Journal articles: 'Christchurch Hospital'

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McKENNA, G., H. LYTTLE, S. WITHINGTON, M. STOKER, A. MORTON, G. PALTRIDGE, D. MURDOCH, and S. T. CHAMBERS. "Schistosomiasis at Christchurch Hospital, 1989-94." Australian and New Zealand Journal of Medicine 26, no. 2 (April 1996): 226–27. http://dx.doi.org/10.1111/j.1445-5994.1996.tb00888.x.

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DAHLENBURG, G. W. "Schistosomiasis at Christchurch Hospital, 1989-94." Australian and New Zealand Journal of Medicine 26, no. 5 (October 1996): 717. http://dx.doi.org/10.1111/j.1445-5994.1996.tb02951.x.

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Aldous, S., R. Troughton, and J. Blake. "Christchurch Hospital Experience in PFO Closure." Heart, Lung and Circulation 18 (2009): S2. http://dx.doi.org/10.1016/j.hlc.2009.04.005.

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Epton, Michael, Carol Limber, Carolyn Gullery, Graham McGeoch, Brett Shand, Rose Laing, Simon Brokenshire, Andrew Meads, and Rachel Nicholson-Hitt. "Reducing hospital admissions for COPD: perspectives following the Christchurch Earthquake." BMJ Open Respiratory Research 5, no. 1 (August 2018): e000286. http://dx.doi.org/10.1136/bmjresp-2018-000286.

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The devastating 2011 earthquake in Christchurch destroyed or badly damaged healthcare infrastructure, including Christchurch Hospital. This forced change in management of exacerbations of chronic obstructive pulmonary disease (COPD), which until that point had frequently led to admission to hospital and focused attention on providing safe community options for care. This paper describes the process of understanding factors contributing to high admission frequency with exacerbations of COPD and also describes a process of change, predominantly to healthcare delivery systems and philosophies, and the subsequent outcomes. What became clear in understanding admissions with COPD to Christchurch Hospital was that the behaviour of the patient, in the context of exacerbations, and the subsequent response of the system to the patient, led to admission being the default option, in spite of low severity of the exacerbation itself. By altering systems’ responses to exacerbations, with a linked care process between ambulances, community care and hospitals, we were able to safely reduce admissions for COPD, with a sustained overall reduction in bed-day occupancy for COPD of ~48%. We would encourage these discussions and changes to occur without the stimulus of an earthquake in your healthcare environment!

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Sridhar, Akshay, Adam Kuang, Joseph Garven, Stefanie Gutschmidt, J. Geoffrey Chase, Henri P. Gavin, Robert L. Nigbor, Geoffrey W. Rodgers, and Gregory A. MacRae. "Christchurch Women's Hospital: Analysis of Measured Earthquake Data during the 2011–2012 Christchurch Earthquakes." Earthquake Spectra 30, no. 1 (February 2014): 383–400. http://dx.doi.org/10.1193/021513eqs027m.

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A network of acceleration and displacement sensors installed in the Christchurch Women's Hospital (CWH) in July 2011 captured an extensive range of earthquake signals, allowing for a unique opportunity to analyze the performance of the New Zealand South Island's only base-isolated structure. Key characteristics of a range of earthquake signals, including frequency spectra and response patterns, are identified, with particular focus on the swarm of earthquakes on 23 December 2011, including four earthquake events greater than magnitude 5.0 on the Richter scale. The findings indicate that the response of the isolators and the superstructure was essentially elastic for the events analyzed during this period. Accelerations measured above and below the isolators were similar, indicating that the behavior of the devices resembled that of rigid blocks. No significant rocking or torsional motion of the building was observed.

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Jacques, Caitlin C., Jason McIntosh, Sonia Giovinazzi, Thomas D. Kirsch, Thomas Wilson, and Judith Mitrani-Reiser. "Resilience of the Canterbury Hospital System to the 2011 Christchurch Earthquake." Earthquake Spectra 30, no. 1 (February 2014): 533–54. http://dx.doi.org/10.1193/032013eqs074m.

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The paper analyzes the performance of a hospital system using a holistic and multidisciplinary approach. Data on impacts to the hospital system were collected using a standardized survey tool. A fault-tree analysis method is adopted to assess the functionality of critical hospital services based on three main contributing factors: staff, structure, and stuff. Damage to utility networks and to nonstructural components was found to have the most significant effect on hospital functionality. The functional curve is integrated over time to estimate the resilience of the regional acute-care hospital with and without the redistribution of its major services. The ability of the hospital network to offer redundancies in services after the earthquake increased the resilience of the Christchurch Hospital by 12%. The resilience method can be used to assess future performance of hospitals, and to quantify the effectiveness of seismic retrofits, hospital safety legislation, and new seismic preparedness strategies.

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Tovaranonte, Pleayo, and Tom J. Cawood. "Impact of the Christchurch Earthquakes on Hospital Staff." Prehospital and Disaster Medicine 28, no. 3 (March 26, 2013): 245–50. http://dx.doi.org/10.1017/s1049023x1300023x.

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AbstractIntroductionOn September 4, 2010 a major earthquake caused widespread damage, but no loss of life, to Christchurch city and surrounding areas. There were numerous aftershocks, including on February 22, 2011 which, in contrast, caused substantial loss of life and major damage to the city. The research aim was to assess how these two earthquakes affected the staff in the General Medicine Department at Christchurch Hospital.ProblemTo date there have been no published data assessing the impact of this type of natural disaster on hospital staff in Australasia.MethodsA questionnaire that examined seven domains (demographics, personal impact, psychological impact, emotional impact, impact on care for patients, work impact, and coping strategies) was handed out to General Medicine staff and students nine days after the September 2010 earthquake and 14 days after the February 2011 earthquake.ResultsResponse rates were ≥ 99%. Sixty percent of responders were <30 years of age, and approximately 60% were female. Families of eight percent and 35% had to move to another place due to the September and February earthquakes, respectively. A fifth to a third of people had to find an alternative route of transport to get to work but only eight percent to 18% took time off work. Financial impact was more severe following the February earthquake, with 46% reporting damage of >NZ $1,000, compared with 15% following the September earthquake (P < .001). Significantly more people felt upset about the situation following the February earthquake than the September earthquake (42% vs 69%, P < .001). Almost a quarter thought that quality of patient care was affected in some way following the September earthquake but this rose to 53% after the February earthquake (12/53 vs 45/85, P < .001). Half believed that discharges were delayed following the September earthquake but this dropped significantly to 15% following the February earthquake (27/53 vs 13/62, P < .001).ConclusionThis survey provides a measure of the result of two major but contrasting Christchurch earthquakes upon General Medicine hospital staff. The effect was widespread with minor financial impact during the first but much more during the second earthquake. Moderate psychological impact was experienced in both earthquakes. This data may be useful to help prepare plans for future natural disasters.TovaranonteP, CawoodTJ. Impact of the Christchurch earthquakes on hospital staff. Prehosp Disaster Med. 2013;28(3):1-6.

