Latest & greatest articles for geriatrics

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Top results for geriatrics

141. Mortality Implications of Prediabetes and Diabetes in Older Adults

delegates due to an error Add Cancel Actions Cite Share Permalink Copy Page navigation Diabetes Care Actions , 43 (2), 382-388 Feb 2020 Mortality Implications of Prediabetes and Diabetes in Older Adults , , , , , , , Affiliations Expand Affiliations 1 Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD. 2 Division of Cardiology and National Institute for Prevention and Cardiovascular Health, National University of Ireland, Galway, Ireland. 3 Department of Geriatric (...) @jhu.edu. PMID: 31776141 PMCID: (available on 2021-02-01 ) DOI: Item in Clipboard Full-text links Cite Abstract Objective: Diabetes in older age is heterogeneous, and the treatment approach varies by patient characteristics. We characterized the short-term all-cause and cardiovascular mortality risk associated with hyperglycemia in older age. Research design and methods: We included 5,791 older adults in the Atherosclerosis Risk in Communities Study who attended visit 5 (2011-2013; ages 66-90 years

2020 EvidenceUpdates

142. Video calls for reducing social isolation and loneliness in older people: a rapid review

has resulted in many countries implementing physical distancing and restriction of movement, particularly for older adults and other vulnerable populations. This requires millions of older people to remain in their homes, many of whom may be isolated from their usual social support network ( ). Older people are the group most at risk in relation to COVID‐19 ( ), and in addition to the many isolating at home, many others are currently confined to nursing homes, rooms in old age homes and frail care (...) review, we considered older people to be aged 65 years or above. We considered video calls to be calls made via the internet, using computers, tablets or smartphones. COVID‐19 is spreading rapidly, so we needed to answer this question quickly. This meant that we shortened some steps of the normal Cochrane Review process. Two review authors checked 25% of our search results for studies and one review author checked the remaining 75% of our results, where normally two review authors would check all

2020 Cochrane

143. Best-practice prevention alone or with conventional or biological caries management for 3- to 7-year-olds: the FiCTION three-arm RCT Full Text available with Trip Pro

Best-practice prevention alone or with conventional or biological caries management for 3- to 7-year-olds: the FiCTION three-arm RCT Best-practice prevention alone or with conventional or biological caries management for 3- to 7-year-olds: the FiCTION three-arm RCT Journals Library An error occurred retrieving content to display, please try again. >> >> >> Page Not Found Page not found (404) Sorry - the page you requested could not be found. Please choose a page from the navigation or try

2020 NIHR HTA programme

144. Multicomponent hospital-led interventions to reduce hospital stay for older adults following elective surgery: a systematic review Full Text available with Trip Pro

, Rob Anderson 1 1 Exeter Health Services and Delivery Research Evidence Synthesis Centre, Institute of Health Research, University of Exeter Medical School, University of Exeter, Exeter, UK 2 Department of Healthcare for Older People, Royal Devon & Exeter NHS Foundation Trust, Exeter, UK 3 Royal Devon & Exeter NHS Foundation Trust, Exeter, UK 4 School of Health Professions, Faculty of Health & Human Sciences, University of Plymouth, Plymouth, UK * Corresponding author Email: {{metadata.Journal (...) Multicomponent hospital-led interventions to reduce hospital stay for older adults following elective surgery: a systematic review Multicomponent hospital-led interventions to reduce hospital stay for older adults following elective surgery: a systematic review Journals Library An error occurred retrieving content to display, please try again. >> >> >> Page Not Found Page not found (404) Sorry - the page you requested could not be found. Please choose a page from the navigation or try a website

2020 NIHR HTA programme

145. Measuring and optimising the efficiency of community hospital inpatient care for older people: the MoCHA mixed-methods study Full Text available with Trip Pro

