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Impact of multimorbidity and complex multimorbidity on mortality among older Australians aged 45 years and over: a large population-based record linkage study
Conclusion MM and CMM were common in older Australian adults; and MM was a better predictor of all-cause mortality risk than CMM. Higher mortality risk in those aged 45–59 years indicates tailored, person-centred integrated care interventions and better access to holistic healthcare are needed for this age group.
Source: BMJ Open - July 26, 2022 Category: General Medicine Authors: Kabir, A., Tran, A., Ansari, S., Conway, D. P., Barr, M. Tags: Open access, Geriatric medicine Source Type: research

Differences in the pre-hospital management of women and men with stroke by emergency medical services in New South Wales
CONCLUSION: Our large population-based study identified sex differences in pre-hospital management by emergency medical services of women and men admitted to hospital with stroke. Paramedics should receive training that improves the recognition of stroke symptoms in women.PMID:35831059 | DOI:10.5694/mja2.51652
Source: Medical Journal of Australia - July 13, 2022 Category: General Medicine Authors: Xia Wang Cheryl Carcel Benjumin Hsu Sultana Shajahan Matthew Miller Sanne Peters Deborah A Randall Alys Havard Julie Redfern Craig S Anderson Louisa Jorm Mark Woodward Source Type: research

Feedback of aggregate patient-reported outcomes (PROs) data to clinicians and hospital end users: findings from an Australian codesign workshop process
Conclusions Our research provides guidance on PROs reporting for optimising data interpretation and comparing hospital performance.
Source: BMJ Open - July 1, 2022 Category: General Medicine Authors: Ryan, O. F., Hancock, S. L., Marion, V., Kelly, P., Kilkenny, M. F., Clissold, B., Gunzburg, P., Cooke, S., Guy, L., Sanders, L., Breen, S., Cadilhac, D. A. Tags: Open access, Health services research Source Type: research

Healing Right Way: study protocol for a stepped wedge cluster randomised controlled trial to enhance rehabilitation services and improve quality of life in Aboriginal Australians after brain injury
This study will test the impact of a research-informed culturally secure intervention model for Aboriginal people with brain injury. Methods and analysis Design: Stepped wedge cluster randomised control trial design; intervention sequentially introduced at four pairs of healthcare sites across Western Australia at 26-week intervals. Recruitment: Aboriginal participants aged ≥18 years within 4 weeks of an acute stroke or traumatic brain injury. Intervention: (1) Cultural security training for hospital staff and (2) local, trial-specific, Aboriginal Brain Injury Coordinators supporting participants. Primary outcome: Qual...
Source: BMJ Open - September 28, 2021 Category: General Medicine Authors: Armstrong, E., Coffin, J., Hersh, D., Katzenellenbogen, J. M., Thompson, S., Flicker, L., McAllister, M., Cadilhac, D. A., Rai, T., Godecke, E., Hayward, C., Hankey, G. J., Drew, N., Lin, I., Woods, D., Ciccone, N. Tags: Open access, Health services research Source Type: research