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Zhou, Cong, J. Geoffrey Chase, Geoffrey W. Rodgers, Adam Kuang, Stefanie Gutschmidt, and Chao Xu. "Performance evaluation of CWH base isolated building during two major earthquakes in Christchurch." Bulletin of the New Zealand Society for Earthquake Engineering 48, no. 4 (December 31, 2015): 264–73. http://dx.doi.org/10.5459/bnzsee.48.4.264-273.

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The seismic performance and parameter identification of the base isolated Christchurch Women’s Hospital (CWH) building are investigated using the recorded seismic accelerations during the two large earthquakes in Christchurch. A four degrees of freedom shear model is applied to characterize the dynamic behaviour of the CWH building during these earthquakes. A modified Gauss-Newton method is employed to identify the equivalent stiffness and Rayleigh damping coefficients of the building. The identification method is first validated using a simulated example structure and finally applied to the CWH building using recorded measurements from the Mw 6.0 and Mw 5.8 Christchurch earthquakes on December 23, 2011. The estimated response and recorded response for both earthquakes are compared with the cross correlation coefficients and the mean absolute percentage errors reported. The results indicate that the dynamic behaviour of the superstructure and base isolator was essentially within elastic range and the proposed shear linear model is sufficient for the prediction of the structural response of the CWH Hospital during these events.

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Smith, S., E. A. Shipton, and J. E. Wells. "In-Hospital Cardiac Arrest: Different Wards Show Different Survival Patterns." Anaesthesia and Intensive Care 35, no. 4 (August 2007): 522–28. http://dx.doi.org/10.1177/0310057x0703500410.

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The purpose of the study was to investigate the characteristics and outcomes of in-hospital cardiac arrests that occurred outside of the hospital critical care areas. A prospective register of adult in-hospital cardiac arrests occurring in non-critical care areas of Christchurch Hospital, Christchurch, New Zealand, from January 2001 to December 2004 was compiled. Two-hundred-and-forty-three cardiac arrests were recorded in this period. The overall return of spontaneous circulation was 38.7% (CI 32.6, 44.8) and survival to discharge was 21.0% (CI 15.9, 26.1). Comparison of clinical areas showed that the percentage with successful resuscitation and the percentage with survival to discharge were highest in the cardiology wards (52.2%, 41.3%) and lowest in the medical wards (24.9%, 8.8%). After taking account of rhythm, age, gender and time of day, differences between clinical areas were slightly reduced. Cardiology wards, however, still had a higher resuscitation percentage than medical wards (P=0.03) and a higher percentage with survival to discharge than all other areas (P =0.005 overall, P ≤0.05 for each individual comparison). Reporting of hospital-wide survival rates does not accurately reflect the survival rates in a variety of specific clinical areas. The analysis of outcomes across different clinical areas at Christchurch Hospital revealed differences in outcomes and therefore the clinical experience of staff in those areas. These differences have implications for the resuscitation training of health professionals. The further development of national resuscitation registries may allow more specific analysis of outcomes in different clinical areas.

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McGowan, J. A., P. N. Hider, E. Chacko, and G. I. Town. "Particulate air pollution and hospital admissions in Christchurch, New Zealand." Australian and New Zealand Journal of Public Health 26, no. 1 (February 2002): 23–29. http://dx.doi.org/10.1111/j.1467-842x.2002.tb00266.x.

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Corin, Christine. "The Christchurch Hospital Social Work Service response in the first hours after the Christchurch earthquake of 22nd February 2011." Aotearoa New Zealand Social Work 23, no. 3 (July 8, 2016): 58–62. http://dx.doi.org/10.11157/anzswj-vol23iss3id161.

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At 12.51pm on February 22nd 2011 a powerful 6.3 magnitude earthquake hit the city of Christchurch. Over 180 people were killed and hundreds more were injured. Christchurch was still in the process of recovering from a 7.1 magnitude pre-dawn earthquake which had struck on Saturday 4th September 2010. In the first earthquake there was significant damage to buildings and the city’s infrastructure, but fortunately no loss of life. In contrast the earthquake of the 22nd February, although lower in magnitude, was shallower, centred closer to the city and struck at lunchtime on a working day, with devastating effect.

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Aldous, S., J. Blake, J. Elliott, D. McClean, and D. Smyth. "9 Years of Left Main Stem Coronary Stenting at Christchurch Hospital." Heart, Lung and Circulation 19 (January 2010): S118. http://dx.doi.org/10.1016/j.hlc.2010.06.942.

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Matthewson, S., I. Crozier, I. Melton, and J. Greenslade. "Long-Term Outcomes After Insertion of Implantable Defibrillators at Christchurch Hospital." Heart, Lung and Circulation 16 (January 2007): S111. http://dx.doi.org/10.1016/j.hlc.2007.06.282.

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Bothara, Roshit K., Aditya Raina, Brennan Carne, Tony Walls, Andrew McCombie, Michael W. Ardagh, and Laura R. Joyce. "Paediatric presentations to Christchurch Hospital Emergency Department during COVID ‐19 lockdown." Journal of Paediatrics and Child Health 57, no. 6 (January 15, 2021): 877–82. http://dx.doi.org/10.1111/jpc.15347.

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Alsulaiman, Thamer, Stephen Mark, Sarah Armstrong, and David McGregor. "Assessment of Potential Live Kidney Donors and Computed Tomographic Renal Angiograms at Christchurch Hospital." Advances in Urology 2016 (2016): 1–4. http://dx.doi.org/10.1155/2016/4924320.

