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Dr H. Carl Hanger

MB ChB(Dist)(Otago) FRACP

Consultant Physician/ Geriatrician

Email carl.hanger@cdhb.govt.nz

Health Care of the Elderly
The Princess Margaret Hospital
P.O. Box 800
Christchurch
New Zealand

Current Roles

  • Consultant Physician/ Geriatrician, Older Persons Health, The Princess Margaret Hospital, Canterbury District Health Board
  • Clinical Lecturer in Medicine
  • Honorary Medical Advisor, Stroke Foundation of NZ (Southern Region)

Research Interests

  • Stroke Rehabilitation
  • Stroke Services
  • Nutrition in Older People
  • Falls
  • Fraility
  • Community Care of Older People
  • Infection Control

Top 10 Publications

  • Hanger HC, Whitewood P, Brown G, Ball MC, Harper J, Cox R, Sainsbury R. A Randomised Controlled trial of Strapping the Shoulder to Prevent Post Stroke Shoulder Pain. Clin Rehabil 2000;14: 370-80.
  • Hanger HC, Ball MC, Wood LA. An Analysis of Falls in Hospital: Can We Do Without Bedrails? J Am Ger Soc 1999:47:529-531
  • Hanger HC. Implementing a Stroke Rehabilitation Ward: The First Six Months. NZ Med J 2002:115:1158.
  • Hanger HC, B Fogarty, T J Wilkinson, R Sainsbury. Stroke Patients’ Views on Stroke Outcomes: Death versus Disability. Clin Rehabil 2000; 14: 417-24.
  • Hanger HC, Walker G, Paterson LA, McBride S, Sainsbury R. What Do Patients Want to Know About Stroke?: A Two Year Follow up Study. Clin Rehabil 1998;12:45-52.
  • Hanger HC, Sainsbury R. Risky Discharges: Are We Too Cautious? A six month followup. Aust J Ageing 1997;16:155-160.
  • Sidwell AI, Wilkinson TJ, Hanger HC. Secondary prevention of fractures in older people – evaluation of a protocol for the investigation and treatment of osteoporosis. Int Med J 2004 Mar;34(3):129-32.
  • Hanger HC, Griffith J, Lynn S, McGeoch G, Abernethy P. Dinner, Bed and Breakfast and Older People: early experiences of a service to manage acute hospital demand. NZ Med J 2005;118:1214 http://www.nzma.org.nz/journal/118-1214/1439
  • Hanger HC, Dalrymple J, Hepburn D. Systemic side effects from topical Imiquimod. NZ Med J 2005; 118:1233. http://www.nzma.org.nz/journal/118-1223/1682/
  • Hanger HC, Wilkinson TJ, Fayez-Iskander N, Sainsbury R. The Risk of Recurrent Stroke after Intracerebral Haemorrhage. J Neurol Neurosurg Psych 2007(in press)

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Publications

Nishtala, P. S., Jamieson, H. A., Hanger, H. C., Chyou, T.-y., & Hilmer, S. N. (2019). Examining the risks of major bleeding events in older people using antithrombotics. Cardiovascular Drugs & Therapy. Advance online publication. doi: 10.1007/s10557-019-06867-z

Losco, E. L., Hanger, H. C., & Wilkinson, T. J. (2019). Ease of walking on low-impact flooring in frail older people. Journal of the American Medical Directors Association, 20(3), 385-386. doi: 10.1016/j.jamda.2018.12.008

Heppenstall, C. P., Hanger, H. C., Wilkinson, T. J., & Dhanak, M. (2018). Telephone discharge support for frail, vulnerable older people discharged from hospital: Impact on readmission rates: Participant and general practitioner feedback. Australasian Journal on Ageing, 37(2), 107-112. doi: 10.1111/ajag.12477

Heppenstall, C. P., Chiang, A., & Hanger, C. (2018). Readmissions to hospital in a frail older cohort receiving a community-based transitional care service. New Zealand Medical Journal, 131(1484), 38-45. Retrieved from https://www.nzma.org.nz/journal

Hanger, H. C. (2018). Low-impact flooring: Does it reduce fall-related injuries? Journal of the American Medical Directors Association, 18(7), 588-591. doi: 10.1016/j.jamda.2017.01.012

Chapter in Book - Other

Hanger, H. C. (2003). Sexuality after a stroke. In Life after stroke: New Zealand guideline for management of stroke. (pp. 56-57). Wellington: Stroke Foundation New Zealand Inc.

