Abstract:
BACKGROUND:There is anecdotal evidence that fewer brachial and femoral embolectomies are being carried out. This may be because of the greater use of anticoagulation in patients with atrial fibrillation. The aim of the present study was to assess community-wide temporal trends in embolectomy of the extremities and of warfarin usage. METHODS:The Western Australian Linked Data System was used to identify cases of extremity embolectomy with a combination of diagnosis (upper or lower limb embolus) and procedure (embolectomy and revascularization) codes. Trends in age-specific and age-standardized rates were assessed over the period 1992-2003. Data regarding warfarin prescriptions were acquired from the Pharmaceutical Benefits Schedule database for the period 2000-2005. RESULTS:One thousand and five patients aged 30 years and more underwent an embolectomy of the extremity during the study period. The age-specific rate of embolectomy increased from 0.78 per 100,000 in the 30- to 49-year-old group to 46.1 per 100,000 for those aged 80 years and more. There was a significant downward trend between 1992 and 2003 (Cuzik's trend test P = 0.015). This pattern was seen for all age groups. Prescriptions for warfarin increased by 50.4% over the period 2000-2005. CONCLUSION:The rates of embolectomy of the extremity appear to be falling. Although the cause for this trend is not known, one possible explanation is increasing prescription of warfarin.
journal_name
ANZ J Surgjournal_title
ANZ journal of surgeryauthors
Ponosh S,Broadhurst R,Semmens J,Norman PEdoi
10.1111/j.1445-2197.2008.04572.xsubject
Has Abstractpub_date
2008-07-01 00:00:00pages
561-3issue
7eissn
1445-1433issn
1445-2197pii
ANS4572journal_volume
78pub_type
杂志文章abstract:BACKGROUND:Several previous studies have shown that Gastrografin can be utilized to triage patients with adhesive small bowel obstruction (ASBO) to an operative or a non-operative course. Previous studies assessing the therapeutic effect of Gastrografin have been confounded by post-administration radiology alerting the...
journal_title:ANZ journal of surgery
pub_type: 杂志文章,随机对照试验
doi:10.1111/j.1445-2197.2005.03491.x
更新日期:2005-08-01 00:00:00
abstract:BACKGROUND:To examine the common presentations and management of acute epiglottitis in adults. METHOD:Retrospective clinical study of 17 consecutive adult patients who presented to the Royal Melbourne Hospital between January 1988 and December 2000 was undertaken. RESULTS:The mean patient age was 47 years (range 20-8...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
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更新日期:2001-12-01 00:00:00
abstract:BACKGROUND:Surgical clerkships facilitate development of knowledge and competency, but their structure and content vary. Establishment of new medical schools and raising student numbers are new challenges to the provision of standardized surgical teaching across Australasian medical schools. A survey was conducted to i...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
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更新日期:2010-12-01 00:00:00
abstract:BACKGROUND:To assess the outcomes of patients undergoing percutaneous renal artery embolization (PRAE) prior to radical nephrectomy. METHODS:We performed retrospective chart review of patients undergoing PRAE in Auckland Public Hospital from January 2004 to December 2011. PRAE was performed under epidural anaesthesia ...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.12545
更新日期:2014-07-01 00:00:00
abstract:BACKGROUND:Patients fulfilling Amsterdam-1 criteria without mismatch repair deficiency (termed familial colorectal cancer type X (FCC type X)) were reported to have lower cancer risks than classic Lynch syndrome. This study investigates the polyp and cancer burden of this population and demonstrates relationships with ...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
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更新日期:2011-07-01 00:00:00
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journal_title:ANZ journal of surgery
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abstract:BACKGROUND:The rates of breast reconstruction in Australian patients of culturally and linguistically diverse (CALD) backgrounds are currently unknown. This retrospective study determined the rate of breast reconstruction in women who had mastectomy as treatment for breast cancer at public hospitals in South Western Sy...
