https://ogma.newcastle.edu.au/vital/access/ /manager/Index en-au 5 Biomarkers and anastomotic leakage in colorectal surgery: C-reactive protein trajectory is the gold standard https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:36033 Wed 29 Jan 2020 11:59:09 AEDT ]]> Post-discharge opioid prescribing after laparoscopic appendicectomy and cholecystectomy https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:41981 Wed 24 May 2023 14:23:09 AEST ]]> A Pilot Study: Intraoperative 16S rRNA Sequencing Versus Culture in Predicting Colorectal Incisional Surgical Site Infection https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:52909 Wed 22 May 2024 15:08:38 AEST ]]> Impact of avoiding post-operative urinary catheters on outcomes following colorectal resection in an ERAS programme: no IDUC and ERAS programmes https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:33333 Wed 17 Oct 2018 13:27:31 AEDT ]]> Gender associations with selection into Australian General Surgical Training: 2016-2022 https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:53991 Wed 13 Mar 2024 07:47:11 AEDT ]]> Impact of socioeconomic status and road distance to hospital on perforated appendicitis rates at a large rural referral centre https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:52531 Wed 13 Mar 2024 07:45:44 AEDT ]]> The epidemiology of injuries related to falling trees and tree branches https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:48395 Wed 05 Jul 2023 14:46:29 AEST ]]> Who, where, what and where to now? A snapshot of publishing patterns in Australian orthopaedic surgery https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:33961 1 from 2009 to 2015, data were gathered to explore scientific journal publications by Australian orthopaedic surgeons and trainees in relation to who are the authors, what they are reporting and where they are publishing. Results: One thousand five hundred and thirty-nine articles were identified with 134 orthopaedic trainees and 519 surgeons as authors. The publication rate for both trainees and surgeons was just over two in five. The majority of studies were of level three or four evidence (Oxford's Centre for Evidence-Based Medicine guidelines). Only 5% of trainee papers were published without surgeons' co-authorship. Eighty-six percent of papers published by surgeons did not involve a trainee. The rates of trainees publishing with other trainees were low. Conclusion: Only 5% of trainee papers were published without surgeons' co-authorship, highlighting the importance of surgeon mentorship in developing trainee research capability. The 86% of papers published by surgeons without trainee co-authorship raises the question of missed mentoring opportunities. Low rates of trainee co-authorship highlight potential for trainees to work together to support each other's research efforts. There is scope for more studies involving higher levels of evidence. This paper raises discussion points and areas for further exploration in relation to AOA trainee research capability.]]> Wed 04 Sep 2019 10:05:02 AEST ]]> C1q and mobility score in predicting sarcopenia in an Australian cohort of cancer surgery patients https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:52162 Wed 04 Oct 2023 10:50:47 AEDT ]]> Study management strategies to optimize student- and trainee-led collaborative research https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:51271 Tue 29 Aug 2023 15:41:54 AEST ]]> Patient perceptions of surgical telehealth consultations during the COVID 19 pandemic in Australia: Lessons for future implementation https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:50019 Tue 27 Jun 2023 14:48:47 AEST ]]> Functional significance and risk factors for lymphocele formation after renal transplantation https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:48956 Tue 18 Apr 2023 15:35:05 AEST ]]> Informed consent: perceptions and practice of orthopaedic trainees https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:48003 Tue 14 Feb 2023 16:57:00 AEDT ]]> Improvement in epistaxis management: the experience of a dedicated hereditary haemorrhagic telangiectasia clinic https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:47071 Tue 13 Dec 2022 16:14:28 AEDT ]]> Learning and teaching stage 4 clinical decision making: progression from novice to expert https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:49993 Thu 22 Jun 2023 14:19:53 AEST ]]> The Australian laparoscopic radical prostatectomy learning curve https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:36075 Thu 17 Mar 2022 14:36:05 AEDT ]]> Efficacy of intermittent compression devices for thromboembolic prophylaxis in major abdominal surgery: a systematic review and meta-analysis https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:50863 Thu 17 Aug 2023 11:35:49 AEST ]]> Mobility scores as a predictor of length of stay in general surgery: a prospective cohort study https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:43282 Thu 15 Sep 2022 12:23:29 AEST ]]> The effect of preoperative skin preparation on clinical outcomes with incisional surgery: a network meta-analysis https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:52228 Thu 05 Oct 2023 10:31:13 AEDT ]]> Acute-care surgical services: a personal perspective https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:7615 Sat 24 Mar 2018 10:44:45 AEDT ]]> Epidemiology of post-injury multiple organ failure in an Australian trauma system https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:7817 15; age > 18, head Abbreviated Injury Scale (AIS) <3 and survival >48 h). MOF was prospectively defined by the Denver