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Aims. To examine the outcome of potential live kidney donors (PLKD) assessment program at Christchurch Hospital and, also, to review findings of Computed Tomographic (CT) renal angiograms that led to exclusion in the surgical assessment.Methods. Clinical data was obtained from the database of kidney transplants, Proton. Radiological investigations were reviewed using the hospital database, Éclair. The transplant coordinator was interviewed to clarify information about PLKD who did not proceed to surgery, and a consultant radiologist was interviewed to explain unfavorable findings on CT renal angiograms.Results. 162 PLKD were identified during the period January 04–June 08. Of those, 65 (40%) proceeded to have nephrectomy, 15 were accepted and planned to proceed to surgery, 13 were awaiting further assessment, and 69 (42.5%) did not proceed to nephrectomy. Of the 162 PLKD, 142 (88%) were directed donors. The proportion of altruistic PLKD who opted out was significantly higher than that of directed PLKD (45% versus 7%,P=0.00004).Conclusions. This audit demonstrated a positive experience of live kidney donation at Christchurch Hospital. CT renal angiogram can potentially detect incidental or controversial pathologies in the kidney and the surrounding structures. Altruistic donation remains controversial with higher rates of opting out.

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Brower, Ann. "Parapets, Politics, and Making a Difference: Lessons from Christchurch." Earthquake Spectra 33, no. 4 (November 2017): 1241–55. http://dx.doi.org/10.1193/080816eqs128o.

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At 12:51 on 22 February 2011, 12 people died beside me. The parapet and facade of an unreinforced masonry building on the main street of Christchurch, New Zealand, crushed the bus that I was riding. I'm the only one left, the lucky 13th. My leg, my hand, and my soul will never be the same. I broke more bones than the surgeons were willing to count, spent two months in the hospital, and most of a year off work. I walked, slept, and dreamed in a fog for four years. It cost half a million dollars to save my left leg. I treasure that leg, scars and all, but still feel the earthquake in every step. In this opinion paper, I share my story—from the earthquake, to the Bright Light, to the Dark Place, to the hospital, to the Dalai Lama, to the halls of Parliament. I also share the story of a nation coming to grips with its home on the Ring of Fire. The story ends on 8 May 2016, when Parliament passed the new Building Act, complete with a ministerially titled “Brower Amendment” that halved the remediation time for unreinforced masonry parapets and other falling hazards. I conclude with the lessons I've learned on making a difference.

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Bohmer, RD, and I. Cowan. "A review of computerized tomography in blunt abdominal trauma at Christchurch Hospital." Australasian Radiology 41, no. 1 (February 1997): 16–19. http://dx.doi.org/10.1111/j.1440-1673.1997.tb00461.x.

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Barnett, Ross, and Greg Lauer. "Urban deprivation and public hospital admissions in Christchurch, New Zealand, 1990-1997." Health and Social Care in the Community 11, no. 4 (July 2003): 299–313. http://dx.doi.org/10.1046/j.1365-2524.2003.00425.x.

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Aldous, S., J. Blake, J. Elliott, D. McClean, and D. Smyth. "Nine Years of Unprotected Left Main Stem Coronary Stenting at Christchurch Hospital." Heart, Lung and Circulation 19 (January 2010): S3—S4. http://dx.doi.org/10.1016/j.hlc.2010.04.006.

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Lambie, Emily S., Thomas M. Wilson, Erik Brogt, David M. Johnston, Michael Ardagh, Joanne Deely, Steven Jensen, and Shirley Feldmann-Jensen. "Closed Circuit Television (CCTV) Earthquake Behaviour Coding Methodology: analysis of Christchurch Public Hospital video data from the 22 February Christchurch earthquake event." Natural Hazards 86, no. 3 (December 28, 2016): 1175–92. http://dx.doi.org/10.1007/s11069-016-2735-9.

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Wright, Sarah, Peter T. Chapman, Christopher Frampton, John L. O’Donnell, Rafi Raja, and Lisa K. Stamp. "Management of Gout in a Hospital Setting: A Lost Opportunity." Journal of Rheumatology 44, no. 10 (August 1, 2017): 1493–98. http://dx.doi.org/10.3899/jrheum.170387.

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Objective.Management of gout is frequently suboptimal. The aim of this study was to determine the proportion of patients presenting to Christchurch Hospital for a gout flare and to determine whether management for both acute flares and urate lowering was in accordance with international recommendations.Methods.A retrospective audit was undertaken of all admissions to Christchurch Hospital from June 1, 2013, to May 31, 2014, in which gout was coded as a primary or secondary discharge diagnosis. Information including demographics, comorbidities, concomitant medications, treatment of acute gout, and urate lowering was collected.Results.A total of 235 acute admissions for gout in 216 individuals were identified. Eleven individuals had 2 admissions and 4 individuals had 3 admissions. In 95/235 admissions (40.4%), gout was the primary diagnosis. Gout accounted for 95/77,321 (0.12%) of acute admissions. The treatment of acute gout was prednisone monotherapy in 170/235 (72.3%) of admissions. Serum urate was measured at some point during 123/235 (52.3%) of admissions, with only 19/123 (15.4%) at target urate level (< 0.36 mmol/l). At 60 of the 235 admissions, urate-lowering therapy was already being prescribed. Nine out of 175 patients (5.1%) not treated with urate-lowering therapy at admission commenced allopurinol and 32/174 (18.4%) had commencement of urate-lowering therapy recommended in the discharge plan.Conclusion.Rates of admission for gout are similar to that observed in other studies. Failure to initiate, change, or recommend alterations in urate-lowering therapy to achieve target urate in people with gout admitted to hospital represents a significant lost opportunity to improve longterm gout management.

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Arshad, M., R. Troughton, D. Smyth, M. Daly, I. Crozier, and I. Melton. "Use of cardioversion in acute atrial fibrillation: A prospective audit from Christchurch Hospital." Heart, Lung and Circulation 24 (2015): S93—S94. http://dx.doi.org/10.1016/j.hlc.2015.04.108.

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Matthewson, S., I. Crozier, J. Greenslade, K. Harvey, J. Inglis, and I. Melton. "Quality of Life Results after Insertion of Implantable Cardiac Defibrillators at Christchurch Hospital." Heart, Lung and Circulation 21, no. 8 (August 2012): 500. http://dx.doi.org/10.1016/j.hlc.2012.03.062.

