Emergency Medicine Australasia最新文献

{"title":"An Inexpensive and Ultrasound-Compatible Lumbar Puncture Model Using SCOBY as an Effective Simulation Tool: The DIY LP Study","authors":"Gisela A. Kristono,&nbsp;Henry Li,&nbsp;Peter Watts,&nbsp;Melita Macdonald,&nbsp;Alice Rogan,&nbsp;Brad Peckler","doi":"10.1111/1742-6723.70101","DOIUrl":"https://doi.org/10.1111/1742-6723.70101","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Lumbar puncture (LP) simulators have high costs and suboptimal realism. This study aimed to develop an affordable, high-fidelity and ultrasound-compatible model.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We created a LP Simulator using three-dimensional printing, silicon, ballistic gel and symbiotic culture of bacteria and yeast (SCOBY). This was an observational study comparing the DIY-LP to a commercial simulator. Pre- and post-surveys were done.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 18 emergency medicine doctors (12 junior and six senior) participated in the study. Ten participants (56%; five junior doctors and five consultants) were successful with the DIY-LP simulator within the first two attempts without ultrasound guidance, compared with 13 participants (72%; seven junior doctors and six consultants) for the commercial simulator (<i>p</i>-value 0.49). The majority of participants agreed that both models were useful as educational tools.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This study has demonstrated a low-cost and ultrasound-compatible LP model that is comparable to a commercial LP simulator.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11604,"journal":{"name":"Emergency Medicine Australasia","volume":"37 4","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1742-6723.70101","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144681074","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Open and Closed Models of Emergency Care: Navigating Change in Rural Hospitals","authors":"Tim Baker,&nbsp;Tahnee Dunlop","doi":"10.1111/1742-6723.70099","DOIUrl":"https://doi.org/10.1111/1742-6723.70099","url":null,"abstract":"<div>\u0000 \u0000 <p>Emergency physicians are increasingly stepping into new roles in rural hospitals, where they may encounter unfamiliar service structures, blurred lines of responsibility, and conflicting expectations. The concept of open versus closed emergency department models, originally developed in intensive care medicine, provides a useful framework for navigating these challenges. In an open model, the emergency department is embedded within the broader hospital service, with clinical responsibility retained by senior decision makers outside the department. In a closed model, emergency physicians assume primary responsibility for patient care. Transitions to closed models should be implemented in stages to avoid disruption and support team cohesion. Both open and closed models are valid approaches, and each functions best when clinicians collaborate with mutual respect and shared purpose.</p>\u0000 </div>","PeriodicalId":11604,"journal":{"name":"Emergency Medicine Australasia","volume":"37 4","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144681075","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predictors of ICU Admission in Intentional Overdose Presentations to the Emergency Department","authors":"Oliver Sutcliffe,&nbsp;Andrew McCombie,&nbsp;Calum Fisher,&nbsp;Maria Milkina,&nbsp;Tessa Burry,&nbsp;Jackie Hazelhurst,&nbsp;Rosalind Crombie,&nbsp;Laura R. Joyce","doi":"10.1111/1742-6723.70102","DOIUrl":"https://doi.org/10.1111/1742-6723.70102","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To identify predictors of admission to ICU for patients attending the emergency department (ED) after intentional drug overdose.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A retrospective study examining factors predictive of ICU admission for adults &gt; 15 years presenting to Christchurch ED with intentional overdose between 1 July 2018 and 31 December 2020. Descriptive statistics were used by treating all presentations independently and on a per-patient basis to account for patients with repeat presentations or ICU admissions. Binary logistic models provided odds ratios with 95% confidence intervals. A multivariable logistic regression model which controlled for patients with ≥ 3 ED presentations in the past 365 days was used to determine predictors of ICU admission.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Result</h3>\u0000 \u0000 <p>There were 2682 presentations to ED with intentional overdose from 1795 individual patients, with 113 associated ICU admissions (4.2%) involving 103 patients. Overdose was more common in those who were younger, of female sex, or with a mental health history. The rate of overdose by Māori patients was double the rate expected. Older age, reduced level of consciousness, polypharmacy or cardiac drug overdose, and a history of depression, substance abuse or ADHD, ASD, learning difficulties or previous head injury were independently associated with an increased risk of ICU admission. Paracetamol ingestion and a history of ≥ 3 ED presentations in the preceding year were independently associated with a lower risk of ICU admission.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The need for ICU admission in patients presenting with intentional overdose should be identified early to prevent deterioration, promote flow through the hospital, and ensure that ICU beds are utilised appropriately.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11604,"journal":{"name":"Emergency Medicine Australasia","volume":"37 4","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1742-6723.70102","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144681281","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Could Low-Value Diagnostic Tests be Compounding Access Block? A Single-Site, Cross-Sectional Study","authors":"Heidi Walker,&nbsp;Courtney West,&nbsp;Luke Lawton,&nbsp;Theophilus I. Emeto,&nbsp;Vinay Gangathimmaiah","doi":"10.1111/1742-6723.70100","DOIUrl":"https://doi.org/10.1111/1742-6723.70100","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>The study aimed to evaluate the prevalence and impact of low-value diagnostic tests at a regional, major-referral, mixed Emergency Department (ED).