ORCID Profile
0000-0003-3182-9930
Current Organisations
Monash University
,
Alfred Health
,
Florey Institute of Neuroscience and Mental Health
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Publisher: Elsevier BV
Date: 10-2021
Publisher: Informa UK Limited
Date: 03-07-2018
Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 06-11-2017
Abstract: Bystander cardiopulmonary resuscitation ( CPR ) more than doubles the chance of surviving an out‐of‐hospital cardiac arrest. Recent data have shown considerable regional variation in bystander CPR rates across the Australian state of Victoria. This study aims to determine whether there is associated regional variation in rates of CPR training and willingness to perform CPR in these communities. We categorized each Victorian postcode as either a low or high bystander CPR region using data on adult, bystander‐witnessed, out‐of‐hospital cardiac arrests of presumed cardiac etiology (n=7175) from the Victorian Ambulance Cardiac Arrest Registry. We then surveyed adult Victorians (n=404) and compared CPR training data of the respondents from low and high bystander CPR regions. Of the 404 adults surveyed, 223 (55%) resided in regions with low bystander CPR . Compared with respondents from high bystander CPR regions, respondents residing in regions with low bystander CPR had lower rates of CPR training (62% versus 75%, P =0.009) and lower self‐ratings for their overall knowledge of CPR (76% versus 84%, P =0.04). There were no differences between the regions in their reasons for not having undergone CPR training or in their willingness to perform CPR . Rates of survival for bystander‐witnessed, out‐of‐hospital cardiac arrests were significantly lower in low bystander CPR regions (15.7% versus 17.0%, P .001). This study found lower rates of CPR training and lower survival in regions with lower rates of bystander CPR in Victoria, Australia. Targeting these regions with CPR training programs may improve bystander CPR rates and out‐of‐hospital cardiac arrest outcomes.
Publisher: Elsevier BV
Date: 08-2018
DOI: 10.1016/J.RESUSCITATION.2018.06.001
Abstract: Understanding regional variation in bystander cardiopulmonary resuscitation (CPR) is important to improving out-of-hospital cardiac arrest (OHCA) survival. In this study we aimed to identify barriers to providing bystander CPR in regions with low rates of bystander CPR and where OHCA was recognised in the emergency call. We retrospectively reviewed emergency calls for adults in regions of low bystander CPR in the Australian state of Victoria. Included calls were those where OHCA was identified during the call but no bystander CPR was given. A thematic content analysis was independently conducted by two investigators. Saturation of themes was reached after listening to 139 calls. Calls progressed to the point of compression instructions before EMS arrival in only 26 (18.7%) of cases. Three types of barriers were identified: procedural barriers (time lost due to language barriers and communication issues telephone problems), CPR knowledge (skill deficits perceived benefit) and personal factors (physical frailty or disability patient position emotional factors). A range of factors are associated with barriers to delivering bystander CPR even in the presence of dispatcher instructions - some of which are modifiable. To overcome these barriers in high-risk regions, targeted public education needs to provide information about what occurs in an emergency call, how to recognise an OHCA and to improve CPR knowledge and skills.
Publisher: Springer Science and Business Media LLC
Date: 07-04-2017
Publisher: Oxford University Press (OUP)
Date: 12-07-2017
Abstract: Patients with a cardiac history are at future risk of cardiac events, including out-of-hospital cardiac arrest. Targeting cardiopulmonary resuscitation (CPR) training to family members of cardiac patients has long been advocated, but is an area in need of contemporary research evidence. An environment yet to be investigated for targeted training is cardiac rehabilitation. To evaluate the feasibility of providing CPR training in a cardiac rehabilitation programme among patients, their family members and staff. A prospective before and after study design was used. CPR training was delivered using video self-instruction CPR training kits, facilitated by a cardiac nurse. Data was collected pre-training, post-training and at one month. Cardiac patient participation rates in CPR classes were high ( n = 56, 72.7% of eligible patients) with a further 27 family members attending training. Patients were predominantly male (60.2%), family members were predominantly female (81.5%), both with a mean age of 65 years. Confidence to perform CPR and willingness to use skills significantly increased post-training (both p .001). Post training participants demonstrated a mean compression rate of 112 beats/min and a mean depth of 48 mm. Training reach was doubled as participants shared the video self-instruction kit with a further 87 people. Patients, family members and cardiac rehabilitation staff had positive feedback about the training. We demonstrated that cardiac rehabilitation is an effective and feasible environment to provide CPR training. Using video self-instruction CPR training kits enabled further training reach to the target population.
