Monitoring pre-hospital transport of severely injured patients in the Midland Region of New Zealand
This study evaluates the geospatial movement of major trauma patients from pre-hospital locations to hospitals in the Midland region and compares the actual destination to the optimal destination defined for patients meeting clinical criteria defined in the national major trauma triage policy. This study has been conducted prior to implementation of the Midland Pre-Hospital Major Trauma Destination Matrix and will be repeated in 2019 to evaluate change in processes resulting from the “Midland Matrix”.
Liver abscess: contemporary presentation and management in a Western population
Liver abscesses are a common acute condition that affect previously healthy patients. Percutaneous rather than surgical drainage is the standard of care but hospital stays can be significant and readmission is common.
Ethnic- and sex-related differences in pain characteristics, psychological distress and pain-related disability in patients attending a New Zealand teaching hospital pain service
The study assessed demographic and pain characteristics of patients attending a multi-disciplinary pain service in Auckland. Overall, women report a significantly higher number of pain sites in the whole body compared to men, whereas men tend to cope worse with pain by showing less pain acceptance. The study further found significant differences in pain expression and coping, with Māori patients reporting highest pain levels, highest number of pain sites, highest pain interference, as well as highest levels of psychological distress, depression, stress and anxiety compared to all other ethnicities. This finding is particularly important for healthcare providers who should tailor their treatment according to the patient’s individual sociodemographic background.
E-cigarette use in New Zealand—a systematic review and narrative synthesis
This study summarises current research on the use of e-cigarettes in New Zealand. The study found that the number of people who have ever used an e-cigarette has increased over time. However, the number of New Zealanders who regularly use e-cigarettes remains low. Most people who use e-cigarettes are smokers or ex-smokers. While people commonly first try an e-cigarette because they are curious, many hope to reduce the number of tobacco cigarettes they smoke, or quit smoking. Further research is needed to monitor the use of e-cigarettes in New Zealand and any impact this may have on smoking rates.
Limiting complication rates in implant-based breast reconstruction
The Department of Plastic Surgery at Middlemore Hospital has found that the complication rate of patients having implant-based breast reconstruction after radiotherapy for breast cancer treatment have a high complication rate. We now encourage patients to use their own tissue (for example, from their abdomen) to reconstruct their breast(s) if they have had radiotherapy. We have shown a lower complication rate in women who use their own tissue rather than implants for reconstruction following radiotherapy.
An audit of risk assessments for suicide and attempted suicide in ED: a retrospective review of quality
This study evaluated how Mental Health & Addiction Services staff members, working in a busy emergency department service, adhere to the New Zealand Ministry of Health’s Clinical Practice Guidelines for DSH. This study identifies the importance of the individualised, tailored assessment. It also outlines weaknesses of the assessment and treatment of patients following a suicide attempt and makes recommendations for improving assessment of patients following attempted suicide.
Acceptability of electronic cigarettes as an option to replace tobacco smoking for alcoholics admitted to hospital for detoxification
Alcoholics who were also smokers, admitted to Kenepuru Hospital for detoxification, were offered the option of using an electronic cigarette as well as, or instead of, conventional nicotine replacement therapy nicotine (patches or gum) to help them to stop smoking while in hospital. The electronic cigarettes proved more popular that standard nicotine replacement therapy and were at least as effective. Using electronic cigarettes for smoking substitution/reduction while in hospital is an option for improved patient management that should be explored further.
Putting action into the revised Australian Medical Council standards on Aboriginal and Torres Strait Islander and Māori health
The Australian Medical Council (AMC) sets the standard that specialty medical professionals should achieve to ensure that the community has safe doctors that meet the needs of the public. Due to the health differences between Indigenous and non-Indigenous peoples, the AMC has changed the standards to ensure medical colleges respond to this inequity. This paper helps colleges deliver on these standards in a practical way.