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Barnett, Ross, and Laurence Malcolm. "Practice and ethnic variations in avoidable hospital admission rates in Christchurch, New Zealand." Health & Place 16, no. 2 (March 2010): 199–208. http://dx.doi.org/10.1016/j.healthplace.2009.09.010.

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Gibb, Sheree J., Annette L. Beautrais, and David M. Fergusson. "Mortality and Further Suicidal Behaviour After an Index Suicide Attempt: a 10-Year Study." Australian & New Zealand Journal of Psychiatry 39, no. 1-2 (January 2005): 95–100. http://dx.doi.org/10.1080/j.1440-1614.2005.01514.x.

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Objective: To examine further suicide attempts and mortality in the 10 years after a suicide attempt requiring hospital admission. Method: Participants were a consecutive series of 3690 individuals admitted to Christchurch Hospital for attempted suicide during the 10-year period 1993–2002. Data were obtained on admissions to Christchurch Hospital for attempted suicide during the study period. Mortality subsequent to the index suicide attempt was established from the National Mortality Database. The influence of age, gender and method of index suicide attempt on mortality and further suicide attempts requiring hospitalization were examined. Results: Within 10 years, 28.1% of those who had been admitted for an index suicide attempt were readmitted for a further non-fatal suicide attempt, and 4.6% died by suicide. Risks and rates of readmission were higher in: females; those under 55; and those whose index attempt involved a method of low lethality. Risks and rates of suicide were higher in: males; those aged 25 and over; and those using an index suicide attempt method of high lethality. Risks and rates of readmission and mortality from suicide were highest in the first 2 years after the index attempt, although deaths and readmissions occurred throughout the 10 years study period. Conclusions: Those making suicide attempts requiring hospital admission are at high risk of further hospitalization for suicide attempt and of death from suicide. These findings suggest a need for ongoing support and monitoring, and for enhanced treatment and management of all those making suicide attempts which require hospital admission in an effort to reduce risks of further suicidal behaviour.

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Clark, Anna. "Presidential Address: The 1890s Debate over the Democratic Control of Hospitals in Britain and New Zealand." Journal of British Studies 60, no. 1 (January 2021): 1–28. http://dx.doi.org/10.1017/jbr.2020.191.

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AbstractAnna Clark's presidential plenary to the 2018 North American Conference on British Studies in Vancouver, British Columbia, compares scandals over the mistreatment of patients and nurses that led to demands for popular control of hospitals in both Britain and New Zealand in the 1890s. A high death rate at the Chelsea Hospital for Women in London, located near a Pasteur Institute for animal research on vaccination, incited fears of human vivisection. The high death rate of nurses at the London Hospital provoked newspaper exposés and parliamentary investigations and calls for the municipalization of voluntary hospitals. In Christchurch, New Zealand, a debate over the rudeness of doctors and nurses enraged citizens. The flames of these scandals were sparked by newspaper agitation but fanned by feminists, socialists, trade unionists, and animal-rights organizations. In response to fears around experimentation, Fabian socialists Havelock Ellis, Harry Roberts, and Honnor Morten proposed democratic control of hospitals. These demands, focusing on patients’ rights and nurses’ health, differed from the hospital reform movement that urged hospitals to become more economical by forcing patients to pay. They also diverged from Beatrice and Sidney Webb's admonitions that the state must oversee citizens’ health for the nation to function efficiently. Although the calls for the democratic control of hospitals did not succeed, they might be seen as germs of a patient-centered approach to hospital care.

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Damanhuri, Nor Salwa, Noor Najwa Noor Ariffin, Nor Azlan Othman, Yeong Shiong Chiew, Azrina Md Ralib, Mohd Basri Mat Noor, Paul D. Docherty, and J. Geoffrey Chase. "Assessing SB effort via a non-invasive model-based method in mechanically ventilated patients in Malaysian ICU hospital." Indonesian Journal of Electrical Engineering and Computer Science 15, no. 3 (September 1, 2019): 1232. http://dx.doi.org/10.11591/ijeecs.v15.i3.pp1232-1240.

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Patients with Acute Respiratory Distress Syndrome (ARDS) required mechanical ventilation (MV) for breathing support. However, some MV patients encountered spontaneous breathing (SB) efforts while fully sedated which can obscure the true underlying respiratory mechanics of these patients. Thus, a model-based method is required to reconstruct the missing pressure and calculate the breathing effort that produced by the patients without additional clinical protocols or invasive procedure. In this paper, results of spontaneous breathing effort in Malaysian critically-ill patients adopting the developed pressure reconstruction model are presented. By using the pressure reconstruction model, the SB affected pressure waveform is reconstructed to approximate true respiratory mechanics and quantifies the SB effort. The SB breathing efforts were computed and compared with the results from Christchurch Hospital, New Zealand. The substitute measure of SB effort can be indicated from the difference between the reconstructed and unreconstructed pressure. Results shows that all patients from both cohorts exhibited SB effort with the highest SB effort at 11.48% for Malaysian patient and 21.07% for Christchurch patient. Overall, the well-developed non-invasive pressure reconstruction method is able to measure the SB effort produced by Malaysian MV patients that help the clinicians in selecting the optimal MV setting. This first non-invasive guidance in selecting the optimal setting of MV in Malaysia is potentially reduced the ICU cost and improve the MV management in Malaysian hospital.

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ALLAN, J., and L. J. HORWOOD. "TRENDS IN HOSPITAL ADMISSION FOR CHILDREN WITH ACUTE ASTHMA IN CHRISTCHURCH, NEW ZEALAND. 1974-1983." Journal of Paediatrics and Child Health 22, no. 1 (February 1986): 71–72. http://dx.doi.org/10.1111/j.1440-1754.1986.tb00190.x.

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Goh, Siew S. C., A. Kho, G. Couch, D. Shaw, G. McCrystal, and H. Singh. "Operative risks and mid-term outcomes following offpump coronary artery bypass grafting at Christchurch Hospital." Heart, Lung and Circulation 24 (2015): e25. http://dx.doi.org/10.1016/j.hlc.2014.12.056.

