Publications by authors named "Janet Amey"
Introduction: Blunt colonic injury (BCI) is relatively rare, and literature on the topic is sparse. This study reviews our contemporary experience in its management at a level-one trauma centre in New Zealand.
Materials And Methods: This was a retrospective study (January 2012 to December 2020) that included all patients who sustained a BCI managed at Waikato Hospital, New Zealand.
Purpose: Trauma centres have been proven to provide better outcomes in developed countries for overall trauma, but there is limited literature on the systematic factors that describe any discrepancies in outcomes for trauma laparotomies in these centres. This study was conducted to examine and interrogate the effect of systematic factors on patients undergoing a trauma laparotomy in a developed country, intending to identify potential discrepancies in the outcome.
Methods: This was a retrospective study of all laparotomies performed for trauma at a level 1 trauma centre in New Zealand.
Aims: The management of patients with blunt abdominal trauma (BAT) who have isolated free fluid (IFF) with no solid organ injury (SOI) on computed tomography (CT) remains controversial. This study aims to determine if the volume of free fluid (FF) is a predictor of the need for operative management of traumatic intra-abdominal injuries, by reviewing the local cumulative experience with IFF at a major trauma centre in New Zealand.
Methods: A retrospective study was undertaken over nine years at a Level 1 trauma centre in New Zealand.
Aim: To investigate the volume, injury characteristics and journey of Te Manawa Taki/Midland (TMT) residents hospitalised with a traumatic brain injury (TBI).
Methods: A retrospective review of TMT Trauma Registry data between 1 January 2012 and 31 December 2019 was conducted. Eligible patients (n=4,875) were TMT residents hospitalised with an injury to the brain parenchyma.
Introduction: The objective of this study was to review the experience of surgical registrars in performing trauma laparotomies at a level 1 trauma centre in New Zealand, and to benchmark this exposure against the current literature on the topic.
Methods: A cohort study was conducted retrospectively at a level 1 trauma centre, Waikato Hospital, Hamilton, New Zealand. All patients (>15 years) who underwent a laparotomy for trauma between 2012 and 2020 were included.
Aim: The management of abdominal stab wounds (SW) has continued to evolve. The use of CT and laparoscopy has been advocated to reduce the rate of laparotomy. This study reviews our experience with SW in a high income, low volume setting.
View Article and Find Full Text PDFPaediatric playground and tree-related injuries: Hospital admissions in the Midland region of New Zealand.
J Paediatr Child Health
December 2021
Aim: To examine the incidence and outcomes of paediatric playground and tree-related injuries in the Midland region of New Zealand.
Methods: A retrospective review of Midland Trauma Registry hospitalisation data between January 2012 and December 2018 was undertaken. Cases included children aged 0-14 years hospitalised for playground and tree-related injuries.
Article Synopsis
- The study assessed the impact of community lockdowns on trauma-related hospital admissions in Midland, New Zealand, during February to July 2020, comparing it to the previous three years.
- There was a significant 36.7% decrease in injury admissions during the strict lockdown phase (Alert Level 4), although admissions rose by 17.8% before lockdown and rebounded after restrictions were lifted.
- Notably, injuries occurring at home and on footpaths increased, while injuries on roads, at schools, and in sports areas declined; falls remained the leading cause of hospitalization.
Article Synopsis
- The study aimed to analyze changes in injury admissions at a New Zealand trauma center before and during the COVID-19 lockdown, identifying at-risk communities for preventable injuries.
- The research showed a 43% overall decrease in injury-related hospital admissions, with significant drops in major injuries, male admissions, and injuries in children, primarily due to falls at home.
- The conclusion emphasized the importance of maintaining hospital services, increasing awareness on fall prevention, and promoting road safety to reduce future injuries and alleviate strain on healthcare resources during the pandemic.
Article Synopsis
- The study analyzed quad bike-related hospitalizations in the Midland region from July 2012 to June 2018, focusing on both major and non-major injuries to paint a comprehensive picture.
- Out of 346 recorded injuries, the majority (70.2%) happened on farms, with a significant gender disparity (3.7 males for every female) and a concerning number of children involved (46 hospitalizations).
- The findings highlight the ongoing risks associated with quad bikes, especially for children and aging farmers, emphasizing the need for targeted safety measures beyond just workplace safety.
Aim: Current policy direction seeks to promote participation in both recreational and active transport cycling. We evaluate cycling-related injuries resulting in hospital admission across the Midland Region of New Zealand to establish injury trends.
Method: A retrospective review of anonymised prospectively-collected trauma registry data from 1 June 2012 to 31 July 2016 in the Midland Region.
Introduction: Despite more than 10 years of the diabetes annual review (DAR) programme, ensuring the annual return of diabetic patients for review remains a challenge for primary care. Regardless of future arrangements for diabetes review programmes, regular review of patients remains clinically important.
Aim: To investigate the effect of patient and practice characteristics on the retention of patients continuously enrolled with the same practice in the DAR programme.