How to Trip Rapid Review

Step 1: Select articles relevant to your search (remember the system is only optimised for single intervention studies)

Step 2: press

Step 3: review the result, and maybe amend the or if you know better! If we're unsure of the overall sentiment of the trial we will display the conclusion under the article title. We then require you to tell us what the correct sentiment is.

5,191 results for

Community Services for the Elderly

by
...
Alerts

Export results

Use check boxes to select individual results below

SmartSearch available

Trip's SmartSearch engine has discovered connected searches & results. Click to show

161. Ten-year trends in intensive care admissions for respiratory infections in the elderly (PubMed)

except for patients ≥ 90 y/o (for whom ICU mortality dropped from 40.9 to 22.3%, p = 0.03).We observed a substantial increase in acute respiratory infection diagnoses associated with hospitalisation between 2006 and 2015, with a growing demand for critical care services. Both the absolute number and the percentage of elderly patient ICU admissions increased over the last decade, with the greatest increases being observed for patients 85 years and older. (...) Ten-year trends in intensive care admissions for respiratory infections in the elderly The consequences of the ageing population concerning ICU hospitalisation need to be adequately described. We believe that this discussion should be disease specific. A focus on respiratory infections is of particular interest, because it is strongly associated with old age. Our objective was to assess trends in demographics over a decade among elderly patients admitted to the ICU for acute respiratory

Full Text available with Trip Pro

2018 Annals of intensive care

162. Neighborhood socioeconomic characteristics, healthcare spatial access, and emergency department visits for ambulatory care sensitive conditions for elderly (PubMed)

Coastal Bend from September 1, 2009 and August 1, 2012. ED visits for ACSC that were common for elderly were estimated based on Agency for Healthcare Research and Quality's (AHRQ's) ACSC and Prevention Quality Indicators. The U.S. Census American Community Service (ACS) data provided neighborhood socioeconomic characteristics. Spatial access to general practices and to hospitals, respectively at the zip code level were estimated using the enhanced two-step floating catchment area method. Using (...) Neighborhood socioeconomic characteristics, healthcare spatial access, and emergency department visits for ambulatory care sensitive conditions for elderly The objective of this study is to explore relationships among neighborhood socioeconomic characteristics (for example, income and ethnicity), spatial access to health care, and emergency department (ED) visits for ambulatory care sensitive conditions (ACSC) for adults aged 65 years and over. ED visit data were from 15 counties in the Texas

Full Text available with Trip Pro

2018 Preventive medicine reports

163. Comparative Effectiveness of Published Interventions for Elderly Fall Prevention: A Systematic Review and Network Meta-Analysis (PubMed)

Comparative Effectiveness of Published Interventions for Elderly Fall Prevention: A Systematic Review and Network Meta-Analysis Falls are a major threat to older adults worldwide. Although various effective interventions have been developed, their comparative effectiveness remains unreported.A systematic review and network meta-analysis was conducted to determine the most effective interventions to prevent falls in community-dwelling adults aged 60 and over. Combined odds ratio (OR) and 95 (...) care performed the worst (OR: 1.02, 95% CrI: 0.78 to 1.34). Model fit was good, inconsistency was low, and publication bias was considered absent. The overall quality of included trials was high. The pooled odds ratios and ranking probabilities remained relatively stable across all sensitivity analyses.MFI and exercise appear to be effective to reduce falls among older adults, and should be considered first as service delivery options. Further investigation is necessary to verify effectiveness

Full Text available with Trip Pro

2018 International journal of environmental research and public health

164. Pre Frail 80: Multifactorial Intervention to Prevent Progression of Pre-Frailty to Frailty in the Elderly. (PubMed)

Pre Frail 80: Multifactorial Intervention to Prevent Progression of Pre-Frailty to Frailty in the Elderly. Preventing or delaying frailty has important benefits in the elderly, and in health and social services. Studies have demonstrated the effectiveness of multifactorial interventions in the frail elderly, but there are fewer studies on community-dwelling pre-frail individuals. Identifying pre-frail individuals susceptible to intervention could prevent or delay frailty and its consequences (...) and associated disability and might reverse the state from pre-frail to robust. To evaluate a multifactorial, interdisciplinary primary care intervention in community-dwelling pre-frail elderly patients aged ≥ 80 years.Randomized clinical trial in a Barcelona primary healthcare centre.We included 200 community-dwelling subjects aged ≥ 80 years meeting the Fried pre-frailty criteria. Participants were randomized to intervention and control groups.The intervention group received a 6-month interdisciplinary

