{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,12,21]],"date-time":"2023-12-21T17:59:44Z","timestamp":1703181584486},"reference-count":12,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2014,11,4]],"date-time":"2014-11-04T00:00:00Z","timestamp":1415059200000},"content-version":"vor","delay-in-days":3,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"NHMRC Early Career Fellowship","award":["#1073284"],"award-info":[{"award-number":["#1073284"]}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Internal Medicine Journal"],"published-print":{"date-parts":[[2014,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Despite acute gout frequently complicating hospital admissions, diagnosis and management are variable. Rheumatology input may improve patient outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>To examine acute episodes of inpatient gout in a tertiary hospital to determine (i) factors that may lead to rheumatology input being sought and (ii) the differences in outcomes when rheumatology input occurs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Data collection occurred between <jats:styled-content style=\"fixed-case\">F<\/jats:styled-content>ebruary and <jats:styled-content style=\"fixed-case\">O<\/jats:styled-content>ctober 2012 for inpatients in a tertiary <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>ustralian hospital. Data were prospectively collected for all rheumatology consultations with a diagnosis of gout. Subjects who had an inpatient admission complicated by acute gout and who did not have rheumatology input were identified through health information coding from discharge summaries.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Fifty\u2010eight patients (41% with rheumatology input) were included in the study. Rheumatology input was significantly more likely when the patient was younger (68.9 years vs 78.4 years; <jats:italic>P<\/jats:italic> = 0.04) with knee joint involvement (41.7% vs 3.0%; <jats:italic>P<\/jats:italic> &lt; 0.001). When rheumatology input occurred, subjects were more likely to have had a serum urate measured (83% vs 50%; <jats:italic>P<\/jats:italic> = 0.009), joint aspiration performed (54.2% vs 0%; <jats:italic>P<\/jats:italic> &lt; 0.001), been prescribed acute gout medications at discharge (95.8% vs 61.3%; <jats:italic>P<\/jats:italic> = 0.001), a documented discharge plan (91.7% vs 23.5%; <jats:italic>P<\/jats:italic> &lt; 0.001) and outpatient follow up (41.7% vs 0%; <jats:italic>P<\/jats:italic> &lt; 0.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Among inpatients with acute gout, rheumatology input was more likely to be sought in younger patients with knee joint disease. When rheumatology input occurred, patients were more likely to have a synovial fluid confirmed diagnosis of gout with appropriate acute management and a follow\u2010up plan.<\/jats:p><\/jats:sec>","DOI":"10.1111\/imj.12541","type":"journal-article","created":{"date-parts":[[2014,7,29]],"date-time":"2014-07-29T08:56:34Z","timestamp":1406624194000},"page":"1095-1099","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["A prospective study of acute inpatient gout diagnoses and management in a tertiary hospital: the determinants and outcome of a rheumatology consultation"],"prefix":"10.1111","volume":"44","author":[{"given":"A. J.","family":"Teichtahl","sequence":"first","affiliation":[{"name":"Department of Rheumatology St Vincent's Hospital  Melbourne Victoria Australia"},{"name":"Department of Epidemiology and Preventive Medicine School of Public Health and Preventive Medicine Monash University Alfred Hospital  Melbourne Victoria Australia"},{"name":"Cardiometabolic Risk Unit Baker IDI Heart and Diabetes Institute  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L.","family":"Clemens","sequence":"additional","affiliation":[{"name":"Department of Rheumatology St Vincent's Hospital  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Nikpour","sequence":"additional","affiliation":[{"name":"Department of Rheumatology St Vincent's Hospital  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E.","family":"Romas","sequence":"additional","affiliation":[{"name":"Department of Rheumatology St Vincent's Hospital  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,11,4]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/ard.2007.078683"},{"key":"e_1_2_6_3_1","first-page":"7","article-title":"Clinical presentation and disease associations of gout: a hospital\u2010based study of 100 patients in Singapore","volume":"27","author":"Koh WH","year":"1998","journal-title":"Ann Acad Med Singapore"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/ard.2004.024091"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-143-7-200510040-00009"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.1993.00410240099012"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445-5994.2010.02165.x"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.3899\/jrheum.081296"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1756-185X.2011.01642.x"},{"key":"e_1_2_6_10_1","first-page":"1566","article-title":"Treatment of acute gout in hospitalized patients","volume":"34","author":"Petersel D","year":"2007","journal-title":"J Rheumatol"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.3810\/pgm.2011.11.2511"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/acr.21772"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/acr.21773"}],"container-title":["Internal Medicine Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fimj.12541","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/imj.12541","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,24]],"date-time":"2023-09-24T16:54:51Z","timestamp":1695574491000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/imj.12541"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,11]]},"references-count":12,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2014,11]]}},"alternative-id":["10.1111\/imj.12541"],"URL":"https:\/\/doi.org\/10.1111\/imj.12541","archive":["Portico"],"relation":{},"ISSN":["1444-0903","1445-5994"],"issn-type":[{"value":"1444-0903","type":"print"},{"value":"1445-5994","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,11]]},"assertion":[{"value":"2014-03-03","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2014-07-24","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2014-11-04","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}