BACKGROUND Cardiovascular disease is the most frequent cause of death in Australia, with an associated cost burden of 11% of Australian annual health expenditure of which 40% is for hospital admissions. We investigated health outcomes and the components of hospital expenditure in the two years after an atherothrombotic disease admission to a tertiary hospital in an Australian setting. METHODS...

BACKGROUND Outcomes for very old patients (≥ 80 years) referred but not admitted to an intensive care unit have not been described in Australia and New Zealand. OBJECTIVE To ascertain long-term (12-month) outcomes for very old patients urgently referred for ICU support at a tertiary referral hospital. DESIGN, SETTING AND PATIENTS A retrospective, medical record review of 1240 very old patie...

background: many epidemiological studies reported significant associations between air pollution and respiratory hos­pital admissions. proximity of industries to the residential areas may have considerable impacts on air quality and sub­sequently public health. this paper describes the indirect impacts of closing a large steel industry, broken hill proprie­tary (bhp), in the lower hunter region...

BACKGROUND The association between elevated admission serum uric acid (SUA) and risk of in-hospital acute kidney injury (AKI) is limited. The aim of this study was to assess the risk of developing AKI in all hospitalized patients with various admission SUA levels. METHODS This is a single-center retrospective study conducted at a tertiary referral hospital. All hospitalized adult patients who...

Several international guidelines exist to help decision making for the infected 'diabetic foot'. However, none consider admissions avoidance. We wanted to develop an antibiotic foot formulary for the empirical treatment of diabetes related foot infections presenting to our service and subsequently to asses the costs associated with the introduction of our protocol. We rationalised our antibioti...

We conducted a prospective, observational, laboratory-based study on candidemia to investigate the incidence of candidemia, species distribution and clinical conditions between September 2003 and March 2004 in a private tertiary hospital in Recife, northeastern Brazil. Cases of candidemia were defined as occurrences of isolation of Candida spp from blood cultures. The incidence rate was calcula...

Methods We performed a retrospective before-after analysis of the CPAs in a 1,360-bed tertiary care hospital from January, 2009 to October, 2014. We included 176,193 admissions before and 117,822 admissions after implementing the RRS on October, 2012. The operation time of the RRS was from 7 am to 10 pm during weekdays. The primary outcome was CPA incidence, which was expressed as the case per ...

We assessed the prevalence, risk factors, and clinical outcomes of patients co-colonized with vancomycin-resistant enterococci (VRE) and methicillin-resistant Staphylococcus aureus (MRSA) upon admission to the medical and surgical intensive care units (ICUs) of a tertiary-care facility between January 1, 2002, and December 31, 2003. Co-colonization was defined as a VRE-positive perirectal surve...

IMPORTANCE In 2016 recommendations for safer prescribing practices were circulated to all doctors in one of Canada's largest provinces, by the college of physicians, following a coroner's inquest into a vehicular death related to Z-drug use. We sought to determine how frequently Z-drug prescriptions in our institution were not adhering to these recommendations. DESIGN Retrospective cohort stu...

OBJECTIVE To analyze the use of paediatric parenteral nutrition (PN) in a tertiary level hospital in Spain (1994-2008). MATERIALS AND METHODS The charts from infants and children receiving NP in 2008 were reviewed. Data were compared with those in 1994 and 2002. RESULTS 120 patients received PN, 78 and 71 corresponding to 1.6%, 1.3% and 1.0% of total admissions in 2008, 2002 and 1994 respec...