Latest & greatest articles for geriatrics

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Top results for geriatrics

21. Old and New Geriatric Screening Tools in a Belgian Emergency Department: A Diagnostic Accuracy Study

Old and New Geriatric Screening Tools in a Belgian Emergency Department: A Diagnostic Accuracy Study Old and New Geriatric Screening Tools in a Belgian Emergency Department: A Diagnostic Accuracy Study - PubMed This site needs JavaScript to work properly. Please enable it to take advantage of the complete set of features! Clipboard, Search History, and several other advanced features are temporarily unavailable. National Institutes of Health National Library of Medicine National Center (...) Copy Actions Cite Share Permalink Copy Page navigation J Am Geriatr Soc Actions . 2020 Jul;68(7):1454-1461. doi: 10.1111/jgs.16503. Epub 2020 May 13. Old and New Geriatric Screening Tools in a Belgian Emergency Department: A Diagnostic Accuracy Study , , , , , , Affiliations Expand Affiliations 1 Department of Public Health and Primary Care, Academic Centre for Nursing and Midwifery, KU Leuven, Leuven, Belgium. 2 Department of Geriatric Medicine, University Hospitals Leuven, Leuven, Belgium. 3

2020 EvidenceUpdates

22. Prevention of adverse drug reactions in hospitalized older patients with multi-morbidity and polypharmacy: the SENATOR* randomized controlled clinical trial Full Text available with Trip Pro

; adverse drug reactions; multi-morbidity; older people; polypharmacy; prevention; software. © The Author(s) 2020. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For permissions, please email: journals.permissions@oup.com. Similar articles Lavan AH, O'Mahony D, Gallagher P, Fordham R, Flanagan E, Dahly D, Byrne S, Petrovic M, Gudmundsson A, Samuelsson O, Cherubini A, J Cruz-Jentoft A, Soiza RL, Eustace JA. Lavan AH, et al. BMC Geriatr. 2019 Feb (...) Create file Cancel Your RSS Feed Name of RSS Feed: Number of items displayed: Create RSS Cancel RSS Link Copy Actions Cite Share Permalink Copy Page navigation Age Ageing Actions . 2020 Jul 1;49(4):605-614. doi: 10.1093/ageing/afaa072. Prevention of adverse drug reactions in hospitalized older patients with multi-morbidity and polypharmacy: the SENATOR* randomized controlled clinical trial , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , Affiliations Expand Affiliations 1 University

2020 EvidenceUpdates

23. Comparative Reactogenicity of Enhanced Influenza Vaccines in Older Adults

Comparative Reactogenicity of Enhanced Influenza Vaccines in Older Adults Comparative Reactogenicity of Enhanced Influenza Vaccines in Older Adults - PubMed This site needs JavaScript to work properly. Please enable it to take advantage of the complete set of features! Clipboard, Search History, and several other advanced features are temporarily unavailable. National Institutes of Health National Library of Medicine National Center for Biotechnology Information Show account info Close Account (...) navigation J Infect Dis Actions . 2020 May 14;jiaa255. doi: 10.1093/infdis/jiaa255. Online ahead of print. Comparative Reactogenicity of Enhanced Influenza Vaccines in Older Adults , , , , , , , , , Affiliations Expand Affiliations 1 World Health Organization Collaborating Centre for Infectious Disease Epidemiology and Control, School of Public Health, The University of Hong Kong, Hong Kong Special Administrative Region, China. 2 Influenza Division, Centers for Disease Control and Prevention, Atlanta, GA

2020 EvidenceUpdates

24. Clinical Study of Spinal Cord Stimulation and Pulsed Radiofrequency for Management of Herpes Zoster-Related Pain Persisting Beyond Acute Phase in Elderly Patients

and need to accept minimally invasive analgesia. Objectives: This study aimed to investigate the effects of spinal cord stimulation (SCS) and pulsed radiofrequency (PRF) on the treatment of elderly patients with HZ-related pain persisting beyond the acute phase. Study design: A prospective, randomized-controlled trial. Setting: Research was conducted at the National Pain Management and Research Center, China-Japan Friendship Hospital (Beijing, China). Methods: We selected 63 patients aged over 50 years (...) Clinical Study of Spinal Cord Stimulation and Pulsed Radiofrequency for Management of Herpes Zoster-Related Pain Persisting Beyond Acute Phase in Elderly Patients Clinical Study of Spinal Cord Stimulation and Pulsed Radiofrequency for Management of Herpes Zoster-Related Pain Persisting Beyond Acute Phase in Elderly Patients - PubMed This site needs JavaScript to work properly. Please enable it to take advantage of the complete set of features! Clipboard, Search History, and several other

