20 results on '"McClean, T"'
Search Results
2. LGBTI attitudes towards and experiences of aged care: Results of an exploratory survey.
- Author
-
McClean, T and McClean, T
- Abstract
OBJECTIVE: To gather views of older LGBTI (Lesbian, Gay, Bisexual, Transgender and Intersex) people on their experiences and expectations of aged care. METHODS: An online survey of participants recruited through a large provider in NSW, Australia, and three organisations in the LGBTI community. RESULTS: Respondents were older members of the LGBTI community, with a range of kinds of experience of aged care (including as clients, workers and advocates). They were somewhat skewed towards regional areas and many reported different kinds of vulnerability. They reported feeling safe to disclose their LGBTI status when engaging with services and not having difficulties on that basis. However, most disagreed that services currently meet the needs of LGBTI people. They said visible signs of welcome, inclusive language, treating disclosures sensitively and managing relations with partners and family were most important for older LGBTI people. Their own choices about aged care would be influenced by service inclusiveness and quality. There were no clear trends by demography, vulnerability or other characteristics. CONCLUSIONS: Providers should continue to focus on inclusiveness, and improve support for managing relations with family.
- Published
- 2022
3. Adaptive Relationship Between Leaf Water Repellency, Stomatal Distribution, and Gas Exchange
- Author
-
Smith, W. K. and McClean, T. M.
- Published
- 1989
4. “Watch Me Grow- Electronic (WMG-E)” surveillance approach to identify and address child development, parental mental health, and psychosocial needs: study protocol
- Author
-
Eapen, V, Woolfenden, S, Schmied, V, Jalaludin, B, Lawson, K, Liaw, ST, Lingam, R, Page, A, Cibralic, S, Winata, T, Mendoza Diaz, A, Lam-Cassettari, C, Burley, J, Boydell, K, Lin, P, Masi, A, Katz, I, Dadich, A, Preddy, J, Bruce, J, Raman, S, Kohlhoff, J, Descallar, J, Karlov, L, Kaplun, C, Arora, A, Di Mento, B, Smead, M, Doyle, K, Grace, R, McClean, T, Blight, V, Wood, A, Raine, KH, Eapen, V, Woolfenden, S, Schmied, V, Jalaludin, B, Lawson, K, Liaw, ST, Lingam, R, Page, A, Cibralic, S, Winata, T, Mendoza Diaz, A, Lam-Cassettari, C, Burley, J, Boydell, K, Lin, P, Masi, A, Katz, I, Dadich, A, Preddy, J, Bruce, J, Raman, S, Kohlhoff, J, Descallar, J, Karlov, L, Kaplun, C, Arora, A, Di Mento, B, Smead, M, Doyle, K, Grace, R, McClean, T, Blight, V, Wood, A, and Raine, KH
- Abstract
Background: The COVID-19 pandemic and the associated economic recession has increased parental psychosocial stress and mental health challenges. This has adversely impacted child development and wellbeing, particularly for children from priority populations (culturally and linguistically diverse (CALD) and rural/regional communities) who are at an already increased risk of health inequality. The increased mental health and psychosocial needs were compounded by the closure of in-person preventive and health promotion programs resulting in health organisations embracing technology and online services. Watch Me Grow- Electronic (WMG-E) – developmental surveillance platform- exemplifies one such service. WMG-E was developed to monitor child development and guide parents towards more detailed assessments when risk is identified. This Randomised Controlled Trial (RCT) aims to expand WMG-E as a digital navigation tool by also incorporating parents’ mental health and psychosocial needs. Children and families needing additional assessments and supports will be electronically directed to relevant resources in the ‘care-as-usual’ group. In contrast, the intervention group will receive continuity of care, with additional in-person assessment and ‘warm hand over’ by a ‘service navigator’ to ensure their needs are met. Methods: Using an RCT we will determine: (1) parental engagement with developmental surveillance; (2) access to services for those with mental health and social care needs; and (3) uptake of service recommendations. Three hundred parents/carers of children aged 6 months to 3 years (recruited from a culturally diverse, or rural/regional site) will be randomly allocated to the ‘care-as-usual’ or ‘intervention’ group. A mixed methods implementation evaluation will be completed, with semi-structured interviews to ascertain the acceptability, feasibility and impact of the WMG-E platform and service navigator. Conclusions: Using WMG-E is expected to: normalise and de-sti
