Please use this identifier to cite or link to this item: https://dora.health.qld.gov.au/qldresearchjspui/handle/1/5365
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dc.contributor.authorHanson, Joshen
dc.contributor.authorSmith, Simonen
dc.date.accessioned2023-08-23T02:36:42Z-
dc.date.available2023-08-23T02:36:42Z-
dc.date.issued2019-
dc.identifier.citationHanson J, Smith S. High Rates of Premature and Potentially Preventable Death among Patients Surviving Melioidosis in Tropical Australia. Am J Trop Med Hyg. 2019 Aug;101(2):328-331. doi: 10.4269/ajtmh.19-0375. PMID: 31264566; PMCID: PMC6685575.en
dc.identifier.urihttps://dora.health.qld.gov.au/qldresearchjspui/handle/1/5365-
dc.descriptionCairns & Hinterland Hospital and Health Service (CHHHS) affiliated authors: Josh Hanson, Simon Smithen
dc.description.abstractAlthough the in-hospital mortality of Australian patients with melioidosis continues to decline, the ensuing clinical course of survivors is poorly described. Between January 1, 1998, and January 31, 2019, 228 patients in Cairns, tropical Australia, survived their hospitalization with melioidosis; however, 52 (23%) subsequently died. Death occurred at a median of 3.8 years after discharge, with patients dying at a mean age of 59 years. Only 1/27 (4%) without predisposing conditions for melioidosis died during follow-up, versus 51/201 (25%) with these comorbidities (P = 0.01). Death during follow-up was more likely in patients with chronic lung disease (OR [95% CI]: 4.05 (1.84-8.93, P = 0.001) and chronic kidney disease (OR [95% CI]: 2.87 [1.33-6.20], P = 0.007), and was most commonly due to infection and macrovascular disease. A significant proportion of Australians surviving hospitalization with melioidosis will die soon after discharge, usually prematurely and frequently from preventable conditions. A more holistic approach is required to their care.en
dc.language.isoenen
dc.publisherAmerican Society of Tropical Medicine and Hygieneen
dc.relation.ispartofThe American journal of tropical medicine and hygieneen
dc.titleHigh Rates of Premature and Potentially Preventable Death among Patients Surviving Melioidosis in Tropical Australiaen
dc.typeArticleen
dc.identifier.doi10.4269/ajtmh.19-0375-
dc.identifier.pmid31264566-
item.fulltextNo Fulltext-
item.grantfulltextnone-
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.cerifentitytypePublications-
item.languageiso639-1en-
item.openairetypeArticle-
Appears in Sites:Cairns & Hinterland HHS Publications
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