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McKinlay, Audrey, L. John Horwood, and David M. Fergusson. "Accuracy of Self-report as a Method of Screening for Lifetime Occurrence of Traumatic Brain Injury Events that Resulted in Hospitalization." Journal of the International Neuropsychological Society 22, no. 7 (June 6, 2016): 717–23. http://dx.doi.org/10.1017/s1355617716000497.

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AbstractBackgroundTraumatic brain injury (TBI) occurs frequently during child and early adulthood, and is associated with negative outcomes including increased risk of drug abuse, mental health disorders and criminal offending. Identification of previous TBI for at-risk populations in clinical settings often relies on self-report, despite little information regarding self-report accuracy. This study examines the accuracy of adult self-report of hospitalized TBI events and the factors that enhance recall.MethodsThe Christchurch Health and Development Study is a birth cohort of 1265 children born in Christchurch, New Zealand, in 1977. A history of TBI events was prospectively gathered at each follow-up (yearly intervals 0–16, 18, 21, 25 years) using parental/self-report, verified using hospital records.ResultsAt 25 years, 1003 cohort members were available, with 59/101 of all hospitalized TBI events being recalled. Recall varied depending on the age at injury and injury severity, with 10/11 of moderate/severe TBI being recalled. Logistic regression analysis indicated that a model using recorded loss of consciousness, age at injury, and injury severity, could accurately classify whether or not TBI would be reported in over 74% of cases.ConclusionsThis research demonstrates that, even when individuals are carefully cued, many instances of TBI will not recalled in adulthood despite the injury having required a period of hospitalization. Therefore, screening for TBI may require a combination of self-report and review of hospital files to ensure that all cases are identified. (JINS, 2016, 22, 717–723)

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Sabel, Clive Eric, Jeff Gaines Wilson, Simon Kingham, Catherine Tisch, and Mike Epton. "Spatial implications of covariate adjustment on patterns of risk: Respiratory hospital admissions in Christchurch, New Zealand." Social Science & Medicine 65, no. 1 (July 2007): 43–59. http://dx.doi.org/10.1016/j.socscimed.2007.02.040.

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Denekamp, S., I. Crozier, I. Melton, M. Daly, J. Inglis, J. Greenslade, and K. Harvey. "Long-Term Quality of Life (QOL) Results After Insertion of Implantable Cardiac Defibrillators at Christchurch Hospital." Heart, Lung and Circulation 25 (August 2016): S149—S150. http://dx.doi.org/10.1016/j.hlc.2016.06.353.

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Stewart, Kent W., Christopher G. Pretty, Geoffrey M. Shaw, and J. Geoffrey Chase. "Interpretation of Retrospective BG Measurements." Journal of Diabetes Science and Technology 12, no. 5 (July 12, 2018): 967–75. http://dx.doi.org/10.1177/1932296818786518.

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Background: This study investigates blood glucose (BG) measurement interpolation techniques to represent intermediate BG dynamics, and the effect resampling of retrospective BG data has on key glycemic control (GC) performance results. GC protocols in the ICU have varying BG measurement intervals ranging from 0.5 to 4 hours. Sparse data pose problems, particularly in comparing GC performance or model fitting, and thus interpolation is required. Methods: Retrospective data from SPRINT in Christchurch Hospital Intensive Care Unit (ICU) (2005-2007) were used to analyze several interpolation techniques. Piecewise linear, spline, and cubic interpolation functions, which force interpolation through measured data, as well as 1st and 2nd Order B-spline basis functions, are used to identify the interpolated trace. Dense data were thinned to increase sparsity and obtain measurements (Hidden Measurements) for comparison after interpolation. Performance is assessed based on error in capturing hidden measurements. Finally, the effect of minutely versus hourly sampling of the interpolated trace on key GC performance statistics was investigated using retrospective data received from STAR GC in Christchurch Hospital ICU, New Zealand (2011-2015). Results: All of the piecewise functions performed considerably better than the fitted interpolation functions. Linear piecewise interpolation performed the best having a mean RMSE 0.39 mmol/L, within 2 standard deviations of the BG sensor error. Minutely sampled BG resulted in significantly different key GC performance values when compared to raw sparse BG measurements. Conclusion: Linear piecewise interpolation provides the best estimate of intermediate BG dynamics and all analyses comparing GC protocol performance should use minutely linearly interpolated BG data.

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Gavin, Henri P., and Grant Wilkinson. "Preliminary observations of the effects of the 2010 Darfield earthquake on the base-isolated Christchurch Women's Hospital." Bulletin of the New Zealand Society for Earthquake Engineering 43, no. 4 (December 31, 2010): 360–67. http://dx.doi.org/10.5459/bnzsee.43.4.360-367.

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The Christchurch Women's Hospital, completed in March 2005, is the only base-isolated building in the South Island of New Zealand. The displacement capacity of the base-isolation system and the super-structure ductility capacity are designed to meet 2000-year return-period demands. Detailed structural evaluations after the 2010 Darfield Earthquake revealed damage only to sacrificial non-structural components at the seismic gaps. Because the structure is not instrumented, basic design information and ground motion records from nearby sites are used to estimate the responses to the main shock and a large after-shock. Results from this modelling effort are used to corroborate reports of structural response from staff present at the time of the main shock and aftershocks. Issues meriting further investigation are related to the local site conditions, soil-structure interaction, super-structure dynamics, interaction with the adjacent structures, and large-deformation effects.

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McGonigle, Lisa, and Graham McGeoch. "An initiative to improve equity, timeliness and access to District Health Board-funded physiotherapy in Canterbury, Christchurch, New Zealand." Journal of Primary Health Care 12, no. 4 (2020): 377. http://dx.doi.org/10.1071/hc20074.

