Stephen Allen

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OBJECTIVES to compare the use of two falls risk-identification tools (Downton and STRATIFY) with clinical judgment (based upon the observation of wandering behaviour) in predicting falls of medically stable patients in a rehabilitation ward for older people. METHODS in a prospective observational study, with blinded end-point evaluation, 200 patients(More)
OBJECTIVES To compare the effectiveness of four falls risk assessment tools (STRATIFY, Downton, Tullamore, and Tinetti) by using them simultaneously in the same environment. DESIGN Prospective, open, observational study. SETTING Two acute medical wards admitting predominantly older patients. PARTICIPANTS One hundred thirty-five patients, 86 female,(More)
The metered dose inhaler (MDI) technique of 30 elderly patients (mean age 79.9 years) was assessed. Sixty per cent were competent, though only 10% had an ideal technique; 40% were incompetent. Inadequate timing of actuation and inhalation was the most frequent error made. Competence was significantly related to mental status questionnaire (MSQ) scores of(More)
Previous studies have shown that autonomic cardiovascular reflexes (ACRs) are impaired in rheumatoid arthritis (RA) and in old age. To investigate the integrity of ACRs in patients with RA, with reference to age, duration of disease and rheumatoid factor (RF) positivity, we conducted a prospective open study of 62 RA outpatients (age 38-84) and 41 healthy(More)
Clinical observations have shown that some older patients are unable to learn to use a metered dose inhaler (MDI) despite having a normal abbreviated mental test (AMT) score, possibly because of dyspraxia or unrecognised cognitive impairment. Thirty inhaler-naive inpatients (age 76-94) with an AMT score of 8-10 (normal) were studied. Standard MDI training(More)
The need to reduce falls is driven by the need to reduce injury. If patients at risk of injury can be distinguished from the patients at risk of falls, there is the potential for a more effective fall risk management policy by targeting injury prevention measures. We conducted a prospective observational study, with blinded endpoint evaluation of 825(More)
BACKGROUND Recurrent fallers constitute a minority of patients who fall but contribute considerably to the total number of falls recorded. OBJECTIVE To study the characteristics of recurrent fallers in a hospital setting. METHODS In a prospective observational study we investigated the characteristics of 1,025 patients admitted to a geriatric non-acute(More)
Previous research has shown that patients are not able to learn to use self-administered inhaler devices if they have impaired general cognition, executive (frontal lobe) dysfunction or dyspraxia. These impairments are most frequently encountered in frail elderly people. Some of the tests required to detect such impairments are time-consuming and are(More)