journal_title:ANZ journal of surgery
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journal_title:ANZ journal of surgery
pub_type: 杂志文章
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更新日期:2007-07-01 00:00:00
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journal_title:ANZ journal of surgery
pub_type: 杂志文章
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更新日期:2014-07-01 00:00:00
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journal_title:ANZ journal of surgery
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更新日期:2018-06-07 00:00:00
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journal_title:ANZ journal of surgery
pub_type: 杂志文章
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journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/j.1445-2197.2008.04484.x
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abstract:BACKGROUND:Necrotizing myositis (NM) is a life-threatening emergency. It causes focal muscle necrosis without abscess formation or extensive involvement of the overlying fascia and soft tissue. It is a clinical diagnosis requiring a high index of clinical suspicion. Usual presentation can readily be mistaken to represe...
journal_title:ANZ journal of surgery
pub_type: 杂志文章,评审
doi:10.1111/ans.15429
更新日期:2020-01-01 00:00:00
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journal_title:ANZ journal of surgery
pub_type: 传,历史文章,杂志文章
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更新日期:2019-12-01 00:00:00
abstract:BACKGROUND:In elective colorectal resections, the patient's preoperative social situation may play a significant role in delaying their discharge from hospital. The aim of this study was to identify which preoperative factors are associated with non-medical reasons for a delay in discharge and prolonged length of stay ...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
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更新日期:2011-09-01 00:00:00
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journal_title:ANZ journal of surgery
pub_type: 杂志文章,评审
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更新日期:2016-04-01 00:00:00
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journal_title:ANZ journal of surgery
pub_type: 历史文章,杂志文章
doi:10.1046/j.1445-2197.2002.02533.x
更新日期:2002-10-01 00:00:00
abstract:BACKGROUND:An orthopaedic management/patient-focused care unit (OMPFCU) involving a dedicated orthopaedic-geriatrics liaison team was established at the Royal Brisbane Hospital in 1994 in an effort to safely accelerate rehabilitation of patients with proximal femoral fractures. METHODS:The surgical outcomes of the pat...
journal_title:ANZ journal of surgery
pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:2001-01-01 00:00:00
abstract:BACKGROUND:Electrical stimulation of the visual cortex with surface electrodes is able to elicit basic visual perceptions in blind patients. The development of a visual prosthesis for the blind will require an in-vivo model for the optimization of cortical neurostimulation with multielectrode arrays. METHODS:In anaest...
journal_title:ANZ journal of surgery
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journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.13330
更新日期:2017-10-01 00:00:00
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journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/j.1445-2197.2008.04531.x
更新日期:2008-06-01 00:00:00
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journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.15363
更新日期:2019-07-01 00:00:00
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journal_title:ANZ journal of surgery
pub_type: 杂志文章
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更新日期:2015-11-01 00:00:00
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journal_title:ANZ journal of surgery
pub_type: 杂志文章,随机对照试验
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更新日期:2010-03-01 00:00:00
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journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.13708
更新日期:2016-11-01 00:00:00
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journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/j.1445-2197.2007.04054.x
更新日期:2007-05-01 00:00:00
abstract:BACKGROUND:Malignant blue nevus, blue nevus-associated melanoma and blue nevus-like melanoma are all terms used to describe malignant melanomas arising from, in association with, or resembling blue nevi. This review is aimed at summarizing the available literature to reduce the confusion surrounding this rare malignanc...
journal_title:ANZ journal of surgery
pub_type: 杂志文章,评审
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更新日期:2017-05-01 00:00:00
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journal_title:ANZ journal of surgery
pub_type: 杂志文章
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更新日期:2013-04-01 00:00:00
abstract::The gastrocnemius muscle is versatile in flap repair of defects from anterior knee to lower leg. We describe a case of extensor reconstruction using an extended medial gastrocnemius myocutaneous flap. A medial gastrocnemius flap was raised distal to its musculotendinous insertion. At its point of rotation, it was anch...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/j.1445-2197.2006.03951.x
更新日期:2006-12-01 00:00:00
abstract:BACKGROUND:Intraoperative blood loss and transfusion are known determinants of mortality and morbidity of elective abdominal aortic aneurysm (AAA) repair. The present study analysed the pattern of blood loss and transfusion and evaluated the risk factors of blood loss during open repair of infrarenal AAA. METHODS:Bloo...
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pub_type: 杂志文章
doi:10.1111/j.1445-1433.2004.03117.x
更新日期:2004-08-01 00:00:00