Learn More
OBJECTIVE To develop and evaluate a best practice model of general hospital acute medical care for older people with cognitive impairment. DESIGN Randomised controlled trial, adapted to take account of constraints imposed by a busy acute medical admission system. SETTING Large acute general hospital in the United Kingdom. PARTICIPANTS 600 patients(More)
BACKGROUND A high prevalence of co-morbid mental health problems is reported among older adults admitted to general hospitals. SETTING An 1,800 bed teaching hospital. DESIGN Consecutive general medical and trauma orthopaedic admissions aged 70 or older were screened for mental health problems. Those screening positive were invited to undergo further(More)
OBJECTIVE This analysis sought to describe the characteristics and well-being of carers of older people with mental health problems admitted to a general hospital. METHODS General medical and trauma orthopaedic patients aged 70 years or older admitted to an acute general teaching hospital were screened for mental health problems. Those screened positive,(More)
BACKGROUND UK care home residents are often poorly served by existing healthcare arrangements. Published descriptions of residents' health status have been limited by lack of detail and use of data derived from surveys drawn from social, rather than health, care records. AIM to describe in detail the health status and healthcare resource use of UK care(More)
BACKGROUND older people are at an increased risk of adverse outcomes following attendance at acute hospitals. Screening tools may help identify those most at risk. The objective of this study was to compare the predictive properties of five frailty-rating scales. METHOD this was a secondary analysis of a cohort study involving participants aged 70 years(More)
BACKGROUND tools are required to identify high-risk older people in acute emergency settings so that appropriate services can be directed towards them. OBJECTIVE to evaluate whether the Identification of Seniors At Risk (ISAR) predicts the clinical outcomes and health and social services costs of older people discharged from acute medical units. DESIGN(More)
BACKGROUND Preterm birth is the most important single determinant of adverse outcome in the United Kingdom; one in every 70 babies (1.4%) is born before 32 weeks (very preterm), yet these births account for over half of infant deaths.Deferring cord clamping allows blood flow between baby and placenta to continue for a short time. This often leads to(More)
OBJECTIVES This paper aimed to measure the prevalence and outcomes of delirium for patients over 70 admitted to a general hospital for acute medical care and to assess the validity of the Delirium Rating Scale-Revised-98 (DRS-R-98) in this setting. METHODS Prospective study in a British acute general hospital providing sole emergency medical services for(More)
BACKGROUND two-thirds of older patients admitted as an emergency to a general hospital have co-existing mental health problems including delirium, dementia and depression. This study describes the outcomes of older adults with co-morbid mental health problems after an acute hospital admission. METHODS a follow-up study of 250 patients aged over 70(More)
OBJECTIVE To evaluate the effect of specialist geriatric medical management on the outcomes of at risk older people discharged from acute medical assessment units. DESIGN Individual patient randomised controlled trial comparing intervention with usual care. SETTING Two hospitals in Nottingham and Leicester, UK. PARTICIPANTS 433 patients aged 70 or(More)