Publisher: Wiley
Date: 10-10-2017
DOI: 10.1111/JCMM.13349
Publisher: Wiley
Date: 02-10-2018
DOI: 10.1111/JPC.13710
Abstract: To examine the psychological and psychosocial service needs of mothers of children with craniofacial anomalies (CFAs). Mothers (n = 55) of children from newborn to 6 years with CFA completed self-report measures of psychological distress, quality of life and perceived social support. Mothers' psychological distress levels were significantly higher than those in a normative population. Mothers reported lower quality of life than the normative s le. Social support mediated the relationship between quality of life and psychological distress. While most mothers reported a willingness to receive formal psychological support for issues relating to their child's CFA, few had been offered such services. Mothers of children with CFAs may experience increased psychological distress in comparison with the general population. Increased social support may reduce the risk of psychological distress, thus enhancing quality of life among such mothers. The majority of mothers of children with CFAs in Australia may not be routinely offered psychological support services in spite of their elevated psychological risk.
Publisher: Wiley
Date: 13-01-2017
Abstract: To provide contemporary Australian data on the public's training in cardiopulmonary resuscitation (CPR) and awareness of hands-only CPR. A cross-sectional telephone survey in April 2016 of adult residents of the Australian state of Victoria was conducted. Primary outcomes were rates of CPR training and awareness of hands-only CPR. Of the 404 adults surveyed (mean age 55 ± 17 years, 59% female, 73% metropolitan residents), 274 (68%) had undergone CPR training. Only 50% (n = 201) had heard of hands-only CPR, with most citing first-aid courses (41%) and media (36%) as sources of information. Of those who had undergone training, the majority had received training more than 5 years previously (52%) and only 28% had received training or refreshed training in the past 12 months. Most received training in a formal first-aid class (43%), and received training as a requirement for work (67%). The most common reasons for not having training were: they had never thought about it (59%), did not have time (25%) and did not know where to learn (15%). Compared to standard CPR, a greater proportion of respondents were willing to provide hands-only CPR for strangers (67% vs 86%, P < 0.001). From an Australian perspective, there is still room for improvement in CPR training rates and awareness of hands-only CPR. Further promotion of hands-only CPR and self-instruction (e.g. DVD kits or online) may see further improvements in CPR training and bystander CPR rates.
Publisher: Informa UK Limited
Date: 15-02-2018
DOI: 10.1080/02699052.2018.1439533
Abstract: Mild traumatic brain injury (mTBI) is common injury during childhood and adolescence but the long-term outcomes are poorly understood. This study examined post-concussive symptoms and behavioural outcomes in children and adolescents up to 24 months post-mTBI. Parents of children aged 8-15 years with mTBI completed the BASC-2 and Rivermead Post-Concussion Symptoms Questionnaire at baseline, 1-, 6-, 12- and 24 months post-injury. An age-matched traumatic brain injury-free cohort was recruited and assessed at 12- and 24 months. PCSs decreased significantly over the first 12 months post-injury. At 12- and 24 months post-injury, the mTBI group reported more PCSs and behavioural symptoms compared to controls. Parents of children with mTBI were more likely to report ≥4 problematic PCS symptoms (28% at both time points) compared to controls (7.7% and 1.7% at 12 and 24 months, respectively). The mTBI group was 4.63 times more likely to have four or more ongoing PCS symptoms at 12 months post-injury compared to controls. Headache was the most common acute post-injury symptom (55%), while the most commonly reported persistent symptoms were irritability, frustration, forgetfulness and fatigue. PCSs are common 2 years post-mTBI in childhood or adolescence. Given this, additional intervention and support is needed for families post-injury.
Publisher: Wiley
Date: 17-06-2015
DOI: 10.1111/JPC.12949
Abstract: The aim of this study was to examine the psychological and psychosocial service needs of parents and children in a New Zealand hospital paediatric outpatient clinic. Parents (n = 152), children and adolescents aged 0-16 years with a range of illness types and severities completed self-reports of depression, anxiety, stress and quality of life, and rated their child's emotional, behavioural and social problems. Paediatricians rated children's health, medical adherence and the families' need for psychosocial support. One hundred fifty-two parents completed the questionnaire. Parents' stress levels were significantly higher than those in a normative population. Children's levels of emotional, behavioural and social problems were significantly elevated. Paediatricians perceived that a large proportion of families could benefit from psychosocial intervention, and the majority of families were interested in paediatric psychological services. Parents and children coping with mild or short-term childhood illnesses may experience significantly elevated levels of psychological distress and dysfunction, as do those with chronic or life-threatening illnesses. While families report high levels of interest in receiving paediatric psychology services, the majority has not received psychological support.
Location: Australia
No related grants have been discovered for Rosalind Case.