Intensive care research at Subiaco

Intensive care unit (ICU) research focuses on improving care for critically ill patients who need lifesaving intervention or close monitoring after major surgery.

Our broad research reflects the range of patients we care for, and currently includes studies designed to improve sleep in the ICU, compare sedation practices in critically ill patients and describe outcomes from major surgery requiring ICU admission.

  • The St John of God Subiaco Hospital ICU is one of the busiest private ICUs in Australia and cares for some of the sickest patients in hospital. 
  • Our clinical research has the potential for broad benefits, while at the same time, focuses on issues of particular importance to patients treated at our hospital. 
  • Current examples of specific research activity include improving sleep and investigating the effect of admission time to ICU after major surgery. 

We focus on a range of research and quality improvement activity.

Audits:

  • conducted by St John of God Health Care staff (for example prescribing habits of simple anti-nausea medication)
  • assisting and mentoring medical student audits (for example adherence to guidelines following heart surgery)

Epidemiological research:

  • describing current practice and investigating links to outcomes (for example time of admission to ICU after surgery)

Interventional research:

  • SJOG ICU-led studies (for example use of earplugs to improve sleep in ICU)
  • participation in multicentre studies (for example the SPICE Study, a comparison of two established sedation practices, funded by the NHMRC) 

Qualitative research:

  • Aiming to understand attitudes and behaviours (for example, enablers and barriers to participation in research at St John of God Health Care)
We have three clinical trials underway.
Consultant Intensivists
Dr Ed Litton
A/Prof Kwok Ho
Dr David Morgan
Prof Steve Webb

Research Officers
Janet Ferrier
Marlene Kolybaba

Edward Litton, Vanessa Carnegie, Rosalind Elliott, Steve A. R. Webb; The Efficacy of Earplugs as a Sleep Hygiene Strategy for Reducing Delirium in the ICU: A Systematic Review and Meta-Analysis; 2016 Critical Care Medicine 2016 May;44(5):992-9. doi: 10.1097/CCM.0000000000001557

Morgan DJ, Ho KM. [Editorial Letter] Response to Letter-to-the-editor: "Assessing acute kidney injury in bariatric surgery patients admitted to intensive care unit". Surg Obes Relat Dis. 2016 Feb;12(2):447-8.

Nicola H, Morgan DJ. [Case Report] Necrotising myositis presenting as multiple limb myalgia. Med J Aust. 2016 Mar 7;204(4):157-158.

Jones CL, Koios J. {Clinical Review} Algorithm for the treatment of status epilepticus: an Australian perspective. Intern Med J. 2016 Apr;46(4):500-3.

Morgan DJ, Ho KM. [Editorial Letter] Deliberate Self-harm Following Bariatric Surgery. JAMA Surg. 2016 Jun 1;151(6):584-5.

Morgan DJ, Ho KM. [Original Research] The anaesthetic assessment, management and risk factors of bariatric surgical patients requiring postoperative intensive care support: a state-wide, five-year cohort study. Anaesth Intensive Care. 2016 Mar;44(2):237-44.

Morgan DJ, Ho KM. [Original Research] Acute kidney injury in bariatric surgery patients requiring intensive care admission: a state-wide, multicenter, cohort study. Surg Obes Relat Dis. 2015 Nov-Dec;11(6):1300-6.

Jones CL. [Editorial Letter] Intensive care in a private hospital: An option for emergency medicine trainees? Emerg Med Australas. 2015 Sep 29. [Epub ahead of print]

Morgan DJ, Ho KM. [Original Research] Incidence and outcomes after bariatric surgery in older patients: a state-wide data-linked cohort study. ANZ J Surg. 2015 Nov 29. [Epub ahead of print]

Morgan DJ, Ho KM, Armstrong J, Baker S. [Original Research] Incidence and risk factors for intensive care unit admission after bariatric surgery: a multicentre population-based cohort study. Br J Anaesth. 2015 Dec;115(6):873-82.

Morgan DJ, Ho KM. [Editorial Letter] Response to Letter-to-the-editor: "Assessing acute kidney injury in bariatric surgery patients admitted to intensive care unit". Surg Obes Relat Dis. 2016 Feb;12(2):447-8.

Morgan, DJ and Ho, KM, ‘A comparison of bariatric surgery in hospital with and without ICY: a linked data cohort study’, Obes Surg, 13 June 2015.

Morgan, DJ and Ho, KM
, ‘Acute kidney injury in bariatric surgery patietns requiring intensive care admission; a state-wide multicenter, cohort study’, Surg Obes Related Dis 14 January pii: S1550- 7289(15)00008-8

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