Emergency medicine Australasia : EMA
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Emerg Med Australas · Aug 2020
Patient perceptions of participation in emergency medicine research projects.
To determine if ED research reflects patient expectations. ⋯ Patient expectations are not always consistent with current practice. The expectation of consent prior to record access is worthy of further consideration.
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Emerg Med Australas · Aug 2020
Understanding childhood injuries in rural areas: Using Rural Acute Hospital Data Register to address previous data deficiencies.
The state of childhood injury in rural areas of Victoria is poorly understood. Currently only data on those children transferred from smaller hospital settings to larger settings appear in existing government datasets, significantly underestimating the characteristics of injury. ⋯ The Rural Acute Hospital Data Register database captures the presentations at low-resource sites and highlights as much as a 35% deficit in the data that is currently available to inform injury prevention and safety initiatives in Victoria.
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Emerg Med Australas · Aug 2020
Predictors and in-hospital mortality associated with prolonged emergency department length of stay in New South Wales tertiary hospitals from 2017 to 2018.
To determine specific patient, clinical and service factors associated with increased ED length of stay and investigate whether prolonged ED length of stay, as measured by emergency treatment performance (ETP) non-compliance, is an independent predictor of all cause 30-day mortality for patients presenting to, and admitted from ED. ⋯ Patients with complex and multiple medical comorbidities, and those admitted under certain service-related groups such as psychiatry, surgery and oncology were found to have poorer ETP performance. Overall, failure to meet ETP was associated with increased mortality after adjusting for age, case-mix, comorbidities and acuity.