2020 EvidenceUpdates

25. Frailty and associated prognosis among older emergency department patients with suspected infection: A prospective, observational cohort study

of ED presentation (aOR 2.05; 95% CI, 1.02-5.24). Sensitivity for mortality was highest among the CFS (73.1%; 95% CI, 52.2-88.4), compared with SIRS ≥ 2 (65.4%; 95% CI, 44.3-82.8) or qSOFA ≥ 2 (38.4; 95% CI, 20.2-59.4). Conclusions: Frailty is a highly prevalent prognostic factor that can be used to risk-stratify older ED patients with suspected infection. ED clinicians should consider screening for frailty to optimize disposition in this population. Keywords: Frailty; geriatrics; infection; sepsis (...) Frailty and associated prognosis among older emergency department patients with suspected infection: A prospective, observational cohort study Frailty and associated prognosis among older emergency department patients with suspected infection: A prospective, observational cohort study - PubMed This site needs JavaScript to work properly. Please enable it to take advantage of the complete set of features! Clipboard, Search History, and several other advanced features are temporarily unavailable

2020 EvidenceUpdates

26. Emotional Awareness and Expression Therapy Achieves Greater Pain Reduction than Cognitive Behavioral Therapy in Older Adults with Chronic Musculoskeletal Pain: A Preliminary Randomized Comparison Trial

Emotional Awareness and Expression Therapy Achieves Greater Pain Reduction than Cognitive Behavioral Therapy in Older Adults with Chronic Musculoskeletal Pain: A Preliminary Randomized Comparison Trial Emotional Awareness and Expression Therapy Achieves Greater Pain Reduction than Cognitive Behavioral Therapy in Older Adults with Chronic Musculoskeletal Pain: A Preliminary Randomized Comparison Trial - PubMed This site needs JavaScript to work properly. Please enable it to take advantage (...) Optional text in email: Save Cancel Create a file for external citation management software Create file Cancel Your RSS Feed Name of RSS Feed: Number of items displayed: Create RSS Cancel RSS Link Copy Actions Cite Share Permalink Copy Page navigation Pain Med Actions . 2020 May 25;pnaa145. doi: 10.1093/pm/pnaa145. Online ahead of print. Emotional Awareness and Expression Therapy Achieves Greater Pain Reduction than Cognitive Behavioral Therapy in Older Adults with Chronic Musculoskeletal Pain

2020 EvidenceUpdates

27. Therapeutic Effects of Exercise Training on Elderly Patients With Dementia: A Randomized Controlled Trial

, Taichung Veterans General Hospital, Taichung, Taiwan. 3 Center for Geriatrics and Gerontology, Taichung Veterans General Hospital, Taichung, Taiwan. 4 Department of Physical Medicine and Rehabilitation, Taichung Veterans General Hospital, Taichung, Taiwan; Department of Physical Medicine and Rehabilitation, Tri-Service General Hospital, Taipei, Taiwan; School of Medicine, National Defense Medical Center, Taipei, Taiwan; School of Medicine, Chung Shan Medical University, Taichung, Taiwan. 5 Department (...) of Physical Medicine and Rehabilitation, Taipei Veterans General Hospital, Taipei, Taiwan; School of Medicine, National Yang-Ming University, Taipei, Taiwan. 6 Department of Physical Medicine and Rehabilitation, Taichung Veterans General Hospital, Taichung, Taiwan; Center for Geriatrics and Gerontology, Taichung Veterans General Hospital, Taichung, Taiwan; School of Medicine, National Yang-Ming University, Taipei, Taiwan. Electronic address: rifampin@gmail.com. PMID: 32084347 DOI: Item in Clipboard

2020 EvidenceUpdates

28. Impact of macronutrient supplements on later growth of children born preterm or small for gestational age: A systematic review and meta-analysis of randomised and quasirandomised controlled trials Full Text available with Trip Pro

