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Your search keyword '"Alasdair McIntosh"' showing total 3 results
Start Over Author "Alasdair McIntosh" Publisher bmj publishing group
3 results on '"Alasdair McIntosh"'

1. Adjudicated myocarditis and multisystem illness trajectory in healthcare workers post-COVID-19

Author

Kevin G Blyth, Naveed Sattar, Colin Berry, David Corcoran, Kenneth Mangion, Alex McConnachie, David Carrick, Stuart Watkins, Paul Welsh, Sabrina Nordin, Ross McGeoch, Rhian Touyz, David J Lowe, Andrew J Morrow, Antonia Ho, Ryan Wereski, Alasdair McIntosh, Giles H Roditi, Peter MacFarlane, David B Stobo, Robert Sykes, Colin Church, Nicola Ryan, N N Lang, C Delles, Iain Findlay, Michael Briscoe, Gruschen Veldtman, Heeraj Bulluck, Patrick Mark, Vera Lennie, Alexander Payne, Keith E Robertson, Anna Kamdar, C Bagot, Hannah Bayes, Vivienne B Gibson, Lynsey Gillespie, Douglas Grieve, Pauline Hall Barrientos, Kaithlin J Mayne, Christopher McGinley, Connor Mckee, Alastair Rankin, Sarah Allwood-Spiers, and Sarah Weeden

Subjects
Diseases of the circulatory (Cardiovascular) system, RC666-701
Abstract

Background We investigated the associations of healthcare worker status with multisystem illness trajectory in hospitalised post-COVID-19 individuals.Methods and results One hundred and sixty-eight patients were evaluated 28–60 days after the last episode of hospital care. Thirty-six (21%) were healthcare workers. Compared with non-healthcare workers, healthcare workers were of similar age (51.3 (8.7) years vs 55.0 (12.4) years; p=0.09) more often women (26 (72%) vs 48 (38%); p

Published
2023
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2. Changes over a decade in psychotropic prescribing for people with intellectual disabilities: prospective cohort study

Author

Paula McSkimming, Sally-Ann Cooper, Colin McCowan, Linda Allan, and Alasdair McIntosh

Subjects
Medicine
Abstract

Objectives To investigate psychotropic prescribing in the intellectual disabilities population over 10 years, and associated mental ill health diagnoses.Design Comparison of cross-sectional data in 2002–2004 (T1) and 2014 (T2). Longitudinal cohort study with detailed health assessments at T1 and record linkage to T2 prescribing data.Setting General community.Participants 1190 adults with intellectual disabilities in T1 compared with 3906 adults with intellectual disabilities in T2. 545/1190 adults with intellectual disabilities in T1 were alive and their records linked to T2 prescribing data.Main outcome measures Encashed regular and as-required psychotropic prescriptions.Results 50.7% (603/1190) of adults in T1 and 48.2% (1881/3906) in T2 were prescribed at least one psychotropic; antipsychotics: 24.5% (292/1190) in T1 and 16.7% (653/3906) in T2; antidepressants: 11.2% (133/1190) in T1 and 19.1% (746/3906) in T2. 21.2% (62/292) prescribed antipsychotics in T1 had psychosis or bipolar disorder, 33.2% (97/292) had no mental ill health or problem behaviours, 20.6% (60/292) had problem behaviours but no psychosis or bipolar disorder. Psychotropics increased from 47.0% (256/545) in T1 to 57.8% (315/545) in T2 (p

Published
2020
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3. Changes over a decade in psychotropic prescribing for people with intellectual disabilities: prospective cohort study

Author

Angela Henderson, Linda Allan, Sally-Ann Cooper, Alasdair McIntosh, Deborah Kinnear, Colin McCowan, Paula McSkimming, Medical Research Council, University of St Andrews. School of Medicine, University of St Andrews. Sir James Mackenzie Institute for Early Diagnosis, and University of St Andrews. Population and Behavioural Science Division

Subjects
medicine.medical_treatment, Adult psychiatry, 3rd-NDAS, Cohort Studies, Longitudinal Studies, Prospective Studies, Prospective cohort study, Psychiatry, Medicine(all), education.field_of_study, General Medicine, psychiatry, Mental Health, depression & mood disorders, Medicine, Mental health, Clinical pharmacology, Record linkage, Schizophrenia & psychotic disorders, Antipsychotic Agents, Adult, Psychosis, medicine.medical_specialty, BF Psychology, Population, schizophrenia & psychotic disorders, BF, R Medicine, SDG 3 - Good Health and Well-being, Intellectual Disability, medicine, Humans, Bipolar disorder, Medical prescription, education, Antipsychotic, Psychotropic Drugs, business.industry, medicine.disease, Cross-Sectional Studies, Depression & mood disorders, clinical pharmacology, adult psychiatry, business
Abstract

ObjectivesTo investigate psychotropic prescribing in the intellectual disabilities population over 10 years, and associated mental ill health diagnoses.DesignComparison of cross-sectional data in 2002–2004 (T1) and 2014 (T2). Longitudinal cohort study with detailed health assessments at T1 and record linkage to T2 prescribing data.SettingGeneral community.Participants1190 adults with intellectual disabilities in T1 compared with 3906 adults with intellectual disabilities in T2. 545/1190 adults with intellectual disabilities in T1 were alive and their records linked to T2 prescribing data.Main outcome measuresEncashed regular and as-required psychotropic prescriptions.Results50.7% (603/1190) of adults in T1 and 48.2% (1881/3906) in T2 were prescribed at least one psychotropic; antipsychotics: 24.5% (292/1190) in T1 and 16.7% (653/3906) in T2; antidepressants: 11.2% (133/1190) in T1 and 19.1% (746/3906) in T2. 21.2% (62/292) prescribed antipsychotics in T1 had psychosis or bipolar disorder, 33.2% (97/292) had no mental ill health or problem behaviours, 20.6% (60/292) had problem behaviours but no psychosis or bipolar disorder. Psychotropics increased from 47.0% (256/545) in T1 to 57.8% (315/545) in T2 (pConclusionsDespite concerns about antipsychotic prescribing and guidelines recommending their withdrawal, it appears that while fewer antipsychotic prescriptions were initiated by T2 than in T1, people were not withdrawn from them once commenced. People with problem behaviours had increased prescribing. There was also a striking increase in antidepressant prescriptions. Adults with intellectual disabilities need frequent and careful medication reviews.

Published
2020

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