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4 results on '"Cowell, DL"'

1. Get with the guidelines: management of chronic obstructive pulmonary disease in emergency departments in Europe and Australasia is sub-optimal

Author

Kelly, AM, Van Meer, O, Keijzers, G, Motiejunaite, J, Jones, P, Body, R, Craig, S, Karamercan, M, Klim, S, Harjola, VP, Verschuren, F, Holdgate, A, Christ, M, Golea, A, Graham, CA, Capsec, J, Barletta, C, Garcia-Castrillo, L, Kuan, WS, Laribi, S, McNulty, R, Tan, C, Cowell, DL, Jain, N, Devillecourt, T, Forrester, A, Lee, K, Chalkley, D, Gillett, M, Lozzi, L, Asha, S, Duffy, M, Watkins, G, Stone, R, Rosengren, D, Thone, J, Martin, S, Orda, U, Thom, O, Kinnear, F, Eley, R, Ryan, A, Morel, D, May, C, Furyk, Jeremy, Thomson, G, Smith, S, Smith, R, Maclean, A, Grummisch, M, Meyer, A, Meek, R, Rosengarten, P, Chan, B, Haythorne, H, Archer, P, Wilson, K, Knott, J, Ritchie, P, Bryant, M, MacDonald, S, Lee, T, Mahlangu, M, Mountain, D, Rogers, I, Otto, T, Stuart, P, Bament, J, Brown, M, Greven-Garcia, R, Scott, M, Cheri, T, Nguyen, M, Wong, CP, Wong, TW, Leung, LP, Man, CK, Saiboon, IM, Rahman, NH, Lee, WY, Lee, FCY, Russell, SK, Lawoko, C, Al Dandachi, G, Maignan, M, Hermand, DC, Tessier, C, Roy, PM, Bucco, L, Duytsche, N, Garmilla, P, Carbone, G, Cosentini, R, Truță, S, Hrihorișan, N, Cimpoeșu, D, Rotaru, L, Petrică, A, Cojocaru, M, Kelly, AM, Van Meer, O, Keijzers, G, Motiejunaite, J, Jones, P, Body, R, Craig, S, Karamercan, M, Klim, S, Harjola, VP, Verschuren, F, Holdgate, A, Christ, M, Golea, A, Graham, CA, Capsec, J, Barletta, C, Garcia-Castrillo, L, Kuan, WS, Laribi, S, McNulty, R, Tan, C, Cowell, DL, Jain, N, Devillecourt, T, Forrester, A, Lee, K, Chalkley, D, Gillett, M, Lozzi, L, Asha, S, Duffy, M, Watkins, G, Stone, R, Rosengren, D, Thone, J, Martin, S, Orda, U, Thom, O, Kinnear, F, Eley, R, Ryan, A, Morel, D, May, C, Furyk, Jeremy, Thomson, G, Smith, S, Smith, R, Maclean, A, Grummisch, M, Meyer, A, Meek, R, Rosengarten, P, Chan, B, Haythorne, H, Archer, P, Wilson, K, Knott, J, Ritchie, P, Bryant, M, MacDonald, S, Lee, T, Mahlangu, M, Mountain, D, Rogers, I, Otto, T, Stuart, P, Bament, J, Brown, M, Greven-Garcia, R, Scott, M, Cheri, T, Nguyen, M, Wong, CP, Wong, TW, Leung, LP, Man, CK, Saiboon, IM, Rahman, NH, Lee, WY, Lee, FCY, Russell, SK, Lawoko, C, Al Dandachi, G, Maignan, M, Hermand, DC, Tessier, C, Roy, PM, Bucco, L, Duytsche, N, Garmilla, P, Carbone, G, Cosentini, R, Truță, S, Hrihorișan, N, Cimpoeșu, D, Rotaru, L, Petrică, A, and Cojocaru, M

Published
2020

2. An Observational Study of Dyspnea in Emergency Departments: The Asia, Australia, and New Zealand Dyspnea in Emergency Departments Study (AANZDEM)

Author

Kelly, AM, Keijzers, G, Klim, S, Graham, CA, Craig, S, Kuan, WS, Jones, P, Holdgate, A, Lawoko, C, Laribi, S, Cowell, DL, Jain, N, De Villecourt, T, Lee, K, Chalkley, D, Lozzi, L, Asha, SE, Duffy, M, Watkins, G, Rosengren, D, Thone, J, Martin, S, Orda, U, Thom, O, Kinnear, F, Watson, M, Eley, R, Ryan, A, Morel, DG, Furyk, Jeremy, Smith, RD, Grummisch, M, Meek, R, Rosengarten, P, Chan, B, Haythorne, H, Archer, P, Wilson, K, Knott, J, Ritchie, P, Bryant, M, MacDonald, S, Mahlangu, M, Scott, M, Cheri, T, Nguyen, M, Chor, MS, Wong, CP, Wong, TW, Leung, LP, Man, CK, Rahman, NH, Lee, WY, Lee, FCY, Goh, SE, Russell, K, Kelly, AM, Keijzers, G, Klim, S, Graham, CA, Craig, S, Kuan, WS, Jones, P, Holdgate, A, Lawoko, C, Laribi, S, Cowell, DL, Jain, N, De Villecourt, T, Lee, K, Chalkley, D, Lozzi, L, Asha, SE, Duffy, M, Watkins, G, Rosengren, D, Thone, J, Martin, S, Orda, U, Thom, O, Kinnear, F, Watson, M, Eley, R, Ryan, A, Morel, DG, Furyk, Jeremy, Smith, RD, Grummisch, M, Meek, R, Rosengarten, P, Chan, B, Haythorne, H, Archer, P, Wilson, K, Knott, J, Ritchie, P, Bryant, M, MacDonald, S, Mahlangu, M, Scott, M, Cheri, T, Nguyen, M, Chor, MS, Wong, CP, Wong, TW, Leung, LP, Man, CK, Rahman, NH, Lee, WY, Lee, FCY, Goh, SE, and Russell, K

