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Thrombolysis in acute stroke: ongoing challenges based on a tertiary hospital audit and comparisons with other Australian studies.
Conclusion The proportion of eligible stroke patients who receive tPA in a timely manner remains less than ideal at our centre. More accurate patient selection and reductions in treatment delays serve as targets for quality improvement efforts that have broad applicability.What is known about the topic? Stroke unit care and tPA thrombolysis are two proven strategies to improve outcome in patients with ischaemic stroke. Although the stroke unit is gaining momentum of growth in Australia (especially in Queensland), little improvement has been achieved in thrombolysis rate and timeliness of treatment delivery, and little is k...
Source: Australian Health Review - June 29, 2015 Category: Hospital Management Authors: Lau AH, Hall G, Scott IA, Williams M Tags: Aust Health Rev Source Type: research

Cost-effectiveness of the Victorian Stroke Telemedicine program
ConclusionThe VST program was likely to be cost saving or cost-effective. Our findings provide confidence in supporting wider implementation of telemedicine for acute stroke care in Australia.PMID:35589669 | DOI:10.1071/AH21377
Source: Australian Health Review - May 19, 2022 Category: Hospital Management Authors: Joosup Kim Elise Tan Lan Gao Marj Moodie Helen M Dewey Kathleen L Bagot Nancy Pompeani Lauren Sheppard Christopher F Bladin Dominique A Cadilhac Source Type: research

Readmissions following hospitalisations for cardiovascular disease: a scoping review of the Australian literature.
ConclusionsHigh rates of readmissions are reported for cardiovascular conditions, although substantial methodological heterogeneity exists among studies. Nationally standardised definitions are required to accurately measure readmissions and further studies are needed to address knowledge gaps and test interventions to lower readmissions in Australia.What is known about the topic?International studies suggest readmissions are common following cardiovascular hospitalisations and are costly to the health system, yet little is known about the burden of readmission in the Australian setting or the effectiveness of intervention...
Source: Australian Health Review - February 20, 2019 Category: Hospital Management Authors: Labrosciano C, Air T, Tavella R, Beltrame JF, Ranasinghe I Tags: Aust Health Rev Source Type: research

Evolution of non-fatal burden estimates for cardiovascular disease in Australia: a comparison of national and state-wide methodology of burden of disease
ConclusionsPrevalence estimates require the best available data sources, updated disease models and constant review to inform government policy and health reform. Availability of nation-wide linked data will markedly improve future burden estimates.PMID:36395787 | DOI:10.1071/AH22149
Source: Australian Health Review - November 17, 2022 Category: Hospital Management Authors: Courtney Weber Michelle Hobday Wendy Sun Laura Kirkland Lee Nedkoff Judith M Katzenellenbogen Source Type: research

Risk of hospital admission or emergency department presentation due to diabetes complications: a retrospective cohort study in Tasmania, Australia
ConclusionsOur results demonstrated the high demand on hospital services due to diabetes complications (especially macrovascular complications) and highlighted the importance of preventing and properly managing microvascular complications. These findings will support future resource allocation to reduce the increasing burden of diabetes in Australia.PMID:37137728 | DOI:10.1071/AH22271
Source: Australian Health Review - May 3, 2023 Category: Hospital Management Authors: Ngan T T Dinh Barbara de Graaff Julie A Campbell Matthew D Jose John Burgess Timothy Saunder Alex Kitsos Petr Otahal Andrew J Palmer Source Type: research

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