scholarly journals Deaths Attributed to Anaesthesia in New South Wales, 1984–1990

1996 ◽  
Vol 24 (1) ◽  
pp. 66-73 ◽  
Author(s):  
J. C. Warden ◽  
B. F. Horan

The New South Wales Special Committee Investigating Deaths Under Anaesthesia classified 1503 deaths before full recovery from anaesthesia occurring between 1984 and 1990. 172 deaths were attributed to anaesthesia, including 11 in which the anaesthetic choice or management could not be criticized. In the remaining 161 an average of 1.8 errors per case were identified, the most frequent being inadequate preparation of the patient (in 72 cases), inadequate postoperative care (52 cases), the technique of anaesthesia chosen (44 cases) and overdose (43 cases). Death was most commonly attributed to anaesthesia in elderly patients (modal age group 70–79), in males (1.9:1) and was most commonly associated with abdominal and orthopaedic operations. Urgent non-emergency cases, 10% of the 1503 cases classified, constituted 26% of those deaths attributed to anaesthesia. One death attributable to anaesthesia occurred per 20,000 operations and the rate of such deaths was 0.44 per 100,000 population per annum.

2012 ◽  
Vol 141 (9) ◽  
pp. 1797-1806 ◽  
Author(s):  
S. OFTADEH ◽  
H. F. GIDDING ◽  
G. L. GILBERT

SUMMARYWe compared serotype distributions ofStreptococcus pneumoniaeisolates from patients aged <5 and ⩾5 years with invasive pneumococcal disease in New South Wales, Australia, and antibiotic susceptibilities of isolates from the <5 years age group only, before (2002–2004) and after (2005–2009) introduction of the 7-valent pneumococcal conjugate vaccine (PCV7). Overall, there were significant decreases in the mean annual number of referred isolates (770vs. 515) and the proportion belonging to PCV7 serotypes (74%vs. 38%), but non-PCV7 serotypes, particularly 19A, increased (5%vs. 18%). All changes were more marked in the <5 years age group. Susceptibility testing of isolates from the <5 years age group showed variation in resistance between serotypes, but significant overall increases in penicillin non-susceptibility (23%vs. 31%), ceftriaxone resistance (2%vs. 12%) and multidrug resistance (4%vs. 7%) rates; erythromycin resistance fell (32%vs. 25%). Continued surveillance is needed to monitor changes following the introduction of 13-valent PCV in 2012.


2008 ◽  
Vol 32 (3) ◽  
pp. 528 ◽  
Author(s):  
Neill Jones ◽  
Greg Hardes ◽  
Stephen Ryan ◽  
Jennifer Sheehan ◽  
Cathryn Cox ◽  
...  

Objectives: To describe the statewide projections of acute inpatient activity in New South Wales. Methods: Data on acute inpatient activity in NSW for the period 1998?1999 to 2003?04 were derived from the Admitted Patient Data Collection. Regression analysis was used to project trends in utilisation and length of stay by age group, clinical specialty groups and stay type (day-only and overnight). The projected separation rates and length of stay were subject to clinical review. Projected separation rates (by age group, clinical speciality and stay type) were applied to NSW population projections to derive the projected number of separations. Bed-days were calculated by applying projected overnight average length of stay. Results: Total acute inpatient activity in NSW public hospitals is projected to increase from around 1.05 million separations in 2004 to around 1.3 million separations by 2017 (24%). Same-day separations are projected to increase from around 368 000 to around 514 000 (40%). Overnight separations are projected to rise from around 690 000 in 2003?04 to around 798 000 in 2016?17 (18%). Overnight bed-days are projected to increase from around 3.7 million in 2003?04 to around 4.1 million bed-days in 2017 (12%). Differences across age groups and clinical specialties are also evident from the modelling.


1991 ◽  
Vol 42 (4) ◽  
pp. 629 ◽  
Author(s):  
KD Atkins ◽  
JI Murray ◽  
AR Gilmour ◽  
AL Luff

Genetic and phenotypic variances and covariances were estimated for liveweight and ultrasonic fat depth in the Australian Poll Dorset. The data were obtained from the New South Wales Meatsheep Testing Service between 1983 and 1986, and involved 28 159 records from 50 stud flocks. A total of 681 sires were used to derive the half-sib genetic parameters. The data were further grouped according to average age at measurement, so that parameters were estimated for animals within age ranges of 4-6 months, 7-11 months and 12-16 months. Heritabilities for liveweight were between 0.21 and 0.31, with the highest value obtained in the oldest age group. Heritabilities for fat depth varied between 0.26 and 0.31, with the highest value again obtained in the oldest age group. Genetic correlations between liveweight and fat depth were about 0.4 except in 4-6-month-old animals where the estimate was about 0.7. The implications of these parameters to breed improvement programmes are discussed. In particular, the scope for genetic response in producing faster growing, leaner animals at a constant liveweight is highlighted. Information on sire-son generation intervals and apparently limited between-flock genetic variation is reported. The results indicate the need to improve the evaluation procedures for sires within the breed at both the between- and within-flock level.


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