ORCID Profile
0000-0003-0760-2496
Current Organisation
Cairns Hospital
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Publisher: Wiley
Date: 12-03-2021
DOI: 10.1111/ANS.16608
Publisher: Wiley
Date: 14-06-2023
DOI: 10.1111/ANS.18571
Publisher: Oxford University Press (OUP)
Date: 2021
DOI: 10.1093/JSCR/RJAA594
Abstract: Mesenteric injuries and traumatic intussusception are rare surgical presentations following blunt trauma, with potentially life-threatening complications. Diagnosis relies on high clinical suspicion and judicious use of imaging in trauma. Literature suggests that these presentations should always be managed operatively for diagnostic clarity, manual reduction of intussusception and, if indicated, resection of involvement segment. However, in the setting of a stable patient with a reassuring examination, this may not be necessary. This case presents the successful expectant management of a traumatic mesenteric haematoma acting as a pathologic lead point for small bowel intussusception.
Publisher: Elsevier BV
Date: 12-2019
Publisher: Wiley
Date: 02-2022
DOI: 10.1111/ANS.17498
Abstract: Surgical departments have been dramatically impacted by the novel coronavirus 19 (COVID‐19) pandemic, with the cancellation of elective cases and changes to the provision of emergency surgical care. The aim of this study was to determine whether structural changes made within our facility's surgical department during COVID‐19 altered National Emergency Access Target (NEAT) times and impacted on patient outcomes. Emergency surgical cases over a 4‐month time period were retrospectively collected and statistically analysed, ided into pre‐ and mid‐COVID‐19 pandemic. Baseline characteristics between the groups were comparable. There was a significant increase in consultant presence in theatre in the COVID group. There were also statistically significant reductions in NEAT times at each timepoint, although these did not meet national guidelines. There was no change in emergency surgical workload, complication rate or mortality rates within 30 days. Any significant change to services requires a coordinated hospital‐wide approach, not just from a single department, and clinicians must continue to be wary of benchmarked times as the overall feasibility and safety of NEAT times has also been highlighted again.
Publisher: Wiley
Date: 21-12-2022
DOI: 10.1111/ANS.17404
Abstract: Appendicitis is a leading cause of surgical hospital admission. To date, there have been no published epidemiological studies describing appendicitis in tropical and remote Australia and none specifically documenting appendicitis in Indigenous Australians. This descriptive study used available state data to investigate appendicitis across Far North Queensland (FNQ). Queensland Health hospital admission data for FNQ was analysed to explore appendicitis epidemiology and outcomes in FNQ, 2012–2018. Population data for the same time period provided rates. Over the study period, 3458 hospital presentations for appendicitis were available for analysis. Mean incidence was 178 per 100 000/yr. Median age was 27 years with 50.1% female patients. The annual rate of appendicitis was higher in the Indigenous population. Most patients had a laparoscopic procedure with a low rate of conversion to open surgery (2.6%). More than 80% of patients were discharged from hospital in less than 3 days. Intensive care (ICU) admission rate was low overall (1.1%) although higher for Indigenous people (2.4%). Following discharge, the hospital re‐admission rate was 3.8% and all‐cause mortality was 0.03%. The incidence of appendicitis in FNQ is higher than that reported in the rest of Australia in both Indigenous and non‐Indigenous populations. Despite logistical challenges of health care, clinical outcomes are in line with best practice across the country. Clinicians in FNQ should maintain a high index of suspicion for diagnosing appendicitis in rural and remote settings.
Publisher: Wiley
Date: 24-11-2021
DOI: 10.1111/ANS.16436
Publisher: Ochsner Journal
Date: 2018
DOI: 10.31486/TOJ.18.0025
No related grants have been discovered for Kate Swift.