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Biomedical subjects

T P Cassidy

Publications and source records attributed to T P Cassidy.

5 recordsLinked to original sources
PubMed1995

The characteristics of respite patients.

A prospective study of planned respite admissions, comparing them to admissions to continuing care. The characteristics, dependency and CAPE scores of each patient were noted, as was medical intervention during the respite admissions. Twelve month follow-up provided data on long-term prognosis. Fifty three (30 females) respite patients; mean age 80.3 years (range 63-97) were compared with 31 (18 females) continuing care patients; mean age 82.6 (range 74-94). There was no difference in the physical dependency between the two groups, except that continuing care patients were significantly more incontinent of urine and had significantly worse cognitive function. Only eight (15%) respite patients needed medical intervention during their admission and one patient died. One year follow-up revealed that 26% of respite patients had died against 48% of continuing care patients (p < 0.01). A further 33% of respite patients had been admitted to institutional care.

Aged↗
PubMed1993

Computerised tomography and stroke.

To evaluate the utilisation of CT diagnostic imaging in patients admitted to hospital with a clinical diagnosis of stroke, and to identify factors which influence the use of CT imaging in stroke. Two hundred and fifty consecutive (155 females) stroke patients were assessed median age 76 years (range 39-95 y). Ninety-seven patients underwent CT scanning; median time to scan from admission was two days (range 0-43). The time to CT scanning was significantly shorter in patients aged < 65 years (p < 0.001), and in patients with a non-disabling stroke (p < 0.05). The factors (odds ratios and 95% confidence limits) significantly associated with CT scanning were male sex (2.21:1.31-3.74); normal Glasgow coma score (2.48:1.59-3.85); Rankin score 1-3 (6.40:1.74-23.56); age < 65 years (10.23:4.49-23.32) and no previous cerebrovascular event (1.97:1.10-3.51). In this study, those patients who would benefit most from medical intervention with antiplatelet agents to reduce the risk of recurrence were more likely to receive CT diagnostic imaging.

Adult↗
PubMed1992

Aortic stenosis in elderly people: an evaluation of clinical and echocardiographic diagnosis.

In a prospective study to assess the sensitivity and specificity of clinical diagnosis against echocardiographic diagnosis in elderly people, 41 patients were studied in two 6-month periods. Overall clinical and echo diagnosis agreed in 75% of cases, but the clinical diagnosis of aortic stenosis was poor in the initial period. Adapting the lessons which were learnt in this initial period in a repeat of the study, the sensitivity of clinical diagnosis of aortic stenosis improved from 0.38 to 0.75. Additional information was gained in 50% of cases by echocardiography, and enabled the clinician to modify treatment in 50% of cases. Aortic stenosis in elderly people may be without clinical signs. Routine echocardiography increases the sensitivity of the clinical diagnosis, and may have major therapeutic implications for the elderly patient.

Aged↗
PubMed1991

Stroke and the carer.

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Cerebrovascular Disorders↗