scholarly journals Does the current New Zealand case definition of serious non-fatal injury miss a material number of serious injury cases?

2010 ◽  
Vol 16 (Supplement 1) ◽  
pp. A141-A142
Author(s):  
C. Cryer ◽  
P. Gulliver ◽  
J. Langley ◽  
G. Davie ◽  
A. Samaranayaka
Keyword(s):  
New Zealand ◽  
Case Definition ◽  
Fatal Injury ◽  
Serious Injury ◽  
Definition Of

Use of mixed methods to investigate case definitions to improve the identification of serious injury cases from hospital episode data

2019 ◽  
Vol 25 (6) ◽  
pp. 552-556
Author(s):  
Colin Cryer ◽  
Gabrielle Davie ◽  
Pauline Gulliver ◽  
Ari Samaranayaka
Keyword(s):  
Motor Vehicle ◽  
Case Definition ◽  
Principal Diagnosis ◽  
Hospital Data ◽  
Case Definitions ◽  
Discharge Data ◽  
Fatal Injury ◽  
Self Harm ◽  
Serious Injury ◽  
International Experts

IntroductionIt has been commonplace internationally, when using hospital data, to use the principal diagnosis to identify injury cases and the first external cause of injury code (E-code) to identify the main cause. Our purpose was to investigate alternative operational definitions of serious non-fatal injury to identify cases of interest for injury surveillance, both overall and for four common causes of injury.MethodsSerious non-fatal injury cases were identified from New Zealand (NZ) hospital discharge data using an alternative definition: that is, case selection using principal and additional diagnoses. Separately, identification of cause used all E-codes on the discharge record. Numbers of cases identified were contrasted with those captured using the usual definition. Views of NZ government stakeholders were sought regarding the acceptability of the additional cases found using these alternative definitions. Views of international experts were also canvassed.ResultsWhen using all diagnoses there was a 7% increase in ‘all injury’ cases identified, a 17% increase in self-harm cases and 8% increase in falls cases. Use of all E-codes resulted in a 4% increase in self-harm cases, 2% increase in assault cases and 1% increase in both falls and motor vehicle traffic crash cases.DiscussionA case definition based solely on principal diagnosis fails to count a material number of serious non-fatal injury cases that are of interest to the injury prevention community. There is a need, therefore, to use an alternative case definition that includes additional diagnoses. Use of multiple E-codes to classify cause of injury should be considered.

Preventable injury deaths: identifying opportunities to improve timeliness and reach of emergency healthcare services in New Zealand

2017 ◽  
Vol 24 (5) ◽  
pp. 384-389 ◽  
Author(s):  
Rebbecca Lilley ◽  
Bridget Kool ◽  
Gabrielle Davie ◽  
Brandon de Graaf ◽  
Shanthi N Ameratunga ◽  
...  
Keyword(s):  
New Zealand ◽  
Hospital Care ◽  
Healthcare Services ◽  
Care Providers ◽  
Cross Sectional ◽  
Advanced Level ◽  
Fatal Injury ◽  
Timely Access ◽  
Serious Injury ◽  
Level Hospital

BackgroundTraumatic injury is a leading cause of premature death and health loss in New Zealand. Outcomes following injury are very time sensitive, and timely access of critically injured patients to advanced hospital trauma care services can improve injury survival.ObjectiveThis cross-sectional study will investigate the epidemiology and geographic location of prehospital fatal injury deaths in relation to access to prehospital emergency services for the first time in New Zealand.Design and study populationElectronic Coronial case files for the period 2008–2012 will be reviewed to identify cases of prehospital fatal injury across New Zealand.MethodsThe project will combine epidemiological and geospatial methods in three research phases: (1) identification, enumeration, description and geocoding of prehospital injury deaths using existing electronic injury data sets; (2) geocoding of advanced hospital-level care providers and emergency land and air ambulance services to determine the current theoretical service coverage in a specified time period and (3) synthesising of information from phases I and II using geospatial methods to determine the number of prehospital injury deaths located in areas without timely access to advanced-level hospital care.DiscussionThe findings of this research will identify opportunities to optimise access to advanced-level hospital care in New Zealand to increase the chances of survival from serious injury. The resulting epidemiological and geospatial analyses will represent an advancement of knowledge for injury prevention and health service quality improvement towards better patient outcomes following serious injury in New Zealand and similar countries.

