ISSN:0726-4240    

DOI:10.1111/j.1741-6612.1994.tb00621.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

ISSN:0726-4240    

DOI:10.1111/j.1741-6612.1994.tb00622.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

ISSN:0726-4240    

DOI:10.1111/j.1741-6612.1994.tb00623.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

ISSN:0726-4240    

DOI:10.1111/j.1741-6612.1994.tb00624.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

In order to determine the approximate point‐prevalence of psychiatric disorder in an acute geriatric hospital, a cross‐sectional sample of 81 inpatients was approached for interview with the Geriatric Mental Status schedule (GMS). Psychiatric diagnoses were generated using the AGECAT computer program. Nine of the 81 patients could not be interviewed. Organic psychosis (dementia or delirium) affected 44% of 72 patients, 18% were cases of depression and there was one case each of schizophrenia and phobic disorder. A further 31% of patients had some psychiatric symptoms (usually anxiety), which were not of sufficient severity to warrant classification as cases of disorder. Sixty‐seven of the 72 interviewed patients had an abbreviated mental test score (AMTS) recorded in their notes, and these scores correctly predicted the presence of organic psychosis in 92% of these patients. Age, sex, AGECAT diagnosis and AMTS were not related to length of stay in hospital or discharge destin

ISSN:0726-4240    

DOI:10.1111/j.1741-6612.1994.tb00625.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

Seventy‐eight community residing patients (63% women) aged 60 years or older attending an outpatient continence clinic were randomised to receive immediate conservative (non‐surgical, non‐pharmacological) management or to a control group in which treatment was deferred for two months. All patients were followed up for 12 months. Outcome was assessed by three day bladder charts (objectively) and by patient questionnaires (subjectively). The average age was 74.8 yean and mean duration of incontinence was 7.3 years with 60% not having had any previous treatment. After four months of active treatment incontinence was cured or improved subjectively in 88% of patients and objectively in 58% of patients. This was sustained through to the 12 month follow‐up. Severity of incontinence was significantly reduced on a range of variables.Conservative management of elderly community‐based patients can be very effective, taking up to four months to see peak benefit which can be sustained over a 12 month period with little additional input. The improvement seen in the control group perhaps reflects the importance of support and destigmatisation of this

ISSN:0726-4240    

DOI:10.1111/j.1741-6612.1994.tb00626.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

217 consecutive admissions to an acute geriatric care facility in a teaching hospital were prospectively evaluated to assess the prevalence of drug related problems (DRPs) contributing to admission. DRPs were considered to include adverse drug reactions (ADRs), toxic overdose and poor compliance leading to therapeutic failure. The prevalence of DRPs on admission was 22.1% of total patients or 24.0% of those on prescribed medication at the time of admission. DRPs comprised 41 cases (85.4%) of ADRs, 1 case (2.1%) of exacerbated disease due to withdrawal of medication by the prescriber, and 6 cases (12.5%) of patient non‐compliance. DRPs were significantly associated with both the total number of immediate pre‐admission medications and the presence of a previous history of ADR. No other significant associations were found. The results suggest that prescriber behaviour, as opposed to patient behaviour, is a major contributor to DRPs and accordingly indicate the need for education of doctors about the risks of polypharm

ISSN:0726-4240    

DOI:10.1111/j.1741-6612.1994.tb00627.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

ISSN:0726-4240    

DOI:10.1111/j.1741-6612.1994.tb00628.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

ISSN:0726-4240    

DOI:10.1111/j.1741-6612.1994.tb00629.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

ISSN:0726-4240    

DOI:10.1111/j.1741-6612.1994.tb00630.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY