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4 results on '"Devlin, Gerard"'

1. Trends and predictors of rehospitalisation following an acute coronary syndrome: report from the Australian and New Zealand population of the Global Registry of Acute Coronary Events (GRACE).

Author

Sangu, Prashanthi V., Ranasinghe, Isuru, Costa, Bernadette Aliprandi, Devlin, Gerard, Elliot, John, Lefkovitz, Jeffery, and Brieger, David

Subjects
ACUTE coronary syndrome, PATIENT readmissions, CARDIOVASCULAR diseases, MEDICAL statistics, HEALTH outcome assessment
Abstract

Background Readmission following an acute coronary syndrome (ACS) is frequent in our community. Patient specific factors identifying those at risk of readmission are poorly described. Methods Data were analysed from 5219 patients with an ACS enrolled in the Australian and New Zealand population of the Global Registry of Acute Coronary Events (GRACE) between 1999 and 2007. Patients who were readmitted for cardiovascular disease within 6 months of discharge were identified; regression analysis was used to predict independent patient factors associated with readmission 1 month and 1-6 months after discharge. Results 1048 patients (20.1%) were readmitted within 6 months, with a significant proportion (n=434, 41.4%) of readmissions occurring within 30 days of discharge. Readmission within 6 months was associated with a higher incidence of unscheduled cardiac catheterisation (HR 25.64, 95% CI 18.41 to 35.71), unscheduled percutaneous coronary intervention (PCI) (HR 15.78, 95% CI 10.56 to 23.59), stroke (HR 1.92, 95% CI 1.08 to 3.43), and death (HR 2.40, 95% CI 1.66 to 3.49). Recurrent ischemia in hospital and a diagnosis of S-T elevation myocardial infarction during the index admission were associated with the strongest risk of early rehospitalisation, while revascularisation by PCI or coronary artery bypass surgery (CABG) was associated with lowest risk of early readmission. A history of heart failure, prior myocardial infarction or angina was associated with a greater likelihood of later rehospitalisation, whereas revascularisation by CABG was associated with the lowest risk of later rehospitalisation. Conclusions Several patient and clinical factors identify patients at higher risk of readmission. Identifying these factors and escalating in-hospital and post-discharge care for these higher risk patients may prevent readmission and improve outcome. [ABSTRACT FROM AUTHOR]

Published
2012
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2. Management and outcomes of patients with acute coronary syndromes in Australia and New Zealand, 2000-2007.

Author

Aliprandi-Costa, Bernadette, Ranasinghe, Isuru, Chow, Vincent, Kapila, Shruti, Juergens, Craig, Devlin, Gerard, Elliott, John, Lefkowitz, Jeff, and Brieger, David B.

Subjects
EVIDENCE-based medicine, ACUTE coronary syndrome, STATINS (Cardiovascular agents), ACE inhibitors
Abstract

The article discusses a study that described the temporal trends in the use of evidence-based medical therapies and management of patients with acute coronary syndromes (ACS) in Australia and New Zealand. It reports on the increase in the use of statin therapy, angiotensin-converting enzyme inhibitors or angiotensin receptor blockers from 2000 to 2007. During the same period, a decline in in-hospital events and 6-month re-admissions among patients with ACS were also reported.

Published
2011

3. CSANZ Position Statement on the Evaluation of Patients Presenting With Suspected Acute Coronary Syndromes During the COVID-19 Pandemic.

Author

Parsonage WA, Cullen L, Brieger D, Hillis GS, Nasis A, Dwyer N, Wahi S, Lo S, Than M, Kerr A, Devlin G, and Chew DK

Subjects
Australia epidemiology, Betacoronavirus, COVID-19, Consensus, Humans, New Zealand epidemiology, SARS-CoV-2, Societies, Medical, Acute Coronary Syndrome diagnosis, Acute Coronary Syndrome epidemiology, Acute Coronary Syndrome therapy, Cardiology methods, Cardiology organization & administration, Cardiology trends, Communicable Disease Control methods, Communicable Disease Control organization & administration, Coronavirus Infections epidemiology, Coronavirus Infections prevention & control, Infection Control organization & administration, Pandemics prevention & control, Patient Care Management methods, Pneumonia, Viral epidemiology, Pneumonia, Viral prevention & control
Abstract

A pandemic of Coronavirus-19 disease was declared by the World Health Organization on March 11, 2020. The pandemic is expected to place unprecedented demand on health service delivery. This position statement has been developed by the Cardiac Society of Australia and New Zealand to assist clinicians to continue to deliver rapid and safe evaluation of patients presenting with suspected acute cardiac syndrome at this time. The position statement complements, and should be read in conjunction with, the National Heart Foundation of Australia & Cardiac Society of Australia and New Zealand: Australian Clinical Guidelines for the Management of Acute Coronary Syndromes 2016: Section 2 'Assessment of Possible Cardiac Chest Pain'., (Copyright © 2020 Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS) and the Cardiac Society of Australia and New Zealand (CSANZ). All rights reserved.)

Published
2020
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4. Rural and Remote Cardiology During the COVID-19 Pandemic: Cardiac Society of Australia and New Zealand (CSANZ) Consensus Statement.

Author

Arnold RH, Tideman PA, Devlin GP, Carroll GE, Elder A, Lowe H, Macdonald PS, Bannon PG, Juergens C, McGuire M, Mariani JA, Coffey S, Faddy S, Brown A, Inglis S, and Wang WYS

Subjects
Australia epidemiology, Betacoronavirus, COVID-19, Consensus, Humans, Medically Underserved Area, New Zealand epidemiology, SARS-CoV-2, Societies, Medical, Cardiology methods, Cardiology organization & administration, Cardiology trends, Cardiovascular Diseases epidemiology, Cardiovascular Diseases therapy, Communicable Disease Control methods, Communicable Disease Control organization & administration, Coronavirus Infections epidemiology, Coronavirus Infections prevention & control, Pandemics prevention & control, Patient Care Management methods, Pneumonia, Viral epidemiology, Pneumonia, Viral prevention & control, Rural Health Services organization & administration, Rural Health Services trends, Telemedicine methods
Abstract

The Challenges: Rural and remote Australians and New Zealanders have a higher rate of adverse outcomes due to acute myocardial infarction, driven by many factors. The prevalence of cardiovascular disease (CVD) is also higher in regional and remote populations, and people with known CVD have increased morbidity and mortality from coronavirus disease 2019 (COVID-19). In addition, COVID-19 is associated with serious cardiac manifestations, potentially placing additional demand on limited regional services at a time of diminished visiting metropolitan support with restricted travel. Inter-hospital transfer is currently challenging as receiving centres enact pandemic protocols, creating potential delays, and cardiovascular resources are diverted to increasing intensive care unit (ICU) and emergency department (ED) capacity. Regional and rural centres have limited staff resources, placing cardiac services at risk in the event of staff infection or quarantine during the pandemic., Main Recommendations: Health districts, cardiologists and government agencies need to minimise impacts on the already vulnerable cardiovascular health of regional and remote Australians and New Zealanders throughout the COVID-19 pandemic. Changes in management should include., (Copyright © 2020 Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS) and the Cardiac Society of Australia and New Zealand (CSANZ). Published by Elsevier B.V. All rights reserved.)

Published
2020
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