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5. Content-Centric Global Id Framework for Naming and Addressing for Smart Objects in IoT

Author

Challa, Prasad, Eswara Reddy, B., Kacprzyk, Janusz, Series Editor, Pal, Nikhil R., Advisory Editor, Bello Perez, Rafael, Advisory Editor, Corchado, Emilio S., Advisory Editor, Hagras, Hani, Advisory Editor, Kóczy, László T., Advisory Editor, Kreinovich, Vladik, Advisory Editor, Lin, Chin-Teng, Advisory Editor, Lu, Jie, Advisory Editor, Melin, Patricia, Advisory Editor, Nedjah, Nadia, Advisory Editor, Nguyen, Ngoc Thanh, Advisory Editor, Wang, Jun, Advisory Editor, Bhateja, Vikrant, editor, Tavares, João Manuel R.S., editor, Rani, B. Padmaja, editor, Prasad, V. Kamakshi, editor, and Raju, K. Srujan, editor

Published
2018
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6. Secular trends in the utility of SGLT‐2 inhibitors in heart failure patients with type 2 diabetes mellitus across Metro South Health hospitals in South‐East Queensland.

Author

Lu, Zhen Qi, McCourt, Elizabeth, Goodhew, Karen, Gupta, Deepali, Chuan, Francine, Mok, Leonie, Peters, Robyn, Ha, Tina, Fowler, Daniel, Dobbyn, Daniel Michael, Hetherington, Justine, Challa, Prasad, Kannan, Shanthi, Korczyk, Dariusz, Russell, Anthony, and Mugwagwa, Augustine Nyasha

Subjects
HOSPITALS, GLOMERULAR filtration rate, RETROSPECTIVE studies, TYPE 2 diabetes, MEDICAL protocols, COMPARATIVE studies, DESCRIPTIVE statistics, DRUG prescribing, SODIUM-glucose cotransporter 2 inhibitors, DRUG utilization, PHYSICIAN practice patterns, HEART failure, PATIENT safety
Abstract

Background: The 2018 Australian Heart Failure (HF) guidelines strongly recommended commencing sodium‐glucose co‐transporter‐2 inhibitors (SGLT‐2is) in HF patients with type 2 diabetes mellitus (T2DM). The uptake of SGLT‐2is for HF patients with T2DM in our health service is unknown. Aims: To determine the adoption of the 2018 HF guidelines by assessing the temporal trends of SGLT‐2is' usage in HF patients with T2DM at Metro South Health (MSH) hospitals, in South‐East Queensland. Methods: Retrospective analysis of all HF patients (ejection fraction (EF) < 50%) with T2DM who were managed within MSH hospitals between June 2018 and June 2021. Results: A total of 666 patients met the inclusion criteria with 918 HF encounters. Mean age was 72 years and 71% were male (473/666). Mean EF was 30% (SD ± 11%), and mean estimated glomerular filtration rate was 48 mL/min/1.73 m2 (SD ± 25). Fifty‐four per cent (362/666) had contraindications to SGLT‐2is. Among those without contraindications, there was a five‐fold increase in the utility of SGLT‐2is, 7% (2/29) before versus 38% (103/275) after implementation of the HF guidelines (P < 0.001). Patients on SGLT‐2is were younger (64 years vs 69 years, P = 0.002) and had a lower number of HF hospitalisations (1.1 vs 2.1, P = 0.01). Conclusions: During the study period, 54% of our HF patients with T2DM were not on SGLT‐2is due to prescribing guidelines/limitations in the Australian context. We observed a five‐fold significant increase in the uptake of SGLT‐2is before and after implementation of HF guidelines among patients without contraindications to SGLT‐2is. There were significantly fewer HF hospitalisations among patients on SGLT‐2is compared to those without. [ABSTRACT FROM AUTHOR]

Published
2023
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10. Secular trends in the utility of SGLT ‐2 inhibitors in heart failure patients with type 2 diabetes mellitus across Metro South Health hospitals in South‐East Queensland

Author

Lu, Zhen Qi, primary, McCourt, Elizabeth, additional, Goodhew, Karen, additional, Gupta, Deepali, additional, Chuan, Francine, additional, Mok, Leonie, additional, Peters, Robyn, additional, Ha, Tina, additional, Fowler, Daniel, additional, Dobbyn, Daniel Michael, additional, Hetherington, Justine, additional, Challa, Prasad, additional, Kannan, Shanthi, additional, Korczyk, Dariusz, additional, Russell, Anthony, additional, and Mugwagwa, Augustine Nyasha, additional

Published
2022
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13. Coronary-Cameral Fistula

Author

Boyle, Siobhan, primary, Jesuthasan, Lalith Spencer Bruno, additional, Jenkins, Carly, additional, Challa, Prasad, additional, Ranjan, Shashi, additional, and Dahiya, Arun, additional

Published
2019
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