2018 The journal of nutrition, health & aging Controlled trial quality: uncertain

165. Effects of 12-week brisk walking training on exercise blood pressure in elderly patients with essential hypertension: a pilot study. (PubMed)

Effects of 12-week brisk walking training on exercise blood pressure in elderly patients with essential hypertension: a pilot study. Essential hypertension (EP) is characterized by blood pressure (BP) elevations, which often lead to target organ damage and cardiovascular illness. The following study investigates whether aerobic exercise programs with different intensities could reduce the magnitude of BP rise.Patients with essential hypertension were recruited from the Baoshan Community Health (...) Service Center. A total of 46 patients were finally selected and randomly assigned into two groups: control group (CON) included patients who did not participate in exercise intervention training; treatment group (TRG) included patients who participated in 12-week brisk walking training (60-min of brisk walking, three times a week for a total of 12 weeks). 3-minute step tests of low and high intensity were conducted pre- and post-intervention. To compare the effects of exercise intervention, 23

2018 Clinical and experimental hypertension (New York, N.Y. : 1993) Controlled trial quality: uncertain

166. Mental health expenditure associated with higher quality care and better service user experience

funded. Methods Their study, published in the British Journal of Psychiatry, focused on services offering longer term care for people with severe mental health problems in 8 European Countries: Bulgaria, Germany, Italy, the Netherlands, Poland, Portugal, Spain and the UK (Taylor Salisbury et al, 2017). They excluded facilities that were focused on a specific group such as those working only with a forensic population, the elderly or people with intellectual disabilities. They interviewed 171 people (...) and the Mental Health Economics European Network were used to work out how much each country spent of mental health services (WHO, 2005). The researchers tried to ensure that any link between the amount of money spent and the quality of care was not because of other factors. For instance, if a country had community-based instead of hospital-based care it may be able to spend less but still have good outcomes. If a country had time limits on how long a person could stay in rehabilitation, they may spend

2017 The Mental Elf

167. Screening adults aged 50 years or older for hearing loss: a review of the evidence for the U.S. preventive services task force

Screening adults aged 50 years or older for hearing loss: a review of the evidence for the U.S. preventive services task force Screening adults aged 50 years or older for hearing loss: a review of the evidence for the US preventive services task force Screening adults aged 50 years or older for hearing loss: a review of the evidence for the US preventive services task force Chou R, Dana T, Bougatsos C, Fleming C, Beil T CRD summary This updated review concluded that the evidence for benefits (...) , sudden hearing loss, and hearing loss due to recent occupational or other exposure were excluded. Outcomes of interest were hearing-related quality of life and function, and adverse effects of screening and treatment (eg. false-positive results, labelling, anxiety). Included studies were of patients aged between 42 and 99 years (where reported). Studies were population-based or patients were recruited from: a Veterans Affairs medical centre; primary care or community based setting; speciality

2011 DARE.

168. Effectiveness of a lifestyle intervention in promoting the well-being of independently living older people: results of the Well Elderly 2 randomised controlled trial

sessions. Monthly community outings were scheduled to facilitate the direct experience of lifestyle routines, such as public transport. The sessions and outings focused on issues, such as home and community safety, social relationships, energy conservation, cultural awareness, and changing lifestyle habits. Location/setting USA/community. Methods Analytical approach: The costs and effects were from a randomised controlled trial (Well Elderly 2 trial). The time horizon was the end of the study period (...) . Funding Supported by National Institutes of Health, USA. Bibliographic details Clark F, Jackson J, Carlson M, Chih-Ping C, Cherry BJ, Jordan-Marsh M, Knight BG, Mandel D, Blanchard J, Granger DA, Wilcox RR, Lai MY, White B, Hay J, Lam C, Marterella A, Azen SP. Effectiveness of a lifestyle intervention in promoting the well-being of independently living older people: results of the Well Elderly 2 randomised controlled trial. Journal of Epidemiology and Community Health 2012; 66(9): 782-790 PubMedID DOI

