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    Trends in the health of mothers and babies: Northern Territory 1986 - 2020
    Taken from Executive Summary: This report provides detailed descriptive information on the changes in health outcomes and risk factors of NT resident mothers and babies. The analysis is inclusive of all babies with gestational age of at least 20 weeks or, if gestation is unknown, birthweight is at least 400 grams, for the NT population. The analysis presents results for the NT overall and by Aboriginal status, across a 35-year period from 1986 to 2020. We examine changes within population groups, with separate graphs and statistics reported for Aboriginal and non-Aboriginal mothers and babies. This approach is useful to highlight successful progress within populations and is in line with strength-based reporting. This approach also highlights areas that need greater attention and focus among key target groups. Further, we compare the two populations to demonstrate areas where significant inequalities in outcomes may exist and persist through time. The comparison between groups is not intended to highlight deficits in a population, but is important for informing service delivery and in working towards priorities for the provision of culturally safe care.
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    Bhat, Sunil
  • Publication
    Journal Article
    Emergency department assessment and management of children with gastroenteritis.
    (2023-12-31) ;
    Bouchoucha, Stéphane
    Considine, Julie
    Acute gastroenteritis is a major cause of morbidity and mortality in children. The aim of this study was to explore assessment and management of children aged between 6 and 48 months presenting to the emergency department (ED) with acute gastroenteritis.This retrospective cohort study included 340 children aged 6-48 months. Data were collected by medical record audit for children presenting between 1 January and 31 December 2019.General assessments were appropriate, specific dehydration assessment, blood pressure measurement and fluid balance chart documentation could be improved. Management of children with severe or no/mild dehydration was largely compliant with current recommendations: there was variability in management of children with moderate dehydration. There were no significant differences between Australian Aboriginal and non-Aboriginal children in terms of dehydration severity and pathology abnormalities, however there were differences in management strategies.ED management of children with gastroenteritis was largely consistent with, or superior to, evidence-based recommendations. There was variability in the management of children with moderate dehydration and Australian Aboriginal children but it is unclear whether this is suboptimal or patient specific care. This study has highlighted areas for further research in this unique context.
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