Leonard C Gray

Summary

Affiliation: University of Queensland
Country: Australia

Publications

  1. ncbi request reprint Chronic illness in older people
    Leonard C Gray
    Academic Unit in Geriatric Medicine, University of Queensland, Brisbane
    Med J Aust 179:241. 2003
  2. ncbi request reprint Trends in the use of hospital beds by older people in Australia: 1993-2002
    Len C Gray
    Department of Medicine, University of Queensland, Princess Alexandra Hospital, Ipswich Rd, Woolloongabba, QLD 4102, Australia
    Med J Aust 181:478-81. 2004
  3. ncbi request reprint Health assessment of elderly patients
    Len C Gray
    University of Queensland
    Aust Fam Physician 33:795-7. 2004
  4. ncbi request reprint Developing a policy simulator at the acute-aged care interface
    Leonard C Gray
    Department of Medicine, Princess Alexandra Hospital, Brisbane, QLD 4102, Australia
    Aust Health Rev 30:450-7. 2006
  5. ncbi request reprint Supply of inpatient geriatric medical services in Australia
    L Gray
    University of Queensland, University Department of Medicine, Brisbane, Queensland, Australia
    Intern Med J 37:270-3. 2007
  6. doi request reprint The Higher Care At Discharge Index (HCDI): identifying older patients at risk of requiring a higher level of care at discharge
    Prabha Lakhan
    Centre for Research in Geriatric Medicine, The University of Queensland, Level 2, Building 33, Princess Alexandra Hospital, Ipswich Rd, Woolloongabba, Brisbane 4102, Australia
    Arch Gerontol Geriatr 57:184-91. 2013
  7. doi request reprint The diagnostic accuracy of telegeriatrics for the diagnosis of dementia via video conferencing
    Melinda Martin-Khan
    Centre for Research in Geriatric Medicine, The University of Queensland, Brisbane, QLD, Australia
    J Am Med Dir Assoc 13:487.e19-24. 2012
  8. doi request reprint A break-even analysis of delivering a memory clinic by videoconferencing
    Tracy A Comans
    Centre for Applied Health Economics, School of Medicine, Griffith University, Brisbane, Australia
    J Telemed Telecare 19:393-6. 2013
  9. doi request reprint Profiles of older patients in the emergency department: findings from the interRAI Multinational Emergency Department Study
    Leonard C Gray
    Centre for Research in Geriatric Medicine, The University of Queensland, Brisbane, Queensland, Australia
    Ann Emerg Med 62:467-74. 2013
  10. pmc Promoting Activity in Geriatric Rehabilitation: A Randomized Controlled Trial of Accelerometry
    Nancye M Peel
    Centre for Research in Geriatric Medicine, The University of Queensland, Brisbane, Australia
    PLoS ONE 11:e0160906. 2016

Detail Information

Publications46

  1. ncbi request reprint Chronic illness in older people
    Leonard C Gray
    Academic Unit in Geriatric Medicine, University of Queensland, Brisbane
    Med J Aust 179:241. 2003
  2. ncbi request reprint Trends in the use of hospital beds by older people in Australia: 1993-2002
    Len C Gray
    Department of Medicine, University of Queensland, Princess Alexandra Hospital, Ipswich Rd, Woolloongabba, QLD 4102, Australia
    Med J Aust 181:478-81. 2004
    ..To determine trends in use of Australian acute hospital inpatient services by older patients...
  3. ncbi request reprint Health assessment of elderly patients
    Len C Gray
    University of Queensland
    Aust Fam Physician 33:795-7. 2004
    ..Comprehensive health assessment of the elderly in primary care will become a more important element of general practice as population aging proceeds and evidence of efficacy emerges...
  4. ncbi request reprint Developing a policy simulator at the acute-aged care interface
    Leonard C Gray
    Department of Medicine, Princess Alexandra Hospital, Brisbane, QLD 4102, Australia
    Aust Health Rev 30:450-7. 2006
    ..The paper includes a description of the relevant policy environment and some of the associated key policy issues...
  5. ncbi request reprint Supply of inpatient geriatric medical services in Australia
    L Gray
    University of Queensland, University Department of Medicine, Brisbane, Queensland, Australia
    Intern Med J 37:270-3. 2007
    ..The results illustrated wide variation in the style and level of provision of services among hospitals and across regional and state jurisdictions...
  6. doi request reprint The Higher Care At Discharge Index (HCDI): identifying older patients at risk of requiring a higher level of care at discharge
    Prabha Lakhan
    Centre for Research in Geriatric Medicine, The University of Queensland, Level 2, Building 33, Princess Alexandra Hospital, Ipswich Rd, Woolloongabba, Brisbane 4102, Australia
    Arch Gerontol Geriatr 57:184-91. 2013
    ..8%; specificity 68.7%; PPV 18.0%; NPV 97.8%, correctly classified 69.7%. Requirement for a higher level care at discharge has important consequences for health service delivery. The HCDI can be used to identify patients at higher risk...
  7. doi request reprint The diagnostic accuracy of telegeriatrics for the diagnosis of dementia via video conferencing
    Melinda Martin-Khan
    Centre for Research in Geriatric Medicine, The University of Queensland, Brisbane, QLD, Australia
    J Am Med Dir Assoc 13:487.e19-24. 2012
    ..The suitability of video conferencing (VC) technology for clinical purposes relevant to geriatric medicine is still being established. This project aimed to determine the validity of the diagnosis of dementia via VC...
  8. doi request reprint A break-even analysis of delivering a memory clinic by videoconferencing
    Tracy A Comans
    Centre for Applied Health Economics, School of Medicine, Griffith University, Brisbane, Australia
    J Telemed Telecare 19:393-6. 2013
    ....
  9. doi request reprint Profiles of older patients in the emergency department: findings from the interRAI Multinational Emergency Department Study
    Leonard C Gray
    Centre for Research in Geriatric Medicine, The University of Queensland, Brisbane, Queensland, Australia
    Ann Emerg Med 62:467-74. 2013
    ..We examine functional profiles and presence of geriatric syndromes among older patients attending 13 emergency departments (EDs) in 7 nations...
  10. pmc Promoting Activity in Geriatric Rehabilitation: A Randomized Controlled Trial of Accelerometry
    Nancye M Peel
    Centre for Research in Geriatric Medicine, The University of Queensland, Brisbane, Australia
    PLoS ONE 11:e0160906. 2016
    ..The study aimed to test whether activity levels can be increased by the provision of monitored activity data to patients and clinicians in the context of explicit goal setting...
  11. doi request reprint Algorithm of medication review in frail older people: Focus on minimizing the use of high-risk medications
    Arjun Poudel
    School of Pharmacy, The University of Queensland, Brisbane, Queensland, Australia
    Geriatr Gerontol Int 16:1002-13. 2016
    ..The present study aimed to develop a pragmatic, easily applied algorithm for medication review to help clinicians identify and discontinue potentially inappropriate high-risk medications...
  12. doi request reprint Adverse Outcomes in Relation to Polypharmacy in Robust and Frail Older Hospital Patients
    Arjun Poudel
    School of Clinical Sciences, Queensland University of Technology, Brisbane, Australia School of Pharmacy, The University of Queensland, Brisbane, Australia Electronic address
    J Am Med Dir Assoc 17:767.e9-767.e13. 2016
    ..To explore the relationship between polypharmacy and adverse outcomes among older hospital inpatients stratified according to their frailty status...
  13. doi request reprint Deciding when to stop: towards evidence-based deprescribing of drugs in older populations
    Ian A Scott
    Department of Internal Medicine and Clinical Epidemiology, University of Queensland, Princess Alexandra Hospital, Brisbane, Queensland, Australia
    Evid Based Med 18:121-4. 2013
    ..Evidence supporting a structured approach to drug discontinuation (or deprescribing) is emerging, and while many barriers to deprescribing exist in routine practice, various enabling strategies can help overcome them. ..
  14. doi request reprint Effects of a drug minimization guide on prescribing intentions in elderly persons with polypharmacy
    Ian A Scott
    Department of Internal Medicine and Clinical Epidemiology, Princess Alexandra Hospital, Brisbane, QLD, Australia
    Drugs Aging 29:659-67. 2012
    ..While frameworks exist to assist clinicians in prescribing appropriately in older patients at risk of adverse drug reactions, their impact on prescribing is uncertain...
  15. pmc Development of quality indicators for monitoring outcomes of frail elderly hospitalised in acute care health settings: study protocol
    Caroline A Brand
    Department of Clinical Epidemiology, Biostatistics and Health Services Research, Melbourne Health, The University of Melbourne and The Royal Melbourne Hospital, Melbourne, Australia
    BMC Health Serv Res 11:281. 2011
    ..This paper reports the study protocol for the development of aged care quality indicators for acute care hospitals...
