Patients are generally content for most of their confidential medical information to be shared with most groups. • Patients believe it is important to be asked about, and involved in, any decisions regarding sharing of their confidential information with people not involved with their health care.
Origin of the investigation ______________________ _ Plan of the hydrologic study ____________________ _ Organization of the report ______________________ _ Surface-water hydrology ____________________________ _ Drainage area-discharge relationships ____________ _ At-a-station hydraulic geometry _________________ _ The downstream hydraulic geometry _____________ _ Suspended-sediment data _______________________ _ Flood plains and terraces _______________________ _
OBJECTIVES: To investigate adherence to the urinary function assessments of the national falls guidelines for England and Wales. STUDY DESIGN: Secondary data analysis of the 2006 National Clinical Audit of Falls and Bone Health. SETTING: Acute hospitals in the UK PARTICIPANTS: Patients aged 65 years and older with a fragility fracture as a result of a fall. MAIN OUTCOME MEASURES: Data were analysed to determine whether patients with fragility fractures received an assessment of urinary function including continence status; whether impairment was detected and if action was taken to prevent continence related falls. RESULTS: 63% (2009) of 3184 patients were assessed for urinary continence following a hip fracture and 41 % (817) of these identified a problem. 21% (1187) of 5642 patients with non-hip fragility fractures were assessed and a problem was found in 27% (316). Hip fracture patients were more likely (p<0.0001) to receive a continence assessment and have problems detected. Only about half of those with problems had any intervention or a referral to a continence service. Admission to hospital for non hip fracture patients was a strong predictor of being assessed (p<0.0001). CONCLUSION: Rates of assessment and action for those with who fall and have continence problems are low despite current national guidelines
MATURITAS AUTHOR CHECKLISTDear Author, It frequently happens that on receipt of an article for publication, we find that certain elements of the manuscript, or related information, is missing. This is regrettable of course since it means there will be a delay in processing the article while we obtain the missing details.In order to avoid such delays in the publication of your article, if accepted, could you please run through the list of items below and make sure you have completed the items.
Overall Manuscript Details n/a Has this manuscript been submitted previously to another journal?If yes, please provide the journal title, Editor's name, and the manuscript id of the previous submission and include details of any changes made to the manuscript in your cover letter. Please confirm that the manuscript has been submitted solely to this journal and is not published, in press, or submitted elsewhere. Thank you for your e-mail regarding this manuscript.We have now made a number of revisions to the manuscript following comments and suggestions made by the reviewers and we would be grateful if you would now consider the attached manuscript for publication in the Maturitas.The changes made to the manuscript includeThe title now specifies "urinary" continence In the method section we have added detail to how patients were selected and who conducted the audits. We have emphasised that patients selected were aged 65 and above, consecutive presentations with hip or non hip fragility fractures resulting from a fall between the 1 st October 2006 to 31 st December 2006. We have specified the definition of fall used and detailed the exclusion criteria. We have set out that a local audit l...
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