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A single-site, cross-sectional study was conducted at Townsville University Hospital in April 2022. Adult patients (aged 18 years and above) who underwent one of 10 specified diagnostic tests were included. The tests encompassed coagulation studies, urine cultures, blood cultures, cranial computed tomography (CT) in syncope, cranial CT in minor head injury, cervical spine CT in neck trauma, ankle X-ray in acute ankle trauma, duplex lower extremity ultrasound in suspected deep vein thrombosis, CT pulmonary angiography in suspected pulmonary embolism, and CT kidney ureter bladder in renal colic. Tests were classified as low-value based on Choosing Wisely recommendations, with their value determined by a research assistant using clinical documentation, prior to the availability of test results. Emergency clinicians were blinded to the study conduct.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of all diagnostic tests performed, 48.2% (276/572) were deemed low-value, including 50.6% of laboratory tests (246/486) and 24.4% of imaging tests (21/86). The median ED length of stay was 6.1 h (IQR 3.9–8.5). Low-value imaging tests contributed to 152 lost bed-hours per 100 tests.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>A substantial proportion of diagnostic tests were low-value, exacerbating access block and reducing the availability of ED beds, thereby delaying timely emergency care. The implementation of evidence-based, effective strategies is imperative to mitigate patient harm associated with low-value diagnostic tests.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11604,"journal":{"name":"Emergency Medicine Australasia","volume":"37 4","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1742-6723.70100","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144666471","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Characteristics and Outcomes of Emergency Department Patients Who Did Not Wait for Treatment: A State-Wide Data Linkage Analysis From New South Wales Australia","authors":"Michael M. Dinh,&nbsp;Radhika V. Seimon,&nbsp;Jenae O'Sullivan,&nbsp;Saartje Berendsen Russell,&nbsp;Kendall Bein","doi":"10.1111/1742-6723.70095","DOIUrl":"https://doi.org/10.1111/1742-6723.70095","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Describe the characteristics and predictors of emergency department (ED) patients who ‘did not wait’ (DNW).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Data linkage study using routinely collected public hospital data in New South Wales, Australia. Cases were included if an initial ED episode of care occurred between January 2021 and December 2022 with an ED mode of separation of DNW. The main outcome was representation to an ED within 7 days of the initial DNW episode of care, and the secondary outcome was 30-day mortality from the initial DNW date. Frequent presenters were those with ≥ 10 ED episodes of care within 365 days. Predictors for representation were determined using logistic regression, presented as odds ratio [95% confidence interval].</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The 7-day representation rate after a DNW episode was 14.8% (<i>n</i> = 29,030). Of those, 23.1% presented to a different hospital. 30-day mortality was significantly higher in those who were represented within 7 days versus those who did not represent within 7 days (0.4% vs. 0.1%, <i>p</i> &lt; 0.001). The main predictors of representation within 7 days were: frequent presenters (4.35 [4.13–4.58], <i>p</i> &lt; 0.001), increasing age, with those aged &gt; 85 years having the highest odds of representation (1.71 [1.58–1.86], <i>p</i> &lt; 0.001) and initial presentation during the evening (6:00 PM–11:59 PM; 1.49 [1.44–1.53], <i>p</i> &lt; 0.001).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>14.8% of patients who do not wait for care in an ED are represented within 7 days, approximately one quarter presenting to a different facility. Identifying predictors for those patients associated with DNW presentations provides evidence around patient safety and quality of care issues.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11604,"journal":{"name":"Emergency Medicine Australasia","volume":"37 4","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144624533","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comment on “Performance Review of Emergency Care Management Plans Pre- and Post-Implementation of Electronic Records”","authors":"Rachana Mehta,&nbsp;Ranjana Sah","doi":"10.1111/1742-6723.70098","DOIUrl":"https://doi.org/10.1111/1742-6723.70098","url":null,"abstract":"","PeriodicalId":11604,"journal":{"name":"Emergency Medicine Australasia","volume":"37 4","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144615377","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Improving Emergency Department Prescribing of Anticoagulation for Atrial Fibrillation Through an Iterative Quality Improvement Process","authors":"Finn Brokenshire,&nbsp;Kaleb Addy,&nbsp;John W. Pickering,&nbsp;Ibrahim Al-Busaidi,&nbsp;Martin Than,&nbsp;Richard Troughton,&nbsp;Laura R. Joyce","doi":"10.1111/1742-6723.70097","DOIUrl":"https://doi.org/10.1111/1742-6723.70097","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To assess the impact of two iterations of an emergency department (ED) atrial fibrillation (AF) pathway on anticoagulant prescribing.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Two quality improvement projects gave targeted anticoagulation guidance for AF. Anticoagulation prescription rates and related adverse events were monitored across four cohorts over 9 years (2014–2023).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 1425 patients were included. The proportion of patients discharged from ED on anticoagulation increased from 45% to 83%. Sixty-day thromboembolic events, bleeding events and all-cause mortality were unchanged.