- Published
- 2021
5. Feasibility of using a risk assessment tool to predict hospital transfers or death for older people in australian residential aged care. A retrospective cohort study
- Author
-
Ooi, M, Lewis, ET, Brisbane, J, Tubb, E, McClean, T, Assareh, H, Hillman, K, Achat, H, Cardona, M, Ooi, M, Lewis, ET, Brisbane, J, Tubb, E, McClean, T, Assareh, H, Hillman, K, Achat, H, and Cardona, M
- Abstract
Residents of Aged Care Facilities (RACF) experience burdensome hospital transfers in the last year of life, which may lead to aggressive and potentially inappropriate hospital treatments. Anticipating these transfers by identifying risk factors could encourage end-of-life discussions that may change decisions to transfer. The aim was to examine the feasibility of identifying an end-of-life risk profile among RACF residents using a predictive tool to better anticipate predictors of hospital transfers, death or poor composite outcome of hospitalisation and/or death after initial assessment. A retrospective cohort study of 373 permanent residents aged 65+ years was conducted using objective clinical factors from records in nine RACFs in metropolitan Sydney, Australia. In total, 26.8% died and 34.3% experienced a composite outcome. Cox proportional hazard regression models confirmed the feasibility of estimating the level of risk for death or a poor composite outcome. Knowing this should provide opportunities to initiate advance care planning in RACFs, facilitating decision making near the end of life. We conclude that the current structure of electronic RACF databases could be enhanced to enable comprehensive assessment of the risk of hospital re-attendance without admission. Automation tools to facilitate the risk score calculation may encourage the adoption of prediction checklists and evaluation of their association with hospital transfers.
- Published
- 2020
6. Evaluating COTS-Based Architecture
- Author
-
Vigder, Mark, McClean, T., and Bordeleau, F.
- Abstract
The Second International Conference on COTS Based Software Systems (ICCBSS 2003), February 10-12, 2003, Ottawa, Ontario, Canada
- Published
- 2003
7. Mind mapping as a pragmatic solution for evaluation: A critical reflection through two case studies
- Author
-
Avdagic, E., May, F., Mcclean, T., Shackleton, F., Wade, C., and Karen Healy
- Abstract
Funders of social interventions that address complex child and family welfare concerns for highly vulnerable populations are increasingly seeking cost-effective and rapid mixed method evaluations of their services. This paper describes a mind mapping approach that was used to collect valid and reliable qualitative data from large numbers of informants across two separate evaluation projects. The mind mapping approach provided a rapid, credible solution to the need to extract and summarize views from a diverse range of informants, and to gain consensus agreement on themes arising from the data. Through the use of two case studies to illustrate the application of the technique, we explore the advantages and disadvantages of the method and reflect upon the utility of mind mapping for quality improvement evaluation within the human services.
8. Light and chlorophyll gradients within Cucurbita cotyledons
- Author
-
KNAPP, A. K., primary, VOGELMANN, T. C., additional, McCLEAN, T. M., additional, and SMITH, W. K., additional
- Published
- 1988
- Full Text
- View/download PDF
9. Family member and service provider experiences and perspectives of a digital surveillance and service navigation approach in multicultural context: a qualitative study in identifying the barriers and enablers to Watch Me Grow-Electronic (WMG-E) program with a culturally diverse community.
