248 results match your criteria: "Caulfield Hospital[Affiliation]"

Study Design: International multicentre cross-sectional study.

Objectives: To describe the organisation and systems of paediatric spinal cord injury (SCI) rehabilitation services in seven countries and compare them with available recommendations and key features of paediatric SCI.

Setting: Ten SCI rehabilitation units in seven countries admitting children and adolescents with SCI < 18 years of age.

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Driver, Collision and Meteorological Characteristics of Motor Vehicle Collisions among Road Trauma Survivors.

Int J Environ Res Public Health

October 2021

Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC 3004, Australia.

Road trauma remains a significant public health problem. We aimed to identify sub-groups of motor vehicle collisions in Victoria, Australia, and the association between collision characteristics and outcomes up to 24 months post-injury. Data were extracted from the Victorian State Trauma Registry for injured drivers aged ≥16 years, from 2010 to 2016, with a compensation claim who survived ≥12 months post-injury.

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Purpose: How people perceive their injury may be associated with recovery. This scoping review used the Common Sense Model of Illness Perceptions (CSM) as a framework to: (1) characterise injury perceptions; (2) describe biopsychosocial factors related to injury perceptions, and (3) determine how injury perceptions are associated with recovery outcomes.

Materials And Methods: A broad search strategy was used across eight databases to identify studies exploring injury perceptions and related concepts in adults with traumatic orthopaedic injuries.

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An evaluation of the association between fault attribution and healthcare costs and trajectories in the first three years after transport injury.

Injury

November 2021

Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia; Health Data Research UK, Swansea University Medical School, Singleton Park, Swansea University, Swansea, Wales, UK, SA2 8PP.

Background: People with complex medical and psychosocial issues have high healthcare needs. This registry-based cohort study sought to quantify the association between external fault attribution, recorded during compensation claim lodgement, and the cost and patterns of healthcare utilisation.

Methods: 6,144 survivors of transport-related major trauma between 1 July 2010 and 30 June 2016 were extracted from the Victorian State Trauma Registry (VSTR) and linked to treatment payments from the Transport Accident Commission (TAC).

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Redundancy within hospital-related harm prediction tools.

Intern Med J

September 2021

Department of Aged Care and Rehabilitation, Caulfield Hospital, Alfred Health, Melbourne, Victoria, Australia.

The predictive ability and efficiency of inpatient harm screening tools is unclear. We performed a retrospective analysis of approximately 25 000 people admitted to our hospital in 2019. We found that the discriminatory ability of the harm screening tools was at best moderate and could be attributed to one or two questions that overlapped with each other in the harm they predicted.

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Objective: Older age is often identified as a risk factor for poor outcome from traumatic brain injury (TBI). However, this relates predominantly to mortality following moderate-severe TBI. It remains unclear whether increasing age exerts risk on the expected recovery from mild TBI (mTBI).

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Patterns and predictors of personal responsibility attributions after major trauma.

Injury

October 2021

Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia; Caulfield Pain Management and Research Centre, Caulfield Hospital, Caulfield, Victoria, Australia. Electronic address:

Article Synopsis
  • The study investigates how external attributions of responsibility for injuries affect recovery and whether individuals accept personal responsibility for their injuries over time.
  • It includes 850 patients who were monitored at admission, discharge, and six months post-injury to assess changes in their responsibility perceptions.
  • Findings show that factors like gender and type of injury influence how responsibility is perceived, with many participants changing their views on responsibility within six months, highlighting that these attributions are not fixed and should be understood contextually in research.
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: In the context of limited research assessing outcomes following mild traumatic brain injury (mTBI) in older adults, this study evaluated cognitive outcomes through prospective memory, and expected that performance of an older mTBI group (≥65 years) would be lower compared to orthopedic and community controls. The study also explored whether cognitive resources (retrospective memory, executive function) moderated any association between presenting Glasgow Coma Scale (GCS) and prospective memory.: At three-months post-injury, a mTBI group ( = 39), an orthopedic control group ( = 63), and a community control group ( = 46) completed a neuropsychological assessment, including (i) prospective memory, using a standardized paper-and-pencil task (Cambridge Prospective Memory Test), an augmented reality task and a naturalistic task, and (ii) standardized measures of retrospective memory (Hopkins Verbal Learning Test) and executive function (Trail Making Test).

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Health status after penetrating major trauma in Victoria, Australia: a registry-based cohort study.

Qual Life Res

December 2021

Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, 553 St Kilda Road, Melbourne, VIC, 3004, Australia.