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Targeted anticoagulation guidance within an AF pathway improved adherence without raising adverse events.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11604,"journal":{"name":"Emergency Medicine Australasia","volume":"37 4","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1742-6723.70097","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144598452","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Opioid Prescribing Patterns and Characteristics of Hand Injury Presentations to the Emergency Department of a Surgical Referral Centre in Western Sydney","authors":"Marco Stocca,&nbsp;Khanh Nguyen,&nbsp;Pramod Chandru","doi":"10.1111/1742-6723.70089","DOIUrl":"https://doi.org/10.1111/1742-6723.70089","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>High rates of opioid prescribing in the acute care setting are contributing to misuse and dependence. With hand injuries comprising a significant proportion of presentations to Australian emergency departments, this study aims to better understand analgesia prescribing practices for these injuries and the characteristics of such presentations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This retrospective single-centre cohort study reviews data from 282 adult hand injury presentations to a major hand surgery referral centre in Western Sydney. Descriptive statistics have been used to detail the characteristics of these presentations along with analgesia prescribing patterns. With a focus on opioid prescribing, univariate and multivariate analyses have been performed to determine any statistically significant relationships.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The mean age at presentation for the cohort was 39.7 years old, with the most common demographic being adult males (74.8%). Of the presenting injuries, lacerations were most common, present in 61.3% of cases. Opioids were administered in 16.3% of cases, with oral oxycodone 5 mg being the most common first choice of opioid. Multivariate analyses identified four independently significant hand injury characteristics that resulted in greater opioid administration. These characteristics were tendon injuries (OR: 2.513), muscle bed injuries (OR: 6.784), involvement of the radial nerve distribution (OR: 2.295) and involvement of multiple nerve distributions (OR: 2.972).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The opioid administration rate found in this study is elevated when compared to the available literature. These results may prompt Australian emergency physicians to rationalise their use of opioids for hand injuries with consideration of alternatives such as regional analgesia.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11604,"journal":{"name":"Emergency Medicine Australasia","volume":"37 4","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1742-6723.70089","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144573875","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"In Response to: Reflections on ECPR in New Zealand: Past, Present and Future","authors":"Tobias M. Merz,&nbsp;Alastair McGeorge,&nbsp;Andrew McKee,&nbsp;Bevan Vickery,&nbsp;David Sidebotham,&nbsp;Fiona Roberts,&nbsp;Holger Kuehne,&nbsp;Immanuel Hennessy,&nbsp;Malcom Underwood,&nbsp;Michael Gillham,&nbsp;Michael Sullivan,&nbsp;Philippa Neal,&nbsp;Sara Allen,&nbsp;Shay McGuinness,&nbsp;Tobias Gonzenbach","doi":"10.1111/1742-6723.70093","DOIUrl":"https://doi.org/10.1111/1742-6723.70093","url":null,"abstract":"","PeriodicalId":11604,"journal":{"name":"Emergency Medicine Australasia","volume":"37 4","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144573929","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Enhancing Person-Centred Care in the Final Years of Life: Insights From Emergency Department Visits and Hospitalisations in Victorian Residential Aged Care (2015/16 to 2022/23)","authors":"Janine J. Alan,&nbsp;Bridget Laging,&nbsp;Peter Cameron,&nbsp;Rohan Laging,&nbsp;James Boyd,&nbsp;Davina Porock,&nbsp;Sean Randall","doi":"10.1111/1742-6723.70092","DOIUrl":"https://doi.org/10.1111/1742-6723.70092","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To explore emergency hospitalisations from Victorian residential aged care facilities (RACFs).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Retrospective descriptive study of Victorian RACFs transfers to ED from 2015/16 to 2022/23. Main outcome measures: (1) ED event rate per 100 RACF beds; (2) Number of ED events, day/time, triage category, reason, comorbidity profile, length of stay, death within 12 months of ED presentation and costs; (3) Relationship between resident characteristics and total ED events; (4) Number of inpatient events, comorbidity profile, length of stay, intensive care use, preventable hospitalisations, diagnosis-related group, deaths and costs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The rate of ED presentations from Victorian RACFs from 2015/16 to 2022/23 ranged from 77 to 91 ED events per 100 RACF beds. Associated costs for ED and inpatient stay were over $2.8B. An advance care directive or substitute decision maker was unavailable for 84% of ED events. Eighty-seven per cent of residents presenting to ED were admitted; 90% for medical DRGs. Sixteen per cent of inpatient stays were potentially preventable under the national definition.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Victorian RACF residents make substantial use of hospitals. This study highlights a significant gap in advance care planning (ACP), with causes potentially linked to inadequate planning, poor document quality or lack of accessibility. To enhance hospital-RACF interactions, it is essential to identify and address unmet palliative care needs at policy, planning, and practice levels, ensuring person-centred care for residents in their final years.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11604,"journal":{"name":"Emergency Medicine Australasia","volume":"37 4","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1742-6723.70092","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144573928","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}