- Author
-
Barr KR, Hawker P, Winata T, Wang S, Smead M, Ignatius H, Kohlhoff J, Schmied V, Jalaludin B, Lawson K, Liaw ST, Lingam R, Page A, Lam-Cassettari C, Boydell K, Lin PI, Katz I, Dadich A, Raman S, Grace R, Doyle AK, McClean T, Di Mento B, Preddy J, Woolfenden S, and Eapen V
- Subjects
- Humans, Female, Male, Child, Family psychology, Health Services Accessibility, Adult, SARS-CoV-2, Australia, Child Health Services organization & administration, Patient Navigation organization & administration, Interviews as Topic, Middle Aged, Qualitative Research, COVID-19, Cultural Diversity
- Abstract
Background: Children and families from priority populations experienced significant psychosocial and mental health issues to the COVID-19 pandemic. Yet they also faced significant barriers to service access, particularly families from culturally and linguistically diverse (CALD) backgrounds. With most child and family health nurse clinics ceasing in-person consultations due to the pandemic, many children missed out on health and developmental checks. The aim of this study was to investigate the perspectives and experiences of family members and service providers from an urban, CALD community regarding the implementation of a digital, developmental surveillance, Watch Me Grow-Electronic (WMG-E) program., Methods: Semi-structured interviews were conducted with 17 family members, service navigators, and service providers in a multicultural community in South Western Sydney, Australia. This qualitative study is an implementation evaluation which formed as part of a larger, two-site, randomised controlled trial of the WMG-E program. A reflexive thematic analysis approach, using inductive coding, was adopted to analyse the data., Results: Participants highlighted the comprehensive and personalised support offered by existing child and family health services. The WMG-E was deemed beneficial because the weblink was easy and quick to use and it enabled access to a service navigator who support family access to relevant services. However, the WMG-E was problematic because of technology or language barriers, and it did not facilitate immediate clinician involvement when families completed the weblink., Conclusions: Families and service providers in this qualitative study found that using WMG-E empowered parents and caregivers to access developmental screening and learn more about their child's development and engage with relevant services. This beds down a new and innovative solution to the current service delivery gap and create mechanisms that can engage families currently not accessing services, and increases knowledge around navigating the health and social care services. Notwithstanding the issues that were raised by families and service providers, which include accessibility challenges for CALD communities, absence of clinical oversight during screening, and narrow scope of engagement with available services being offered, it is worth noting that improvements regarding these implementation factors must be considered and addressed in order to have longevity and sustainability of the program., Trial Registration: The study is part of a large randomised controlled trial (Protocol No. 1.0, Version 3.1) was registered with ANZCTR (registration number: ACTRN12621000766819) on July 21st, 2021 and reporting of the trial results will be according to recommendations in the CONSORT Statement., (© 2024. Crown.)
- Published
- 2024
- Full Text
- View/download PDF
10. Stay home, stay safe? Public health assumptions about how we live with COVID.
- Author
-
Townley C, Properjohn C, Grace R, and McClean T
- Abstract
The COVID pandemic has had an uneven impact on families and communities, exacerbating existing structural disadvantage. We demonstrate that the construction of the pandemic by policymakers as primarily a medical problem has shaped the public health response in such a way as to hide the resulting lack of access to necessities for many and deterioration in people's wellbeing. We interviewed social welfare service providers in an urban area of high cultural and linguistic diversity and low socioeconomic advantage, about their experiences in the 2021 lockdown period. Our findings highlight the unanticipated impacts of the public health response on people who cannot be recognised in the normative subjects constructed by policy. We bring to the fore the hidden experiences behind the government-reported COVID health statistics and explore the (dis)integration of services that support survival. To avoid worsening structural disadvantage, policy responses to crisis require conceptualising the problem and its solutions from diverse standpoints, built on an understanding of the different elements that shape who we are and the way we live.
- Published
- 2023
- Full Text
- View/download PDF
11. Supporting Children's Social Connection and Well-Being in School-Age Care: Mixed Methods Evaluation of the Connect, Promote, and Protect Program.
- Author
-
Milton AC, Mengesha Z, Ballesteros K, McClean T, Hartog S, Bray-Rudkin L, Ngo C, and Hickie I
- Abstract
Background: School-age care, such as outside school hours care (OSHC), is the fastest-growing childhood education sector in Australia. OSHC provides a unique opportunity to deliver programs to enhance primary school-age children's social, emotional, physical, and cognitive well-being., Objective: This study aimed to pilot the co-designed Connect, Promote, and Protect Program (CP3) and conduct formative and process evaluations on how well the CP3 achieved its intended aims, ascertain areas for improvement, and determine how the CP3 model could be better sustained and extended into OSHC settings., Methods: A naturalistic formative and process evaluation of the CP3 implementation was undertaken at 1 and then 5 OSHC sites. Qualitative and quantitative feedback from stakeholders (eg, children, OSHC educators, volunteers, and families) was collected and incorporated iteratively for program improvement., Results: The formative and process evaluations demonstrated high program engagement, appropriateness, and acceptability. Co-design with children was viewed as highly acceptable and empowered children to be part of the decision-making in OSHC. Feedback highlighted how the CP3 supported children in the 4 CP3 domains: Build Well-being and Resilience, Broaden Horizons, Inspire and Engage, and Connect Communities. Qualitative reports suggested that children's well-being and resilience were indirectly supported through the Broaden Horizons, Inspire and Engage, and Connect Communities CP3 principles. Matched-sample 2-tailed t tests found that children's prosocial behaviors increased (mean difference=0.64; P=.04; t
57 =-2.06, 95% CI -1.36 to -0.02) and peer problems decreased (mean difference=-0.69; P=.01; t57 =2.57, 95% CI 0.14-1.13) after participating in the CP3. Program feasibility was high but dependent on additional resources and CP3 coordinator support., Conclusions: To our knowledge, the CP3 is the first co-designed well-being program developed and evaluated specifically for OSHC services. This early evidence is promising. The CP3 may provide a unique opportunity to respond to the voices of children in OSHC and those that support them through creative and engaging co-designed activities. Our research suggests that CP3 provides OSHC with a framework and high-quality program planning tool that promotes tailored interventions developed based on the unique needs and preferences of those who will use them., (©Alyssa Clare Milton, Zelalem Mengesha, Kristin Ballesteros, Tom McClean, Saskia Hartog, Lucie Bray-Rudkin, Cathy Ngo, Ian Hickie. Originally published in JMIR Pediatrics and Parenting (https://pediatrics.jmir.org), 25.07.2023.)- Published