Empirical validation of the New Zealand serious non-fatal injury outcome indicator for ‘all injury’

2017 ◽  
Vol 24 (4) ◽  
pp. 300-304 ◽  
Author(s):  
Colin Cryer ◽  
Gabrielle S Davie ◽  
Pauline J Gulliver ◽  
Eleni Th Petridou ◽  
Nick Dessypris ◽  
...  
Keyword(s):  
New Zealand ◽  
Survival Probability ◽  
High Probability ◽  
Patient Records ◽  
Empirical Validation ◽  
Fatal Injury ◽  
Outcome Indicator ◽  
Serious Injury ◽  
Serious Injuries

Our purpose was to empirically validate the official New Zealand (NZ) serious non-fatal ’all injury' indicator. To that end, we aimed to investigate the assumption that cases selected by the indicator have a high probability of admission. Using NZ hospital in-patient records, we identified serious injury diagnoses, captured by the indicator, if their diagnosis-specific survival probability was ≤0.941 based on at least 100 admissions. Corresponding diagnosis-specific admission probabilities from regions in Canada, Denmark and Greece were estimated. Aggregate admission probabilities across those injury diagnoses were calculated and inference made to New Zealand. The admission probabilities were 0.82, 0.89 and 0.90 for the regions of Canada, Denmark and Greece, respectively. This work provides evidence that the threshold set for the official New Zealand serious non-fatal injury indicator for ’all injury' captures injuries with high aggregate admission probability. If so, it is valid for monitoring the incidence of serious injuries.

scholarly journals 8C.001 Towards decent, safe work: learnings from work-related fatal injury in New Zealand

2021 ◽  
Author(s):  
Rebbecca Lilley ◽  
Bronwen McNoe ◽  
Gabrielle Davie ◽  
Simon Horsburgh ◽  
Tim Driscoll
Keyword(s):  
New Zealand ◽  
Fatal Injury ◽  
Work Related ◽  
Safe Work

scholarly journals Economic Contributions and Challenges of Immigrant Entrepreneurs to Their Host Country – Case of African Immigrants in Auckland, New Zealand

2017 ◽  
Vol 6 (1) ◽  
pp. 25
Author(s):  
Olufemi Muibi Omisakin
Keyword(s):  
New Zealand ◽  
Small Business ◽  
Host Country ◽  
Sampling Technique ◽  
Business Owners ◽  
Small Business Owners ◽  
Structured Interviews ◽  
Immigrant Entrepreneurship ◽  
Immigrant Entrepreneurs ◽  
Definition Of

Entrepreneurship is an important concept in both developing and developed societies today. Although there is no consensus on the definition of entrepreneurship, it is believed to be a process of creating value by bringing together a unique package of resources to exploit entrepreneurship opportunities (Morris, 2002). This study aims to discover the economic contributions and challenges of immigrant entrepreneurs to their host country, and focuses on African small business owners in Auckland, New Zealand. Literature on immigrant entrepreneurship was reviewed, resulting in a discussion of the economic contributions of immigrant entrepreneurship as well as its challenges. Data was collected using face-to-face, semi-structured interviews, observation and field notes as the sources of inquiry. A purposive sampling technique was used to select 17 participants. All participants were African immigrant small business owners running businesses in Auckland. Thematic analysis was used to analyse the data collected (Braun & Clarke, 2006). 

Diagnostic and Therapeutic Knowledge and Practices in the Management of Congenital Syphilis by Pediatricians in Public Maternity Hospitals in Brazil

2017 ◽  
Vol 49 (2) ◽  
pp. 322-342 ◽  
Author(s):  
Raquel Rodrigues dos Santos ◽  
Roberta Pereira Niquini ◽  
Francisco Inácio Bastos ◽  
Rosa Maria Soares Madeira Domingues
Keyword(s):  
Congenital Syphilis ◽  
Cross Sectional Study ◽  
Case Definition ◽  
Educational Work ◽  
Correct Treatment ◽  
Cross Sectional ◽  
Treatment Protocols ◽  
Missed Opportunities ◽  
Maternity Hospitals ◽  
Definition Of

