Gold Coast Hospital

Feasibility of implementing a mindfulness-based program for paediatric intensive care unit staff

Background Paediatric intensive care unit (PICU) clinicians are particularly susceptible to workplace stress due to frequent ethical dilemmas (for example, perceptions of futile or unethical treatment), patient morbidity and mortality, sleep disruption, and emotional exhaustion,...

Rehabilitation management of children with hereditary spastic paraplegia: a retrospective cohort study

Background Hereditary spastic paraplegia (HSP) is a group of rare, genetically heterogeneous neurodegenerative conditions characterized by progressive lower limb spasticity. In children, rehabilitation management of HSP is commonly extrapolated from cerebral palsy practice, despi...

Corticosteroid use in children with community acquired sepsis: a multicentre prospective cohort study

Objectives Corticosteroids in paediatric sepsis have the potential to improve outcomes, yet there is little supporting evidence regarding efficacy, choice of agents, dose or timing of administration. We describe the patterns of corticosteroid use in children hospitalised with sus...

Quality and concordance of international paediatric sepsis guidelines: a cross-sectional appraisal from the SENTINEL International study

Objectives To evaluate the methodological quality of hospital-specific paediatric sepsis clinical practice guidelines (CPGs) from sites participating in an international study using the Appraisal of Guidelines for Research and Evaluation II (AGREE II) tool and to assess the consi...

Implementing univerSal TeleprehabiliTation into cAnceR caRe pathwayS (STTARRS Trial): protocol for a hybrid type 1 multi-centre randomised controlled trial and nested sub study

Abstract Background Postoperative complications are common after major cancer surgeries, occurring in 25–50% of patients. They delay recovery and adversely affect both cancer-free and overall survival. Intervention to optimise patients’ physical and psychological wellbeing before...

Reproducibility of Cervical Strain Elastography Using a Standardized Acquisition Protocol in Mid‐Trimester Pregnancy

ABSTRACT Objective To evaluate the intra‐and interobserver reproducibility of the cervical elastography index (EI) measurements using strain elastography (SE) with a standardized acquisition protocol. Methods In this prospective cross‐sectional study, 301 women between 18 and 24...

Fibrinogen Early In Severe Trauma studY II (FEISTY II): study protocol for a randomised clinical trial of fibrinogen concentrate vs cryoprecipitate in traumatic haemorrhage in Australia and New Zealand

Haemorrhage is a leading cause of preventable death amongst severe trauma patients and is often complicated by hypofibrinogenaemia. Fibrinogen replacement can be achieved using fibrinogen concentrate (FC) or Cryoprecipitate (Cryo), but comparative evidence in traumatic haemorrhag...

Functional causes of low testosterone predominate in contemporary Australian endocrine referral practice: a two centre experience across 5 years

Abstract Background The epidemiology and outpatient management of low testosterone in Australian tertiary care remain poorly characterised. Rising testosterone prescription rates and evolving guidelines underscore the need to delineate contemporary referral patterns, diagnostic a...

Vancomycin optimised dosing regimens for critically ill patients receiving renal replacement therapy

Optimal dosing of vancomycin in critically ill patients receiving renal replacement therapy (RRT) is uncertain due to high pharmacokinetic variability. We aimed to develop individualised vancomycin dosing recommendations that optimise efficacy while minimising toxicity. Prospecti...