- Obstructive Sleep Apnea Research
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Neuroscience of respiration and sleep
- Neonatal Respiratory Health Research
- Cystic Fibrosis Research Advances
- Tracheal and airway disorders
- Cardiovascular and Diving-Related Complications
- Pediatric health and respiratory diseases
- Respiratory Support and Mechanisms
- Pleural and Pulmonary Diseases
- Asthma and respiratory diseases
- Congenital Diaphragmatic Hernia Studies
- Infant Development and Preterm Care
- Interstitial Lung Diseases and Idiopathic Pulmonary Fibrosis
- Respiratory viral infections research
- Respiratory and Cough-Related Research
- Ultrasound in Clinical Applications
- Pneumothorax, Barotrauma, Emphysema
- Salivary Gland Disorders and Functions
- Sleep and related disorders
- Injury Epidemiology and Prevention
- Emergency and Acute Care Studies
- Otolaryngology and Infectious Diseases
- Amoebic Infections and Treatments
- Congenital Heart Disease Studies
Royal Darwin Hospital
2016-2025
Flinders University
2018-2025
Charles Darwin University
2019-2025
Northern Territory Health Services
2019-2024
Flinders Medical Centre
2019
SleepMed
2019
Abstract Objectives To assess the prevalence of bronchiectasis among Aboriginal and Torres Strait Islander (Indigenous) adults in Top End Northern Territory, mortality Indigenous with bronchiectasis. Study design Retrospective cohort study. Setting, participants (18 years or older) living Health Service region NT whom was confirmed by chest computed tomography (CT) during 1 January 2011 – 31 December 2020. Main outcome measures Prevalence bronchiectasis, all‐cause CT‐confirmed — overall,...
Abstract Background This study assessed hospitalisation frequency and related clinical outcomes among adult Aboriginal Australians with bronchiectasis over a ten-year period. Method retrospective included patients aged ≥ 18 years diagnosed between 2011 2020 in the Top End, Northern Territory of Australia. Hospital admissions restricted to respiratory conditions (International Classification Diseases (ICD) code J) relevant parameters were compared those without hospital admissions. Results Of...
Chronic respiratory disorders are highly prevalent among Australian Aboriginal people living in the Top End Health Service region Northern Territory, Australia. Bronchiectasis is a heterogenous disease that features these chronic conditions this population. However, there sparse comparative data between and non-Aboriginal patients with bronchiectasis from region.In retrospective study, demographics, clinical characteristics relevant laboratory parameters were compared adult diagnosed 2012...
Background Globally, adult Indigenous people, including Aboriginal Australians, have a high burden of chronic respiratory disorders, and bronchiectasis is no exception. However, literature detailing disease characteristics among people sparse. This study assessed the clinical profile Australians compared against previously published international registry reports. Methods aged >18 years with chest CT confirmed between 2011 2020 in Top End Northern Territory Australia were included....
ABSTRACT This cross‐sectional study assessed the clinical and economic costs (Inpatient Activity Database) associated with hospitalisations due to bronchiectasis exacerbations among adult indigenous patients in Top End, Northern Territory. Twenty case episodes from 15 a mean age of 51.8 ± 12.7 years were recorded 3‐month window. The estimated cost was AUD 400 579.9, per patient 26 705 over 3 months average admission 20 029. Extrapolating data across 10‐year period gave conservative estimate...
ABSTRACT Background Sputum microbiology is an integral aspect of managing patients with bronchiectasis. Adult Aboriginal Australians have a high bronchiectasis disease burden; however, as yet there sparce literature detailing the sputum profile in this population. Aims To assess among aged ≥18 years chest computed tomography‐confirmed Top End Northern Territory Australia. Method All available samples processed single laboratory service established protocols for examining and reporting...
To study the demographic, rates and types of chronic respiratory conditions in Indigenous non-Indigenous patients regional remote communities Northern Territory Top End, who were referred to specialist outreach service.A retrospective, observational over a 2 years period.Remote community health clinics within End visited by team.Only team included. There 444 participants, with 210 males 234 females. In total, 79.3% Indigenous.The disease diagnoses smoking status different district...
The Aboriginal population of Australia has a higher burden chronic health conditions than non-Aboriginal Australians. However, there is paucity data on clinical and demographic characteristics obstructive pulmonary disease (COPD) in this population.In retrospective study we evaluated the clinical, environmental influences adult patients with COPD living regional remote communities Northern Territory Australia.There were 380 (49%) diagnosis 767 referred to specialist respiratory outreach...
Abstract Australian Aboriginal and Torres Straight Islanders (ATSI) are noted to have a higher burden of chronic health conditions. However, there is paucity data on obstructive sleep apnoea (OSA) in this population. In retrospective study, we evaluated the clinical polysomnographic (PSG) characteristics ATSI non-ATSI adult patients who underwent diagnostic PSG between 2011 2015. There were total 3078 patients. Of total, 403 (13%) origin. Among those origin, 61% male 39% females, while among...