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ABSTRACT Background and contextGeneral practice teams frequently request orthopaedic and musculoskeletal physiotherapy. In the Canterbury District Health Board (DHB) region, before November 2018, the criteria for DHB-funded physiotherapy were unclear. Wait times were many months. Care was provided on hospital sites. Limited data were available about the service. Assessment of problemA clinical project group including private and DHB hospital physiotherapists and general practitioners was established. Patients requiring orthopaedic and musculoskeletal physiotherapy who had certain criteria were seen by physiotherapists in contracted private clinics in the community instead of by physiotherapists in hospital departments. Patients received up to NZ$300 (excluding GST) of care. A claiming process was established that required the physiotherapy clinics to provide data on patient outcomes. ResultsIn the first 12 months of the programme, 1229 requests were accepted. Patients waited an average of 11.1 days for their first appointment. There was an average Patient Specific Functional Scale increase of 3.7 after treatment. Strategies for improvementA change environment was critical for this community-based, geographically distributed model to succeed. It was supported by key clinicians and funders with sufficient authority to make changes as required. It required ongoing clinical oversight and operational support. LessonsDHB orthopaedic and musculoskeletal physiotherapy can be moved from hospital sites to a community-based, distributed service in a timely, effective and equitable fashion. There was a prompt time to treatment. Data collection was improved by tracking ‘before’ and ‘after’ measures.

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Briggs, Lynne, and Molly Heisenfelt Roark. "Personal reflections: What happens when disaster hits?" Aotearoa New Zealand Social Work 25, no. 2 (May 15, 2016): 98–104. http://dx.doi.org/10.11157/anzswj-vol25iss2id85.

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This article is a reflection by two social workers who were involved both personally and professionally in a community in stress in the aftermath of the Christchurch earthquakes. As such we worked as volunteers offering counselling to people in need through the Canterbury Charity Hospital. While one of us lived through the earthquakes and the other was only a part of the quake-stricken community for a short period of time, both were witness to the appreciation, resilience, and courage paramount in clients; the emotional accounts of survival and loss; and Cantabrians going through the ongoing aftershocks that have relentlessly pounded our city over the past two and half years.

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Marek, Lukas, Malcolm Campbell, Michael Epton, Simon Kingham, and Malina Storer. "Winter Is Coming: A Socio-Environmental Monitoring and Spatiotemporal Modelling Approach for Better Understanding a Respiratory Disease." ISPRS International Journal of Geo-Information 7, no. 11 (November 6, 2018): 432. http://dx.doi.org/10.3390/ijgi7110432.

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Chronic Obstructive Pulmonary Disease is a progressive lung disease affecting the respiratory function of every sixth New Zealander and over 300 million people worldwide. In this paper, we explored how the combination of social, demographical and environmental conditions (represented by increased winter air pollution) affected hospital admissions due to COPD in an urban area of Christchurch (NZ). We juxtaposed the hospitalisation data with dynamic air pollution data and census data to investigate the spatiotemporal patterns of hospital admissions. Spatial analysis identified high-risk health hot spots both overall and season specific, exhibiting higher rates in winter months not solely due to air pollution, but rather as a result of its combination with other factors that initiate deterioration of breathing, increasing impairments and lead to the hospitalisation of COPD patients. From this we found that socioeconomic deprivation and air pollution, followed by the age and ethnicity structure contribute the most to the increased winter hospital admissions. This research shows the continued importance of including both individual (composition) and area level (composition) factors when examining and analysing disease patterns.

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Lim, Christopher G. T., Duncan I. Campbell, Nicholas Cook, and Jason Erasmus. "A Case Series of Rapid Prototyping and Intraoperative Imaging in Orbital Reconstruction." Craniomaxillofacial Trauma & Reconstruction 8, no. 2 (June 2015): 105–10. http://dx.doi.org/10.1055/s-0034-1395384.

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In Christchurch Hospital, rapid prototyping (RP) and intraoperative imaging are the standard of care in orbital trauma and has been used since February 2013. RP allows the fabrication of an anatomical model to visualize complex anatomical structures which is dimensionally accurate and cost effective. This assists diagnosis, planning, and preoperative implant adaptation for orbital reconstruction. Intraoperative imaging involves a computed tomography scan during surgery to evaluate surgical implants and restored anatomy and allows the clinician to correct errors in implant positioning that may occur during the same procedure. This article aims to demonstrate the potential clinical and cost saving benefits when both these technologies are used in orbital reconstruction which minimize the need for revision surgery.

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Zhuravsky, Lev. "Crisis Leadership in an Acute Clinical Setting: Christchurch Hospital, New Zealand ICU Experience Following the February 2011 Earthquake." Prehospital and Disaster Medicine 30, no. 2 (January 30, 2015): 131–36. http://dx.doi.org/10.1017/s1049023x15000059.

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AbstractIntroductionOn Tuesday, February 22, 2011, a 6.3 magnitude earthquake struck Christchurch, New Zealand. This qualitative study explored the intensive care units (ICUs) staff experiences and adopted leadership approaches to manage a large-scale crisis resulting from the city-wide disaster.ProblemTo date, there have been a very small number of research publications to provide a comprehensive overview of crisis leadership from the perspective of multi-level interactions among staff members in the acute clinical environment during the process of the crisis management.MethodsThe research was qualitative in nature. Participants were recruited into the study through purposive sampling. A semi-structured, audio-taped, personal interview method was chosen as a single data collection method for this study. This study employed thematic analysis.ResultsFormal team leadership refers to the actions undertaken by a team leader to ensure the needs and goals of the team are met. Three core, formal, crisis-leadership themes were identified: decision making, ability to remain calm, and effective communication. Informal leaders are those individuals who exert significant influence over other members in the group to which they belong, although no formal authority has been assigned to them. Four core, informal, crisis-leadership themes were identified: motivation to lead, autonomy, emotional leadership, and crisis as opportunity.Shared leadership is a dynamic process among individuals in groups for which the objective is to lead one another to the achievement of group or organizational goals. Two core, shared-leadership themes were identified: shared leadership within formal medical and nursing leadership groups, and shared leadership between formal and informal leaders in the ICU.ConclusionThe capabilities of formal leaders all contributed to the overall management of a crisis. Informal leaders are a very cohesive group of motivated people who can make a substantial contribution and improve overall team performance in a crisis. While in many ways the research on shared leadership in a crisis is still in its early stages of development, there are some clear benefits from adopting this leadership approach in the management of complex crises. This study may be useful to the development of competency-based training programs for formal leaders, process improvements in fostering and supporting informal leaders, and it makes important contributions to a growing body of research of shared and collective leadership in crisis.ZhuravskyL. Crisis leadership in an acute clinical setting: Christchurch Hospital, New Zealand ICU experience following the February 2011 earthquake. Prehosp Disaster Med. 2015;30(2):1-6.

