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Biomedical subjects

C R Martys

Publications and source records attributed to C R Martys.

9 recordsLinked to original sources
PubMed1992

Asthma care in Darley Dale: general practitioner audit.

OBJECTIVE: To complete a first audit cycle of asthma care in Darley Dale after starting an asthma clinic. DESIGN: Pre-clinic (1989) and post-clinic (1990) analysis of medical records of patients with asthma. SETTING: A group practice in Derbyshire. PATIENTS: 161 pre-clinic, 238 post-clinic patients with asthma. MAIN OUTCOME MEASURES: Term "asthma" in the patient's computerised problem list, recording of peak expiratory flow rate, smoking history, clinical review, medication, and hospital admissions for asthma. RESULTS: There were significant improvements post-clinic with respect to the term "asthma" in the computer file (1989, 93/161 (58%); 1990, 233/238 (98%) (difference 0.40; 95% confidence interval 0.32 to 0.48)); at least one peak flow measurement (1989, 24/161 (15%); 1990, 143/238 (60%) (0.45; 0.37 to 0.53)); three or more peak flow measurements (1989, 15/161 (9%); 1990, 40/238 (17%) (0.08; 0.02 to 0.14)); and smoking history (1989, 24/161 (15%); 1990, 133/238 (56%) (0.41; 0.33 to 0.49)). There were no significant differences post-clinic with respect to asthma reviewed at least once (1989, 61/161 (38%); 1990, 74/238 (31%) (0.07; -0.03 to 0.17)); recording long term medication; treating acute asthma; or ratio of average to best peak flow rate of 38 patients who had one or more measurements (1989, 31/38 (82%); 1990, 34/38 (89%) (0.08; -0.08 to 0.24)). CONCLUSIONS: Setting up an asthma clinic resulted in better recording of data relevant to patients with asthma. However, objective improvement in patients' asthma could not be detected. Renewed emphasis on prophylactic measures may result in measurable improvement in these patients' asthma in the future.

Ambulatory Care Facilities↗
PubMed1982

Monitoring adverse reactions to antibiotics in general practice.

In a general practice in Derbyshire 298 patients who had been given antibiotics were questioned about possible adverse reactions to the drug prescribed. Four methods of assessing adverse effects of drugs in the community were used, and a comparison was made of the replies elicited from patients by doctor and health visitor respectively. Significant differences were shown to occur in the way in which each investigator completed the questionnaires. If ancillary staff are to be employed in monitoring adverse effects of drugs in the community on a large scale then they will have to use a method less reliant on the differentiation of incidental symptoms from drug side effects than is required in the present survey.

Anti-Bacterial Agents↗
PubMed1979

Adverse reactions to drugs in general practice.

Of 817 patients in a general-practice survey of adverse reactions to drugs, 41% were thought to have "certainly" or "probably" had a reaction to the drug prescribed. Adverse effects on the gastrointestinal and central nervous systems were the most frequently reported, and 90% of reactions had occurred by the fourth day of treatment. More patients given drugs acting on the central nervous system and antihistamines reported reactions than those in other categories. A higher incidence of adverse drug effects is shown in this general-practice survey than in other, mainly hospital-based, surveys. Further intensive surveillance for adverse effects of drugs is recommended to provide additional information on the burden of drug-induced disease in the community.

Adolescent↗