Impact of macronutrient supplements on later growth of children born preterm or small for gestational age: A systematic review and meta-analysis of randomised and quasirandomised controlled trials Impact of macronutrient supplements on later growth of children born preterm or small for gestational age: A systematic review and meta-analysis of randomised and quasirandomised controlled trials - PubMed This site needs JavaScript to work properly. Please enable it to take advantage of the complete (...) Optional text in email: Save Cancel Create a file for external citation management software Create file Cancel Your RSS Feed Name of RSS Feed: Number of items displayed: Create RSS Cancel RSS Link Copy Actions Cite Share Permalink Copy Page navigation PLoS Med Actions . 2020 May 26;17(5):e1003122. doi: 10.1371/journal.pmed.1003122. eCollection 2020 May. Impact of macronutrient supplements on later growth of children born preterm or small for gestational age: A systematic review and meta-analysis

2020 EvidenceUpdates

29. Action Seniors! Cost-Effectiveness Analysis of a Secondary Falls Prevention Strategy Among Community-Dwelling Older Fallers

: Number of items displayed: Create RSS Cancel RSS Link Copy Actions Cite Share Permalink Copy Page navigation J Am Geriatr Soc Actions . 2020 May 29. doi: 10.1111/jgs.16476. Online ahead of print. Action Seniors! Cost-Effectiveness Analysis of a Secondary Falls Prevention Strategy Among Community-Dwelling Older Fallers , , , , , , Affiliations Expand Affiliations 1 Social and Economic Change Laboratory, Faculty of Management, University of British Columbia-Okanagan, Kelowna, British Columbia, Canada (...) , Massachusetts, USA. 6 Djavad Mowafaghian Centre for Brain Health, Vancouver, British Columbia, Canada. 7 Faculty of Medicine, Division of Geriatric Medicine, University of British Columbia, Vancouver, British Columbia, Canada. PMID: 32472567 DOI: Item in Clipboard Action Seniors! Cost-Effectiveness Analysis of a Secondary Falls Prevention Strategy Among Community-Dwelling Older Fallers Jennifer C Davis et al. J Am Geriatr Soc . 2020 . Show details J Am Geriatr Soc Actions . 2020 May 29. doi: 10.1111/jgs

2020 EvidenceUpdates

30. Effect of Aspirin vs Placebo on the Prevention of Depression in Older People: A Randomized Clinical Trial

Effect of Aspirin vs Placebo on the Prevention of Depression in Older People: A Randomized Clinical Trial Effect of Aspirin vs Placebo on the Prevention of Depression in Older People: A Randomized Clinical Trial - PubMed This site needs JavaScript to work properly. Please enable it to take advantage of the complete set of features! Clipboard, Search History, and several other advanced features are temporarily unavailable. National Institutes of Health National Library of Medicine National (...) RSS Cancel RSS Link Copy Actions Cite Share Permalink Copy Page navigation JAMA Psychiatry Actions . 2020 Jun 3;e201214. doi: 10.1001/jamapsychiatry.2020.1214. Online ahead of print. Effect of Aspirin vs Placebo on the Prevention of Depression in Older People: A Randomized Clinical Trial , , , , , , , , , , , , , , , , Affiliations Expand Affiliations 1 The Institute for Mental and Physical Health and Clinical Translation Strategy Research Centre, Deakin University School of Medicine, Geelong

2020 EvidenceUpdates

31. Effect of Senior Dance (DanSE) on Fall Risk Factors in Older Adults: A Randomized Controlled Trial

. Design: The study was a randomized controlled trial. Setting/patients: Eighty-two community-dwelling older people aged 60 years or over and cognitively intact were recruited in Brazil. Intervention: Participants were randomly allocated to 2 groups: Dance plus education (intervention group) and education alone (control group). The Senior Dance program consisted of 12 weeks of twice-weekly group-based dance classes. Participants in both groups attended a single 1-hour educational session on prevention (...) , Universidade Estadual Paulista (UNESP), Presidente Prudente, Sao Paulo, Brazil. PMID: 31899491 DOI: Item in Clipboard Full-text links Cite Abstract Background: Older people's participation in structured exercise programs to improve balance and mobility is low. Senior Dance is an alternative option, as it may provide a safe and fun way of targeting balance. Objective: The aim was to investigate the effect of Senior Dance on balance, mobility, and cognitive function compared with a control intervention