- 2023
- Full Text
- View/download PDF
12. LGBTI attitudes towards and experiences of aged care: Results of an exploratory survey.
- Author
-
McClean T
- Subjects
- Aged, Attitude, Female, Humans, Surveys and Questionnaires, Homosexuality, Female, Sexual and Gender Minorities, Transgender Persons
- Abstract
Objective: To gather views of older LGBTI (Lesbian, Gay, Bisexual, Transgender and Intersex) people on their experiences and expectations of aged care., Methods: An online survey of participants recruited through a large provider in NSW, Australia, and three organisations in the LGBTI community., Results: Respondents were older members of the LGBTI community, with a range of kinds of experience of aged care (including as clients, workers and advocates). They were somewhat skewed towards regional areas and many reported different kinds of vulnerability. They reported feeling safe to disclose their LGBTI status when engaging with services and not having difficulties on that basis. However, most disagreed that services currently meet the needs of LGBTI people. They said visible signs of welcome, inclusive language, treating disclosures sensitively and managing relations with partners and family were most important for older LGBTI people. Their own choices about aged care would be influenced by service inclusiveness and quality. There were no clear trends by demography, vulnerability or other characteristics., Conclusions: Providers should continue to focus on inclusiveness, and improve support for managing relations with family., (© 2021 AJA Inc.)
- Published
- 2022
- Full Text
- View/download PDF
13. Social Participation Among Older Adults Receiving Community Care Services.
- Author
-
Siette J, Berry H, Jorgensen M, Brett L, Georgiou A, McClean T, and Westbrook J
- Subjects
- Aged, Australia, Female, Humans, Male, Rural Population, Aging, Social Participation
- Abstract
Aged care services have the potential to support social participation for the growing number of adults aging at home, but little is known about the types of social activities older adults in community care are engaged in. We used cluster analysis to examine the current profiles of social participation across seven domains in 1,114 older Australians, and chi-square analyses to explore between-group differences in social participation and sociodemographic and community care service use. Two distinct participation profiles were identified: (a) connected, capable, older rural women and (b) isolated, high-needs, urban-dwelling men. The first group had higher levels of engagement across six social participation domains compared with the second group. Social participation among older adults receiving community care services varies by gender, age, individual care needs, and geographical location. More targeted service provision at both the individual and community levels may assist older adults to access social participation opportunities.
- Published
- 2021
- Full Text
- View/download PDF
14. Quality of life measurement in community-based aged care - understanding variation between clients and between care service providers.
- Author
-
Siette J, Jorgensen ML, Georgiou A, Dodds L, McClean T, and Westbrook JI
- Subjects
- Aged, Aged, 80 and over, Australia epidemiology, Community Health Services, Female, Humans, New Zealand, Retrospective Studies, Activities of Daily Living, Quality of Life
- Abstract
Background: Measuring person-centred outcomes and using this information to improve service delivery is a challenge for many care providers. We aimed to identify predictors of QoL among older adults receiving community-based aged care services and examine variation across different community care service outlets., Methods: A retrospective sample of 1141 Australians aged ≥60 years receiving community-based care services from a large service provider within 19 service outlets. Clients' QoL was captured using the ICEpop CAPability Index. QoL scores and predictors of QoL (i.e. sociodemographic, social participation and service use) were extracted from clients' electronic records and examined using multivariable regression. Funnel plots were used to examine variation in risk-adjusted QoL scores across service outlets., Results: Mean age was 81.5 years (SD = 8) and 75.5% were women. Clients had a mean QoL score of 0.81 (range 0-1, SD = 0.15). After accounting for other factors, being older (p < 0.01), having lower-level care needs (p < 0.01), receiving services which met needs for assistance with activities of daily living (p < 0.01), and having higher levels of social participation (p < 0.001) were associated with higher QoL scores. Of the 19 service outlets, 21% (n = 4) had lower mean risk-adjusted QoL scores than expected (< 95% control limits) and 16% (n = 3) had higher mean scores than expected., Conclusion: Using QoL as an indicator to compare care quality may be feasible, with appropriate risk adjustment. Implementing QoL tools allows providers to measure and monitor their performance and service outcomes, as well as identify clients with poor quality of life who may need extra support., Trial Registration: Australian and New Zealand clinical trial registry number: ACTRN12617001212347 . Registered 18/08/2017.
