Latest & greatest articles for elderly

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Top results for elderly

182. Process of care and outcomes for elderly patients hospitalized with peptic ulcer disease: results from a quality improvement project. (PubMed)

Process of care and outcomes for elderly patients hospitalized with peptic ulcer disease: results from a quality improvement project. Since publication in 1994 of guidelines for management of peptic ulcer disease (PUD), trends in physician practice and outcomes related to guideline application have not been evaluated.To describe changes in process of care that occurred in a quality improvement program for patients hospitalized with PUD and to evaluate associations between in-hospital treatment (...) odds ratio [OR], 1.24; 95% confidence interval [CI], 0.65-2.36) or with a reduction in mortality (adjusted OR, 1.08; 95% CI, 0.68-1.71). Counseling about NSAID use was associated with a decrease in risk of 1-year rehospitalization for PUD (adjusted OR, 0.47; 95% CI, 0.22-0.99) and risk of all-cause mortality (adjusted OR, 0.44; 95% CI, 0.26-0.75).This quality improvement program for elderly patients with PUD resulted in increased screening for H pylori and increased treatment of H pylori infection

2017 JAMA

183. Depression in the elderly. (PubMed)

Depression in the elderly. In elderly people, depression mainly affects those with chronic medical illnesses and cognitive impairment, causes suffering, family disruption, and disability, worsens the outcomes of many medical illnesses, and increases mortality. Ageing-related and disease-related processes, including arteriosclerosis and inflammatory, endocrine, and immune changes compromise the integrity of frontostriatal pathways, the amygdala, and the hippocampus, and increase vulnerability (...) to depression. Heredity factors might also play a part. Psychosocial adversity-economic impoverishment, disability, isolation, relocation, caregiving, and bereavement-contributes to physiological changes, further increasing susceptibility to depression or triggering depression in already vulnerable elderly individuals. Treatment with antidepressants is well tolerated by elderly people and is, overall, as effective as in young adults. Evidence-based guidelines for prevention of new episodes of depression

2017 Lancet

184. Long-term persistence in use of statin therapy in elderly patients. (PubMed)

Long-term persistence in use of statin therapy in elderly patients. Knowledge of long-term persistence with 3-hydroxy-3-methylglutaryl coenzyme A reductase inhibitor (statin) therapy is limited because previous studies have observed patients for short periods of time, in closely monitored clinical trials, or in other unrepresentative settings.To describe the patterns and predictors of long-term persistence with statin therapy in an elderly US population.Retrospective cohort study including 34

2017 JAMA

185. Adherence with statin therapy in elderly patients with and without acute coronary syndromes. (PubMed)

Adherence with statin therapy in elderly patients with and without acute coronary syndromes. Landmark clinical trials have demonstrated the survival benefits of statins, with benefits usually starting after 1 to 2 years of treatment. Research prior to these trials of older lipid-lowering agents demonstrated low levels of 1-year adherence.To compare 2-year adherence following statin initiation in 3 cohorts of patients: those with recent acute coronary syndrome (ACS), those with chronic coronary (...) cohorts.Adherence to statins, defined as a statin being dispensed at least every 120 days after the index prescription for 2 years.Two-year adherence rates in the cohorts were only 40.1% for ACS, 36.1% for chronic CAD, and 25.4% for primary prevention. Relative to the ACS cohort, nonadherence was more likely among patients receiving statins in the chronic CAD (relative risk [RR], 1.14; 95% CI, 1.11-1.16) and primary prevention cohorts (RR, 1.92; 95% CI, 1.87-1.96).Elderly patients with and without recent ACS

2017 JAMA

186. [Trans-Cultural Prevention of Alcohol-Related Disorders in Elderly Immigrants]. (PubMed)

[Trans-Cultural Prevention of Alcohol-Related Disorders in Elderly Immigrants]. In migrants alcohol-related problems increase with increasing age. This group, in particular, is hardly reached by alcohol-specific care offers. Thus our project aimed at the identification of target group-specific barriers to health-care use by means of a cross-sectional study (n=435). Based on these results a trans-cultural concept for alcohol prevention among elderly migrants was developed and evaluated

2016 Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany))

187. Pharmacist’s Comprehensive Geriatric Assessment: Introduction and Evaluation at Elderly Patient Admission (PubMed)

Pharmacist’s Comprehensive Geriatric Assessment: Introduction and Evaluation at Elderly Patient Admission The role of the clinical pharmacist within the healthcare system remains unclear.Our objective was to describe a pharmacist's comprehensive geriatric assessment (pCGA) at admission of elderly patients and to assess its relevance in terms of medication compliance and pharmacist interventions (PIs).We conducted a prospective interventional study over 29 months in a 34-bed medical

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2016 Drugs - real world outcomes

