scholarly journals The multidisciplinary management of complex facial trauma at Royal Adelaide Hospital

2018 ◽  
Vol 1 (2) ◽  
pp. 31-32
Author(s):  
Broughton Snell ◽  
Ben Grave
Keyword(s):  
Adelaide Hospital ◽  
Facial Trauma ◽  
Royal Adelaide Hospital ◽  
Multidisciplinary Management

scholarly journals South Australian facial trauma: a population analysis of social economic deprivation and facial fractures

2021 ◽  
Vol 4 (2) ◽  
Author(s):  
Jason Diab ◽  
Benjamin Grave ◽  
Walter Flapper ◽  
Peter Anderson ◽  
David J David ◽  
...  
Keyword(s):  
Population Analysis ◽  
Maxillofacial Surgery ◽  
Adelaide Hospital ◽  
Socioeconomic Disadvantage ◽  
Facial Trauma ◽  
Royal Adelaide Hospital ◽  
Facial Fractures ◽  
Facial Fracture ◽  
Operative Notes ◽  
The Relationship

Background: Trauma remains a leading cause of morbidity and mortality in Australia. The objective of this South Australian study was to analyse epidemiological trends in facial fractures and assess the relationship between socioeconomic disadvantage and clinical outcomes. Part one of this paper includes methods and results; part two includes discussion and conclusion. The two papers should be read together. Method: A retrospective analysis of the relationship was conducted between socioeconomic disadvantage and facial fractures. All paediatric and adult patients with facial fractures who attended the Royal Adelaide Hospital and the Women’s and Children’s Hospital Adelaide between January 2012 and January 2017 either as in- or outpatients. The medical records, progress notes, imaging and operative notes from plastics, craniofacial and oral maxillofacial surgery teams were retrospectively collated into a registry and reviewed. Ethics approval was granted from the RAH Human Research and Ethics Committee [HREC/17/RAH/402]. Results: A total of 2559 patients, 1976 males (77.2%) and 583 females (22.8%), sustained a facial fracture. The most disadvantaged group had the highest proportion of facial fractures (36.9%), with the highest incidence in the 25–34 age group (22.4%). Assaults were the most common injury with decreasing odds as socioeconomic advantage increased (p<0.05). Orbitozygomatic fractures were the most common type of facial fracture (27.7%). Indigenous patients were more likely (OR=2.8) to have surgery compared to non–indigenous patients (p<0.05). There were no significant differences in length of stay between socioeconomic groups (F(4,964.387)=2.091, p = 0.080). Conclusion: Socioeconomic status strongly influences the mechanisms on injury, types of fracture and likelihood of surgery with the most disadvantaged having higher rates compared to the least disadvantaged.

scholarly journals South Australian facial trauma: a population analysis of social economic deprivation and facial fractures

2021 ◽  
Vol 4 (2) ◽  
Author(s):  
Jason Diab ◽  
Benjamin Grave ◽  
Walter Flapper ◽  
Peter Anderson ◽  
David J David ◽  
...  
Keyword(s):  
Population Analysis ◽  
Maxillofacial Surgery ◽  
Adelaide Hospital ◽  
Socioeconomic Disadvantage ◽  
Facial Trauma ◽  
Royal Adelaide Hospital ◽  
Facial Fractures ◽  
Facial Fracture ◽  
Operative Notes ◽  
The Relationship

Background: Trauma remains a leading cause of morbidity and mortality in Australia. The objective of this South Australian study was to analyse epidemiological trends in facial fractures and assess the relationship between socioeconomic disadvantage and clinical outcomes. Part one of this paper includes methods and results; part two includes discussion and conclusion. The two papers should be read together. Method: A retrospective analysis of the relationship was conducted between socioeconomic disadvantage and facial fractures. All paediatric and adult patients with facial fractures who attended the Royal Adelaide Hospital and the Women’s and Children’s Hospital Adelaide between January 2012 and January 2017 either as in- or outpatients. The medical records, progress notes, imaging and operative notes from plastics, craniofacial and oral maxillofacial surgery teams were retrospectively collated into a registry and reviewed. Ethics approval was granted from the RAH Human Research and Ethics Committee [HREC/17/RAH/402]. Results: A total of 2559 patients, 1976 males (77.2%) and 583 females (22.8%), sustained a facial fracture. The most disadvantaged group had the highest proportion of facial fractures (36.9%), with the highest incidence in the 25–34 age group (22.4%). Assaults were the most common injury with decreasing odds as socioeconomic advantage increased (p<0.05). Orbitozygomatic fractures were the most common type of facial fracture (27.7%). Indigenous patients were more likely (OR=2.8) to have surgery compared to non–indigenous patients (p<0.05). There were no significant differences in length of stay between socioeconomic groups (F(4,964.387)=2.091, p = 0.080). Conclusion: Socioeconomic status strongly influences the mechanisms on injury, types of fracture and likelihood of surgery with the most disadvantaged having higher rates compared to the least disadvantaged.