Hanger, H. C. (2003). Leisure and social activities after stroke. In Life after stroke: New Zealand guideline for management of stroke. (pp. 55-56). Wellington: Stroke Foundation New Zealand Inc.

Hanger, H. C. (2003). Information and education for people with stroke and their caregivers. In Life after stroke: New Zealand guideline for management of stroke. (pp. 53-54). Wellington: Stroke Foundation New Zealand Inc.

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Journal - Research Article

Nishtala, P. S., Jamieson, H. A., Hanger, H. C., Chyou, T.-y., & Hilmer, S. N. (2019). Examining the risks of major bleeding events in older people using antithrombotics. Cardiovascular Drugs & Therapy. Advance online publication. doi: 10.1007/s10557-019-06867-z

Heppenstall, C. P., Hanger, H. C., Wilkinson, T. J., & Dhanak, M. (2018). Telephone discharge support for frail, vulnerable older people discharged from hospital: Impact on readmission rates: Participant and general practitioner feedback. Australasian Journal on Ageing, 37(2), 107-112. doi: 10.1111/ajag.12477

Hanger, H. C. (2018). Low-impact flooring: Does it reduce fall-related injuries? Journal of the American Medical Directors Association, 18(7), 588-591. doi: 10.1016/j.jamda.2017.01.012

Heppenstall, C. P., Chiang, A., & Hanger, C. (2018). Readmissions to hospital in a frail older cohort receiving a community-based transitional care service. New Zealand Medical Journal, 131(1484), 38-45. Retrieved from https://www.nzma.org.nz/journal

Hanger, C., Geddes, J., Wilkinson, T., Lee, M., Pearson, S., Butler, A., & Badami, K. (2016). Improving the use and timeliness of anticoagulation reversal for warfarin related intracranial haemorrhage. New Zealand Medical Journal, 129(1445), 35-49. Retrieved from http://www.nzma.org.nz/journal

Nishtala, P. S., Gnjidic, D., Jamieson, H. A., Hanger, H. C., Kaluarachchi, C., & Hilmer, S. N. (2016). ‘Real-world’ haemorrhagic rates for warfarin and dabigatran using population-level data in New Zealand. International Journal of Cardiology, 203, 746-752. doi: 10.1016/j.ijcard.2015.11.067

Chieng, J. H. C., Hughes, L., Stewart, A., Frampton, C. M., Hanger, H. C., & Jardine, D. L. (2015). Introduction of the Pill Pruner to acute medical care: A simple medication guide to control polypharmacy. Australasian Journal on Ageing, 34(1), 58-61. doi: 10.1111/ajag.12183

Heppenstall, C. P., Keeling, S., Hanger, H. C., & Wilkinson, T. J. (2014). Perceived factors which shape decision-making around the time of residential care admission in older adults: A qualitative study. Australasian Journal on Ageing, 33(1), 9-13. doi: 10.1111/j.1741-6612.2012.00644.x

Hanger, H. C., Wills, K. L., & Wilkinson, T. (2014). Classification of falls in stroke rehabilitation: Not all falls are the same. Clinical Rehabilitation, 28(2), 183-195. doi: 10.1177/0269215513496801

Heppenstall, C. P., Wilkinson, T. J., Hanger, H. C., Dhanak, M. R., & Keeling, S. (2013). Impacts of the emergency mass evacuation of the elderly from residential care facilities after the 2011 Christchurch earthquake. Disaster Medicine & Public Health Preparedness, 7(4), 419-423. doi: 10.1017/dmp.2013.47

Hanger, H. C., Geddes, J. A. A., Wilkinson, T. J., Lee, M., & Baker, A. E. (2013). Warfarin-related intracerebral haemorrhage: Better outcomes when reversal includes prothrombin complex concentrates. Internal Medicine Journal, 43(3), 308-316. doi: 10.1111/imj.12034

Warren, C. J., & Hanger, H. C. (2013). Fall and fracture rates following a change from carpet to vinyl floor coverings in a geriatric rehabilitation hospital: A longitudinal, observational study. Clinical Rehabilitation, 27(3), 258-263. doi: 10.1177/0269215512455530

Saywell, N., Vandal, A. C., Brown, P., Hanger, H. C., Hale, L., Mudge, S., Milosavljevic, S., … Taylor, D. (2012). Telerehabilitation to improve outcomes for people with stroke: Study protocol for a randomised controlled trial. Trials, 13(1). doi: 10.1186/1745-6215-13-233