Published
2017

3. Epidemiology, prehospital care and outcomes of patients arriving by ambulance with dyspnoea: An observational study

Author

Kelly, AM, Holdgate, A, Keijzers, G, Klim, S, Graham, CA, Craig, S, Kuan, WS, Jones, P, Lawoko, C, Laribi, S, McNulty, R, Cowell, DL, Jain, N, De Villecourt, T, Lee, K, Chalkley, D, Lozzi, L, Asha, SE, Duffy, M, Watkins, G, Rosengren, D, Thone, J, Martin, S, Orda, U, Thom, O, Kinnear, F, Watson, M, Eley, R, Ryan, A, Morel, DG, Furyk, J, Smith, RDB, Grummisch, M, Meek, R, Rosengarten, P, Chan, B, Haythorne, H, Archer, P, Wilson, K, Knott, J, Ritchie, P, Bryant, M, MacDonald, S, Mahlangu, M, Scott, M, Cheri, T, Nguyen, M, Chor, MSY, Wong, CP, Wong, TW, Leung, LP, Man, CK, Saiboon, IM, Rahman, NH, Lee, WY, Lee, FCY, Goh, SE, Russell, K, Kelly, AM, Holdgate, A, Keijzers, G, Klim, S, Graham, CA, Craig, S, Kuan, WS, Jones, P, Lawoko, C, Laribi, S, McNulty, R, Cowell, DL, Jain, N, De Villecourt, T, Lee, K, Chalkley, D, Lozzi, L, Asha, SE, Duffy, M, Watkins, G, Rosengren, D, Thone, J, Martin, S, Orda, U, Thom, O, Kinnear, F, Watson, M, Eley, R, Ryan, A, Morel, DG, Furyk, J, Smith, RDB, Grummisch, M, Meek, R, Rosengarten, P, Chan, B, Haythorne, H, Archer, P, Wilson, K, Knott, J, Ritchie, P, Bryant, M, MacDonald, S, Mahlangu, M, Scott, M, Cheri, T, Nguyen, M, Chor, MSY, Wong, CP, Wong, TW, Leung, LP, Man, CK, Saiboon, IM, Rahman, NH, Lee, WY, Lee, FCY, Goh, SE, and Russell, K

Abstract

© 2016 The Author(s). Background: This study aimed to determine epidemiology and outcome for patients presenting to emergency departments (ED) with shortness of breath who were transported by ambulance. Methods: This was a planned sub-study of a prospective, interrupted time series cohort study conducted at three time points in 2014 and which included consecutive adult patients presenting to the ED with dyspnoea as a main symptom. For this sub-study, additional inclusion criteria were presentation to an ED in Australia or New Zealand and transport by ambulance. The primary outcomes of interest are the epidemiology and outcome of these patients. Analysis was by descriptive statistics and comparisons of proportions. Results: One thousand seven patients met inclusion criteria. Median age was 74 years (IQR 61-68) and 46.1 % were male. There was a high rate of co-morbidity and chronic medication use. The most common ED diagnoses were lower respiratory tract infection (including pneumonia, 22.7 %), cardiac failure (20.5%) and exacerbation of chronic obstructive pulmonary disease (19.7 %). ED disposition was hospital admission (including ICU) for 76.4 %, ICU admission for 5.6 % and death in ED in 0.9 %. Overall in-hospital mortality among admitted patients was 6.5 %. Discussion: Patients transported by ambulance with shortness of breath make up a significant proportion of ambulance caseload and have high comorbidity and high hospital admission rate. In this study, >60 % were accounted for by patients with heart failure, lower respiratory tract infection or COPD, but there were a wide range of diagnoses. This has implications for service planning, models of care and paramedic training. Conclusion: This study shows that patients transported to hospital by ambulance with shortness of breath are a complex and seriously ill group with a broad range of diagnoses. Understanding the characteristics of these patients, the range of diagnoses and their outcome can help inform trainin

Published
2016

4. Antibiotic prophylaxis at triage for simple traumatic wounds: a pilot study.

Author

Cowell DL, Harvey M, and Cave G

Subjects
Adult, Bacterial Infections etiology, Confidence Intervals, Female, Humans, Male, Pilot Projects, Risk Factors, Time Factors, Wounds and Injuries microbiology, Anti-Bacterial Agents therapeutic use, Antibiotic Prophylaxis methods, Bacterial Infections prevention & control, Floxacillin therapeutic use, Triage methods, Wounds and Injuries complications
Abstract

Antibiotic administration at the time of wound manipulation has not been shown to decrease infection rates for simple traumatic wounds. Antibiotic administration at the time of initial emergency department (ED) presentation, however, has not been explored. Patients presenting to the ED with simple traumatic wounds received 1 g of oral flucloxacillin, or identical placebo, at triage. Wound closure was completed at the discretion of a physician blinded to study contents. Wound infection rates were determined at 1 month. Time from drug administration to wound manipulation was 64.3 min [95% confidence interval (CI) 36.6-91.9] placebo versus 75.0 min (95% CI: 51.7-98.3) flucloxacillin, P=0.657. Six of 36 patients (17%) reported wound infection in the placebo group, and four of 34 (12%) in the flucloxacillin group, P=0.736. Administration of oral flucloxacillin at triage failed to reduce the rate of wound infection for simple traumatic wounds closed in the ED., (© 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins.)

Published
2011
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