{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T16:30:01Z","timestamp":1747240201243,"version":"3.40.5"},"reference-count":19,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2023,5,5]],"date-time":"2023-05-05T00:00:00Z","timestamp":1683244800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Internal Medicine Journal"],"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Pleural effusion is a common cause of hospitalisation and a poor prognostic marker that is associated with morbidity and mortality. The evaluation and management of pleural effusion may be performed more effectively by a specialised pleural disease service (SPDS).<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>To evaluate the impact of a SPDS established in 2017 at a 400\u2010bed metropolitan hospital in Victoria, Australia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective observational study was undertaken comparing outcomes of individuals with pleural effusions. People with pleural effusion were identified using administrative data. Two 12\u2010month time periods were compared, 2016 (Period 1, before SPDS) and 2018 (Period 2, after SPDS).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Period 1 had <jats:italic>n<\/jats:italic> =\u200976 and Period 2 had <jats:italic>n<\/jats:italic> =\u200996 individuals with pleural effusion receiving intervention. Age (69.8 \u00b1\u200917.6 vs 71.8 \u00b1\u200915.8), gender and Charlson Comorbidity Index (4.9 \u00b1\u20092.8 vs 5.4 \u00b1\u20093.0) were similar across both periods. Utilisation of point\u2010of\u2010care ultrasound for pleural procedures increased from Period 1 to 2, 57.3\u201385.7% (<jats:italic>P<\/jats:italic> &lt;\u20090.001). There was a reduction in median days from admission to intervention (3.8\u20132.1\u2009days, <jats:italic>P<\/jats:italic> =\u20090.048) and pleural\u2010related re\u2010intervention rate (32% vs 19%, <jats:italic>P<\/jats:italic> =\u20090.032). Pleural fluid testing was more consistent with recommendations (16.8% vs 43.2%, <jats:italic>P<\/jats:italic> &lt;\u20090.001). Overall, there was no difference in the median length of stay (7.9 vs 6.4\u2009days, <jats:italic>P<\/jats:italic> =\u20090.23), pleural\u2010related readmissions (11% vs 16%, <jats:italic>P<\/jats:italic> =\u20090.69) or mortality (17.1% vs 15.6%, <jats:italic>P<\/jats:italic> =\u20090.79). Procedural complications were similar between the two periods.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The introduction of a SPDS was associated with increased point\u2010of\u2010care ultrasound utilisation for pleural procedures, shorter delays to intervention and improved standardisation of tests on pleural fluid.<\/jats:p><\/jats:sec>","DOI":"10.1111\/imj.16077","type":"journal-article","created":{"date-parts":[[2023,4,18]],"date-time":"2023-04-18T12:44:23Z","timestamp":1681821863000},"page":"2270-2276","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Early outcomes following the implementation of a specialised pleural disease service"],"prefix":"10.1111","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6333-4572","authenticated-orcid":false,"given":"Victor","family":"Duong","sequence":"first","affiliation":[{"name":"Department of Respiratory Medicine Northern Health  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark","family":"Tacey","sequence":"additional","affiliation":[{"name":"Northern Health  Melbourne Victoria Australia"},{"name":"Melbourne School of Population and Global Health University of Melbourne  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Evonne","family":"Shum","sequence":"additional","affiliation":[{"name":"Northern Health  Melbourne Victoria Australia"},{"name":"Austin Health  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Liam","family":"Hannan","sequence":"additional","affiliation":[{"name":"Department of Respiratory Medicine Northern Health  Melbourne Victoria Australia"},{"name":"Faculty of Medicine, Dentistry and Health Sciences The University of Melbourne  Melbourne Victoria Australia"},{"name":"Institute for Breathing and Sleep Austin Health  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katharine","family":"See","sequence":"additional","affiliation":[{"name":"Department of Respiratory Medicine Northern Health  Melbourne Victoria Australia"},{"name":"Faculty of Medicine, Dentistry and Health Sciences The University of Melbourne  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sanjeevan","family":"Muruganandan","sequence":"additional","affiliation":[{"name":"Department of Respiratory Medicine Northern Health  Melbourne Victoria Australia"},{"name":"Faculty of Medicine, Dentistry and Health Sciences The University of Melbourne  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,5,5]]},"reference":[{"doi-asserted-by":"publisher","key":"e_1_2_7_2_1","DOI":"10.1136\/bmjopen-2016-013213"},{"doi-asserted-by":"publisher","key":"e_1_2_7_3_1","DOI":"10.1056\/NEJMra1403503"},{"doi-asserted-by":"publisher","key":"e_1_2_7_4_1","DOI":"10.1136\/bmjopen-2016-011480"},{"doi-asserted-by":"publisher","key":"e_1_2_7_5_1","DOI":"10.1136\/thx.2010.137000"},{"doi-asserted-by":"publisher","key":"e_1_2_7_6_1","DOI":"10.1111\/imj.13328"},{"doi-asserted-by":"publisher","key":"e_1_2_7_7_1","DOI":"10.1016\/j.chest.2018.05.027"},{"key":"e_1_2_7_8_1","article-title":"The role of a pleural service in optimising pleural disease management","volume":"44","author":"Knight M","year":"2014","journal-title":"Eur Respir J"},{"doi-asserted-by":"publisher","key":"e_1_2_7_9_1","DOI":"10.1136\/thoraxjnl-2012-202678.400"},{"doi-asserted-by":"publisher","key":"e_1_2_7_10_1","DOI":"10.1155\/2018\/2035248"},{"doi-asserted-by":"publisher","key":"e_1_2_7_11_1","DOI":"10.1111\/j.1440-1843.2010.01832.x"},{"unstructured":"WilliamsJ SS.Northern Health Cultural Responsiveness Plan. 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