Samuel Gluck
Adelaide Medical School
Faculty of Health and Medical Sciences
I am interested in the using patient own technology in the automatic measurement of patient function. We have developed a smartphone app that remotely reports participants step and GPs data wirelessly. We have been using this technology to define activity and participation in several different populations while advancing the technology.
While its limited as an outcome measure due to limited smartphone ownership in elderly, hospital populations we are now exploring the possibility of using the step and GPS data to improve risk prediction. We are focusing on hospital readmission and peri-operative risk. Hoping not only to improve the risk prediction of mortality and readmission but to provide the patient with an individualised anticipated recovery profile using patient centred outcomes, like time spent active or time spent at home.
Use of step and location data to predict readmission to hospital and patient centred long-term outcomes in patients with heart failure.
Patients with heath failure are frequently admitted to hospital. While we can predict which patients will get readmitted within a 12 month period with relative accuracy, predicting when exactly this will happen is currently not possible. By using patients own smartphones and an app with have created we believe that it will be possible to detect when the patient is walking less, with reduced cadence and spending more time at home. We believe this data can be used to predict, more accurately when the patient will be admitted to hospital. We aim to recruit 200 patinets with known hearth failure and monitor them over a 12 month period and examine the data in a machine learning environment to discover what elements of this data more accurately predict readmission.
The use of step and GPS data to predict readmission and patient centred long-term outcomes in patients admitted under general medicine.
Patients admitted under general medicine have a 30% chance of being readmitted to hospital within 1 year. While we can predict which patients will get readmitted within a 12-month period with relative accuracy (ROC>0.9), predicting when exactly this will happen is currently not possible. By using patients' own smartphones and an app we have created we believe that it will be possible to detect when the patient is walking less, with reduced cadence and spending more time at home. We believe this data can be used to predict, more accurately when the patient will be admitted to hospital. We aim to recruit 300 patients admitted under general medicine at the RAH.
The feasibility of using a smartphone app to predict preoperative outcomes.
We are also recruiting 500 patients to a study to assess the feasibility of using smartphone data to improve the accuracy of the prediction of number of hospital free days at 90 days.
Summer scholarship opportunity: A literature review into the effect of Aboriginal Health placement on the future career trajectory and cultural awareness in trainee medical officers
This literature review will follow the PICO (Patient/person, Intervention/exposure, Comparison/control, Outcomes) framework:
P – Medical students and non-consultant grade doctors
I – Placement or work rotation in an Aboriginal health setting
C – Those not placed in an Aboriginal health setting
O – Career choice/cultural awareness
An outcome of this literature review will be the development of a protocol to study the effects of Aboriginal health placement in a group of interns (PGY1 Doctors). The summer scholar will have the opportunity to be involved in this outcome. Please contact me if you would like more information about this opportunity.
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Appointments
Date Position Institution name 2021 - ongoing Medical Admin/Medical Education Registrar Lyell McEwin Hospital 2020 - 2021 Medical Admin Registrar Royal Adelaide Hospital 2017 - 2020 ICU Registrar Royal Adelaide Hospital, Adelaide 2016 - ongoing Senior Clinical Lecturer University of Adelaide, Adelaide 2016 - 2017 ICU Registrar Flinders Medical Centre, Bedford Park 2016 - ongoing Associate Lecturer is Simulation University of Adelaide, Adelaide 2016 - 2016 Lecturer University of South Australia, Adelaide 2015 - 2016 ICU Senior Registrar Royal Adelaide Hospital, Adelaide 2015 - 2015 Retrieval Registrar South Australia Ambulance Service 2014 - 2015 ICU Senior Registrar Royal Adelaide Hospital, Adelaide 2013 - 2015 ICU Registrar Royal Adelaide Hospital, Adelaide 2010 - 2012 Core Trainee ACCS Anaesthetics Portsmouth Hospitals NHS Trust, Portsmouth 2008 - 2009 Foundation Trainee Health and Social Security -
Education
Date Institution name Country Title 2001 - 2008 University of Cambridge, Cambridge United Kingdom MB (Bachelor of Medicine) 2001 - 2008 University of Cambridge, Cambridge United Kingdom BChir (Bachelor of Surgery) 2001 - 2008 University of Cambridge, Cambridge United Kingdom MA (Master of Arts) 2001 - 2004 University of Cambridge, Cambridge United Kingdom BA (Bachelor of Arts) -
Postgraduate Training
Date Title Institution Country MRCA(UK) Royal College of Anaesthetists (UK) United Kingdom -
Research Interests
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Journals
Year Citation 2023 Jiang, M., Bacchi, S., Lam, L., Inglis, J. M., Gluck, S., Smith, W., & Gilbert, T. (2023). Antibiotic Prescribing Practices Differ between Patients with Penicillin Intolerance and Penicillin Allergy Labels. International Archives of Allergy and Immunology, 184(2), 1-5.