- Published
- 2021
- Full Text
- View/download PDF
15. Feasibility of Using a Risk Assessment Tool to Predict Hospital Transfers or Death for Older People in Australian Residential Aged Care. A Retrospective Cohort Study.
- Author
-
Ooi M, Lewis ET, Brisbane J, Tubb E, McClean T, Assareh H, Hillman K, Achat H, and Cardona M
- Abstract
Residents of Aged Care Facilities (RACF) experience burdensome hospital transfers in the last year of life, which may lead to aggressive and potentially inappropriate hospital treatments. Anticipating these transfers by identifying risk factors could encourage end-of-life discussions that may change decisions to transfer. The aim was to examine the feasibility of identifying an end-of-life risk profile among RACF residents using a predictive tool to better anticipate predictors of hospital transfers, death or poor composite outcome of hospitalisation and/or death after initial assessment. A retrospective cohort study of 373 permanent residents aged 65+ years was conducted using objective clinical factors from records in nine RACFs in metropolitan Sydney, Australia. In total, 26.8% died and 34.3% experienced a composite outcome. Cox proportional hazard regression models confirmed the feasibility of estimating the level of risk for death or a poor composite outcome. Knowing this should provide opportunities to initiate advance care planning in RACFs, facilitating decision making near the end of life. We conclude that the current structure of electronic RACF databases could be enhanced to enable comprehensive assessment of the risk of hospital re-attendance without admission. Automation tools to facilitate the risk score calculation may encourage the adoption of prediction checklists and evaluation of their association with hospital transfers.
- Published
- 2020
- Full Text
- View/download PDF
16. A total health economy approach to revalidation.
- Author
-
Falla J, Burgess E, and McClean T
- Subjects
- Guernsey, Humans, Certification standards, Clinical Competence standards, Nurses standards
- Abstract
Revalidation has been a source of anxiety and uncertainty for some nurses and midwives. With a mixed health economy including private and public sector organisations, the Bailiwick of Guernsey wanted to ensure the system was implemented consistently. A programme of training was developed to help staff through the revalidation process and link the Nursing and Midwifery Council's Code of Conduct to practice. Training and support was also provided for confirmers.
- Published
- 2016
17. Genetic divergence among disjunct populations of three Russula spp. from Africa and Madagascar.
- Author
-
Kleine CS, McClean T, and Miller SL
- Subjects
- Africa, Basidiomycota classification, Genetic Variation, Madagascar, Molecular Sequence Data, Phylogeny, Basidiomycota genetics, Basidiomycota isolation & purification, Evolution, Molecular, Trees microbiology
- Abstract
This study was a preliminary analysis of the genetic structure of the ectomycorrhizal species Russula discopus, R. pseudocarmecina and R. ochraceorivulosa with disjunct distributions in continental Africa and Madagascar. Phylogenetic analyses of the nuclear ITS1/5.8S/ITS2 region and the mitochondrial atp6 gene were performed with specimens from both locations for each species along with a suitable outgroup for each of the three taxa. Additional analyses of the ITS1/5.8S/ITS2 region using the African and Malagasy specimens and additional taxa in the genus Russula also were performed. R. pseudocarmecina and R. discopus both exhibited genetic structure as shown by a relatively high percentage difference in ITS and atp6 sequences, high bootstrap support for African or Malagasy groups and the presence of indels in the ITS sequence that are unique to either Africa or Madagascar. African and Malagasy groups of each species were more closely related to each other than to other taxa in Russula. Genetic structure also existed in populations of R. ochraceorivulosa, but bootstrap support was weaker than in the other two species. In addition, there was less sequence divergence in R. ochraceorivulosa and this species was the only one for which the same atp6 haplotype was found in both Africa and Madagascar. Reciprocal monophyly for all three species was consistent with the hypothesis that the same vicariance event may be responsible for the genetic structure observed here, although shorter branch lengths, lower bootstrap support and the presence of the same atp6 haplotype in Africa and Madagascar for R. ochraceorivulosa suggested slower evolutionary rates or geographical isolation after the other two taxa. In addition to the geological events that separated Africa and Madagascar, environmental changes during the Miocene or later might have had an effect on the distribution of these species.
