Statistical analysis of cases of acute and subacute rheumatism, chiefly in reference to the proportion of cardiac complications / by Thomas Bevill Peacock, M.D.

  • Peacock, Thomas B. (Thomas Bevill), 1812-1882.
Date:
1869
Catalogue details

Licence: Public Domain Mark

Credit: Statistical analysis of cases of acute and subacute rheumatism, chiefly in reference to the proportion of cardiac complications / by Thomas Bevill Peacock, M.D. Source: Wellcome Collection.

Provider: This material has been provided by The University of Glasgow Library. The original may be consulted at The University of Glasgow Library.

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    illness, and were entirely gone on discharge thirtj-two days after. No mention is made of any previous attack. In a case of acute rheumatism in a female set. 27, in whom no previous attack is reported, the signs were com- mencing twelve days after admission, after one week's illness, and had entirely disappeared at discharge twenty-nine days after. It thus appears, that of the thirteen cases in which there was recent cardiac complication, in one case of pericarditis the patient entirely recovered; in one of peri- and endo- carditis the pericarditis was cured, while the signs of the endocarditis remained ; and in one, in which there was peri- carditis with old disease, the patient died. In ten cases of endocarditis, in five the symptoms and signs may be con- sidered to have been entirely removed, while in five others they remained. Or taking the whole thirteen cases of recent cardiac affection, one, in which the patient had also old disfllse, proved fatal; in six the patients entirely recovered; and in six, though the symptoms were very greatly relieved, a murmur still remained at the time of discharge. The average duration of residence of all the cases of rheu- matism was 28*9 days, this estimate including the case in which the patient died on the fifth day from admission. The average duration of residence before convalescence was fully established was 23*5 days.^ Of the uncomplicated cases, the mean duration of residence was 28*5 days; the extremes being 17 and 25 days (in three cases), and 34 and 46 days. The period which elapsed before convalescence was, in the same cases, 23*3 days; and the extremes 13 and 18, and 24 and 32 days (in two cases). The duration of residence in the cases with recent cardiac complication only was 32*4 days, and the extremes 11 and 25, and 44 and 57 days. The period of treatment before convalescence was, on the average, 24 days, and the extremes 6 and 21 (in two cases), and 32 and 39 days. In two cases the patients had ague: in one with endocarditis and an abscess in the popliteal space; in the other with * The case of old disease occurred in a boy set 6, who was admitted labouring under rh. s. ac, after six days of more active illness, and was discharged after a residence of ten days. Without this case the duration of residence would be 30-1 days. In one case, in a female, a murmur was heard which was regarded as anaemic.