Measuring and optimising the efficiency of community hospital inpatient care for older people: the MoCHA mixed-methods study Measuring and optimising the efficiency of community hospital inpatient care for older people: the MoCHA mixed-methods study Journals Library An error occurred retrieving content to display, please try again. >> >> >> Page Not Found Page not found (404) Sorry - the page you requested could not be found. Please choose a page from the navigation or try a website search (...) Tucker 5 , Pam Enderby 6 , John Gladman 7 , Elizabeth Teale 1 , Jean-Christophe Thiebaud 3 1 Academic Unit of Elderly Care and Rehabilitation, University of Leeds, Leeds, UK 2 Academic Unit of Health Economics, University of Leeds, Leeds, UK 3 Institute for Transport Studies, University of Leeds, Leeds, UK 4 NHS Benchmarking Network, Manchester, UK 5 Community Hospitals Association, Crowborough, UK 6 School of Health and Related Research (ScHARR), University of Sheffield, Sheffield, UK 7 University

2020 NIHR HTA programme

146. A revised teaching assistant-led extracurricular physical activity programme for 8- to 10-year-olds: the Action 3:30R feasibility cluster RCT Full Text available with Trip Pro

A revised teaching assistant-led extracurricular physical activity programme for 8- to 10-year-olds: the Action 3:30R feasibility cluster RCT A revised teaching assistant-led extracurricular physical activity programme for 8- to 10-year-olds: the Action 3:30R feasibility cluster RCT Journals Library An error occurred retrieving content to display, please try again. >> >> >> Page Not Found Page not found (404) Sorry - the page you requested could not be found. Please choose a page from

2020 NIHR HTA programme

147. Immunizations - pneumococcal: Scenario: Children over 5 years of age, and adults diagnosed at increased risk

consent from a person with parental responsibility. Adults over 18 years of age are presumed to be competent to consent to treatment provided they can comprehend and retain the information they are given, and they can consider the facts and make an informed decision. Young people of 16 and 17 years of age are also presumed to be competent using the same criteria as older adults. Younger people can also give consent if they fully understand what is involved, but ideally a person with parental (...) over 5 years of age, and adults diagnosed at increased risk From age 5 years onwards. How should I vaccinate children over 5 years of age, and adults diagnosed at increased risk? People at increased risk of pneumococcal disease or complications include those with: Asplenia or splenic dysfunction. Chronic respiratory, heart, kidney, or liver disease. Diabetes requiring insulin or oral hypoglycaemic drugs. Immunosuppression due to a medical condition or treatment. Cochlear implants. Cerebrospinal

2020 NICE Clinical Knowledge Summaries

148. Immunizations - childhood: Scenario: Childhood immunizations - 1-2 years of age

dose of MMR — give a single dose of MMR, followed by a second dose usually at 3 years and 4 months old. Note: in some circumstances it may be appropriate to give the second dose of MMR early after an interval of 1 month (if the child is older than 18 months of age), or 3 months (if the child is younger than 18 months of age). Examples include: if the child is unlikely to return for their second dose at 3 years and 4 months old; if the child is likely to travel regularly to a country with a high (...) on rotavirus in Immunisation against infectious disease (the 'Green book') [ ]. The first dose of rotavirus vaccine should only be given to children older than 6 weeks and younger than 15 weeks old and the second dose should only be given to infants younger than 24 weeks old to minimize the risk of bowel intussusception. How should I administer vaccines in children 1-2 years of age? Obtain written or verbal consent from a person with parental responsibility at the time of vaccination. Ensure

2020 NICE Clinical Knowledge Summaries

149. The art of life and death: 14 year follow-up analyses of associations between arts engagement and mortality in the English Longitudinal Study of Ageing. Full Text available with Trip Pro

The art of life and death: 14 year follow-up analyses of associations between arts engagement and mortality in the English Longitudinal Study of Ageing. To explore associations between different frequencies of arts engagement and mortality over a 14 year follow-up period.Prospective cohort study.English Longitudinal Study of Ageing cohort of 6710 community dwelling adults aged 50 years and older (53.6% women, average age 65.9 years, standard deviation 9.4) who provided baseline data in 2004-05 (...) a protective association with longevity in older adults. This association might be partly explained by differences in cognition, mental health, and physical activity among those who do and do not engage in the arts, but remains even when the model is adjusted for these factors.Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