Hanger, H. C., Fletcher, V., & Sidwell, A. (2011). Acute medical admissions of older people from residential care facilities: Are they appropriate? New Zealand Medical Journal, 124(1337). Retrieved from http://journal.nzma.org.nz/journal/124-1337/4731/content.pdf

Heppenstall, C. P., Wilkinson, T. J., Hanger, H. C., Keeling, S., & Pearson, J. (2011). Factors related to care home admission in the year following hospitalisation in frail older adults. Age & Ageing, 40(4), 513-516. doi: 10.1093/ageing/afr045

Menzies, O. H., & Hanger, H. C. (2011). Resource usage and outcomes in a facilitated discharge service in Christchurch, New Zealand. New Zealand Medical Journal, 124(1341). Retrieved from http://journal.nzma.org.nz/journal/124-1341/4840/content.pdf

Hanger, H. C., Wilkinson, T. J., & Mears, A. (2010). Stroke discharges from a rehabilitation unit: 1-year and 5-year domicile outcomes. Function is important. Internal Medicine Journal, 40(1), 45-51. doi: 10.1111/j.1445-5994.2008.01844.x

Heppenstall, C. P., Hanger, H. C., & Wilkinson, T. J. (2009). Predictors of discharge stability in the first year following hospital admission for a frail elderly population. Internal Medicine Journal, 39(3), 170-173. doi: 10.1111/j.1445-5994.2008.01697.x

Hutchinson, C., Hanger, C., Wilkinson, T., Sainsbury, R., & Pithie, A. (2009). Spontaneous spinal infections in older people. Internal Medicine Journal, 39(12), 845-848. doi: 10.1111/j.1445-5994.2009.02052.x

Barber, P. A., Gommans, J., Fink, J., Hanger, H. C., Bennett, P., & Ataman, N. (2008). Acute stroke services in New Zealand: Changes between 2001 and 2007. New Zealand Medical Journal, 121(1285). Retrieved from http://journal.nzma.org.nz/journal/121-1285/3343/content.pdf

Hanger, H. C., Fletcher, V. J., Wilkinson, T. J., Brown, A. J., Frampton, C. M., & Sainsbury, R. (2008). Effect of aspirin and warfarin on early survival after intracerebral haemorrhage. Journal of Neurology, 255(3), 347-352. doi: 10.1007/s00415-008-0650-z

Gommans, J., Barber, P. A., Hanger, H. C., & Bennett, P. (2008). Rehabilitation after stroke: Changes between 2002 and 2007 in services provided by district health boards in New Zealand. New Zealand Medical Journal, 121(1274). Retrieved from http://journal.nzma.org.nz/journal/121-1274/3066/content.pdf

Hanger, H. C., Wilkinson, T. J., Fayez-Iskander, N., & Sainsbury, R. (2007). The risk of recurrent stroke after intracerebral haemorrhage. Journal of Neurology, Neurosurgery & Psychiatry, 78, 836-840. doi: 10.1136/jnnp.2006.106500

Hanger, C., Fletcher, V., Fink, J., Sidwell, A., & Roche, A. (2007). Improving care to stroke patients: Adding an acute stroke unit helps. New Zealand Medical Journal, 120(1250). Retrieved from http://journal.nzma.org.nz/journal/120-1250/2450/content.pdf

Hanger, C., Griffith, J., Lynn, S., McGeoch, G., & Abernethy, P. (2005). Dinner bed and breakfast for older people: Early experiences of a short-term service to manage acute hospital demand. New Zealand Medical Journal, 118(1214). Retrieved from http://journal.nzma.org.nz/journal/118-1214/1439/content.pdf

Lynn, S., Toop, J., Hanger, C., & Millar, N. (2004). Norovirus outbreaks in a hospital setting: The role of infection control. New Zealand Medical Journal, 117(1189). Retrieved from http://journal.nzma.org.nz/journal/117-1189/771/content.pdf

Sidwell, A. I., Wilkinson, T. J., & Hanger, H. C. (2004). Secondary prevention of fractures in older people: Evaluation of a protocol for the investigation and treatment of osteoporosis. Internal Medicine Journal, 34(3), 129-132.

