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Biomedical subjects

M Kerman

Publications and source records attributed to M Kerman.

7 recordsLinked to original sources
PubMed2004

Electrocardiographic changes in patients with ischaemic stroke and their prognostic importance.

We investigated prognostic importance of electrocardiographic (ECG) changes in ischaemic stroke patients without primary heart disease because of the limited evidence. This study consisted of 162 patients (92 male, age 64 +/- 14 years) with first ischaemic stroke presenting to hospital during 18 months. One-month mortality was analysed by means of ischaemia-like ECG changes, long QT and arrhythmia. Ischaemia-like ECG changes were observed in 79% of stroke patients and long QTc in 26% and arrhythmias in 44%. Early mortality rate was 27% (n = 44). Age, ST-segment change and abnormal U wave were univariate predictors of early mortality (each p < 0.05). In multivariate analysis, age > 65 years (OR = 1.4, p = 0.02) and presence of ST-segment change (OR = 2.6, p = 0.01) were only independent predictors. Although sensitivity and specificity of ST-segment change were relatively low to identify patients at risk of death, its negative predictive value was 82%. The ECG changes are frequently seen in selected patients with ischaemic stroke. Regardless of origin, ST-segment change can be a predictor of early mortality.

Analysis of Variance↗
PubMed2002

Assessment of outcome of carpal tunnel syndrome: a comparison of electrophysiological findings and a self-administered Boston questionnaire.

The relationship between nerve conduction studies and the self-administered Boston Questionnaire that measures the severity of symptoms and functional status in carpal tunnel syndrome was assessed in 44 patients with idiopathic carpal tunnel syndrome. The patients were examined preoperatively and 3 and 6 months postoperatively. Although both the clinical outcome and electrophysiological findings improved significantly after surgery, we observed no correlation between improvements in nerve conduction and the questionnaire scores.

Adult↗
PubMed1990

The role of medication in falls among the elderly in a long-term care facility.

This case-control study examines the relationship between falls and drug use in elderly residents of a long-term care facility. The drug use and functional status of 57 first-time fallers were compared retrospectively with those of 90 residents who had never fallen. Fallers were taking significantly more drugs than controls. Hypnotic/anxiolytics and cardiac drugs carried a twofold increase in the risk of falling. Fallers were restrained less often, were more often ambulatory, and had been at the institution for a shorter time than controls. Previous studies have failed to use control groups or have selected controls by length of stay, possibly introducing bias into the results. A large prospective study is needed to determine whether these results are generalizable to the elderly institutionalized population as a whole.

Accidents↗