2019 BMJ

150. [Efficacy of a reconciliation intervention by a specialized pharmacist to resolve medication-related problems of elderly patients admitted to an emergency department short-stay unit: a randomized clinical trial]. (Abstract)

[Efficacy of a reconciliation intervention by a specialized pharmacist to resolve medication-related problems of elderly patients admitted to an emergency department short-stay unit: a randomized clinical trial]. To determine the effect on medication-related problems (MRPs) of a process of medication reconciliation carried out by a specialized pharmacist for patients aged 65 years or older admitted to an emergency department short-stay unit (SSU).Randomized clinical trial of 17 months (February (...) 2013-June 2014) in the SSU of a hospital emergency department. Patients were aged 65 years or older at high risk of MRPs. A total of 130 patients were randomized to a control group (n = 65) or the intervention group (n = 65). The reconciliation process (intervention) was carried out by a specialized pharmacist. The main outcome was the number of MRPs resolved in each group.A total of 3081 medications for 130 patients were reviewed. The patients' mean (SD) age was 79 (7.6) years and 66 (50.8%) were

2019 Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias Controlled trial quality: uncertain

151. Older Adults' Functional Performance and Health Knowledge After a Combination Exercise, Health Education, and Bingo Game. Full Text available with Trip Pro

Older Adults' Functional Performance and Health Knowledge After a Combination Exercise, Health Education, and Bingo Game. Combining exercise, health education, and the game of bingo may help older adults remain independent. The objective was to determine whether a 10-week health promotion program (Bingocize®) improves functional performance and health knowledge in older adults. Participants were assigned to experimental (n = 13) or control (n = 14) groups. The intervention was administered (...) twice per week at two independent living facilities. Pre and postfunctional performance and health knowledge were measured. Mixed between-within subject ANOVA was used to detect differences between groups (p < .05). Improvements were found in all dependent variables except lower body flexibility, systolic blood pressure, and health knowledge. Adherence was 97.31% ± 2.59%. Bingocize® has the potential to help older adults remain independent by improving functional performance. Statistical

2019 Gerontology & geriatric medicine Controlled trial quality: uncertain

152. Promotion of Behavioral Change and the Impact on Quality of Life in Elderly Patients with Advanced Cancer: A Physical Activity Intervention of the Multimodal Nutrition and Exercise Treatment for Advanced Cancer Program. Full Text available with Trip Pro

Treatment for Advanced Cancer (NEXTAC) and the impact on QOL in elderly patients with advanced cancer.We recruited 30 patients aged ≥70 years who were scheduled to receive the first-line chemotherapy for newly diagnosed advanced pancreatic or non-small-cell lung cancer. The QOL was assessed using the European Organization for Research and Treatment of Cancer QOL Questionnaire version 3.0, while the PA was measured using a pedometer/accelerometer. Instructors counseled patients to increase daily activity (...) Promotion of Behavioral Change and the Impact on Quality of Life in Elderly Patients with Advanced Cancer: A Physical Activity Intervention of the Multimodal Nutrition and Exercise Treatment for Advanced Cancer Program. Physical activity (PA) may improve the quality of life (QOL) of cancer survivors. However, the impact on patients with advanced cancer with high cachectic potential is unknown. We analyzed the feasibility of PA intervention using the multimodal program Nutrition and Exercise

2019 Asia-Pacific journal of oncology nursing Controlled trial quality: uncertain

153. Impact of Moderate Aerobic Training on Physical Capacities of Hypertensive Obese Elderly. Full Text available with Trip Pro

