Publications by authors named "D Fluck"

Article Synopsis
  • During the COVID-19 pandemic, older adults with altered mental status (AMS) saw increased hospital admissions but shorter lengths of stay (LOS) compared to pre-pandemic times.
  • A study analyzed data from over 21,000 hospital admissions, finding that while admission rates for AMS rose significantly, patients spent less time in the hospital and experienced unchanged in-hospital mortality and early readmission rates.
  • The findings indicate a higher turnover of AMS patients in hospitals during the pandemic, suggesting shifts in care dynamics and outcomes that could impact future healthcare strategies.
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Prolactin (PRL) is secreted throughout life in men and women. At elevated levels, its physiological role in pregnancy and lactation, and pathological effects, are well known. However clinical implications of low circulating PRL are not well established.

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Objective: This study determined hazard factors and long-term survival rate of total arterial coronary artery bypass graft surgery over 20 years in an extensively large, population-based cohort.

Methods: A total of 2979 patients who underwent isolated CABG from April 1999 to March 2020 were studied in 4 groups- Group-A (bilateral internal mammary artery ± radial artery), Group-B (single internal mammary artery + radial artery ± saphenous vein), Group-C (single internal mammary artery ± saphenous vein; no radial artery), and Group-D (radial artery ± saphenous vein; no internal mammary artery). The study endpoints analysed the correlation between the number and types of grafts with the survival time following isolated CABG surgery.

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Healthcare-associated infections (HCAIs) in patients admitted with acute conditions remain a major challenge to healthcare services. Here, we assessed the impact of HCAIs acquired within 7-days of acute stroke on indicators of care-quality outcomes and dependency. Data were prospectively collected (2014-2016) from the Sentinel Stroke National Audit Programme for 3309 patients (mean age = 76.

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Article Synopsis
  • - The study examines urinary incontinence (UI) in acute stroke patients, highlighting that it is associated with worse outcomes, and aims to identify risk factors through a sex-specific analysis.
  • - Data collected from a UK stroke audit (2014-2016) showed that men experience UI onset at a younger age than women, with older age, intracranial hemorrhage, prestroke disability, and stroke severity being significant risk factors for both sexes.
  • - The findings emphasize that age over 70 is a key risk factor for UI in stroke patients, while other health conditions like heart failure and diabetes were not linked to UI risk in this analysis.
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