Autistic Brain (T Grandin, R Panek)

Rising antimicrobial resistance: a strong reason to reduce excessive antimicrobial consumption in New Zealand

Mark G Thomas, Alesha J Smith, Murray Tilyard

Leprosy in the South Pacific

Stephen T Chambers

SUMMARY

Why do patients self-present to Middlemore Hospital Emergency Department?

Vanessa Thornton, Annie Fogarty, Peter Jones, Nouran Ragaban, Catherine Simpson

Almost 25% of self-presenting patients had contacted their GP or a health professional prior to their Emergency Department (ED) presentation and were advised to attend Emergency Department. The most common reason for patients to self-present at Middlemore Hospital Emergency Department is the belief that a hospital emergency department is the appropriate service to treat acute sickness. Neither cost nor knowledge of the Shorter Stays in Emergency Departments Health Target featured as a reason for attendance.

SUMMARY

Risk factors for general medicine readmissions and association with mortality

Manaf Aljishi, Ketna Parekh

Characteristics of patients who get readmitted back to hospital within a month of discharge have been examined in this study. It has been found that these patients tend to be older, use more medicines and have more serious medical conditions compared to the ones who have not been readmitted. There is a higher probability of death within 1 year if patients get readmitted multiple times for the same illness, which usually signals a patients deteriorating health condition.

SUMMARY

From ICU to hospital-wide: extending central line associated bacteraemia (CLAB) prevention

Mary E Seddon, Catherine J Hocking, Elizabeth A Bryce, Jackie Hillman, Vicki McCoubrie

Infections associated with central lines are some of the most frequent and serious hospital infections, and can result in longer stays in hospital and even death. Previous work has shown that these infections can be largely prevented in the intensive care unit (ICU). This study (for the first time in Australasia) extends this work to wards and units outside the ICU. Using a simple checklist and standardising care we have significantly reduced these hospital-acquired infections from central lines in our hospital.

SUMMARY

Does seasonal level of serum 25-OH vitamin D correlate with the activity of Crohn's disease?

Geogry Peter Kini, Brian Young, Peter Herbison, Michael Schultz

Vitamin D, the so-called sunlight vitamin, plays a crucial role in health and has been implicated in various diseases including Crohns disease, a type of inflammatory bowel disease. Earlier studies suggested that vitamin D deficiency could result in a more active Crohns disease. Whether vitamin D deficiency results in or is a consequence of more active Crohns disease remains unresolved.

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