Combined chemotherapy and EUS-guided intra-tumoral 32-P implantation for locally advanced pancreatic ductal adenocarcinoma: a pilot study

Endoscopy ◽  
2021 ◽  
Author(s):  
Jeevinesh Naidu ◽  
Dylan Bartholomeusz ◽  
Joshua Zobel ◽  
Romina Safaeian ◽  
William Hsieh ◽  
...  
Keyword(s):  
Locally Advanced ◽  
Adelaide Hospital ◽  
Response To Treatment ◽  
Ductal Adenocarcinoma ◽  
Resection Margins ◽  
R0 Resection ◽  
Royal Adelaide Hospital ◽  
Combined Chemotherapy ◽  
Radioactive Phosphorus ◽  
18Fdg Pet

Aim: This study evaluated clinical outcomes of combined chemotherapy and Endoscopic Ultrasound (EUS) guided intra-tumoral radioactive phosphorus-32 (32P OncoSil) implantation in locally advanced pancreatic adenocarcinoma (LAPC). Methods: Consecutive patients with a new histological diagnosis of LAPC were recruited over 20 months. Baseline CT and 18FDG PET-CT were performed and repeated after 12 weeks to assess response to treatment. Following 2 cycles of conventional chemotherapy, patients underwent EUS-guided 32P OncoSil implantation followed by a further six cycles of chemotherapy. Results: Twelve patients with LAPC (8M:4F; median age 69 years, IQR 61.5-73.3) completed the treatment. Technical success was 100% and no procedural complications were reported. At 12 weeks, there was a median reduction of 8.2cm3 (95% CI 4.95-10.85; p=0.003) in tumour volume, with minimal or no 18FDG uptake in 9 (75%) patients. Tumour downstaging was achieved in 6 (50%) patients, leading to successful resection in 5 (42%) patients, of which 4 patients (80%) had clear (R0) resection margins. Conclusions: EUS guided 32P OncoSil implantation is feasible and well tolerated and was associated with a 42% rate of surgical resection in our cohort. However, further evaluation in a larger randomized multicenter trial is warranted. (32P funded by OncoSil Medical Ltd, equipment and staff funded by the Royal Adelaide Hospital, ClinicalTrials.gov number, NCT03003078).

Anaemia in elective orthopaedic surgery - Royal Adelaide Hospital, Australia

2016 ◽  
Vol 46 (1) ◽  
pp. 96-101 ◽  
Author(s):  
B. Kearney ◽  
J. To ◽  
K. Southam ◽  
D. Howie ◽  
B. To
Keyword(s):  
Orthopaedic Surgery ◽  
Adelaide Hospital ◽  
Royal Adelaide Hospital

INCREASING NUMBERS OF ADMISSIONS TO THE ADULT BURNS SERVICE AT THE ROYAL ADELAIDE HOSPITAL 2001?2004

2007 ◽  
Vol 77 (5) ◽  
pp. 358-363 ◽  
Author(s):  
John E. Greenwood ◽  
Richard Tee ◽  
Wendy L. Jackson
Keyword(s):  
Adelaide Hospital ◽  
Royal Adelaide Hospital

scholarly journals Reliability of Blood Sugar Reagent Strips

1974 ◽  
Vol 2 (3) ◽  
pp. 256-259 ◽  
Author(s):  
D. J. McCleave
Keyword(s):  
Blood Sugar ◽  
Severe Hypoglycaemia ◽  
Adelaide Hospital ◽  
Royal Adelaide Hospital ◽  
Lower Blood ◽  
Reagent Strips ◽  
The Stability

Two cases of severe hypoglycaemia following the use of insulin after blood sugar reagent strips indicated an erroneously high value, precipitated an investigation into the reliability of all reagent strips currently being used at the Royal Adelaide Hospital. It was found that when compared to Autoanalyzer values, such a method of blood sugar estimation is unacceptable for clinical useage. Reagent Strips taken from recently opened containers gave reasonably accurate results for lower blood sugar values. It is concluded that such inaccurate results are related to the stability of the reagent strips.

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