Latest & greatest articles for geriatrics

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Top results for geriatrics

61. 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

62. 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

63. 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

64. Cognitive-behavioural therapy (CBT) interventions for young people aged 10 to 18 with harmful sexual behaviour. (Abstract)

Cognitive-behavioural therapy (CBT) interventions for young people aged 10 to 18 with harmful sexual behaviour. Around 1 in 1000 adolescents aged 12 to 17 years old display problematic or harmful sexual behaviour (HSB). Examples include behaviours occurring more frequently than would be considered developmentally appropriate; accompanied by coercion; involving children of different ages or stages of development; or associated with emotional distress. Some, but not all, young people engaging (...) people aged 10 to 18 years who have exhibited HSB.In June 2019, we searched CENTRAL, MEDLINE, Embase, 12 other databases and three trials registers. We also examined relevant websites, checked reference lists and contacted authors of relevant articles.We included all relevant randomised controlled trials (RCTs) using parallel groups. We evaluated CBT treatments compared with no treatment, waiting list or standard care, irrespective of mode of delivery or setting, given to young people aged 10 to 18

2020 Cochrane

65. 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

66. 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

67. 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

68. 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

69. Withdrawal of antihypertensive drugs in older people. Full Text available with Trip Pro

Withdrawal of antihypertensive drugs in older people. Hypertension is an important risk factor for subsequent cardiovascular events, including ischaemic and haemorrhagic stroke, myocardial infarction, heart failure, chronic kidney disease, cognitive decline and premature death. Overall, the use of antihypertensive medications has led to reduction in cardiovascular disease, morbidity rates and mortality rates. However, the use of antihypertensive medications is also associated with harms (...) , especially in older people, including the development of adverse drug reactions, drug-drug interactions and can contribute to increasing medication-related burden. As such, discontinuation of antihypertensives may be considered and appropriate in some older people.To investigate whether withdrawal of antihypertensive medications is feasible, and evaluate the effects of withdrawal of antihypertensive medications on mortality, cardiovascular outcomes, hypertension and quality of life in older people.The

2020 Cochrane

70. 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

71. 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

72. 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

73. 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

74. 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

75. Comparison of efficacy nebulized fentanyl with intravenous ketorolac for renal colic in patients over 12 years old

Comparison of efficacy nebulized fentanyl with intravenous ketorolac for renal colic in patients over 12 years old Comparison of Efficacy Nebulized Fentanyl With Intravenous Ketorolac for Renal Colic in Patients Over 12 Years Old - 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 (...) displayed: Create RSS Cancel RSS Link Copy Actions Cite Share Permalink Copy Page navigation Am J Emerg Med Actions . 2020 Apr 21;S0735-6757(20)30257-6. doi: 10.1016/j.ajem.2020.04.053. Online ahead of print. Comparison of Efficacy Nebulized Fentanyl With Intravenous Ketorolac for Renal Colic in Patients Over 12 Years Old , , , Affiliations Expand Affiliations 1 Clinical Research Development Center of Taleghani, Kermanshah University of Medical Sciences, Kermanshah, Iran. 2 Department of Emergency

2020 EvidenceUpdates

76. Dynamic statistical model for predicting the risk of death among older Chinese people, using longitudinal repeated measures of the frailty index: a prospective cohort study

predictive ability. Conclusions: We developed a dynamic prediction model that was able to update predictions of the risk of death as updated measurements of FI became available. This model could be used to estimate the risk of death in individuals aged >65 years. Keywords: dynamic statistical prediction model; frailty index; older people; people over 65 years; prospective cohort study; risk of death. © The Author(s) 2020. Published by Oxford University Press on behalf of the British Geriatrics Society (...) 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 Age Ageing Actions . 2020 May 4;afaa056. doi: 10.1093/ageing/afaa056. Online ahead of print. Dynamic Statistical Model for Predicting the Risk of Death Among Older Chinese People, Using Longitudinal Repeated Measures of the Frailty Index: A Prospective Cohort Study , , , , , , , , , Affiliations

2020 EvidenceUpdates

77. Use of sodium-glucose cotransporter-2 inhibitors and risk of acute kidney injury in older adults with diabetes: a population-based cohort study Full Text available with Trip Pro