  16. doi request reprint Telemedicine for Specialist Geriatric Care in Small Rural Hospitals: Preliminary Data
    Leonard C Gray
    Centre for Online Health, University of Queensland, Brisbane, Queensland, Australia
    J Am Geriatr Soc 64:1347-51. 2016
    ..66 review cases per occupied bed per year. The findings indicate that the model was feasible and was sustained throughout and beyond the study period. This telegeriatric service model appears suitable for use in small rural hospitals. ..
  17. doi request reprint Characteristics of older people with cognitive impairment attending emergency departments: A descriptive study
    Linda M Schnitker
    School of Nursing, Queensland University of Technology, Brisbane, Australia The Centre for Research in Geriatric Medicine, The University of Queensland, Brisbane, Australia Electronic address
    Australas Emerg Nurs J 19:118-26. 2016
    ..The objective of this paper is to describe the profile of older people with cognitive impairment (CI) presenting to emergency departments (EDs)...
  18. ncbi request reprint A systematic review of telemedicine services for residents in long term care facilities
    Sisira Edirippulige
    Centre for Online Health, University of Queensland, Brisbane, Australia
    J Telemed Telecare 19:127-132. 2013
    ..The present review shows that there is evidence for feasibility and stakeholder satisfaction in using telemedicine in LTCFs in a number of clinical specialities...
  19. pmc Geriatrician interventions on medication prescribing for frail older people in residential aged care facilities
    Arjun Poudel
    School of Pharmacy, The University of Queensland, Brisbane, QLD, Australia
    Clin Interv Aging 10:1043-51. 2015
    ..Here, we examined the prescribed medications and subsequent changes recommended by geriatricians during comprehensive geriatric consultations provided to residents of RACFs via videoconference...
  20. doi request reprint The increase in healthcare costs associated with frailty in older people discharged to a post-acute transition care program
    Tracy A Comans
    Menzies Health Institute Queensland, Griffith University, University Drive Meadowbrook, Brisbane, Queensland 4131, Australia Metro North Hospital and Health Service District Allied Health, The Prince Charles Hospital Rode Road Chermside, Brisbane, Queensland 4032, Australia
    Age Ageing 45:317-20. 2016
    ..older people are high users of healthcare resources. The frailty index can predict negative health outcomes; however, the amount of extra resources required has not been quantified...
  21. doi request reprint Patient satisfaction with video teleconsultation in a virtual diabetes outreach clinic
    Farhad Fatehi
    1 Centre for Online Health, The University of Queensland, Brisbane, Queensland, Australia
    Diabetes Technol Ther 17:43-8. 2015
    ..This study assessed the level of patient satisfaction with diabetes remote consultations via videoconferencing in a virtual outreach clinic...
  22. ncbi request reprint Polypharmacy among inpatients aged 70 years or older in Australia
    Ruth E Hubbard
    University of Queensland, Brisbane, QLD, Australia
    Med J Aust 202:373-7. 2015
    ..To investigate medication changes for older patients admitted to hospital and to explore associations between patient characteristics and polypharmacy...
  23. pmc Quality of life of older frail persons receiving a post-discharge program
    Tracy A Comans
    School of Medicine, Griffith University, Brisbane, Australia
    Health Qual Life Outcomes 11:58. 2013
    ..e. satisfaction with own quality of life) for participants of a discharge program for older people following an extended hospital episode of care and 2) examine the impact of the intensity of this program on utility gains over time...
  24. doi request reprint A prospective cohort study of geriatric syndromes among older medical patients admitted to acute care hospitals
    Prabha Lakhan
    The University of Queensland, Brisbane, Australia
    J Am Geriatr Soc 59:2001-8. 2011
    ....
  25. doi request reprint Telehealth for nursing homes: the utilization of specialist services for residential care
    Leonard C Gray
    Centre for Research in Geriatric Medicine, School of Medicine, University of Queensland, Brisbane, Australia
    J Telemed Telecare 18:142-6. 2012
    ..Many services which are currently being provided on site to metropolitan long-term care facilities could be provided by telehealth in both urban and rural facilities...