Full Text available with Trip Pro

2012 NHS Economic Evaluation Database.

169. Early prevention of pressure ulcers among elderly patients admitted through emergency departments: a cost-effectiveness analysis

Early prevention of pressure ulcers among elderly patients admitted through emergency departments: a cost-effectiveness analysis Early prevention of pressure ulcers among elderly patients admitted through emergency departments: a cost-effectiveness analysis Early prevention of pressure ulcers among elderly patients admitted through emergency departments: a cost-effectiveness analysis Pham B, Teague L, Mahoney J, Goodman L, Paulden M, Poss J, Li J, Ieraci L, Carcone S, Krahn M Record Status (...) discharge from hospital. The costs for the mattresses were from a telephone survey of three mattress manufacturers. The cost of treating pressure ulcers in hospital was from 47 teaching and community hospitals in Ontario; the costs for patients with pressure ulcers were compared with those without them. The home care costs were similarly calculated from a large database of home care in Ontario. The price year was 2009. All costs were reported in Canadian dollars (CAD). Analysis of uncertainty: One-way

2012 NHS Economic Evaluation Database.

170. Cost-effectiveness of the introduction of the pneumococcal polysaccharide vaccine in elderly Colombian population

Cost-effectiveness of the introduction of the pneumococcal polysaccharide vaccine in elderly Colombian population Cost-effectiveness of the introduction of the pneumococcal polysaccharide vaccine in elderly Colombian population Cost-effectiveness of the introduction of the pneumococcal polysaccharide vaccine in elderly Colombian population Castaneda-Orjuela C, Alvis-Guzman N, Paternina AJ, De la Hoz-Restrepo F Record Status This is a critical abstract of an economic evaluation that meets (...) . Measure of benefit: Life-years, deaths averted, pneumonia cases, and meningitis cases were the summary benefit measures. Life-years were discounted at an annual rate of 3%. Cost data: The economic analysis included the costs of vaccination (vaccine acquisition and administration) and the in-patient and out-patient costs of diagnosing and treating pneumococcal disease. The vaccine costs were from a Colombian Ministry of Health (MoH) communication, and the other costs were from a sample of clinical

2012 NHS Economic Evaluation Database.

171. The growth and composition of primary and community-based care services. Metrics and evidence from the Italian National Health Service. (PubMed)

The growth and composition of primary and community-based care services. Metrics and evidence from the Italian National Health Service. Over the past few decades, in OECD countries there has been a general growing trend in the prevalence of out-of-hospital healthcare services, but there is a general lack of data on the use of these services.We defined a list of 303 indicators related to primary and community healthcare services in collaboration with 13 Italian Local Health Authorities (LHAs (...) is 11%. Different Italian LHAs have made different strategic choices with respect to primary and community-based care (PCC).Two distinct strategic orientations in the adoption of PCC services by LHAs has emerged from our study. The first has been an investment mainly in ambulatory and home-based primary care services in order to increase the number of low-complexity settings. A second strategy has prioritized the allocation of resources to intermediate inpatient structures for specific types

Full Text available with Trip Pro

2012 BMC Health Services Research

172. Variability of adverse events in the public health-care service of the Tuscany region. (PubMed)

Variability of adverse events in the public health-care service of the Tuscany region. The objective of the study is to analyze the variation of adverse events (AEs) according to the different structure of hospitals. The study is a multicenter, retrospective study. It involves 4 teaching hospitals (THs) and 32 community hospitals, distributed in 12 local trusts (LTs), of the Tuscany Regional Healthcare Service (RHS). A random sample of the clinical records of patients admitted in LTs and THs (...) in 2008 was selected from the database of the hospital discharge records of the centers. Among 11,293 clinical records included, a total of 354 adverse events were identified. There was a significant higher incidence of AEs in the male and elderly (>65 years) population, and the incidence of AEs was more relevant in the THs (5.3, 95% CI 4.7-6.1) than in the LTs (1.8, 95% CI 1.5-2.2). AEs related to falls were significantly more preventable in THs (OR 19.22, 95% CI 2.45-151.02), while in LTs, AEs