2020 EvidenceUpdates

32. Use of an electronic decision support tool to reduce polypharmacy in elderly people with chronic diseases: cluster randomised controlled trial. Full Text available with Trip Pro

Use of an electronic decision support tool to reduce polypharmacy in elderly people with chronic diseases: cluster randomised controlled trial. To evaluate the effects of a computerised decision support tool for comprehensive drug review in elderly people with polypharmacy.Pragmatic, multicentre, cluster randomised controlled trial.359 general practices in Austria, Germany, Italy, and the United Kingdom.3904 adults aged 75 years and older using eight or more drugs on a regular basis, recruited (...) -0.63 to -0.26; P<0.001).In intention-to-treat analysis, a computerised decision support tool for comprehensive drug review of elderly people with polypharmacy showed no conclusive effects on the composite of unplanned hospital admission or death by 24 months. Nonetheless, a reduction in drugs was achieved without detriment to patient outcomes.Current Controlled Trials ISRCTN10137559.© Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights

2020 BMJ

33. Rapid POC tests have low sensitivity for <i>C trachomatis</i> in nonpregnant women or men of reproductive age. (Abstract)

Rapid POC tests have low sensitivity for C trachomatis in nonpregnant women or men of reproductive age. Grillo-Ardila CF, Torres M, Gaitan HG. Rapid point of care test for detecting urogenital Chlamydia trachomatis infection in nonpregnant women and men at reproductive age. Cochrane Database Syst Rev. 2020;1:CD011708. 31995238.

2020 Annals of Internal Medicine

34. In older adults with a history of falls, interventions to reduce use of fall risk-increasing drugs do not reduce falls. (Abstract)

In older adults with a history of falls, interventions to reduce use of fall risk-increasing drugs do not reduce falls. Hart LA, Phelan EA, Yi JY, Marcum ZA, Gray SL. Use of fall risk-increasing drugs around a fall-related injury in older adults: a systematic review. J Am Geriatr Soc. 2020. [Epub ahead of print]. 32064594.

2020 Annals of Internal Medicine

35. Effect of Continuous Glucose Monitoring on Hypoglycemia in Older Adults With Type 1 Diabetes: A Randomized Clinical Trial. (Abstract)

with the standard BGM group (adjusted group difference, -0.3%; 95% CI, -0.4% to -0.1%; P <.001). The most commonly reported adverse events using CGM and standard BGM, respectively, were severe hypoglycemia (1 and 10), fractures (5 and 1), falls (4 and 3), and emergency department visits (6 and 8).Among adults aged 60 years or older with type 1 diabetes, continuous glucose monitoring compared with standard blood glucose monitoring resulted in a small but statistically significant improvement in hypoglycemia over (...) Effect of Continuous Glucose Monitoring on Hypoglycemia in Older Adults With Type 1 Diabetes: A Randomized Clinical Trial. Continuous glucose monitoring (CGM) provides real-time assessment of glucose levels and may be beneficial in reducing hypoglycemia in older adults with type 1 diabetes.To determine whether CGM is effective in reducing hypoglycemia compared with standard blood glucose monitoring (BGM) in older adults with type 1 diabetes.Randomized clinical trial conducted at 22

2020 JAMA

36. Association of Dysanapsis With Chronic Obstructive Pulmonary Disease Among Older Adults. (Abstract)

Association of Dysanapsis With Chronic Obstructive Pulmonary Disease Among Older Adults. Smoking is a major risk factor for chronic obstructive pulmonary disease (COPD), yet much of COPD risk remains unexplained.To determine whether dysanapsis, a mismatch of airway tree caliber to lung size, assessed by computed tomography (CT), is associated with incident COPD among older adults and lung function decline in COPD.A retrospective cohort study of 2 community-based samples: the Multi-Ethnic Study (...) ] age, 69 years [9 years]; 1334 women [52.7%]), 237 of 2531 participants (9.4%) had prevalent COPD, the mean (SD) airway to lung ratio was 0.033 (0.004), and the mean (SD) FEV1 decline was -33 mL/y (31 mL/y). Of 2294 MESA Lung participants without prevalent COPD, 98 (4.3%) had incident COPD at a median of 6.2 years. Compared with participants in the highest quartile of airway to lung ratio, those in the lowest had a significantly higher COPD incidence (9.8 vs 1.2 cases per 1000 person-years; rate