  26. ncbi request reprint Telemedicine across the ages
    Anthony C Smith
    Centre for Online Health, University of Queensland, Brisbane, QLD, Australia
    Med J Aust 190:15-9. 2009
    ..For telemedicine to become a mainstream service, its focus must move beyond simply the provision of equipment and network connectivity. Telemedicine must be funded adequately if it is to be successful...
  27. doi request reprint Feasibility of using an in-home video conferencing system in geriatric rehabilitation
    Nancye M Peel
    Centre for Research in Geriatric Medicine, School of Medicine, The University of Queensland, Level 2 Building 33, Princess Alexandra Hospital, Ipswich Road, Woolloongabba QLD 4102 Australia
    J Rehabil Med 43:364-6. 2011
    ..This pilot study trialled an in-home videoconferencing system to determine the feasibility of delivering rehabilitation services remotely to aged clients...
  28. ncbi request reprint Web-based (online) comprehensive geriatric assessment is more time efficient, and as reliable, as reading patient medical records and conducting traditional in person consultations
    Melinda G Martin-Khan
    Centre for Research in Geriatric Medicine, The University of Queensland, Woolloongabba, Queensland, Australia
    J Telemed Telecare 22:478-482. 2016
    ..The less time taken using the OL approach did not significantly alter the triage decisions made by the geriatricians...
  29. pmc Establishing a centralised telehealth service increases telehealth activity at a tertiary hospital
    Melinda Martin-Khan
    Centre for Online Health, The University of Queensland, Brisbane, Australia
    BMC Health Serv Res 15:534. 2015
    ..Evaluation included service delivery records and stakeholder satisfaction...
  30. pmc Derivation of a frailty index from the interRAI acute care instrument
    Ruth E Hubbard
    Centre for Research in Geriatric Medicine, The University of Queensland, Brisbane, QLD, Australia
    BMC Geriatr 15:27. 2015
    ..A better understanding of the health status of older inpatients could underpin the delivery of more individualised, appropriate health care...
  31. pmc Design of a randomized, non-inferiority trial to evaluate the reliability of videoconferencing for remote consultation of diabetes
    Farhad Fatehi
    Centre for Online Health, The University of Queensland, Brisbane, Australia
    BMC Med Inform Decis Mak 14:11. 2014
    ..This paper describes the protocol of a randomised controlled trail for assessing the reliability of remote video consultation for people with diabetes...
  32. doi request reprint Telehealth opportunities in regional Queensland: a scoping study
    Jasmine Croll
    Centre for Online Health, Royal Children s Hospital, Brisbane, QLD, Australia
    J Telemed Telecare 18:451-4. 2012
    ..The study reinforced the potential for telehealth services in three key domains: regional hospitals, residential aged-care facilities and general practice...
  33. pmc Methodology for developing quality indicators for the care of older people in the Emergency Department
    Melinda Martin-Khan
    Centre for Research in Geriatric Medicine, Level 2, Building 33, Princess Alexandra Hospital, The University of Queensland, Ipswich Road, Woolloongabba QLD 4102, Australia
    BMC Emerg Med 13:23. 2013
    ..This project will develop a suite of quality indicators focused on the care of older persons in the emergency department...
  34. doi request reprint The Rowland Universal Dementia Assessment Scale (RUDAS) as a reliable screening tool for dementia when administered via videoconferencing in elderly post-acute hospital patients
    Lillian Wong
    Princess Alexandra Hospital, Brisbane, Queensland, Australia
    J Telemed Telecare 18:176-9. 2012
    ..9 (difference between the means 0.04), i.e. there was no significant difference. The results suggest that the RUDAS can be reliably administered via VC in post acute patients as an alternative to FTF administration...
  35. doi request reprint A systematic review of studies concerning observer agreement during medical specialist diagnosis using videoconferencing
    Melinda Martin-Khan
    Centre for Research in Geriatric Medicine, University of Queensland, Level 2, Building 33, Princess Alexandra Hospital, Ipswich Road, Woolloongabba, Queensland 4102, Australia
    J Telemed Telecare 17:350-7. 2011
    ..The variation in research methodology and statistical analysis suggests a lack of clarity about which research design is appropriate for measuring observer agreement in relation to diagnostic reliability...
  36. doi request reprint Validation of the interRAI Pressure Ulcer Risk Scale in Acute Care Hospitals
    Haiyan Xie
    Centre for Research in Geriatric Medicine, School of Medicine, University of Queensland, Brisbane, Australia
    J Am Geriatr Soc 64:1324-8. 2016
    ..To validate the Pressure Ulcer Risk Scale (PURS) to screen for pressure ulcer (PU) outcomes in the acute hospital setting...