Impact of Moderate Aerobic Training on Physical Capacities of Hypertensive Obese Elderly. The association of old age and chronic conditions, such as hypertension and obesity, can lead to larger decreases in the physical capacities of elderly, compared with their healthy counterparts. Physical exercise has been demonstrated to be efficient in postponing this phenomenon, mainly strength training. However, little is known about the effect of aerobic training on this condition. The aim of this work (...) was to investigate the impact of 12 weeks of moderate-intensity aerobic training on the physical capacities of hypertensive obese older women. Aerobic power, lower limb muscle power, upper limb muscle strength, endurance, and flexibility of 19 hypertensive obese elders were evaluated. Afterward, patients were blindly randomized into control group (CG) and exercise group (EG). EG underwent three sessions/week of 60 min of moderate-intensity aerobic training, during 12 weeks. EG showed increases in VO2max compared

2019 Gerontology & geriatric medicine Controlled trial quality: uncertain

154. Feasibility and preliminary effects of an integrated hospital-to-home transitional care intervention for older adults with stroke and multimorbidity: A study protocol. Full Text available with Trip Pro

Feasibility and preliminary effects of an integrated hospital-to-home transitional care intervention for older adults with stroke and multimorbidity: A study protocol. Stroke is a major life-altering event and the leading cause of death and disability in Canada. Most older adults who have suffered a stroke will return home and require ongoing rehabilitation in the community. Transitioning from hospital to home is reportedly very stressful and challenging, particularly if stroke survivors have (...) multiple chronic conditions. New interventions are needed to improve the quality of transitions from hospital to home for this vulnerable population.The primary objective of this study is to examine the feasibility of implementing a new 6-month transitional care intervention supported by a web-based app. The secondary objective is to explore its preliminary effects.A single arm, pre/post, pragmatic feasibility study of 20-40 participants in Ontario, Canada. Participants will be community-dwelling older

2019 Journal of comorbidity Controlled trial quality: uncertain

155. Impact of Feed the Future initiative on nutrition in children aged less than 5 years in sub-Saharan Africa: difference-in-differences analysis. Full Text available with Trip Pro

Impact of Feed the Future initiative on nutrition in children aged less than 5 years in sub-Saharan Africa: difference-in-differences analysis. To evaluate the impact of the US government's Feed the Future initiative on nutrition outcomes in children younger than 5 years in sub-Saharan Africa.Difference-in-differences quasi-experimental approach.Households in 33 low and lower middle income countries in sub-Saharan Africa.883 309 children aged less than 5 years with weight, height, and age (...) . The primary outcome was stunting (height for age >2 standard deviations below a reference median), a key indicator of undernutrition in children. Secondary outcomes were wasting (low weight for height) and underweight (low weight for age).Across all years and countries, 38.3% of children in the study sample were stunted, 8.9% showed wasting, and 21.3% were underweight. In the first six years of Feed the Future's implementation, children in 12 countries with the initiative exhibited a 3.9 percentage point

2019 BMJ

156. Yellow fever vaccine: stronger precautions in people with weakened immunity and in those aged 60 years or older

Yellow fever vaccine: stronger precautions in people with weakened immunity and in those aged 60 years or older Yellow fever vaccine: stronger precautions in people with weakened immunity and in those aged 60 years or older - GOV.UK GOV.UK uses cookies which are essential for the site to work. We also use non-essential cookies to help us improve government digital services. Any data collected is anonymised. By continuing to use this site, you agree to our use of cookies. Accept cookies You’ve (...) accepted all cookies. You can at any time. Hide Search Yellow fever vaccine: stronger precautions in people with weakened immunity and in those aged 60 years or older The Commission on Human Medicines has issued a series of recommendations to strengthen measures to minimise risk with the yellow fever vaccine (Stamaril) following very rare fatal reactions. Key recommendations include new and updated contraindications and strengthened precautions to protect those with a weakened immune systems (including

2019 MHRA Drug Safety Update

157. Elexacaftor/ivacaftor/tezacaftor (Trikafta) - To treat patients 12 years of age and older with the most common gene mutation that causes cystic fibrosis