Gommans, J., Barber, A., McNaughton, H., Hanger, C., Bennett, P., Spriggs, D., & Baskett, J. (2003). Stroke rehabilitation services in New Zealand. New Zealand Medical Journal, 116(1174). Retrieved from http://journal.nzma.org.nz/journal/116-1174/435/content.pdf

Hanger, H. C. (2002). Implementing a stroke rehabilitation area: the first six months. New Zealand Medical Journal, 115(1158), U110. Retrieved from http://www.nzmj.co.nz/journal/115-1158/110

Hanger, H. C., & Wilkinson, T. J. (2001). Stroke education: Can we rise to the challenge? Age & Ageing, 30, 113-114.

Hanger, H. C., Whitewood, P., Brown, G., Ball, M. C., Harper, J., Cox, R., & Sainsbury, R. (2000). A randomised controlled trial of strapping to prevent post-stroke shoulder pain. Clinical Rehabilitation, 14(4), 370-380. doi: 10.1191/0269215500cr339oa

Hanger, H. C. (2000). Stroke rehabilitation for the older person: Current evidence, potential problems and future challenges. New Zealand Medical Journal, 113, 119-122.

Wilkinson, T. J., Hanger, H. C., George, P. M., & Sainsbury, R. (2000). Is subclinical thiamine deficiency in elderly people related to age or co-morbidity? Age & Ageing, 29, 111-116.

Hanger, H. C., Fogarty, B., Wilkinson, T. J., & Sainsbury, R. (2000). Stroke patients' views on stroke outcomes: Death versus disability. Clinical Rehabilitation, 14, 417-424.

Hanger, H. C., Walker, G., Patterson, L., McBride, S., & Sainsbury, R. (1998). What do patients and their carers want to know about stroke? A two year follow-up study. Clinical Rehabilitation, 12, 45-52.

Hanger, H. C., & Sainsbury, R. (1997). Risky discharges: are we too cautious? Australian Journal on Ageing, 16(4), 155-157.

Wilkinson, T. J., Hanger, H. C., Elmslie, J., George, P. M., & Sainsbury, R. (1997). The response to treatment of subclinical thiamine deficiency in the elderly. American Journal of Clinical Nutrition, 66(4), 925-928.

Everts, R., Hanger, H. C., Jennings, L. C., Hawkins, A., & Sainsbury, R. (1996). Outbreaks of influenza A among elderly hospital inpatients. New Zealand Medical Journal, 109, 272-274.

Hanger, H. C., & Sainsbury, R. (1996). Sensory abnormalities after stroke. Stroke, 27, 1439-1440.

Elliott, J. M., Wilkinson, T. J., Hanger, H. C., Gilchrist, N. L., Sainsbury, R., Shamy, S., & Rothwell, A. (1996). The added effectiveness of early geriatrician involvement on acute orthopaedic wards to orthogeriatric rehabilitation. New Zealand Medical Journal, 109(1017), 72-73.

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Journal - Research Other

Losco, E. L., Hanger, H. C., & Wilkinson, T. J. (2019). Ease of walking on low-impact flooring in frail older people. Journal of the American Medical Directors Association, 20(3), 385-386. doi: 10.1016/j.jamda.2018.12.008

Hanger, H. C. (2009). Changes to health service delivery: Success and pitfalls [Letter]. New Zealand Medical Journal, 122(1306). Retrieved from http://journal.nzma.org.nz/journal/122-1306/3895/content.pdf

Hanger, H. C. (2009). The effect of bedrails on falls and injury [Letter to the editor]. Age & Ageing, 38(3), 355. doi: 10.1093/ageing/afp027

Heppenstall, C. P., Wilkinson, T. J., Hanger, H. C., & Keeling, S. (2009). Frailty: Dominos or deliberation? New Zealand Medical Journal, 122(1299). Retrieved from http://journal.nzma.org.nz/journal/122-1299/3710/content.pdf

Hanger, H. C. (2007). A stroke rehabilitation unit 6 years on [Letter]. New Zealand Medical Journal, 120(1262). Retrieved from http://journal.nzma.org.nz/journal/120-1262/2739/content.pdf

Hanger, C. (2005). [Review of the book Case studies in geriatric medicine]. New Zealand Medical Journal, 118(1225). Retrieved from http://journal.nzma.org.nz/journal/118-1225/1737/content.pdf

Hanger, C. (2005). [Review of the book Recovery after stroke]. New Zealand Medical Journal, 118(1225). Retrieved from http://journal.nzma.org.nz/journal/118-1225/1736/content.pdf

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