  37. doi request reprint Validity Study of Video Teleconsultation for the Management of Diabetes: A Pilot Randomized Controlled Trial
    Farhad Fatehi
    1 Centre for Online Health, The University of Queensland, Brisbane, Australia
    Diabetes Technol Ther 17:717-25. 2015
    ..This pilot randomized control trial was designed to evaluate the agreement on prescription decisions of endocrinologists between two consultation formats: videoconferencing and face-to-face (in-person) consultation...
  38. doi request reprint A clinimetric study of outpatient diabetes consultations: the potential for telemedicine substitution
    Farhad Fatehi
    1 Centre for Online Health, The University of Queensland, Brisbane, Australia
    Diabetes Technol Ther 16:8-14. 2014
    ..The purpose of this study was to identify the clinimetric characteristics of specialist outpatient consultations for people with diabetes and to evaluate the possibility of providing such consultations remotely using telemedicine...
  39. doi request reprint Appraisal of the quality of care of older adults with cognitive impairment in the emergency department
    Linda M Schnitker
    University of Queenland, The Centre for Research in Geriatric Medicine, Brisbane, Australia
    J Gerontol Nurs 39:34-40. 2013
    ..Recommendations for improvement are discussed...
  40. doi request reprint Clinical applications of videoconferencing: a scoping review of the literature for the period 2002-2012
    Farhad Fatehi
    Centre for Online Health, University of Queensland, Brisbane, Australia School of Advanced Technologies in Medicine, Tehran University of Medical Sciences, Tehran, Iran
    J Telemed Telecare 20:377-83. 2014
    ..The practical value of published papers would be improved by following standard guidelines for reporting research projects and clinical trials. ..
  41. doi request reprint Generating new telehealth services using a whole of community approach: experience in regional Queensland
    Anthony C Smith
    Centre for Online Health, University of Queensland, Brisbane, Australia Queensland Children s Medical Research Institute, Royal Children s Hospital, Brisbane, Australia
    J Telemed Telecare 20:365-9. 2014
    ..An increase in telehealth implies better access to a range of clinical services, which may result in improved clinical outcomes for patients. ..
  42. doi request reprint Telemedicine for clinical management of diabetes - a process analysis of video consultations
    Farhad Fatehi
    Centre for Online Health, University of Queensland, Brisbane, Australia
    J Telemed Telecare 19:379-82. 2013
    ..Video consultation can substitute for a large proportion of in-person specialist consultations for people with diabetes who are referred to endocrinology specialists...
  43. pmc How effective are programs at managing transition from hospital to home? A case study of the Australian Transition Care Program
    Leonard C Gray
    Centre for Research in Geriatric Medicine, The University of Queensland, Level 2, Building 33, Princess Alexandra Hospital, Woolloongabba, Queensland 4102, Australia
    BMC Geriatr 12:6. 2012
    ..In this paper, we review the current evidence on the efficacy of such programs, using the Australian Transition Care Program as a case study...
  44. doi request reprint Minimizing inappropriate medications in older populations: a 10-step conceptual framework
    Ian A Scott
    Department of Internal Medicine and Clinical Epidemiology, Princess Alexandra Hospital, Brisbane, Australia
    Am J Med 125:529-37.e4. 2012
    ..Further studies are warranted in validating this framework as a means for assisting clinicians to make more appropriate prescribing decisions in at-risk older patients...
  45. ncbi request reprint Geriatric ward rounds by video conference: a solution for rural hospitals
    Leonard C Gray
    University of Queensland, Brisbane, QLD, Australia
    Med J Aust 191:605-8. 2009
    ..To evaluate the acceptance and cost of a ward-based geriatric consultation service delivered via a mobile videoconferencing system...
  46. pmc Sharing clinical information across care settings: the birth of an integrated assessment system
    Leonard C Gray
    The University of Queensland, c Academic Unit in Geriatric Medicine, University Department of Medicine, Princess Alexandra Hospital, Brisbane, Australia
    BMC Health Serv Res 9:71. 2009
    ..Population ageing, the emergence of chronic illness, and the shift away from institutional care challenge conventional approaches to assessment systems which traditionally are problem and setting specific...