DIRECT admission of patients from home is the predominant method of admission to geriatric medical units. Admission may take place as the result of a telephone consultation with the general practitioner or, in less urgent cases, following a domiciliary assessment visit by a member of the medical staff of the unit. However, in recent years the pattern of referral to hospitals in Belfast has chan...

the coronary slow flow phenomenon (csfp) is characterized by a delayed coronary blood flow in the absence of an obstructive coronary artery disease. although the relation between the csfp and myocardial ischemia has been reported previously, there is no knowledge about the relationship between the csfp and the conduction system disorder. in this case report, we describe a patient with the csfp ...

This paper is the second to result from a one-year study at St. Thomas' Hospital, London conducted in 1965-6, a full report of which study (Bithell, 1968) has been presented to the Governors of the Hospital. Any study of hospital waiting lists needs to distinguish carefully between statistics relating to patients on a waiting list at any time and those relating to patients admitted to or taken ...

BACKGROUND The purpose of this analysis was to evaluate relationships between hospital admission or discharge and scores for symptom or functioning in patients with schizophrenia. METHODS Data were from three 52-week open-label extensions of the double-blind pivotal trials of paliperidone extended-release (ER). Symptoms and patient function were measured every 4 weeks using the Personal and S...

The community matron is a new type of practitioner, one who is highly skilled and a specialist in community care and inter-agency working. It is considered that this new role will support new ways of working to reduce unplanned hospital admissions and support the most vulnerable people in our communities. The role is not simply one of coordination but will extend to undertaking clinical interve...

BACKGROUND Delirium is a common disorder in hospitalised older people and established cases may have a poor outcome that is not readily improved by intervention. Prevention of cases through education of medical and nursing staff has not been fully studied. OBJECTIVES To test the hypothesis that an educational package for medical and nursing staff would both reduce the number of incident cases...

This study aimed to explore the relationship between hospital admissions for asthma and socioeconomic deprivation. A retrospective study examined one year of hospital admissions for asthma in the West Midlands region of England (n = 10,044), and in one of the region's wealthier districts, Worcester (n = 251). Age standardized admission ratios (SARs) for asthma, and the routes of hospital admiss...

noted. Delirium is especially common in nursing homes after brief hospital admissions because the average length of duration of the delirium is 21 days, while the average hospital length of stay at most general medical hospitals is approximately five days. Therefore, many patients are being discharged to nursing homes while still delirious. In one study, 72% of 214 patients in nursing homes who...