{"id":"https://openalex.org/W7224424174","doi":"https://doi.org/10.1111/ans.71035","title":"Abscess Outcomes in a Rural Setting: A Retrospective Observational Study at Mount Gambier and Districts Health Service ( MGDHS )","display_name":"Abscess Outcomes in a Rural Setting: A Retrospective Observational Study at Mount Gambier and Districts Health Service ( MGDHS )","publication_year":2026,"publication_date":"2026-10-29","ids":{"openalex":"https://openalex.org/W7224424174","doi":"https://doi.org/10.1111/ans.71035","pmid":"https://pubmed.ncbi.nlm.nih.gov/42957313"},"language":"en","primary_location":{"id":"doi:10.1111/ans.71035","doi":"https://doi.org/10.1111/ans.71035","is_oa":true,"landing_page_url":"https://doi.org/10.1111/ans.71035","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/ans.71035","source":{"id":"https://openalex.org/S40489520","display_name":"ANZ Journal of Surgery","issn_l":"1445-1433","issn":["1445-1433","1445-2197"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-2"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"ANZ Journal of Surgery","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/ans.71035","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5119148348","display_name":"Matthew Robertson","orcid":"https://orcid.org/0000-0002-9824-557X","observed_orcids":["https://orcid.org/0000-0002-9824-557X"]},"institutions":[{"id":"https://openalex.org/I169541294","display_name":"Flinders University","ror":"https://ror.org/01kpzv902","country_code":"AU","type":"education","lineage":["https://openalex.org/I169541294"]}],"countries":["AU"],"is_corresponding":true,"raw_author_name":"Matthew Robertson","raw_affiliation_strings":["Flinders University  Bedford Park South Australia Australia"],"raw_orcid":"https://orcid.org/0000-0002-9824-557X","affiliations":[{"raw_affiliation_string":"Flinders University  Bedford Park South Australia Australia","institution_ids":["https://openalex.org/I169541294"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5101400544","display_name":"Shreya Tocaciu","orcid":"https://orcid.org/0000-0002-9537-9302","observed_orcids":["https://orcid.org/0000-0002-9537-9302"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Shreya Tocaciu","raw_affiliation_strings":["Department of Oral and Maxillofacial Surgery Mount Gambier Hospital  Mount Gambier Australia"],"raw_orcid":"https://orcid.org/0000-0002-9537-9302","affiliations":[{"raw_affiliation_string":"Department of Oral and Maxillofacial Surgery Mount Gambier Hospital  Mount Gambier Australia","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5079475850","display_name":"Matthias W. Wichmann","orcid":"https://orcid.org/0000-0002-3482-3916","observed_orcids":["https://orcid.org/0000-0002-3482-3916"]},"institutions":[{"id":"https://openalex.org/I169541294","display_name":"Flinders University","ror":"https://ror.org/01kpzv902","country_code":"AU","type":"education","lineage":["https://openalex.org/I169541294"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"Matthias Wichmann","raw_affiliation_strings":["Department of Surgery Mount Gambier Hospital  Mount Gambier Australia","Flinders University  Bedford Park South Australia Australia"],"raw_orcid":"https://orcid.org/0000-0002-3482-3916","affiliations":[{"raw_affiliation_string":"Department of Surgery Mount Gambier Hospital  Mount Gambier Australia","institution_ids":[]},{"raw_affiliation_string":"Flinders University  Bedford Park South Australia Australia","institution_ids":["https://openalex.org/I169541294"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5119148348"],"corresponding_institution_ids":["https://openalex.org/I169541294"],"apc_list":{"value":3920,"currency":"USD","value_usd":3920},"apc_paid":{"value":3920,"currency":"USD","value_usd":3920},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.89153651,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11095","display_name":"Emergency and Acute Care Studies","score":0.67330002784729,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11095","display_name":"Emergency and Acute Care Studies","score":0.67330002784729,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11467","display_name":"Trauma and Emergency Care Studies","score":0.1559000015258789,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12297","display_name":"Otolaryngology and Infectious Diseases","score":0.040800001472234726,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/abscess","display_name":"abscess","score":0.8349999785423279},{"id":"https://openalex.org/keywords/interhospital-transfer","display_name":"interhospital transfer","score":0.7929999828338623},{"id":"https://openalex.org/keywords/rural-emergency-departments","display_name":"rural emergency departments","score":0.7419999837875366},{"id":"https://openalex.org/keywords/head-and-neck-abscess","display_name":"head and neck abscess","score":0.875},{"id":"https://openalex.org/keywords/airway-compromise","display_name":"airway compromise","score":0.7390000224113464},{"id":"https://openalex.org/keywords/incision-and-drainage","display_name":"incision and drainage","score":0.8370000123977661},{"id":"https://openalex.org/keywords/c-reactive-protein","display_name":"C-reactive protein","score":0.8960000276565552},{"id":"https://openalex.org/keywords/hub-and-spoke-networks","display_name":"hub-and-spoke networks","score":0.7820000052452087},{"id":"https://openalex.org/keywords/health-care-costs","display_name":"health care costs","score":0.46000000834465027}],"concepts":[{"id":"https://openalex.org/C2780642338","wikidata":"https://www.wikidata.org/wiki/Q7632042","display_name":"Subspecialty","level":2,"score":0.9369999766349792},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9136000275611877},{"id":"https://openalex.org/C2991842025","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Tertiary care","level":2,"score":0.7124000191688538},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.6360999941825867},{"id":"https://openalex.org/C2781050511","wikidata":"https://www.wikidata.org/wiki/Q46994","display_name":"Telehealth","level":4,"score":0.5309000015258789},{"id":"https://openalex.org/C2780378061","wikidata":"https://www.wikidata.org/wiki/Q25351891","display_name":"Service (business)","level":2,"score":0.4862000048160553},{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.44279998540878296},{"id":"https://openalex.org/C2777035434","wikidata":"https://www.wikidata.org/wiki/Q164655","display_name":"Abscess","level":2,"score":0.4366999864578247},{"id":"https://openalex.org/C23131810","wikidata":"https://www.wikidata.org/wiki/Q818574","display_name":"Observational study","level":2,"score":0.4171999990940094},{"id":"https://openalex.org/C68595000","wikidata":"https://www.wikidata.org/wiki/Q2274177","display_name":"Service delivery framework","level":3,"score":0.40540000796318054},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.37459999322891235},{"id":"https://openalex.org/C201903717","wikidata":"https://www.wikidata.org/wiki/Q1778788","display_name":"Cohort study","level":2,"score":0.3537999987602234},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.3529999852180481},{"id":"https://openalex.org/C22467394","wikidata":"https://www.wikidata.org/wiki/Q849359","display_name":"Multidisciplinary approach","level":2,"score":0.3458000123500824},{"id":"https://openalex.org/C129047720","wikidata":"https://www.wikidata.org/wiki/Q175185","display_name":"Rural area","level":2,"score":0.3278000056743622},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.32519999146461487},{"id":"https://openalex.org/C2779328685","wikidata":"https://www.wikidata.org/wiki/Q1475557","display_name":"Patient safety","level":3,"score":0.3093000054359436},{"id":"https://openalex.org/C105922876","wikidata":"https://www.wikidata.org/wiki/Q1423981","display_name":"Airway","level":2,"score":0.301800012588501},{"id":"https://openalex.org/C3019033257","wikidata":"https://www.wikidata.org/wiki/Q9166713","display_name":"Tertiary level","level":2,"score":0.29159998893737793},{"id":"https://openalex.org/C2781400479","wikidata":"https://www.wikidata.org/wiki/Q11640","display_name":"Outreach","level":2,"score":0.28290000557899475},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.2818000018596649},{"id":"https://openalex.org/C61434518","wikidata":"https://www.wikidata.org/wiki/Q932510","display_name":"General surgery","level":1,"score":0.27900001406669617},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.2702000141143799},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.2689000070095062},{"id":"https://openalex.org/C2778476105","wikidata":"https://www.wikidata.org/wiki/Q628539","display_name":"Workload","level":2,"score":0.2542000114917755},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.2524999976158142}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.1111/ans.71035","doi":"https://doi.org/10.1111/ans.71035","is_oa":true,"landing_page_url":"https://doi.org/10.1111/ans.71035","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/ans.71035","source":{"id":"https://openalex.org/S40489520","display_name":"ANZ Journal of Surgery","issn_l":"1445-1433","issn":["1445-1433","1445-2197"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-2"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"ANZ Journal of Surgery","raw_type":"journal-article"},{"id":"pmid:42957313","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42957313","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"ANZ journal of surgery","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.1111/ans.71035","doi":"https://doi.org/10.1111/ans.71035","is_oa":true,"landing_page_url":"https://doi.org/10.1111/ans.71035","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/ans.71035","source":{"id":"https://openalex.org/S40489520","display_name":"ANZ Journal of Surgery","issn_l":"1445-1433","issn":["1445-1433","1445-2197"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-2"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"ANZ Journal of Surgery","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.9940000176429749}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[{"id":"https://openalex.org/F4320320977","display_name":"Flinders University","ror":"https://ror.org/01kpzv902"}],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7224424174.pdf","grobid_xml":"https://content.openalex.org/works/W7224424174.grobid-xml"},"referenced_works_count":15,"referenced_works":["https://openalex.org/W1698794145","https://openalex.org/W1953747554","https://openalex.org/W2047376381","https://openalex.org/W2156182242","https://openalex.org/W2296478120","https://openalex.org/W2725970000","https://openalex.org/W2752470729","https://openalex.org/W2997038036","https://openalex.org/W3034406747","https://openalex.org/W4308552282","https://openalex.org/W4321501894","https://openalex.org/W4391840874","https://openalex.org/W4400690921","https://openalex.org/W4410109130","https://openalex.org/W4414421015"],"related_works":["https://openalex.org/W3207630075","https://openalex.org/W4367300289","https://openalex.org/W4322775844","https://openalex.org/W3010919593","https://openalex.org/W7131833698","https://openalex.org/W2885959654","https://openalex.org/W4321461022","https://openalex.org/W2432927431","https://openalex.org/W2894965957","https://openalex.org/W4394917756"],"abstract_inverted_index":{"BACKGROUND:":[0],"Abscesses":[1],"are":[2],"resource":[3],"intensive":[4],"presentations":[5,61,109],"in":[6,122],"Australian":[7],"Emergency":[8],"Departments":[9],"(EDs).":[10],"At":[11],"Mount":[12],"Gambier":[13],"and":[14,71,107,148,172,205,218,230,239],"Districts":[15],"Health":[16],"Service":[17],"(MGDHS),":[18],"the":[19,84,152,157],"absence":[20],"of":[21,39,79,113,140,169],"onsite":[22],"subspecialty":[23,136,228],"services":[24,229],"necessitates":[25],"interhospital":[26],"transfer":[27],"to":[28,41,62,76,188],"tertiary":[29,80,90,137,153,237],"centres":[30],"for":[31,111],"anatomically":[32],"high-risk":[33],"infections.":[34],"This":[35],"study":[36,55],"identifies":[37],"drivers":[38],"retrieval":[40,91,179,196],"inform":[42],"regional":[43],"service":[44],"optimisation":[45],"while":[46],"maintaining":[47],"surgical":[48,243],"safety":[49],"standards.":[50],"METHODS:":[51],"A":[52],"retrospective":[53],"cohort":[54,86],"was":[56,95],"conducted":[57],"on":[58],"all":[59],"abscess":[60],"MGDHS":[63,198],"over":[64],"a":[65,118,165],"2-year":[66],"period":[67],"(2023-2024).":[68],"Demographic,":[69],"clinical":[70],"laboratory":[72],"data":[73],"were":[74,143],"analysed":[75],"identify":[77],"predictors":[78],"retrieval.":[81],"RESULTS:":[82],"Of":[83],"total":[85],"(N":[87],"=":[88,93],"455),":[89],"(n":[92],"23)":[94],"overwhelmingly":[96],"driven":[97,201],"by":[98,202],"anatomical":[99,203],"location":[100,204],"rather":[101,155,209],"than":[102,156,210],"physiological":[103],"instability,":[104],"with":[105,145,164,184],"head":[106],"neck":[108],"accounting":[110],"91%":[112],"transfers.":[114,226],"Retrieved":[115],"patients":[116,142],"demonstrated":[117],"significant,":[119],"three-fold":[120],"increase":[121],"median":[123],"C-Reactive":[124],"Protein":[125],"(156.7":[126],"vs.":[127],"50.64":[128],"mg/L,":[129],"p":[130],"\u2264":[131],"0.001).":[132],"While":[133],"83%":[134],"required":[135],"input,":[138],"57%":[139],"retrieved":[141],"managed":[144],"bedside":[146],"incision":[147],"drainage":[149],"(I&D)":[150],"within":[151],"environment":[154],"operating":[158],"theatre.":[159],"Regional":[160],"management":[161,171],"remained":[162],"effective,":[163],"5%":[166],"failure":[167],"rate":[168],"conservative":[170],"an":[173],"8.6%":[174],"30-day":[175],"re-presentation":[176],"rate.":[177],"Estimated":[178],"expenditure":[180],"totalled":[181],"$230":[182],"000,":[183],"$130":[185],"000":[186],"attributed":[187],"cases":[189],"requiring":[190],"only":[191],"ward-based":[192],"intervention.":[193],"CONCLUSION:":[194],"Tertiary":[195],"at":[197],"is":[199],"predominantly":[200],"airway":[206,220],"compromise":[207],"risk":[208],"procedural":[211],"complexity.":[212],"Implementing":[213],"telehealth":[214],"triage,":[215],"hub-and-spoke":[216],"networks":[217],"multidisciplinary":[219],"support":[221],"can":[222],"safely":[223],"mitigate":[224],"avoidable":[225],"Supporting":[227],"these":[231],"targeted":[232],"approaches":[233],"decreases":[234],"costs,":[235],"reduces":[236],"strain":[238],"enhances":[240],"equitable":[241],"rural":[242],"care":[244],"without":[245],"compromising":[246],"patient":[247],"safety.":[248]},"counts_by_year":[],"updated_date":"2026-11-01T11:40:01.658920","created_date":"2026-10-30T00:00:00"}