Scopus2 WoS22023 Stretton, B., Kovoor, J., Bacchi, S., Booth, A., Gluck, S., Vanlint, A., . . . Boyd, M. (2023). Impact of perioperative direct oral anticoagulant assays: a multicenter cohort study. Hospital Practice, 51(3), 155-162.
2023 James, J., Tan, S., Stretton, B., Kovoor, J. G., Gupta, A. K., Gluck, S., . . . Bacchi, S. (2023). Why do we evaluate 30-day readmissions in general medicine? A historical perspective and contemporary data. Internal Medicine Journal, 53(6), 1070-1075.
2023 Jiang, M., Bacchi, S., Lam, L., Lam, A., Inglis, J. M., Gilbert, T., . . . Smith, W. (2023). Low-risk cefalexin allergies are associated with inpatient prescribing of second-line non-beta-lactam antibiotics. Allergo Journal International.
2023 Wiseman, T. J., Tan, S., Stretton, B., Kovoor, J., Gupta, A., Fabian, J., . . . Bacchi, S. (2023). Double or nothing: Costs of duplicate haematinic ordering in medical inpatients.. Transfus Med, 3 pages.
2023 Tan, S., Vuong, A., Kovoor, J., Gupta, A., Chan, W. O., Umapathysivam, M., . . . Bacchi, S. (2023). Beware of little expenses: Low-value endocrinological blood tests in geriatric medical inpatients. Australasian Journal on Ageing, 4 pages.
2023 Kovoor, J. G., Bacchi, S., Stretton, B., Gupta, A. K., Lam, L., Jiang, M., . . . Maddern, G. J. (2023). Vital signs and medical emergency response (MER) activation predict in-hospital mortality in general surgery patients: a study of 15 969 admissions. ANZ Journal of Surgery, 7 pages.
2022 Wong, H. Z., Brusseleers, M., Hall, K. A., Maiden, M. J., Chapple, L. -A. S., Chapman, M. J., . . . Gluck, S. (2022). Mixed-mode versus paper surveys for patient-reported outcomes after critical illness: A randomised controlled trial. Australian Critical Care, 35(3), 286-293.
Scopus12022 Bacchi, S., Gilbert, T., Gluck, S., Cheng, J., Tan, Y., Chim, I., . . . Koblar, S. (2022). Daily estimates of individual discharge likelihood with deep learning natural language processing in general medicine: a prospective and external validation study. Internal and Emergency Medicine, 17(2), 411-415.
Scopus3 WoS2 Europe PMC12022 Gluck, S., Andrawos, A., Summers, M. J., Lange, J., Chapman, M. J., Finnis, M. E., & Deane, A. M. (2022). The use of smartphone-derived location data to evaluate participation following critical illness: A pilot observational cohort study. Australian Critical Care, 35(3), 225-232.
2022 Bacchi, S., Gluck, S., Koblar, S., Jannes, J., & Kleinig, T. (2022). Automated information extraction from free-text medical documents for stroke key performance indicators: a pilot study. Internal Medicine Journal, 52(2), 315-317.