) after the initiation of sodium-glucose cotransporter-2 (SGLT2) inhibitors. Our objective was to quantify the 90-day risk of AKI in older adults after initiation of SGLT2 inhibitors in routine clinical practice. Methods: We conducted a population-based retrospective cohort study in Ontario, Canada, involving adults with diabetes who were aged 66 years or older and who were newly dispensed either an SGLT2 inhibitor or a dipeptidyl peptidase-4 (DPP4) inhibitor in an outpatient setting between 2015 (...) Use of sodium-glucose cotransporter-2 inhibitors and risk of acute kidney injury in older adults with diabetes: a population-based cohort study Use of Sodium-Glucose cotransporter-2 Inhibitors and Risk of Acute Kidney Injury in Older Adults With Diabetes: A Population-Based 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

2020 EvidenceUpdates

78. Augmenting Computerized Cognitive Training With Vortioxetine for Age-Related Cognitive Decline: A Randomized Controlled Trial

links Cite Erratum in Am J Psychiatry. 2020 Jun 1;177(6):556. doi: 10.1176/appi.ajp.2020.1776correction. Am J Psychiatry. 2020. PMID: 32475135 No abstract available. Abstract Objective: Age-related cognitive decline, the deterioration in functions such as memory and executive function, is faced by most older adults and affects function and quality of life. No approved treatments exist for age-related cognitive decline. Computerized cognitive training has been shown to provide consistent albeit (...) modest improvements in cognitive function as measured by neuropsychological testing. Vortioxetine, an antidepressant medication, has putative procognitive and proneuroplastic properties and therefore may be able to augment cognitive training. In this placebo-controlled study, the authors tested the cognitive benefits of vortioxetine added to cognitive training for adults age 65 or older with age-related cognitive decline. Methods: After a 2-week lead-in period of cognitive training, 100 participants

2020 EvidenceUpdates

79. Effects of Geriatric Interdisciplinary Home Rehabilitation on Independence in Activities of Daily Living in Older People With Hip Fracture: A Randomized Controlled Trial Full Text available with Trip Pro

interdisciplinary home rehabilitation for older people with hip fracture on independence in activities of daily living (ADL) compared with inhospital geriatric care according to a multifactorial rehabilitation program. Design: Planned analysis of a randomized controlled trial with 3- and 12-month follow-ups. Setting: Geriatric ward, ordinary housing, and residential care facilities. Participants: Of 466 people screened for eligibility, participants (N=205) with acute hip fracture, aged 70 years or older (...) Effects of Geriatric Interdisciplinary Home Rehabilitation on Independence in Activities of Daily Living in Older People With Hip Fracture: A Randomized Controlled Trial Effects of Geriatric Interdisciplinary Home Rehabilitation on Independence in Activities of Daily Living in Older People With Hip Fracture: A Randomized Controlled Trial - PubMed This site needs JavaScript to work properly. Please enable it to take advantage of the complete set of features! Clipboard, Search History

2020 EvidenceUpdates

80. 2019 EULAR points to consider for non-physician health professionals to prevent and manage fragility fractures in adults 50 years or older Full Text available with Trip Pro

Sciences, University of Southampton, Southampton, UK. 2 Department Care I, Musculoskeletal System & Neurology, Dutch National Health Care Institute, Diemen, The Netherlands. 3 EULAR Standing Committee of People with Arthritis/Rheumatism in Europe (PARE), Zurich, Switzerland. 4 EULAR Young PARE, Zurich, Switzerland. 5 Slovak League Against Rheumatism, Piestany, Slovakia. 6 Medicine for Older People, University Hospital Southampton NHS Foundation Trust, Southampton, UK. 7 Department of Rheumatology (...) of Health Sciences, University of Southampton, Southampton, UK. 2 Department Care I, Musculoskeletal System & Neurology, Dutch National Health Care Institute, Diemen, The Netherlands. 3 EULAR Standing Committee of People with Arthritis/Rheumatism in Europe (PARE), Zurich, Switzerland. 4 EULAR Young PARE, Zurich, Switzerland. 5 Slovak League Against Rheumatism, Piestany, Slovakia. 6 Medicine for Older People, University Hospital Southampton NHS Foundation Trust, Southampton, UK. 7 Department

2020 EvidenceUpdates