MOF score greater than 3 points. Data are presented as % or Mean+/−SEM. Univariate statistical comparison was performed (Student t-test, X2 test), P < 0.05 was considered significant. Results: Twenty-nine patients met inclusion criteria (Age 40+/−4, ISS 29+/−3, Male 62%), five patients developed MOF. The incidence of MOF among trauma patients admitted to ICU was 2% (5/204) and 17% (5/29) in the high-risk cohort. The maximum average MOF score was 6.3 +/−1, with the average duration of MOF 5+/−2 days. Two patients had respiratory and cardiac failure, two patients had failure of respiratory, cardiac and hepatic systems, while one patient had failure of respiratory, hepatic and renal systems. One MOF patient died, all non MOF patients survived. MOF patients had longer ICU stays (20+/−4 versus 7+/−0.8 P= 0.01), tended to be older (60+/−11 versus 35+/−4 p=0.07). None of the previously described independent predictors (ISS, base deficit, lactate, transfusions) were different when the MOF patients were compared with the non-MOF patients. Conclusion: The incidence of MOF in Australia is consistent with the international data. In Australia MOF continues to cause significant late mortality and morbidity in trauma patients. MOF patients have longer ICU stay than high-risk non MOF patients, and use significant resources. Our preliminary data challenges the timeliness of the 10-year-old independent predictors of post-injury MOF. The epidemiology, the clinical presentation and the independent predictors of post-injury MOF require larger scale reassessment for the Australian context.]]> Sat 24 Mar 2018 08:37:36 AEDT ]]> Complications after discharge for surgical patients https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:1883 Sat 24 Mar 2018 08:31:19 AEDT ]]> Factors predicting the need for splenectomy in children with blunt splenic trauma https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:12321 Sat 24 Mar 2018 08:11:37 AEDT ]]> Making sense of emergency surgery in New South Wales: a position statement https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:11483 Sat 24 Mar 2018 08:10:25 AEDT ]]> Borderline femur fracture patients: early total care or damage control orthopaedics? https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:18143 Sat 24 Mar 2018 08:04:45 AEDT ]]> Massive transfusion in trauma: blood product ratios should be measured at 6 hours https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:21784 Sat 24 Mar 2018 08:00:40 AEDT ]]> Repair of traumatic muscle herniation with acellular porcine collagen matrix https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:19110 Sat 24 Mar 2018 07:55:58 AEDT ]]> Clinical indicators in surgery: a critical review of the Australian experience https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:20973 Sat 24 Mar 2018 07:54:21 AEDT ]]> Obesity surgery still does not equal laparoscopic gastric banding https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:5677 Sat 24 Mar 2018 07:47:32 AEDT ]]> Re: Guidelines for the management of haemodynamically stable patients with stab wounds to the anterior abdomen (letter) https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:5468 Sat 24 Mar 2018 07:46:59 AEDT ]]> Australian trauma care: time for change (editorial) https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:5329 15 from 16% to 13% during the 8-year study period (statistical significance not shown), the avoidable mortality rate remained unchanged at 25%! The findings and suggestions of the paper represent only one hospital and the recommendations are potentially relevant only to the major trauma centres in Australia and New Zealand. The aim of this editorial is to summarize the key findings of this landmark Australian paper, which are relevant to the delivery of surgical trauma care.]]> Sat 24 Mar 2018 07:45:56 AEDT ]]> Three-point suture anchor repair of traumatic sternoclavicular joint dislocation https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:28627 Sat 24 Mar 2018 07:38:59 AEDT ]]> Single-stage laparoscopic cholecystectomy and intraoperative endoscopic retrograde cholangiopancreatography: is this strategy feasible in Australia? https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:29395 Sat 24 Mar 2018 07:36:17 AEDT ]]> Pelvic fracture-specific scales versus general patient reported scales for pelvic fracture outcomes: a systematic review https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:29522 Sat 24 Mar 2018 07:32:30 AEDT ]]> Guidelines for the management of haemodynamically stable patients with stab wounds (letter) https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:4921 Sat 24 Mar 2018 07:21:12 AEDT ]]> Intercostal catheter insertion: are we really doing well? https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:23620 Sat 24 Mar 2018 07:13:28 AEDT ]]> Time to computed tomography scanning for major trauma patients: the Australian reality https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:23619 3, intubated patients and those with subsequent fatal outcome. Conclusions: Although 93 min to completion of trauma CT scans is comparable with some international reports, it falls well behind centres who have demonstrated improved outcomes with CT scanning. Our results serve as a baseline to our and potentially other Australasian trauma centres to improve on this surrogate measure of trauma team efficacy.]]