2017 Internal and emergency medicine

173. Value-added strategy models to provide quality services in senior health business. (PubMed)

services.This study's results indicated four type of value-added strategy models adopted by senior enterprises to offer quality services: (i) residential care and co-residence model, (ii) home care and living in place model, (iii) community e-business experience model and (iv) virtual and physical portable device model. The common part in these four strategy models is that the services provided are elderly centered. These models offer virtual and physical integrations, and also offer total solutions (...) Value-added strategy models to provide quality services in senior health business. The rapid population aging is now a global issue. The increase in the elderly population will impact the health care industry and health enterprises; various senior needs will promote the growth of the senior health industry. Most senior health studies are focused on the demand side and scarcely on supply. Our study selected quality enterprises focused on aging health and analyzed different strategies to provide

Full Text available with Trip Pro

2017 International Journal for Quality in Health Care

174. Tara Lamont and Tom Quinn: Driving better care—research and ambulance services

– and member of expert advisory group for the review. Member (unpaid) of Strategic Advisory Board of the Larrey Society. This is a new ‘think tank’ focused on ambulance service developments. Member (unpaid) of Community Resuscitation Committee established by NHS England, British Heart Foundation and Resuscitation Council (UK) as part of DH Cardiovascular Outcomes Strategy. I’m also on several professional society groups. I have received travel expenses for lectures in Ireland in recent months – Irish (...) Tara Lamont and Tom Quinn: Driving better care—research and ambulance services Tara Lamont and Tom Quinn: Driving better care—research and ambulance services - The BMJ ---> What do you get with twenty pigs and ten humans? Not a giant hog roast or a bad joke about xenotransplantation. No, this appeared to be the full extent of testing of one type of emergency equipment before it was widely used in ambulances. The “can do” attitude in emergency services means that new technologies have often been

2016 The BMJ Blog

175. Evaluation of the Efficiency of the IsereADOM Home-care Service Package in the Prevention of Unplanned Hospitalizations of Patients With Cancer

Measures : Comparison of the effectiveness and efficiency of innovative care with the IsereADOM home-care service package versus standard support [ Time Frame: 6 months ] Comparison of the mean number of unplanned hospitalizations observed within 6 months of randomization. Incremental Cost-Utility Ratio comparison [ Time Frame: 6 months ] Evaluation of the costs of the home-care service package; Assessment of health care consumption from a community perspective; Calculation of the years of life gained (...) Evaluation of the Efficiency of the IsereADOM Home-care Service Package in the Prevention of Unplanned Hospitalizations of Patients With Cancer Evaluation of the Efficiency of the IsereADOM Home-care Service Package in the Prevention of Unplanned Hospitalizations of Patients With Cancer - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save

2017 Clinical Trials

176. SMARTCARE Project: Deploying Integrated Health & Social Services for Independent Living by Older People

a comprehensive set of integration building blocks around the challenges of data-sharing, coordination and communication. Nine regions will then deploy integrated health & social services to combat a range of threats to independent living commonly faced by older people, while the others will prepare for early adoption, possibly in the framework of new ICT PSP projects. In a rigorous evaluation approach, the deployment sites will produce and document much needed evidence on the impact of integrated care (...) , developing a common framework suitable for other regions in Europe. The organisational and legal ramifications of integrated care will be analysed to support long term sustainability and upscaling of the services. SmartCare services will provide full support to cooperative delivery of care, integrated with self-care and across organisational silos, including essential coordination tools such as shared data access, care pathway design and execution, as well as real time communication support to care teams