Chronic respiratory disorders are highly prevalent in Aboriginal Australian population, including chronic obstructive pulmonary disease (COPD) and bronchiectasis. However, there is paucity of information the literature among patients with underlying COPD without
There is sparse evidence in the literature relation to chest computed tomography (CT) findings among adult Indigenous Australians with chronic respiratory conditions.In this retrospective study, patients who underwent CT between 2012 and 2020 those referred undergo lung function tests (spirometry) were assessed for prevalence of abnormal radiological findings.Of 402 (59% female) included 331 (82%) had an abnormality identified on CT. Most abnormalities occurred alongside one (25%) or...
There is sparse evidence in the literature assessing emergency department presentation with respiratory disorders among Indigenous patients. The objective of this study was to evaluate clinical characteristics and outcomes for Australians comparison non-Indigenous patients presenting Emergency Department (ED) disorders.In study, two non-contiguous one-month periods during wet (January) dry (August) season were reported on, differences demographics, diagnosis, hospital admission, length stay,...
Background The prevalence of chronic obstructive pulmonary disease (COPD) is higher among Indigenous Australians than that non-Indigenous Australians. However, no studies have investigated COPD awareness and knowledge In this study, we assessed the patients in Top End Health Service region Northern Territory Australia. Methods Of a total convenience sample 100 adults, 86 consented to participate study over 15-month period. A structured interview was conducted identify participant’s level...
Abstract Background Poor lung function is a predictor of future all‐cause mortality. In Australia, respiratory diseases are particularly prevalent among the indigenous population, especially in remote communities. However, there little published pulmonary tests’ (PFT) data remote‐based adult patients. Aim To evaluate severity airflow obstruction and other PFT abnormalities adults referred to specialist clinics Methods Retrospective analysis (pre‐ post‐bronchodilator spirometry, total...
Background: There is sparse literature evidence evaluating the applicability of GLI-2012 spirometric norms for Australian Aboriginal adults.Methods: Lung function parameters (LFPs) were compared between and Caucasians, fit Aboriginals LFPs with various ethnic GLI equations was tested.Results: Of 1350 5634 Pulmonary tests (PFTs) in Caucasian adults, 153 208 PFTs matched anthropometrics normal chest radiology, respectively. Absolute FVC FEV1 values 20% lower to Caucasians. Differences remained...
Studies assessing normative values and sex differences in pulmonary function test parameters (PFTPs) among Indigenous populations are sparse.
The majority of Indigenous Australians reside in non-urban locations, with reduced access to chest radiology such as computed tomography (CT). Spirometry and X-ray (CXR) may be used the absence CT; however, correlation spirometry indices CT-defined chronic airway diseases (i.e. obstructive pulmonary disease (COPD) bronchiectasis) compared CXR among people is sparsely reported.To evaluate against CT findings adult Australians.Indigenous patients who had undergone a test between 2012 2020 or...
Background Bronchiectasis is increasingly being recognized to exist in all settings with a high burden of disease seen First Nations populations. With increasing numbers pediatric patients chronic illnesses surviving into adulthood, there more awareness on examining the transition from adult medical care services. We undertook retrospective chart audit describe what processes, timeframes, and supports were place for young people (≥14 years) bronchiectasis services Northern Territory (NT),...
Abstract Introduction There are limited data on chest computed tomography (CT) findings in the assessment of lung nodules among adult Aboriginal Australians. In this retrospective study, we assessed a group Australians Northern Territory Australia. Methods Patients who underwent at least two CT scans between 2012 and 2020 those referred to undergo function testing (spirometry) were included. Chest for number, location, size morphological characteristics nodules. Results Of 402 CTs assessed,...
Background and objective Currently there is paucity of evidence in the literature relation to normative values for diffusing capacity carbon monoxide (DLCO) total lung (TLC) among Indigenous Australians. Hence, this study we assessed DLCO TLC parameters Australians comparison Australian Caucasian counterparts. Methods were compared between Caucasians matched age, sex body mass index, with normal chest radiology. Results Of 1350 5634 pulmonary function tests adults respectively, a 129 197 met...
To evaluate the utility and outcomes for Indigenous non-Indigenous patients requiring domiciliary oxygen therapy.Retrospective study.Patients residing in regional rural Top End Health Service region of Northern Territory Australia.Indigenous prescribed therapy between 2018 2020.Demographics clinical indication mortality were analysed.Differences comparison with their counterparts.Of 199 study participants, majority male (51%), (77%) urban residents (72%). Overall chronic obstructive...
To illustrate the utility of a newly developed culturally safe and clinically relevant subjective daytime sleepiness assessment tool "Top End Sleepiness Scale" (TESS) for use among Indigenous Australians.The TESS questionnaire consists pictorial representations 6 items representing daily activities that would induce specific Australians living in regional remote Australia. Consecutive adult patients who consented to pilot prior undergoing diagnostic polysomnography (PSG) at Top Health...
There is sparse evidence in the literature relation to nature and causes of pleural effusion among Australian Indigenous population.To investigate clinical demographic characteristics adult indigenous patients presenting with Northern Territory Australia.In this retrospective study, non-indigenous adults diagnosed have over a 2-year study period were included for comparative analysis.Of 314 patients, 205 (65%) 52% male. In comparison younger (50 years (interquartile range (IQR) 39-60) vs 63...