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Biomedical subjects

P C Reynell

Publications and source records attributed to P C Reynell.

4 recordsLinked to original sources
PubMed1983

Self admission for myocardial infarction. Controlled trial.

In a randomised controlled trial of 511 men under 65 followed for 1451 man/years, half the patients were invited to readmit themselves to hospital if ischaemic pain recurred. The majority of such patients who were readmitted took advantage of the scheme. There was no evidence that they admitted themselves unnecessarily. Time from the onset of pain to admission was significantly reduced in those who made use of the scheme. All of the seven successful resuscitations among patients readmitted occurred in those who had bypassed their general practitioner and secured admission within two and a half hours of the onset of pain.

Adult↗
PubMed1975

Intermediate coronary care. A controlled trial.

A controlled trial of intermediate coronary care was carried out over a five-year period at a district general hospital. One thousand male patients under 65 were allocated at random into a group kept in the same ward as the coronary care unit (CCU) and a control group discharged from the CCU to a general medical ward. The intermediate care patients were nursed by the CCU staff, resuscitation equipment was immediately available and there was an efficient emergency call system. The mortality was the same in both groups and no more patients survived cardiac arrest to leave hospital in the intermediate care group than among the controls, though initial resuscitation was more often successful. The failure of intermediate coronary care was attributed to the rarity of primary ventricular fibrillation after discharge from the CCU.

Adult↗
PubMed1969

Coronary care unit in a general medical ward.

A five-bedded coronary care unit has been set up within a general medical ward without the provision of extra medical or nursing staff. During 30 months 1,000 patients were admitted. Sixty-three developed cardiac arrest; 28 were resuscitated successfully initially; and 18 were eventually discharged. The corresponding figures for the 28 patients with ventricular fibrillation treated by direct current defibrillation were 20 and 12 respectively. The mortality rate during the first three days (the usual length of stay in the unit) was 8.9% compared with 9.7% after transfer to the general ward. It is suggested that these results are comparable with those from more highly staffed purpose-built units.

Aged↗