2017 Clinical Trials

177. Specialist neuro-rehabilitation services

to the community. In doing so they help reduce the burden on acute and front line services and indeed are a critical component of the acute care pathway, without which networks for trauma, stroke, neurosciences etc will inevitably fail and patient outcomes will be compromised. Evidence There is now a substantial body of trial-based evidence and other research to support both the effectiveness and cost-effectiveness of specialist rehabilitation (1-6) . Despite their longer length of stay, the cost of providing (...) early specialist rehabilitation for patients with complex needs is rapidly offset by longer-term savings in the cost of community care, making this a highly cost-efficient intervention (7, 8) . Coordinated networks The Department of Health Specialist Services National Definition Set (SSNDS) 3 rd edition published in 2009 defined four categoriess of patient need (A,B,C,D) (see Table 1) and three levels of specialist service (1, 2 and 3). These form a useful framework for planning and commssioning

2015 British Society of Rehabilitation Medicine

178. Acute stroke alert activation, emergency service use, and reperfusion therapy in Sweden (PubMed)

Acute stroke alert activation, emergency service use, and reperfusion therapy in Sweden Ambulance services and stroke alerts reduce the time from stroke onset to acute stroke diagnosis. We describe the use of stroke alerts and ambulance services in different hospitals and patient groups and their relationship with reperfusion therapy.This nationwide study included 49,907 patients admitted with acute stroke who were registered in The Swedish Stroke Register (Riksstroke) in 2011-2012 (...) .The proportions of patients admitted as stroke alerts out of all acute stroke admissions varied from 12.2% to 45.7% in university hospitals (n = 9), 0.5% to 38.7% in specialized nonuniversity hospitals (n = 22), and 4.2% to 40.3% in community hospitals (n = 41). Younger age, atrial fibrillation (AF), living in an institution, reduced consciousness upon admission, and hemorrhagic stroke were factors associated with a higher probability of stroke alerts. Living alone, primary school education, non-European

Full Text available with Trip Pro

2017 Brain and behavior

179. Hearing and Balance Disorders in the State of Hawai‘i: Demographics and Demand for Services (PubMed)

Hearing and Balance Disorders in the State of Hawai‘i: Demographics and Demand for Services Hearing and balance disorders affect people of all ages. Among children, hearing loss affects speech and language development, academic performance, and psychosocial development. Hearing loss in adults negatively impacts work productivity, cognitive function, and psychosocial status. Prevalence of hearing loss in children in Hawai'i is higher than the national average. Research indicates that hearing (...) loss is a prevalent condition among veterans and advanced age adults. This is of particular concern in Hawai'i as the state is home to many military training facilities and has a large elderly population. In contrast to the higher than average prevalence of hearing loss in Hawai'i, there is a relatively small number of practicing audiologists in the state. Audiologists are independent doctoral level professionals responsible for the assessment and non-medical management of hearing impairment

Full Text available with Trip Pro

2017 Hawai'i Journal of Medicine & Public Health

180. A Geographical Analysis of Emergency Medical Service Calls and Extreme Heat in King County, WA, USA (2007–2012) (PubMed)

A Geographical Analysis of Emergency Medical Service Calls and Extreme Heat in King County, WA, USA (2007–2012) This research analyzed the relationship between extreme heat and Emergency Medical Service (EMS) calls in King County, WA, USA between 2007 and 2012, including the effect of community-level characteristics. Extreme heat thresholds for the Basic Life Support (BLS) data and the Advanced Life Support (ALS) data were found using a piecewise generalized linear model with Akaike (...) Information Criterion (AIC). The association between heat exposure and EMS call rates was investigated using a generalized estimating equations with Poisson mean model, while adjusting for community-level indicators of poverty, impervious surface, and elderly population (65+). In addition, we examined the effect modifications of these community-level factors. Extreme-heat thresholds of 31.1 °C and 33.5 °C humidex were determined for the BLS and ALS data, respectively. After adjusting for other variables

Full Text available with Trip Pro

2017 International journal of environmental research and public health

To help you find the content you need quickly, you can filter your results via the categories on the right-hand side >>>>