Elexacaftor/ivacaftor/tezacaftor (Trikafta) - To treat patients 12 years of age and older with the most common gene mutation that causes cystic fibrosis Drug Approval Package: TRIKAFTA TRIKAFTA " /> U.S. Department of Health and Human Services Search FDA Submit search Drug Approval Package: TRIKAFTA Company: Vertex Pharmaceuticals Inc. Application Number: 212273 Approval Date: 10/18/2019 Persons with disabilities having problems accessing the PDF files below may call (301) 796-3634 (...) for assistance. FDA Approval Letter and Labeling (PDF) (PDF) FDA Application Review Files (PDF) (PDF) (PDF) (PDF) (PDF) (PDF) (PDF) Date created: November 25, 2019 Vision impaired people having problems accessing certain pages of a PDF file may call (301) 796-3634 for assistance. Note: Documents in PDF format require the . Note: If you need help accessing information in different file formats, see . Language Assistance Available: | | | | | | | | | | | | | | | FDA Popular Content Product Areas

2019 FDA - Drug Approval Package

158. Palliative Care for Geriatric Trauma Patients, Trauma Center Care and Routine Processes for Care - Evidence-Based Review

to in- crease somewhere between the ages 55 and 65 years, 6 and the American College of Surgeons Committee on Trauma recom- mends consideration for triage to TCs for patients 55 years or older.However,muchofthefocusedgeriatrictraumaliterature usesage65yearsorevenolderwhenexamininginterventions. For this reason, we chose to focus on interventions targeting adults 65 years or older. OBJECTIVES Thepurposeofthisreviewwastoprovideasystematicre- viewof 2 key issues in care of the geriatric trauma patient: TC (...) in the definition of elderly, which hampers studyinclusiondefinitions;ouruseoftheage65yearswasmost common,butthismayhaveimpactedourfindings.However,de- spite these limitations, most studies supported similar conclu- sions with at least a modest effect size, allowing us to make somerecommendations for clinicalpractice. UsingTheseGuidelinesinClinicalPractice As our older adult population increases, injured geriatric patientswillcontinuetoposechallengesforcare,suchascomor

2019 Eastern Association for the Surgery of Trauma

159. Recommendations for (Discontinuation of) Statin Treatment in Older Adults: Review of Guidelines Full Text available with Trip Pro

Recommendations for (Discontinuation of) Statin Treatment in Older Adults: Review of Guidelines As a person's age increases and his/her health status declines, new challenges arise that may lead physicians to consider deprescribing statins. We aimed to provide insight into recommendations available in international cardiovascular disease prevention guidelines regarding discontinuation of statin treatment applicable to older adults.We systematically searched PubMed, EMBASE, EMCARE (...) , and the websites of guideline development organizations and online guideline repositories for cardiovascular disease prevention guidelines aimed at the general population. We selected all guidelines with recommendations (instructions and suggestions) on discontinuation of statin treatment applicable to older adults, published between January 2009 and April 2019. In addition, we performed a synthesis of information from all other recommendations for older adults regarding statin treatment. Methodological

2019 EvidenceUpdates

160. Effect of alirocumab on cardiovascular outcomes after acute coronary syndromes according to age: an ODYSSEY OUTCOMES trial analysis Full Text available with Trip Pro

Effect of alirocumab on cardiovascular outcomes after acute coronary syndromes according to age: an ODYSSEY OUTCOMES trial analysis Lowering low-density lipoprotein cholesterol (LDL-C) reduces cardiovascular risk irrespective of age, but the evidence is less strong for older patients.This prespecified analysis from ODYSSEY OUTCOMES compared the effect of alirocumab vs. placebo in 18 924 patients with recent acute coronary syndrome (ACS) according to age. We examined the effect of assigned (...) frequent in older patients, there were no differences between alirocumab and placebo.In patients with recent ACS, alirocumab improves outcomes irrespective of age. Increasing absolute benefit but not harm with advancing age suggests that LDL-C lowering is an important preventive intervention for older patients after ACS.© The Author(s) 2019. Published by Oxford University Press on behalf of the European Society of Cardiology.

2019 EvidenceUpdates