Paul E. Cotter

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OBJECTIVES The usefulness of the implantable loop recorder (ILR) with improved atrial fibrillation (AF) detection capability (Reveal XT) and the factors associated with AF in the setting of unexplained stroke were investigated. METHODS A cohort study is reported of 51 patients in whom ILRs were implanted for the investigation of ischemic stroke for which(More)
INTRODUCTION interventions to prevent hospital readmission depend on the identification of patients at risk. The LACE index predicts readmission (and death) and is in clinical use internationally. The LACE index was investigated in an older UK population. METHODS randomly selected alive-discharge episodes were reviewed. A LACE score was calculated for(More)
BACKGROUND Falls are a common occurrence in older people and frequently lead to hospital admission. There is a current lack of cohesive fall prevention strategies in the Republic of Ireland. AIM To demonstrate the cost of fall-related admissions to an acute hospital. METHODS A review of Hospital Inpatient Enquiry (HIPE) data and medical case notes was(More)
BACKGROUND Deciding what risks to disclose before a procedure is often challenging for clinicians. Consecutive patients undergoing elective fibreoptic bronchoscopy were randomised to receive simple or more detailed written information about the risks of the procedure and the effects on anxiety and satisfaction levels were compared. METHODS A 100 mm(More)
INTRODUCTION The combination of ageing, illness, and medications can lead to hyponatraemia or hypernatraemia. AIMS To describe the distribution of plasma sodium levels in older patients admitted to hospital. METHODS We carried out a hospital based cross-sectional study examining 1,511 serum sodium concentrations ([Na+]) among 336 elderly patients and(More)
BACKGROUND The majority of established telestroke services are based on "hub-and-spoke" models for providing acute clinical assessment and thrombolysis. We report results from the first year of the successful implementation of a locally based telemedicine network, without the need of 1 or more hub hospitals, across a largely rural landscape. METHODS AND(More)
BACKGROUND A requirement of an effective acute stroke service is the early arrival of patients to the hospital emergency department (ED). This will allow the possible use of thrombolytic therapy or other acute interventions within a limited time window. AIMS We investigated the predictors of early arrival in a single hospital serving a mixed urban and(More)
Ischemic stroke in younger people is common, and often remains unexplained. There is a well-documented association between unexplained stroke in younger people, and the presence of a patent foramen ovale. Therefore, in the absence of a clear cause of stroke, the heart is often assessed in detail for such lower risk causes of stroke. This usually involves(More)
Restless legs syndrome (RLS) is a common condition that is frequently unrecognized, misdiagnosed and poorly managed. It is characterized by uncomfortable sensations deep in the legs developing at rest that compel the person to move; symptoms are worst at night and sleep disturbance is common. RLS occurs in 7%-11% of the population in Western countries, and(More)