Latest & greatest articles for elderly

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Top results for elderly

41. Serial Ottawa 3DY assessments to detect delirium in older emergency department community dwellers Full Text available with Trip Pro

prospective observational multicenter cohort study.four Quebec EDs.independent or semi-independent older patients (age ≥ 65 years) with an ED stay of at least 8 hours that required hospitalisation.eligible patients were evaluated using serial O3DY assessments at least 6 hours apart. The primary outcome was delirium after at least 8 hours in the ED. The reference standard for delirium assessment was the confusion assessment method (CAM). The sensitivity and specificity of the serial O3DY to detect delirium (...) delirium among older adult patients with prolonged ED lengths of stay. Emergency physicians should consider the use of the serial O3DY over clinician gestalt to improve delirium detection.© The Author(s) 2019. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For permissions, please email: journals.permissions@oup.com.

2019 EvidenceUpdates

42. Continuity of care interventions for preventing hospital readmission of older people with chronic diseases: A meta-analysis Full Text available with Trip Pro

Continuity of care interventions for preventing hospital readmission of older people with chronic diseases: A meta-analysis Hospital readmission after discharge is a frequent, burdensome and costly event, particularly frequent in older people with multiple chronic conditions. Few literature reviews have analysed studies of continuity of care interventions to reduce readmissions of older inpatients discharged home over the short and long term.To evaluate the effectiveness of continuity of care (...) interventions in older people with chronic diseases in reducing short and long term hospital readmission after hospital discharge.Meta-analysis of randomized controlled trials.A comprehensive literature search on the databases PubMed, Medline, CINAHL and EMBASE was performed on 27 January 2019 with no language and time limits.RCTs on continuity of care interventions on older people discharged from hospital having hospital readmission as outcome, were included. Two reviewers independently screened

2019 EvidenceUpdates

43. Willems Is a Relatively Accurate Method of Dental Age Estimation as Compared to Demirjian

in males was not significant (95% CI= -0.50 to 0.41, p=0.125). In females, the dental age and chronological age was not significant for females at 0.06 years (95% CI = -0.23 to 0.36, p=0.685). Overestimation of age was found in all age cohorts except 8-year old and 13- to 15-year old children. #5) Esan/2017 Demirjian method: 14109 subjects (6581 males and 7528 females) aged 4 to 18 years. Willems method: 10,832 children (5,176 males and 5,656 females) aged 3 to 18 years. Meta-Analysis Key results (...) Willems Is a Relatively Accurate Method of Dental Age Estimation as Compared to Demirjian UTCAT3391, Found CAT view, CRITICALLY APPRAISED TOPICs University: | | ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM View the CAT / Title Willems Is a Relatively Accurate Method of Dental Age Estimation as Compared to Demirjian Clinical Question Is the Willems method of dental age estimation accurate than the Demirjian method in estimating the chronological of children and adolescents? Clinical Bottom Line

2019 UTHSCSA Dental School CAT Library

44. Canadian guidelines on opioid use disorder among older adults

of Contents4 Canadian Guidelines on Opioid Use Disorder Among Older Adults Scope T he Canadian Coalition for Seniors Mental Health (CCSMH) received a grant from the Substance Use and Addictions Program (SUAP) of Health Canada to create a set of guidelines on the prevention, assessment, and management of substance use disorders among older adults . This guideline on opioid use disorder (OUD) in older adults (age = 65) is one in a series of four that also includes alcohol, cannabis, and benzodiazepines (...) now grown to epidemic proportions, with the unchecked distribution of potent illicit opioids (Volkow et al ., 2019) . Globally, according to the World Health Organization people over the age of 50 accounted for 27% of deaths from drug use disorders in 2000, a figure that rose to 39% by 2015 . Of those deaths in older adults (age = 65), approximately 75% were linked to the use of opioids (Degenhardt & Hall, 2012; UNODC, 2018) . Despite these numbers, there is a paucity of data about the many ways

2019 CPG Infobase

45. Older Adults in the Cardiac Intensive Care Unit: Factoring Geriatric Syndromes in the Management, Prognosis, and Process of Care: A Scientific Statement From the American Heart Association Full Text available with Trip Pro