Scopus1 WoS12022 Maclure, P., Gluck, S., Kerin, K., Boyle, L., & Ellis, D. (2022). Pre-hospital emergency anaesthesia in trauma patients: An observational study from a state-wide Australian pre-hospital and retrieval service. EMA - Emergency Medicine Australasia, 34(5), 711-716.
Scopus1 WoS12022 Chapple, L. -A. S., Kouw, I. W. K., Summers, M. J., Weinel, L. M., Gluck, S., Raith, E., . . . Chapman, M. J. (2022). Muscle Protein Synthesis Following Protein Administration in Critical Illness. American Journal of Respiratory and Critical Care Medicine, 206(6), 740-749.
Scopus20 WoS19 Europe PMC102022 Westaway, S., Webber, T., Gluck, S., & Sundararajan, K. (2022). Lost in relocation: longitudinal surveys evaluating the effectiveness of ICU to ward handover after the introduction of an electronic patient record. Hospital Practice, 50(4), 267-272.
2022 Bacchi, S., Gupta, A. K., Kovoor, J. G., Ovenden, C. D., To, M. -S., Jiang, M., . . . Gilbert, T. (2022). Gender and linguistic disparities in resuscitation orders: a multicentre retrospective cohort study.. Internal medicine journal, 52(10), 1847-1848.
Scopus2 WoS22021 Arabi, Y. M., Gordon, A. C., Derde, L. P. G., Nichol, A. D., Murthy, S., Beidh, F. A., . . . Presneill, J. (2021). Lopinavir-ritonavir and hydroxychloroquine for critically ill patients with COVID-19: REMAP-CAP randomized controlled trial. Intensive Care Medicine, 47(8), 867-886.
Scopus50 Europe PMC342021 Bacchi, S., Gluck, S., Koblar, S., Jannes, J., & Kleinig, T. (2021). Improving the accuracy of stroke clinical coding with open-source software and natural language processing. Journal of Clinical Neuroscience, 94, 233-236.
2021 Collett, L. W., Gluck, S., Strickland, R. M., & Reddi, B. J. (2021). Evaluation of coagulation status using viscoelastic testing in intensive care patients with coronavirus disease 2019 (COVID-19): An observational point prevalence cohort study. Australian Critical Care, 34(2), 155-159.
Scopus25 WoS27 Europe PMC192021 Bacchi, S., Gluck, S., Tan, Y., Chim, I., Cheng, J., Gilbert, T., . . . Koblar, S. (2021). Mixed-data deep learning in repeated predictions of general medicine length of stay: a derivation study. Internal and Emergency Medicine, 16(6), 1613-1617.
Scopus7 WoS7 Europe PMC62020 Bacchi, S., Gluck, S., Tan, Y., Chim, I., Cheng, J., Gilbert, T., . . . Koblar, S. (2020). Prediction of general medical admission length of stay with natural language processing and deep learning: a pilot study.. Intern Emerg Med, 15(6), 989-995.
Scopus23 WoS20 Europe PMC142019 Gluck, S., Summers, M. J., Finnis, M. E., Andrawos, A., Goddard, T. P., Hodgson, C. L., . . . Deane, A. M. (2019). An observational study investigating the use of patient-owned technology to quantify physical activity in survivors of critical illness. Australian Critical Care, 33(2), 137-143.
Scopus3 WoS3 Europe PMC12018 Maclure, P. T., Gluck, S., Pearce, A., & Finnis, M. E. (2018). Patients Retrieved to Intensive Care via a Dedicated Retrieval Service do not Have Increased Hospital Mortality Compared with Propensity-Matched Controls. Anaesthesia and Intensive Care, 46(2), 202-206.
Scopus5 WoS5 Europe PMC12017 Gluck, S., Chapple, L. S., Chapman, M. J., Iwashyna, T. J., & Deane, A. M. (2017). A scoping review of use of wearable devices to evaluate outcomes in survivors of critical illness. Critical Care and Resuscitation, 19(3), 197-204.