188. Use of pneumococcal vaccines in the elderly an economic evaluation

Use of pneumococcal vaccines in the elderly an economic evaluation Use of pneumococcal vaccines in the elderly an economic evaluation Use of pneumococcal vaccines in the elderly an economic evaluation Blommaert A, Hanquet G, Willem L, Theeten H, Thiry N, Bilcke J, Verhaegen J, Beutels P Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation (...) Blommaert A, Hanquet G, Willem L, Theeten H, Thiry N, Bilcke J, Verhaegen J, Beutels P. Use of pneumococcal vaccines in the elderly an economic evaluation. Brussels: Belgian Health Care Knowledge Centre (KCE). KCE Reports. 2016 Final publication URL Indexing Status Subject indexing assigned by CRD MeSH Aged; Cost-Benefit Analysis; Humans; Pneumococcal Vaccines Language Published English Country of organisation Belgium English summary An English language summary is available. Address for correspondence

2016 Health Technology Assessment (HTA) Database.

189. Self-medication and its Effective Modifiable Factors among Elderly Referred Health Care Centers in Shahr-e-Kord in 2015 (PubMed)

Self-medication and its Effective Modifiable Factors among Elderly Referred Health Care Centers in Shahr-e-Kord in 2015 Drug overuse is a serious problem for health care, and one of the biggest problems for the socio-economic well-being of different communities. The elderly tend to use more drugs due to changes in their cognitive and physiological factors. One of the best ways to evaluate the health level of elderly people is to evaluate their self-medication. This study was conducted (...) to investigate self-medication among the elderly in Shahr-e-Kord.This cross-sectional study was conducted on 350 people older than 65 in Shahr-e-Kord in 2015. Sampling was done in two stages. In the first stage, the city of Shahr-e-Kord was divided into four areas using geographical maps. Eighty-eight people were selected from each area. The research instrument was a questionnaire called the Health Belief Model (HBM). The data were analyzed using SPSS version 20, the chi-squared test, the independent-samples

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2016 Electronic physician

190. Informant Questionnaire on Cognitive Decline in the Elderly (IQCODE) for the early diagnosis of dementia across a variety of healthcare settings. (PubMed)

Informant Questionnaire on Cognitive Decline in the Elderly (IQCODE) for the early diagnosis of dementia across a variety of healthcare settings. The Informant Questionnaire for Cognitive Decline in the Elderly (IQCODE) is a structured interview based on informant responses that is used to assess for possible dementia. IQCODE has been used for retrospective or contemporaneous assessment of cognitive decline. There is considerable interest in tests that may identify those at future risk

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2016 Cochrane

191. Efficacy and toxicity of adjuvant chemotherapy in elderly patients with colorectal cancer: the ACCORE study (PubMed)

Efficacy and toxicity of adjuvant chemotherapy in elderly patients with colorectal cancer: the ACCORE study Elderly patients with primary colorectal cancer (CRC) are less frequently treated with adjuvant chemotherapy than younger patients due to concerns regarding toxicity and efficiency. We investigated how age, performance status (PS) and comorbidity influence treatment outcomes.A retrospective single-centre study of 529 patients with stages II-III CRC treated with adjuvant chemotherapy (5 (...) -fluorouracil/capecitabine+/÷oxaliplatin) from 2001 to 2011 at Herlev Hospital, Denmark. Baseline characteristics, chemotherapy and outcome were analysed with respect to age after adjusting for PS and comorbidity.Elderly patients (>70 years) had significantly more comorbidity (p<0.001) and poorer PS (p=0.001) than younger patients. Elderly were more frequently treated with single-agent therapy (p=0.001) and at lower initial dose (p<0.001). There was no age-dependent difference in 3-year disease-free

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2016 ESMO open

192. Right‐sided Bochdalek hernia in an elderly patient: a case review of adult Bochdalek hernias from 1982 to 2015 in Japan (PubMed)

Right‐sided Bochdalek hernia in an elderly patient: a case review of adult Bochdalek hernias from 1982 to 2015 in Japan An 89-year-old woman was admitted to our hospital because of dyspnea following abdominal pain and vomiting. According to chest computed tomography findings, a diagnosis of acute respiratory failure due to right-sided Bochdalek hernia was made.Emergency laparotomy revealed that a bowel loop from the terminal ileum to the transverse colon had herniated into the right thoracic (...) cavity through the foramen of Bochdalek. The herniated organs were reduced to the abdominal cavity and the foramen was repaired by direct suturing. The patient had good recovery and was discharged 78 days later.Bochdalek hernias in elderly patients are rare, but may be complicated by strangulation of the herniated organ. This should be taken into account by acute care physicians. To prevent this fatal complication, regardless of symptoms, surgical treatment may be essential as soon as a diagnosis

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2016 Acute medicine & surgery

193. Canadian Network for Mood and Anxiety Treatments (CANMAT) 2016 clinical guidelines for the management of adults with major depressive disorder. Section 6. Special populations: youth, women, and the elderly (PubMed)

Canadian Network for Mood and Anxiety Treatments (CANMAT) 2016 clinical guidelines for the management of adults with major depressive disorder. Section 6. Special populations: youth, women, and the elderly The Canadian Network for Mood and Anxiety Treatments (CANMAT) conducted a revision of the 2009 guidelines by updating the evidence and recommendations. The scope of the 2016 guidelines remains the management of major depressive disorder (MDD) in adults, with a target audience of psychiatrists (...) and breastfeeding women, women in perimenopause or menopause, and the elderly. Evidence for efficacy of treatments in these populations is more limited than for the general adult population, however, and risks of treatment in these groups are often poorly studied and reported.Despite the limited evidence base, extant data and clinical experience suggest that each of these special populations can benefit from the systematic application of treatment guidelines for treatment of MDD.© The Author(s) 2016.