Circulation. ;0:CIR.0000000000000741 Abstract Longevity is increasing, and more adults are living to the stage of life when age-related biological factors determine a higher likelihood of cardiovascular disease in a distinctive context of concurrent geriatric conditions. Older adults with cardiovascular disease are frequently admitted to cardiac intensive care units (CICUs), where care is commensurate with high age-related cardiovascular disease risks but where the associated geriatric conditions (...) Older Adults in the Cardiac Intensive Care Unit: Factoring Geriatric Syndromes in the Management, Prognosis, and Process of Care: A Scientific Statement From the American Heart Association Older Adults in the Cardiac Intensive Care Unit: Factoring Geriatric Syndromes in the Management, Prognosis, and Process of Care: A Scientific Statement From the American Heart Association | Circulation Search Hello Guest! Login to your account Email Password Keep me logged in Search December 2019 November

2019 American Heart Association

46. Practice Advisory: Management of Pregnant and Reproductive-Aged Women during a Measles Outbreak

Practice Advisory: Management of Pregnant and Reproductive-Aged Women during a Measles Outbreak Practice Advisory: Management of Pregnant and Reproductive-Aged Women during a Measles Outbreak - ACOG Menu ▼ Practice Advisory: Management of Pregnant and Reproductive-Aged Women during a Measles Outbreak Page Navigation ▼ Practice Advisory: Management of Pregnant and Reproductive-Aged Women during a Measles Outbreak Background The United States is currently experiencing the greatest number (...) are currently experiencing. Measles is highly contagious. An estimated 92-95% of individuals in a community must be immune to prevent ongoing transmission. Measles can cause serious illness and infects approximately nine out of every ten susceptible individuals exposed in close-contact settings 2 . Anyone who is unvaccinated or is undervaccinated is at risk. Certain individuals, including unvaccinated and undervaccinated pregnant women, infants 12 months of age or younger, and severely immunocompromised

2019 American College of Obstetricians and Gynecologists

47. Child Abuse, Elder Abuse, and Intimate Partner Violence

Guideline Gap Assessment Tool 108 Appendix A-3 Intimate Partner Violence Guideline Gap Assessment Tool 111 Appendix A-4 Sex Trafficking Guideline Gap Assessment Tool 114 Appendix B-1 Mary Bridge Children’s Hospital Screening Tool for Child Abuse 116 Appendix B-2 Emergency Department: Mistreatment Assessment Tool for Social Workers (ED-MATS), Comprehensive Assessment 118 Appendix B-3 Elder Abuse Suspicion Index (EASI © ) 119 Appendix B-4 Geriatric Injury Documentation Tool 120 Appendix C-1 Screening (...) for Intimate Partner Violence or Sex Trafficking 122 Appendix C-2 Trauma Coder’s Guide to Abuse Injury Coding 123 Expert Panel 127 3INTRODUCTION Child abuse, elder abuse, and intimate partner violence are serious, preventable public health problems that affect millions of people. This guideline seeks to help the trauma practitioner identify victims of abuse that present with physical injury and to initiate treatment and reporting. While this Best Practices Guideline (BPG) is not intended to focus

2019 American College of Surgeons

48. Canadian guidelines on benzodiazepine receptor agonist use disorder among older adults

. of Psychiatry, University of Toronto Dr. David Hogan, MD, FACP , FRCPC Co-Lead Academic Lead, Brenda Strafford Centre on Aging O’Brien Centre for Public Health Professor, Department of Medicine, Cumming School of Medicine University of Calgary Lori Amdam, B.Sc.N., M.S.N. Education Consultant, Gerontology CCSMH Steering Committee Member, Canadian Coalition for Seniors’ Mental Health Dr. Keri-Leigh Cassidy, MD, FRCPC Professor of Psychiatry, Clinical Academic Director, Geriatric Psychiatry Program, Department (...) in commonly used lists of medications to avoid in older adults (Hamilton et al ., 2011; Kuhn-Thiel et al ., 2014; American Geriatrics Society, 2019) . Age-related changes in pharmacokinetics and pharmacodynamics result in a greater risk of adverse effects with BZRAs in older adults at doses lower than cited as effective (Tamblyn et al ., 2005; Vaapio et al ., 2015) . Adverse effects include falls, fractures, cognitive impairment, delirium, incontinence, respiratory depression, and unplanned