Purpose: As few studies have examined long-term health after penetrating injury, this population-based registry study sought to assess health outcomes up to 24 months post-injury.

Methods: Major trauma patients with penetrating trauma (2009-2017) were included from the Victorian State Trauma Registry (N = 1,067; 102 died, 208 were lost to follow-up). The EQ-5D-3L was used to measure health status at 6, 12 and 24-months.

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Exploring patterns of personal alarm system use and impacts on outcomes.

Australas J Ageing

September 2021

Department of Medicine, Central Clinical School, Peninsula Clinical School, Monash University, Melbourne, Victoria, Australia.

Objectives: To describe the patterns of personal emergency response systems (PERS) use in a statewide cohort of older Australians.

Methods: PERS data from clients enrolled in the Personal Alarm Victoria program between January 2014 and June 2017 were analysed. Alarm activation reasons were extracted, and a medical record audit was performed for a sub-cohort of patients admitted to a local hospital following an alarm event.

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Objective: To assess whether body pain was associated with different trauma histories (physical injury vs. interpersonal injury [IPI]) within Australian women, along with body pain and trauma history associations with biological and psychological (biopsycho) confounders.

Methods: A retrospective cross-sectional analysis was conducted on the Australian Longitudinal Study on Women's Health (ALSWH) 1973-1978 birth cohort wave 6 data.

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Classification of road traffic injury collision characteristics using text mining analysis: Implications for road injury prevention.

PLoS One

June 2021

Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.

Road traffic injuries are a leading cause of morbidity and mortality globally. Understanding circumstances leading to road traffic injury is crucial to improve road safety, and implement countermeasures to reduce the incidence and severity of road trauma. We aimed to characterise crash characteristics of road traffic collisions in Victoria, Australia, and to examine the relationship between crash characteristics and fault attribution.

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Evaluation of the Relationship Between Geographic Proximity and Treatment for People Referred to a Metropolitan Multidisciplinary Pain Clinic.

Pain Med

September 2021

Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.

Objective: This study examined which patient characteristics are associated with traveling further to attend a metropolitan, publicly funded pain management service, and whether travel distance was associated with differences in treatment profile, duration, and percentage of appointments attended.

Design: Cross-sectional observational cohort study.

Method: Patients ≤70 years of age with a single referral between January 2014 and June 2018 who had not died within 12 months of their first appointment and who had a usual place of residence were included (N = 1,684; mean age = 47.

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Compulsory and voluntary drug treatment models in China: A need for improved evidence-based policy and practice to reduce the loaded burden of substance use disorders.

Int J Drug Policy

June 2021

Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia; Caulfield Pain Management and Research Centre, Caulfield Hospital, Caulfield, Victoria, Australia.

In China, the majority of people who use drugs (PWUD) identified by authorities are admitted to compulsory isolated detoxification centers in which their treatment is administered by administrative and judicial systems that restrict their freedom. China's compulsory isolated detoxification centers have been criticized as an abuse of human rights. The two other primary models of drug treatment in China include community-based treatment and medically-oriented voluntary treatment.

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This investigation assessed the relationship between subjective self-reports and objective measures of prospective memory with forty-eight healthy, community-dwelling older-adults (> 65 years). The Prospective and Retrospective Memory Questionnaire provided the self-report data, the Cambridge Prospective Memory Test was used as a clinic-based test, and the Telephone Task (telephoning the examiner at irregular, pre-scheduled times across one week) was used as a naturalistic measure. The self-reported difficulties were negatively associated with performance on the naturalistic task, (41) = -0.

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Electronic Medication Management System Introduction and Deprescribing Practice in Post-Acute Care.

J Am Med Dir Assoc

January 2021

Department of Rehabilitation and Aged Care, Caulfield Hospital, The Alfred, Melbourne, Victoria, Australia; Academic Unit, Peninsula Clinical School, Central Clinical School, Monash University, Melbourne, Victoria, Australia; Department of Geriatric Medicine, Peninsula Health, Melbourne, Victoria, Australia. Electronic address:

Objective: To determine the effect of introducing an electronic medication management system (EMMS) on deprescribing practice in a post-acute hospital setting.

Design: This study used a before-after study design.

Setting And Participants: This study examined the admission and discharge medications prescribed to patients admitted to an Australian post-acute hospital before and after the introduction of an EMMS.