- Published
- 2013
- Full Text
- View/download PDF
18. Accuracy in molecular sexing of martens (Martes americana and Martes caurina) varies among sample types.
- Author
-
Campbell GM, Pauli JN, Thomas JG, and McClean T
- Abstract
We evaluated the accuracy of sex identification using the SRY marker for American marten (Martes americana) and Pacific marten (Martes caurina) using samples collected from commercial trappers and those obtained via noninvasive sampling. We determined that sex identification from Lut-SRY primers is accurate at >90% for muscle and hair samples collected noninvasively. We found much lower accuracy when using hair samples plucked from trapper-killed carcasses, errors presumably incurred from contamination from the DNA of trappers, who were entirely male. We also found that the sequence generated from Lut-SRY primers, originally developed for Eurasian otters (Lutra lutra), differed slightly for martens, and recommend that new primers be developed from the sequences we provide. The SRY marker can be reliably used for sex identification in both species of marten, provided that samples have low probabilities of contamination. Researchers should avoid samples collected from external locations on trapper-killed carcasses for DNA-based analyses., (© 2010 Blackwell Publishing Ltd.)
- Published
- 2010
- Full Text
- View/download PDF
19. Supraventricular tachycardia in an infant.
- Author
-
McDeed-Breault C and McClean TL
- Subjects
- Electrocardiography, Humans, Infant, Newborn, Male, Tachycardia, Supraventricular diagnosis, Adenosine therapeutic use, Tachycardia, Supraventricular drug therapy
- Abstract
Treating this 1-month-old infant with SVT with adenosine was extremely effective and resulted in no observable side effects to the patient. More research needs to be performed and documented regarding the effectiveness and safety of this drug in pediatric patients. Emergency nurses should familiarize themselves with adenosine and should suggest its use in pediatric patients with SVT that does not respond to vagal maneuvers.
- Published
- 1992
20. Subclavian and innominate artery trauma: a recent experience with nine patients.
- Author
-
Meyer JP, Goldfaden D, Barrett J, McClean T, Spigos D, Schuler JJ, and Flanigan DP
- Subjects
- Adolescent, Adult, Anastomosis, Surgical, Brachiocephalic Trunk surgery, Clavicle surgery, Follow-Up Studies, Head and Neck Neoplasms surgery, Hemorrhage, Humans, Intraoperative Complications, Male, Middle Aged, Saphenous Vein transplantation, Subclavian Vein surgery, Wounds, Nonpenetrating surgery, Wounds, Penetrating surgery, Brachiocephalic Trunk injuries, Subclavian Vein injuries
- Abstract
This report summarizes a recent 24-month experience with 9 patients who were treated for injuries to the innominate or subclavian arteries at a large urban hospital. All patients were male, age range was 17 to 47 years, and mean age was 29 years. The mechanism of injury included major arterial avulsions sustained during cancer operations at the base of the neck (2), blunt injuries secondary to motor vehicle accidents (2), stab wounds (1), and gunshot wounds (4). The vessels injured included the right subclavian artery (2), the innominate artery (1), and the left subclavian artery (6). Associated major venous injuries were seen in 4 cases (44%) and major non-vascular injuries in 5 cases (55%). Arterial exposure involved a variety of incisions, including left thoracotomy, median sternotomy, clavicular resection, or a combination of these. Arterial continuity was restored in all cases using primary repair (2), autogenous saphenous vein graft (6), or prosthetic graft (1). Venous injuries were treated by ligation (2) or lateral venorraphy (2). One patient died unexpectedly on the tenth postoperative day for an overall mortality of 11 percent. Three of the 8 survivors sustained nonfatal complications (38%). All 8 survivors had patent arterial repairs at the time of hospital discharge, and 5 of 8 survivors were available for follow-up with intravenous digital subtraction angiography (DSA), revealing arterial repair patency in all.(ABSTRACT TRUNCATED AT 250 WORDS)
- Published
- 1988
Catalog
Discovery Service for Jio Institute Digital Library
For full access to our library's resources, please sign in.