2019 CPG Infobase

49. Clinical Practice Guideline for the Treatment of Depression Across Three Age Cohorts

First Street, NE, Washington, DC 20002-4242. E-mail: cpg@apa.org. APA GUIDELINE FOR THE TREATMENT OF DEPRESSION ii Abstract The American Psychological Association (APA) developed this clinical practice guideline to provide recommendations for the treatment of depressive disorders (including major depression, subsyndromal depression, and persistent depressive disorder). It addresses three developmental cohorts: children and adolescents; general adults; and older adults (ages 60 and over). Ten (...) Across Three Age Cohorts 1 Scope of the Problem 1 Children and Adolescents 2 General Adult Population 11 Older Adult Population 14 The Need for a Clinical Practice Guideline and Decisions about Scope and Goals of the Clinical Practice Guideline 18 The APA Clinical Practice Guideline for the Treatment of the Problem 19 Guideline Purpose and Scope: What the Guideline Does and Does Not Address 23 APA GUIDELINE FOR THE TREATMENT OF DEPRESSION iv Process and Method 26 Vetting and Appointment of Members

2019 American Psychological Association

50. Comparison between multicomponent and simultaneous dual-task exercise interventions in long-term nursing home residents: the Ageing-ONDUAL-TASK randomized controlled study Full Text available with Trip Pro

Comparison between multicomponent and simultaneous dual-task exercise interventions in long-term nursing home residents: the Ageing-ONDUAL-TASK randomized controlled study the potential benefits of dual-task interventions on older adults living in long-term nursing homes (LTNHs) from a multidimensional perspective are unknown. We sought to determine whether the addition of simultaneous cognitive training to a multicomponent exercise program offers further benefits to dual-task, physical (...) the multicomponent group significantly improved quality of life, and reduced anxiety and Fried frailty score (P < 0.05). No group-by-time interactions were found except for the chair-stand test in favour of the multicomponent group (P < 0.05).the addition of simultaneous cognitive training does not seem to offer significantly greater benefits to the evaluated multicomponent exercise program in older adults living in LTNHs.© The Author(s) 2019. Published by Oxford University Press on behalf of the British

2019 EvidenceUpdates

51. Immunisations: babies up to 13 months of age

Immunisations: babies up to 13 months of age Immunisations: babies up to 13 months of age - 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 Register by 26 November to vote in the General Election on 12 December (...) . Promotional material Immunisations: babies up to 13 months of age This booklet covers all immunisations for babies during their first year of life. Published 29 July 2013 Last updated 4 November 2019 — From: Documents Ref: Public Health England gateway number 2019179 If you use assistive technology (such as a screen reader) and need a version of this document in a more accessible format, please email . Please tell us what format you need. It will help us if you say what assistive technology you use

2019 Public Health England

52. 18F-fluorodeoxyglucose (FDG) positron emission tomography-computed-tomography (PET CT) as part of radical radiotherapy treatment planning for oesophageal cancer (all ages)

18F-fluorodeoxyglucose (FDG) positron emission tomography-computed-tomography (PET CT) as part of radical radiotherapy treatment planning for oesophageal cancer (all ages) NHS England » 18F-fluorodeoxyglucose (FDG) positron emission tomography-computed-tomography (PET CT) as part of radical radiotherapy treatment planning for oesophageal cancer (all ages) Search Search Menu 18F-fluorodeoxyglucose (FDG) positron emission tomography-computed-tomography (PET CT) as part of radical radiotherapy (...) treatment planning for oesophageal cancer (all ages) Document first published: 12 April 2019 Page updated: 12 April 2019 Topic: Publication type: , NHS England will not routinely commission 18F-FDG-PET CT as part of radical radiotherapy treatment planning for oesophageal cancer in accordance with the criteria outlined in this document. In creating this policy NHS England has reviewed this clinical condition and the options for its treatment. It has considered the place of this treatment in current

