Hannah, Nicholas Vasic, Dubravka Kansal, Abhik Al-Ani, Aysha Hebbard, Geoff Sood, Siddharth
Published in
Internal medicine journal
Hepatic encephalopathy is a confusional state associated with cirrhosis. Serum ammonia levels are neither sensitive nor specific for the diagnosis. We audited the ordering location and hospital unit whilst assessing the impact on management at a major Australian tertiary centre. We conducted a single-centre retrospective chart review of the orderin...
Oh, Jeong S Jayasimhan, Dilip Sithamparanathan, Sasiharan
Published in
Internal medicine journal
Pregnancy and the peripartum period is a hypercoagulable state increasing the risk of venous thromboembolism (VTE). There may be a role in utilising D-dimer in the peripartum setting. The purpose of this review was to summarise the latest evidence regarding the diagnostic accuracy of D-dimer in the peripartum setting with or without the addition of...
Nagaratnam, Sai A Edwards, Leon Blair, Christopher Evans, James O'Brien, William
Published in
Internal medicine journal
Anticoagulation significantly reduces the risk of ischaemic stroke in patients with atrial fibrillation (AF). There are a proportion of patients with known AF who remain off anticoagulation. Aims This study aims to retrospectively compare the baseline characteristics, treatments and functional outcomes between patients with ischaemic stroke and kno...
Scarfo, Nicholas L Thomas, Vinod Mayboroda, Markian S Hewage, Udul
Published in
Internal medicine journal
Current evidence and practice guidelines do not recommend aspirin for primary prevention of cardiovascular disease (CVD). Insufficient all-cause mortality benefits juxtaposed to increased gastrointestinal bleeding rates are well established. Pharmacists are well placed to assess the clinical appropriateness of aspirin in CVD and initiate deprescrib...
Fussell, Sarah E Butler, Eamonn Curtain, Colin M Bowe, Steven J Roberts, Matthew A Lawlor, Lauren N
Published in
Internal medicine journal
Inaccurate medication documentation in prescriptions and discharge summaries produce poorer patient outcomes, are costly to healthcare systems and result in more readmissions to hospital. Errors in medication documentation are common in Australian hospitals. To determine whether pharmacist-led partnered prescribing (PPP) on discharge reduced errors...
Howarth, Timothy Gahreman, Daniel Ben Saad, Helmi Ng, Lai Heraganahally, Subash S
Published in
Internal medicine journal
The majority of Indigenous Australians reside in non-urban locations, with reduced access to chest radiology such as computed tomography (CT). Spirometry and chest X-ray (CXR) may be used in the absence of CT; however, the correlation of spirometry indices to CT-defined chronic airway diseases (i.e. chronic obstructive pulmonary disease (COPD) and ...
Thet, Zaw Lam, Alfred K Pham, Tony Ng, Shu-Kay Steel, Jason C Sawhney, Sirena Arellano, Carolina T Aung, Soe Yu Han, Thin Ranganathan, Dwarakanathan
...
Published in
Internal medicine journal
Studies evaluating the economic burden of dermatological care in the transplant setting are currently not available in Australia. To evaluate the clinical and economic burden of benign and malignant skin lesions in renal transplant recipients in Central Queensland. A bottom-up approach was used to determine the clinical burden and direct costs from...
Colaco, Clinton M G O'Sullivan, Matthew Zhang, Hayden Huynh, Danica Sintchenko, Vitali Oftadeh, Shahin Gilbert, Gwendolyn L Dotel, Ravindra
Published in
Internal medicine journal
Streptococcus pneumoniae (pneumococcus) is a human nasopharyngeal tract coloniser responsible for invasive pneumococcal disease, which is largely vaccine preventable. Vaccination is recommended from birth for all, and through adulthood for those with risk conditions. To describe the clinical and serotype analysis of pneumococcus bacteraemia over a ...
Lu, Zhen Qi McCourt, Elizabeth Goodhew, Karen Gupta, Deepali Chuan, Francine Mok, Leonie Peters, Robyn Ha, Tina Fowler, Daniel Dobbyn, Daniel Michael
...
Published in
Internal medicine journal
The 2018 Australian Heart Failure (HF) guidelines strongly recommended commencing sodium-glucose co-transporter-2 inhibitors (SGLT-2is) in HF patients with type 2 diabetes mellitus (T2DM). The uptake of SGLT-2is for HF patients with T2DM in our health service is unknown. To determine the adoption of the 2018 HF guidelines by assessing the temporal ...
Blennerhassett, Richard Othman, Jad Biscoe, Amber Kliman, David Mills, Georgia Blyth, Emily Micklethwaite, Kenneth Kwan, John Bilmon, Ian Bhattacharyya, Abir
...
Published in
Internal medicine journal
Corticosteroids (CSs) have previously been incorporated into graft versus host disease (GVHD) prophylaxis regimens for bone marrow (BM) and haemopoietic stem cell transplant (HSCT). To assess the impact of prophylactic CS in HSCT using peripheral blood (PB) stem cells. Patients were identified from three HSCT centres receiving a first PB-HSCT betwe...