2020 JAMA

37. L-Thyroxine Therapy for Older Adults With Subclinical Hypothyroidism and Hypothyroid Symptoms: Secondary Analysis of a Randomized Trial. (Abstract)

-controlled trial TRUST (Thyroid Hormone Replacement for Untreated Older Adults with Subclinical Hypothyroidism Trial). (ClinicalTrials.gov: NCT01660126).Switzerland, Ireland, the Netherlands, and Scotland.638 persons aged 65 years or older with persistent SCH (thyroid-stimulating hormone level of 4.60 to 19.9 mIU/L for >3 months and normal free thyroxine level) and complete outcome data.L-thyroxine or matching placebo with mock dose titration.1-year change in Hypothyroid Symptoms and Tiredness scores (...) L-Thyroxine Therapy for Older Adults With Subclinical Hypothyroidism and Hypothyroid Symptoms: Secondary Analysis of a Randomized Trial. L-thyroxine does not improve hypothyroid symptoms among adults with subclinical hypothyroidism (SCH). However, those with greater symptom burden before treatment may still benefit.To determine whether L-thyroxine improves hypothyroid symptoms and tiredness among older adults with SCH and greater symptom burden.Secondary analysis of the randomized, placebo

2020 Annals of Internal Medicine

38. COVID-19: End of life care in older people

COVID-19: End of life care in older people COVID-19: End of life care in older people | British Geriatrics Society Toggle main menu visibility Search Search Search Resources (menu position rule) , , Date Published: 07 April 2020 Last updated: 08 June 2020 This page brings together resources and information for any clinician or carer who finds themselves faced with providing care at the end of life during the COVID-19 pandemic. COVID-19 has moved death and dying to the centre stage. While end (...) of life care has always been an integral part of care for older people, the acute and rapid nature of COVID-19 changes the pace and focus of that care. Clinicians and carers will need to give both the best physical care possible and also provide the human contact and comfort to older people who are dying - ideally provided by those they love. Person-centred care has never been more necessary, including sensitive advance care planning conversations and best interest decisions -communicated clearly

2020 British Geriatrics Society

39. Volar Locked Plating Versus Closed Reduction and Casting for Acute, Displaced Distal Radial Fractures in the Elderly: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

: Item in Clipboard Full-text links Cite Abstract Background: It remains unclear whether volar locked plating (VLP) yields a better functional outcome than closed reduction and casting (CRC) for elderly patients with an acute, displaced distal radial fracture. Our purpose was to conduct a systematic review and meta-analysis of randomized controlled trials comparing outcomes of VLP and CRC for elderly patients (age, ≥60 years). Methods: Multiple databases, including MEDLINE, were searched (...) for randomized controlled trials evaluating outcomes following distal radial fracture treatment. Raw data were obtained for studies that included patients of all ages, and the elderly subgroup was included for analysis. The primary outcome was the Disabilities of the Arm, Shoulder and Hand (DASH) score at ≥1 year of follow-up. Secondary outcomes included the 3-month DASH score, range of motion, final radiographic alignment, and complications. Effect sizes for the comparison of each outcome between groups

2020 EvidenceUpdates

40. Effects of combined physical and cognitive training on fall prevention and risk reduction in older persons with mild cognitive impairment: a randomized controlled study

older persons with mild cognitive impairment (aged 60-83) were randomly allocated to three intervention groups and one waitlist control group. Interventions: The physical training, cognitive training, and combined physical and cognitive training intervention programs were delivered for 60 to 90 minutes, one to three times per week for 12 weeks with six-month follow-up. Main measures: Participants were assessed at baseline, 12 weeks after baseline, and 36 weeks after baseline for fall incidence (...) Effects of combined physical and cognitive training on fall prevention and risk reduction in older persons with mild cognitive impairment: a randomized controlled study Effects of Combined Physical and Cognitive Training on Fall Prevention and Risk Reduction in Older Persons With Mild Cognitive Impairment: A Randomized Controlled Study - PubMed This site needs JavaScript to work properly. Please enable it to take advantage of the complete set of features! Clipboard, Search History, and several

2020 EvidenceUpdates