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Kuang, Adam, Akshay Sridhar, Joseph Garven, Stefanie Gutschmidt, Geoffrey W. Rodgers, J. Geoffrey Chase, Henri P. Gavin, Robert L. Nigbor, and Gregory A. MacRae. "Christchurch Women’s Hospital: Performance Analysis of the Base-Isolation System during the Series of Canterbury Earthquakes 2011–2012." Journal of Performance of Constructed Facilities 30, no. 4 (August 2016): 04015096. http://dx.doi.org/10.1061/(asce)cf.1943-5509.0000846.

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Darwish, Balsam S., Philip A. Bird, Derek W. Goodisson, Janusz A. Bonkowski, and Martin R. MacFarlane. "Facial nerve function and hearing preservation after retrosigmoid excision of vestibular schwannoma: Christchurch hospital experience with 97 patients." ANZ Journal of Surgery 75, no. 10 (October 2005): 893–96. http://dx.doi.org/10.1111/j.1445-2197.2005.03544.x.

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Arshad, M., R. Troughton, D. Smyth, M. Daly, I. Crozier, and I. Melton. "Risk assessment and management of anticoagulation in patients with AF in an Australasian setting: the Christchurch Hospital experience." Heart, Lung and Circulation 24 (2015): S84—S85. http://dx.doi.org/10.1016/j.hlc.2015.04.087.

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Pietra, Dario, Stefano Pampanin, Ron L. Mayes, Nicholas G. Wetzel, and Demin Feng. "Design of base-isolated buildings." Bulletin of the New Zealand Society for Earthquake Engineering 48, no. 2 (June 30, 2015): 118–35. http://dx.doi.org/10.5459/bnzsee.48.2.118-135.

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Base isolation is arguably the most reliable method for providing enhanced protection of buildings against earthquake-induced actions, by virtue of a physical separation between the structure and the ground through elements/devices with controlled force capacity, significant lateral deformation capacity and (often) enhanced energy dissipation. Such a design solution has shown its effectiveness in protecting both structural and non-structural components, hence preserving their functionality even in the aftermath of a major seismic event. Despite lead rubber bearings being invented in New Zealand almost forty years ago, the Christchurch Women’s hospital was the only isolated building in Christchurch when the Canterbury earthquake sequence struck in 2010/11. Furthermore, a reference code for designing base-isolated buildings in New Zealand is still missing. The absence of a design standard or at least of a consensus on design guidelines is a potential source for a lack of uniformity in terms of performance criteria and compliance design approaches. It may also limit more widespread use of the technology in New Zealand. The present paper provides an overview of the major international codes (American, Japanese and European) for the design of base-isolated buildings. The design performance requirements, the analysis procedures, the design review process and approval/quality control of devices outlined in each code are discussed and their respective pros and cons are compared through a design application on a benchmark building in New Zealand. The results gathered from this comparison are intended to set the basis for the development of guidelines specific for the New Zealand environment.

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Swadi, Harith, and Candace Bobier. "Hospital Admission in Adolescents with acute Psychiatric Disorder: How Long should it be?" Australasian Psychiatry 13, no. 2 (June 2005): 165–68. http://dx.doi.org/10.1080/j.1440-1665.2005.02181.x.

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Objective: To determine the length of stay in hospital for youth with acute psychiatric illness, and the treatment outcome. Methods: Diagnostic and Statistical Manual of Mental Disorders(4th edn;DSM-IV) psychiatric diagnosis, clinical outcome and the length of stay were sys-tematically gathered for admissions over an 18month period at the Christchurch Youth Inpatient Unit (YIU). Clinical outcome data were collected at admission,3 weeks after admission and at discharge, using the Health of the Nation Out-come Scale for Children and Adolescents (HoNOSCA). The length of stay was determined retrospectively. Discharge was decided on clinical grounds. Results: During the 18 months of the investigation, 72 subjects were admitted for the treatment of acute mental illness. The most common diagnostic category was mood disorder (n = 39, 54%), followed by anxiety or adjustment disorder (n = 18, 25%), and major psychosis (n = 15, 21%). The mean length of admission for the whole population was 27.3 days, 23.7 days for mood disorders, 18.9 days for anxiety disorders and 46.9 days for the major psychosis diagnostic groups. According to HoNOSCA clinician ratings, the major portion of the improvement occurred during the first 3 weeks of admission. Conclusions: For the majority of youth with acute psychiatric illness, a relatively short stay in hospital is feasible, because most health gains tend to occur early during an admission.

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Baroni, Lorena V., Carlos Rugilo, Fabiana Lubieniecki, Claudia Sampor, Candela Freytes, Liana Nobre, Jordan R. Hansford, et al. "RARE-50. TREATMENT RESPONSE OF CNS HIGH-GRADE NEUROEPITHELIAL TUMORS WITH MN1 ALTERATION." Neuro-Oncology 22, Supplement_3 (December 1, 2020): iii453. http://dx.doi.org/10.1093/neuonc/noaa222.760.

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Abstract BACKGROUND CNS high-grade neuroepithelial tumor with MN1 alteration (CNS HGNET-MN1) are a rare entity recently described as a high-grade tumor containing a mixture of solid and pseudopapillary patterns with MN1 rearrangement. METHODS CNS HGNET-MN1 patients were identified using genome wide methylation arrays across 5 institutions (the Hospital JP Garrahan, Hospital for Sick Children, the University Hospital Motol, Royal Children`s Hospital and Christchurch Hospital) and was correlated with treatment and outcome. Central imaging review with radiological features analysis was performed. RESULTS We identified 9 patients harboring CNS HGNET-MN1 tumors through application of the Heidelberg brain tumor classifier. Seven tumors were T supratentorial and two in the spinal cord. Median age was 5 (range 3.6–14.6). All patients had surgery (6 GTR and 3 STR) as initial management followed by radiotherapy (focal 5/CSI 1) and systemic chemotherapy in 2 patients. Four of the 9 patients relapsed by 3 years post diagnosis, with 2 local and 2 metastatic failures despite complete surgical resections and radiotherapy. Three patients died due to tumor relapse after 24 months despite upfront radiotherapy. Seven of 9 patients had an initial diagnosis of ependymoma. CONCLUSION Treatment of CNS HGNET-MN1 remains a major challenge with multiple failures, despite aggressive surgical resections and upfront involved field radiotherapy. Further multicenter, international prospective studies are required to determine the optimal treatment strategy for this group of tumors.