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Muscle weakness is well established as the primary impairment that affects walking after stroke and strength training is an effective intervention to improve this muscle weakness. Observation of clinical practice however has highlighted an evidence-practice gap in the implementation of evidence-based strength training guidelines. : To explore perceived barriers and facilitators that influence Australian physiotherapy practices when prescribing strength training with stroke survivors undergoing gait rehabilitation.

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Prognostic Role of Demographic, Injury and Claim Factors in Disabling Pain and Mental Health Conditions 12 Months after Compensable Injury.

Int J Environ Res Public Health

October 2020

Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Wellington Rd, 3800 Clayton VIC, Australia.

Identifying who might develop disabling pain or poor mental health after injury is a high priority so that healthcare providers can provide targeted preventive interventions. This retrospective cohort study aimed to identify predictors of disabling pain or probable mental health conditions at 12 months post-injury. Participants were recruited 12-months after admission to a major trauma service for a compensable transport or workplace injury ( = 157).

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The evidence supporting single-use intermittent catheters in people with spinal cord injury.

Spinal Cord Ser Cases

September 2020

Spinal Rehabilitation Service, Caulfield Hospital, Alfred Health, Melbourne, VIC, Australia.

Intermittent catheterization (IMC) is the accepted evidence-based best practice for bladder management in people with voiding dysfunction due to neurogenic bladder. The two methods for performing IMC over the decades since this practice was introduced are reuse and single-use catheters. There are perceived advantages and disadvantages of each method of performing IMC.

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Association of fear-avoidance and self-efficacy on pain disability in individuals with co-morbid post-traumatic stress and chronic pain.

J Health Psychol

January 2022

Department of Epidemiology & Preventive Medicine, School of Public Health & Preventive Medicine, Monash University, Melbourne, Australia.

This study investigated relationships between post-traumatic stress symptoms (PTSS) and pain disability. Fifty people with chronic pain (probable PTSD,  = 22) completed measures assessing pain interference, PTSS, fear avoidance, and pain self-efficacy. We hypothesized that people with probable PTSD would have higher fear avoidance and lower pain self-efficacy; and that PTSS would be indirectly associated with pain disability via fear avoidance and self-efficacy.

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Cognitive-communication difficulties following traumatic brain injury sustained in older adulthood: a scoping review.

Int J Lang Commun Disord

November 2020

Discipline of Speech Pathology, School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, VIC, Australia.

Background: Older adults are a peak incidence group for traumatic brain injury (TBI). However, empirical evidence on TBI in older adults is often limited to extrapolated findings from studies involving younger adults. While cognitive-communication deficits are an established consequence of TBI with substantial impact on social outcome for younger adults, little is known about the nature of cognitive-communication changes experienced by older adults following a new-onset TBI.

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Tolerability of caloric vestibular stimulation in a persistent pain cohort.

Brain Stimul

January 2021

Monash Biomedicine Discovery Institute, Department of Physiology, Monash University, Melbourne, VIC, Australia; Monash Alfred Psychiatry Research Centre, Monash University Central Clinical School and the Alfred Hospital, Melbourne, VIC, Australia. Electronic address:

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Background: People who sustain road traffic injuries often have poor health outcomes. While outcomes are often worse in people with a compensation claim, especially in fault-based schemes versus no-fault schemes, few studies have directly compared outcomes across scheme types.

Objective: To compare health and work outcomes between people who had no compensation claim, a fault-based claim, or "no-fault" transport or workers compensation claim after hospitalisation for a road traffic injury.

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Health Literacy of Patients Attending Cardiac Rehabilitation.

J Cardiopulm Rehabil Prev

July 2020

Australian Centre for Heart Health, Melbourne, Australia (Drs Beauchamp and Jackson); Department of Medicine-Western Health, University of Melbourne, Australia (Dr Beauchamp); Australian Institute for Musculoskeletal Science, Melbourne, Australia (Dr Beauchamp); Monash University School of Rural Health, Warragul, Australia (Dr Beauchamp); Cardiac Rehabilitation Unit, Caulfield Hospital, Australia (Ms Sheppard and Dr Wise); Epworth Monash Rehabilitation Medicine Unit, Monash University, Australia (Dr Wise); Faculty of Health, Deakin University, Geelong, Australia (Dr Jackson); and Centre on Behavioural Health, University of Hong Kong, China (Dr Jackson).

Purpose: Cardiac rehabilitation (CR) is effective at reducing further cardiac events. However, dropout rates are high, and maintenance of behavioral change post-CR is challenging. Health literacy (HL) may influence self-management of cardiac risk, yet few studies have explored this association.

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