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2016 CPG Infobase

195. Hypertension Control, Apparent Treatment Resistance, and Outcomes in the Elderly Population With Chronic Kidney Disease (PubMed)

Hypertension Control, Apparent Treatment Resistance, and Outcomes in the Elderly Population With Chronic Kidney Disease Chronic kidney disease (CKD) is often associated with poor hypertension control and treatment resistance, but whether CKD modifies the effect of hypertension control on outcomes is unknown.We studied 10-year mortality and cardiovascular events according to hypertension control status and CKD (glomerular filtration rate <60 ml/min/1.73m2) in 4262 community-dwelling individuals

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2016 Kidney international reports

196. Effectiveness of nursing discharge planning interventions on health-related outcomes in discharged elderly inpatients: a systematic review. (PubMed)

Effectiveness of nursing discharge planning interventions on health-related outcomes in discharged elderly inpatients: a systematic review. Inadequate discharge planning for the growing elderly population poses significant challenges for health services. Effective discharge planning interventions have been examined in several studies, but little information is available on nursing's role or the specific components of these interventions. Despite the research published on the importance (...) of discharge planning, the impact on patient's health outcomes still needs to be proven in practice.To determine the best available evidence on the effectiveness of discharge planning interventions involving at least one nurse on health-related outcomes for elderly inpatients discharged home and to assess the relative impact of individual components of discharge planning interventions.Elderly inpatients aged 65 years or older, discharged from acute care and post-acute care rehabilitation hospitals

2016 JBI database of systematic reviews and implementation reports

197. Neighbouring green space and all-cause mortality in elderly people in Hong Kong: a retrospective cohort study. (PubMed)

Neighbouring green space and all-cause mortality in elderly people in Hong Kong: a retrospective cohort study.

2016 Lancet

198. Falls in the elderly: proven benefits of exercise

Falls in the elderly: proven benefits of exercise Prescrire IN ENGLISH - Spotlight ''Falls in the elderly: proven benefits of exercise'', 1 October 2016 {1} {1} {1} | | > > > Falls in the elderly: proven benefits of exercise Spotlight Every month, the subjects in Prescrire’s Spotlight. 100 most recent :  |   |   |   |   |   |   |   |   |  Spotlight Falls in the elderly: proven benefits of exercise Following on from others (...) , a new trial has shown the benefits of exercise in preventing falls with trauma in elderly women. Preventing falls in the elderly relies chiefly on non-drug measures. The combination of vitamin D + calcium possibly reduces the risk of fractures. A comparative clinical trial carried out in Finland sought to evaluate the effectiveness of exercise and vitamin D supplements in preventing falls with trauma. For around two years this trial monitored more than 400 women aged between 70 and 80, living

2016 Prescrire

199. Management of lower urinary tract symptoms associated with benign prostatic hyperplasia in elderly patients with a new diagnostic, therapeutic and care pathway (PubMed)

Management of lower urinary tract symptoms associated with benign prostatic hyperplasia in elderly patients with a new diagnostic, therapeutic and care pathway Benign prostatic hyperplasia (BPH) resulting in lower urinary tract symptoms (LUTS) is a widespread disease that strongly interferes with the quality of life (QoL) of elderly males. It represents a real clinical and socio-economic problem may be due to the lack of a diagnostic, therapeutic and care pathway (DTCP) tool for LUTS/BPH (...) that considers elderly people population in its whole complexity. The aim of this study was to evaluate the clinical effectiveness of the proposed DTCP LUTS/BPH tool.This prospective study was conducted on 278 patients over 75 years old with non-neurogenic LUTS recruited from February to July 2014 by 10 general practitioners (GP) and two assisted sanitary residences (ASR). Only five GPs and one ASR were provided with the complete DTCP LUTS/BPH tool to create two different groups of patients: group A (138

2016 EvidenceUpdates

200. Sleep quality disturbances and cognitive functioning in elderly patients with COPD (PubMed)

Sleep quality disturbances and cognitive functioning in elderly patients with COPD Information about the association between cognitive functions, such as copying function, and sleep disturbances in patients with chronic obstructive pulmonary disease (COPD) is lacking. This cross-sectional observational study aimed to investigate the association between copying function and self-reported sleep quality disturbances and disease severity in an elderly COPD population. Cognitive function (...) performances, assessed using the Mini-Mental State Examination, were compared in 562 ambulatory COPD patients with and without sleep disturbances; assessed using the Established Populations for Epidemiologic Studies of the Elderly questionnaire; and stratified by Global Initiative for Chronic Obstructive Lung Disease (GOLD) grades. Sleep disturbances overall were not correlated with cognitive functioning. A trend was revealed towards worse design copying in patients with sleep disturbances overall. GOLD I

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2016 ERJ open research