The study aimed to assess conformity with Brazil’s standard protocol for diagnostic and therapeutic practices in the management of congenital syphilis by pediatricians in public maternity hospitals. A cross-sectional study was conducted in 2015 with 41 pediatricians working in all the public maternity hospitals in Teresina, the capital of Piauí State, Northeast Brazil, through self-completed questionnaires. The study assessed the conformity of knowledge and practices according to the Brazilian Ministry of Health protocols. The study has made evident low access to training courses (54%) and insufficient knowledge of the case definition of congenital syphilis (42%) and rapid tests for syphilis (39%). Flaws were observed in the diagnostic workup and treatment of newborns. Requesting VDRL (88%) and correct treatment of neurosyphilis (88%) were the practices that showed the highest conformity with standard protocols. Low conformity with protocols leads to missed opportunities for identifying and adequately treating congenital syphilis. Based on the barriers identified in the study, better access to diagnostic and treatment protocols, improved recording on prenatal cards and hospital patient charts, availability of tests and medicines, and educational work with pregnant women should be urgently implemented, aiming to reverse the currently inadequate management of congenital syphilis and to curb its spread.

EVALUATION OF A CLINICAL CASE-DEFINITION OF ACQUIRED IMMUNODEFICIENCY SYNDROME IN AFRICA

The Lancet ◽  
1987 ◽  
Vol 329 (8531) ◽  
pp. 492-494 ◽  
Author(s):  
Robert Colebunders ◽  
Henry Francis ◽  
Lebughe Izaley ◽  
Kanyinda Kabasele ◽  
Nzila Nzilambi ◽  
...  
Keyword(s):  
Acquired Immunodeficiency Syndrome ◽  
Clinical Case ◽  
Case Definition ◽  
Acquired Immunodeficiency ◽  
Definition Of ◽  
Immunodeficiency Syndrome ◽  
Clinical Case Definition

A SIMPLIFIED SURVEILLANCE CASE DEFINITION OF AIDS DERIVED FROM EMPIRICAL CLINICAL DATA

1992 ◽  
Vol 5 (12) ◽  
pp. 1212???1223 ◽  
Author(s):  
Bruce G. Weniger ◽  
Eleonora Pati Quinh??es ◽  
Andrea Borges Sereno ◽  
Maur??cio Andrade de Perez ◽  
John W. Krebs ◽  
...  
Keyword(s):  
Clinical Data ◽  
Case Definition ◽  
Definition Of

scholarly journals SARS-COV-2 INFECTION IN PRIMARY CARE: A SINGLE-CENTERED, RETROSPECTIVE, OBSERVATIONAL STUDY

2021 ◽  
Author(s):  
Pilar Galicia ◽  
Juan Jose Gutierrez Cuevas ◽  
Fang Fang Chen Chen ◽  
Laura Santos Larregola ◽  
Alberto Manzanares Briega ◽  
...  
Keyword(s):  
Primary Care ◽  
Arterial Hypertension ◽  
Clinical Characteristics ◽  
Care Center ◽  
Case Definition ◽  
Living Conditions ◽  
Primary Care Center ◽  
Predictive Role ◽  
Definition Of

Purpose: to describe the clinical characteristics of patients with confirmed SARS-CoV-2 infection in primary care and to analyze the predictive role of different risk factors on prognosis, especially living conditions. Methods: Retrospective longitudinal observational retrospective study by reviewing medical records from a primary care center since March 1 to April 30, 2020. Case definition of confirmed SARS-CoV-2 infection, sociodemographic data, clinical characteristics, comorbidity and living conditions were collected. The statistical analysis consisted in description of the sample, comparison of prognosis groups and analysis of prognostic factors. Results. A sample of 70 patients with confirmed SARS-CoV-2 infection was obtained, with comorbidity mainly related to arterial hypertension, overweight/obesity, hypercholesterolemia, diabetes and chronic pulmonary pathology. Pneumonia was present in 66%. Exitus occurred in 14% of the sample. Factors associated with mortality were advanced age (84 vs 55; p<0.0001), arterial hypertension (78% vs 41%; p=0.040), asthma-COPD (56% vs 13%; p=0.008) and atrial fibrillation (56% vs 5%; p=0.001). Conclusions. The study reflects the clinical practice of a primary care center. This kind of studies are essential to strengthen and reorganize the Health System and to try to anticipate the medium- to long-term consequences of COVID-19 on global health.

Case definition of psoriatic arthritis

The Lancet ◽  
2000 ◽  
Vol 356 (9247) ◽  
pp. 2095 ◽  
Author(s):  
William J Taylor ◽  
Dorothy Eden Fellow ◽  
Philip S Helliwell
Keyword(s):  
Psoriatic Arthritis ◽  
Case Definition ◽  
Definition Of
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