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E J Dunstan

Publications and source records attributed to E J Dunstan.

4 recordsLinked to original sources

Why does regular relief care end?

In a retrospective survey, patients whose regular hospital relief care came to an end were found to be similar to those in whom it continued in their medical and social features, and in the frequency of admissions, although their rota care did not last so long. The most frequent factors in ending rota care were acute illness leading to death, increased disability, and refusal by carers, the last two of which were often associated. Alternative care, refusal by patients and illness of carers affected smaller numbers. Patients whose rota care ended had a high mortality (56%) and seldom needed long-stay care, though only a minority of deaths (4/28) occurred during or shortly after a relief admission.

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Ambulatory electrocardiography in the elderly: an audit.

In a retrospective analysis of 264 episodes of ambulatory electrocardiography (AECG) in 252 elderly out-patients the overall diagnostic yield was only 12 per cent. However, AECG was found to be of significant value in detecting symptomatic tachyarrhythmias, and in confirming the diagnosis of the 'sick sinus syndrome'. The AECG results influenced the management plan in at least 16 per cent, and changes in drug treatment in 10 per cent. When interpreted critically, AECG is useful tool in the investigation of elderly patients with symptoms such as syncope, faintness, dizziness and unexplained falls.

Aged