Scopus7 WoS7 Europe PMC32017 Gluck, S., Summers, M., Goddard, T., Andrawos, A., Smith, N., Lange, K., . . . Deane, A. (2017). Wide disagreement between alternative assessments of premorbid physical activity: subjective patient and surrogate reports and objective smartphone data. Critical Care Medicine, 45(10), 1036-1042.
Scopus4 WoS4 Europe PMC22015 Gluck, S., Ellis, D. Y., & Pearce, A. P. (2015). Use of tracheal tubes as intercostal catheters. EMA - Emergency Medicine Australasia, 27(5), 497-498.
Scopus2 WoS1 Europe PMC12015 Gluck, S., Headdon, W., Tang, D., Bastian, I., Goggin, M., & Deane, A. (2015). The incidence of ocular candidiasis and evaluation of routine ophthalmic examination in critically ill patients with candidaemia. Anaesthesia and Intensive Care, 43(6), 693-697.
Scopus8 WoS8 Europe PMC3 -
Conference Papers
Year Citation 2018 Gluck, S., Andrawos, A., Summers, M., Finnis, M., Chapman, M., Iwashyna, T., & Deane, A. (2018). DESCRIPTION OF NOVEL GLOBAL POSITION SYSTEM-DERIVED OUTCOMES IN A COHORT OF CRITICALLY ILL PATIENTS. In CRITICAL CARE MEDICINE Vol. 46 (pp. 219). San Antonio, TX: LIPPINCOTT WILLIAMS & WILKINS.
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Conference Items
Year Citation 2017 Gluck, S., Summers, M., Goddard, T., Andrawos, A., Smith, N., Iwashyna, T., & Deane, A. (2017). A comparison of subjective and objective reporting of patient physical activity prior to critical Illness. Poster session presented at the meeting of Australian Critical Care. Perth, WA: Elsevier.
2016 Gluck, S., summers, M., Goddard, T., Andrawos, A., Smith, N., Lange, K., . . . Deane, A. (2016). Wide Disagreement Between Alternative Assessments of Physical Function: Patients Subjective Reports, Surrogate Reports, and Smart-Phone Data. Poster session presented at the meeting of ICS, State of the Art Meeting. London. 2016 Gluck, S. (2016). The accuracy of Surrogate reporting of patient physical activity prior to critical illness. Poster session presented at the meeting of ANZICS Tub Worthley Travelling Scholarship for Trainees. Adelaide. 2015 Gluck, S., & headdon, W. (2015). The prevalence of ocular candidiasis and evaluation of ophthalmoscopy examination in the critically ill.. Poster session presented at the meeting of ANZICS Tub Worthley Travelling Scholarship for Trainees. Adelaide. 2014 Gluck, S., Headdon, W., Tang, D., Bastian, I., Goggin, M., & Deane, A. (2014). The prevalence of ocular candidiasis and evaluation of ophthalmoscopy examination in the critically ill. Poster session presented at the meeting of ICS, State of the Art Meeting. London. 2014 Gluck, S. (2014). Intensive Care led Medical Emergency Response Teams should be left on a desert island. Poster session presented at the meeting of ICS, State of the Art Conference. London. 2012 Gluck, S., & Lobo, S. (2012). Reducing the weight of preoperative assessment. Poster session presented at the meeting of Doctors Update. Val D'Isere France. 2012 Gluck, S., & Lobo, S. (2012). Can We Take the Weight Out of Pre-Operative Assessment. Poster session presented at the meeting of Preoperative Association National Conference.
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Other Supervision Activities
Date Role Research Topic Location Program Supervision Type Student Load Student Name 2022 - ongoing Principal Supervisor The effect of employment opportunities in Aboriginal Health on junior doctor career choice and cultural awareness NALHN Summer Research Scholarship Other Part Time for appointment
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