> Sat 24 Mar 2018 07:13:28 AEDT ]]> AO type-C distal radius fractures: the influence of computed tomography on surgeon's decision-making https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:23582 Sat 24 Mar 2018 07:12:44 AEDT ]]> 21st century appendicitis: selecting non-operative winners https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:23152 Sat 24 Mar 2018 07:10:34 AEDT ]]> Comparison of administrative data and the American College of Surgeons National Surgical Quality Improvement Program data in a New South Wales hospital https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:37711 Mon 22 Mar 2021 14:54:58 AEDT ]]> Wound tension and 'closability' with keystone flaps, V-Y flaps and primary closure: a study in fresh-frozen cadavers https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:42325 Mon 22 Aug 2022 09:56:23 AEST ]]> Utilization of telehealth by surgeons during the COVID 19 pandemic in Australia: lessons learnt https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:49433 Mon 15 May 2023 13:44:13 AEST ]]> Getting back ‘home’ after emergency laparotomy: how many never make it? https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:53789 70 years) had not returned to their pre-hospital residence. Conclusion: Patients who survive 90 and 365 days following EL nearly all return to their pre-hospital residence, with only a very small proportion of previously independent patients entering dependent care. This should help inform shared decision-making regarding emergency laparotomy in the acute setting.]]> Mon 15 Jan 2024 10:45:24 AEDT ]]> Combining sarcopenia and ASA status to inform emergency laparotomy outcomes: could it be that simple? https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:53774 Mon 15 Jan 2024 10:10:45 AEDT ]]> Thyroid cancer patient reported outcome measures in clinical practice: analysing acceptability and optimizing recruitment https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:53548 Mon 04 Dec 2023 16:08:30 AEDT ]]> Randomized clinical trial to assess the ideal mode of delivery for local anaesthetic abdominal wall blocks https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:41269 Mon 01 Aug 2022 09:49:35 AEST ]]> Has the autonomy pendulum swung too far? https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:36037 Fri 31 Jan 2020 12:24:08 AEDT ]]> A tale of two cities: prehospital intubation with or without paralysing agents for traumatic brain injury https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:45491 2) to either Victorian or NSW trauma centre, which were compared with univariate and logistic regression analysis to estimate odds ratio for mortality and intensive care unit (ICU) length of stay. Results: One hundred and ninety-two Victorian and 91 NSW patients did not differ in: demographics (males: 77% versus 79%; P = 0.7 and age: 34 (18-88) versus 33 (18-85); P = 0.7), Glasgow Coma Scale (3 (3-8) versus 5 (3-8); P = 0.07), and injury severity score (38 (26-75) versus 35 (18-75); P = 0.09), prehospital hypotension (15.4% versus 11.7%; P = 0.5) and desaturation (14.6% versus 17.5%; P = 0.5). Victorians had higher abbreviated injury scale head and neck (5 (4-5) versus 5 (3-6); P = 0.04) and more often successful PETI (85% versus 22%; P < 0.05). On logistic regression analysis, mortality did not differ among groups (31.7% versus 26.3%; P = 0.34; OR = 0.84; 95% CI: 0.38-1.86; P = 0.67). Among survivors, Victorians had longer stay in ICU (364 (231-486) versus 144 (60-336) h), a difference that persisted on gamma regression (effect = 1.58; 95% CI: 1.30-1.92; P < 0.05). Conclusion: Paramedics using RSI to obtain PETI in patients with traumatic brain injury had a higher success rate. This increase in successful PETI rate was not associated with an improvement in either mortality rate or ICU length of stay.]]> Fri 28 Oct 2022 15:46:11 AEDT ]]> Meckel's diverticulectomy: a multi-centre 19-year retrospective study https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:50549 Fri 28 Jul 2023 10:25:21 AEST ]]> Gender associations with selection into Australian Orthopaedic Surgical Training: 2007-2019 https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:39745 Fri 17 Jun 2022 18:41:09 AEST ]]> Short- and long-term outcomes of percutaneous cholecystostomy in an Australian population https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:40581 Fri 15 Jul 2022 10:39:13 AEST ]]> Pursuing the second ipsilateral gland during minimally invasive video-assisted parathyroidectomy https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:31960 Fri 13 Apr 2018 12:35:59 AEST ]]> Australian orthopaedic surgery training: Australian orthopaedic association's strategic education review https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:38416 Fri 10 Sep 2021 13:26:39 AEST ]]> Australian medical students report poor confidence managing common orthopaedic sports-related injuries: findings of a multi-site survey https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:51520 Fri 08 Sep 2023 12:02:44 AEST ]]> Outcomes of paediatric septic arthritis of the hip and knee at 1-20 years in an Australian urban centre https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:49158 Fri 05 May 2023 12:41:55 AEST ]]> Sarcopenia ‘made simple’ and outcomes from emergency laparotomy https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:50742 0.5696; P < 0.001). Conclusion: Radiological sarcopenia (CT-assessed PM:L3) is a significant predictor of mortality in EL patients in Australia. The results of this study suggest that radiological sarcopenia is equivalent to established risk assessment tools. The more timely and easily accessible CT-assessed PM:L3 metric is potentially automatable and may have significant utility in clinical practice.]]> Fri 04 Aug 2023 08:25:43 AEST ]]> Telehealth in surgery: an umbrella review https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:47872 Fri 03 Feb 2023 14:56:59 AEDT ]]>