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Abdul Razak, Normy Norfiza, Nurhamim Ahamad, Fatanah Suhaimi, Ummu Jamaluddin, and Azrina M. Ralib. "FEASIBILITY OF AN INTENSIVE CONTROL INSULIN-NUTRITION GLUCOSE MODEL ‘ICING’ WITH MALAYSIAN CRITICALLY-ILL PATIENT." International Journal of Pharmacy and Pharmaceutical Sciences 8, no. 2 (September 17, 2016): 40. http://dx.doi.org/10.22159/ijpps.2016v8s2.15218.

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<p class="lead">A clinically verified patient-specific glucose-insulin metabolic model known as ICING is used to account for time-varying insulin sensitivity. ICING was developed and validated from critically-ill patients with various medical conditions in the intensive care unit in Christchurch Hospital, New Zealand. Hence, it is interesting and vital to analyse the compatibility of the model once fitted to Malaysian critically-ill data. Results were assessed in terms of percentage of model-fit error, both by cohort and per-patient analysis. The ICING model accomplished median fitting error of<1% over data from 63 patients. Most importantly, the median per-patients is at a low fitting error of 0.34% and per cohort is 0.35%. These results provide a promising avenue for near future simulations of developing tight glycaemic control protocol in the Malaysian intensive care unit.</p>

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Scrimgeour, Duncan S. G., Christopher Driver, Sebastian King, and Spencer Beasley. "When does ultrasound influence management in suspected cases of paediatric appendicitis? A retrospective dual centred study between Christchurch public hospital in New Zealand and Royal Aberdeen children's hospital in Scotland." International Journal of Surgery 10, no. 8 (2012): S64. http://dx.doi.org/10.1016/j.ijsu.2012.06.336.

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Stafford, A., A. Martin, and D. Tiwari. "16 Comparison of Characteristics and Outcomes for Older Adults Admitted to Specialty Wards Versus Outlying Wards at Royal Bournemouth and Christchurch Hospitals." Age and Ageing 49, Supplement_1 (February 2020): i1—i8. http://dx.doi.org/10.1093/ageing/afz183.16.

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Abstract Background At Royal Bournemouth and Christchurch Hospitals (RBCH) elderly patients are admitted to either the acute medical unit or the older person’s assessment unit. If the inpatient stay is likely to be longer than 72 hours, then patients are transferred to one of three elderly care wards. If these wards are at capacity, then patients must be outlied to other wards. Introduction GMC guidance June 2014, states hospital inpatients should have a named consultant. Studies have shown that length of stay and outcomes can be affected when the patient is on an outlying ward. This issue affects many hospitals and specialties, and also impacts older frail patients at RBCH. During winter elderly care admission rates increase, and more patients are outlied. Our aim was to improve the care and outcomes for elderly care patients treated on outlying wards. Methods The notes of 50 specialty ward patients and 50 outlying patients were compared from the first two weeks of January and February 2019 using scanned electronic records where elderly care was responsible for their treatment. We studied demographic characteristics, length of stay, mortality, readmission within 30 days of discharge, frequency of consultant review, escalation plans, discharge destination and ward moves. Interventions A dedicated outlying team was created for the 2018/2019 winter to attempt to improve outcomes for outlying elderly care patients. This team consisted of a geriatrician, registrar, SHO and allied health care professionals including a physiotherapist and discharge coordinator. Results Our results showed that outlying patients had a significantly longer average length of stay compared to patients on specialty ward (13.8 days vs 8.2 days, p=0.01). A significantly higher proportion of patients in outlying wards did not have a consultant review every 72 hours (66% vs 8.3% specialty ward patients, p=0.001). However the specialty ward patients had a significantly higher number of readmissions within 30 days (30.6% vs 16%, p=0.04). Conclusions We found that despite a dedicated team, outlying patients had a significantly longer length of stay and were seen by a consultant less often than patients on a specialty ward. Further work is needed to ensure equality of care for these patients. Patients with complex medical needs are generally triaged to specialty wards, which may account for their higher readmission rate.

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Barnett, Ross, Jamie Pearce, Graham Moon, John Elliott, and Pauline Barnett. "Assessing the effects of the introduction of the New Zealand Smokefree Environment Act 2003 on Acute Myocardial Infarction hospital admissions in Christchurch, New Zealand." Australian and New Zealand Journal of Public Health 33, no. 6 (December 2009): 515–20. http://dx.doi.org/10.1111/j.1753-6405.2009.00446.x.

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Souter, Melanie A., Scott Stevenson, Bryn Sparks, and Chris Drennan. "Upper airway surgery benefits patients with obstructive sleep apnoea who cannot tolerate nasal continuous positive airway pressure." Journal of Laryngology & Otology 118, no. 4 (April 2004): 270–74. http://dx.doi.org/10.1258/002221504323012003.

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Nasal continuous positive airway pressure (CPAP) is the mainstay of treatment for patients with moderate to severe obstructive sleep apnoea (OSA). However, tolerance and compliance are poor.An audit using the Christchurch Hospital ORL surgery database identified patients who underwent upper airway surgery for OSA. Tracheostomy and bimaxillary advancement patients were excluded. Adults with moderate to severe OSA (Desaturation Index (DI) >10 n.h-1), who had failed atrial of nasal CPAP, and had pre-operative and post-operative sleep study data were identified. Objective (DI) and Subjective (Epworth Sleepiness Score (ESS)) outcome measures were recorded.The database identified 69 patients who underwent surgery for snoring or OSA; of these, 25 patients formed the study group. Sixteen out of 25 improved (64 per cent) after surgery, seven out of 25 showed no change (28 per cent), two patients (eight per cent) showed deterioration in their DI. Forty-eight per cent of patients had >50 per cent post-operative improvement in DI. Fourteen out of 25 (56 per cent) had a post-operative DI <20 n.h-1. Seven out of 25 (28 per cent) had a post-operative DI <10 n.h-1. Upper airway surgery has a role in the managementof selected patients with OSA who cannot tolerate nasal CPAP.

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Journal articles on the topic 'Christchurch Hospital'

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