2019 NHS England

53. Pazopanib for inoperable and metastatic malignant granular cell tumour (all ages)

Pazopanib for inoperable and metastatic malignant granular cell tumour (all ages) NHS England » Pazopanib for inoperable and metastatic malignant granular cell tumour (all ages) Search Search Menu Pazopanib for inoperable and metastatic malignant granular cell tumour (all ages) Document first published: 12 April 2019 Page updated: 12 April 2019 Topic: Publication type: , This policy statement is to confirm that pazopanib is not recommended as a treatment option for inoperable and metastatic (...) malignant granular cell tumours (all ages). Document PDF 62 KB 3 pages Document PDF 58 KB 3 pages Document PDF 51 KB 4 pages Document PDF 87 KB 2 pages

2019 NHS England

54. Emicizumab as prophylaxis in people with severe congenital haemophilia A without factor VIII inhibitors (all ages)

Emicizumab as prophylaxis in people with severe congenital haemophilia A without factor VIII inhibitors (all ages) NHS England » Emicizumab as prophylaxis in people with severe congenital haemophilia A without factor VIII inhibitors (all ages) Search Search Menu Emicizumab as prophylaxis in people with severe congenital haemophilia A without factor VIII inhibitors (all ages) Document first published: 21 August 2019 Page updated: 21 August 2019 Topic: Publication type: , NHS England (...) will commission emicizumab as prophylaxis in people with severe congenital haemophilia A without factor VIII inhibitors in accordance with the criteria outlined in this policy. Document PDF 308 KB 22 pages Document PDF 446 KB 35 pages Document PDF 103 KB 4 pages Document PDF 103 KB 5 pages Document PDF 129 KB 2 pages

2019 NHS England

55. Brolucizumab–dbll (Beovu) - wet age-related macular degeneration

Brolucizumab–dbll (Beovu) - wet age-related macular degeneration CENTER FOR DRUG EVALUATION AND RESEARCH APPLICATION NUMBER: 761125Orig1s000 CLINICAL PHARMACOLOGY REVIEW(S) 1 Office of Clinical Pharmacology Review BLA Number 761125 Link to EDR Link Submission Date 02/07/2019 Submission Type Priority Proposed Brand Name Beovu Generic Name Brolucizumab (RTH258) Dosage Form and Strength 120 mg/mL solution for intravitreal injection Route of Administration Local Proposed Indication Treatment (...) of neovascular age-related macular degeneration (AMD) Applicant Novartis Pharmaceuticals Corporation Associated IND IND 112023 OCP Review Team Abhay Joshi, Ph.D. Philip Colangelo, Pharm.D., Ph.D. OCP Final Signatory John A. Lazor, Pharm.D. Office of Clinical Pharmacology Division IV Director Reference ID: 44719932 Table of Contents Table of Contents 2 1. EXECUTIVE SUMMARY 3 1.1 Recommendations 3 1.2 Post-Marketing Requirements and Commitments 4 2. SUMMARY OF CLINICAL PHARMACOLOGY ASSESSMENT 4 2.1

2019 FDA - Drug Approval Package

56. Effect of Clinical Geriatric Assessments and Collaborative Medication Reviews by Geriatrician and Family Physician for Improving Health-Related Quality of Life in Home-Dwelling Older Patients Receiving Polypharmacy: A Cluster Randomized Clinical Trial (Abstract)

Effect of Clinical Geriatric Assessments and Collaborative Medication Reviews by Geriatrician and Family Physician for Improving Health-Related Quality of Life in Home-Dwelling Older Patients Receiving Polypharmacy: A Cluster Randomized Clinical Trial Polypharmacy and inappropriate drug regimens are major health concerns among older adults. Various interventions focused on medication optimization strategies have been carried out, but the effect on patient-relevant outcomes remains uncertain.To (...) investigate the effect of clinical geriatric assessments and collaborative medication reviews by geriatrician and family physician (FP) on health-related quality of life and other patient-relevant outcomes in home-dwelling older patients receiving polypharmacy.Cluster randomized, single-blind, clinical trial. Norwegian FPs were recruited from March 17, 2015, to March 16, 2017, to participate in the trial with their eligible patients. Participants were home-dwelling patients 70 years or older, using

2019 EvidenceUpdates

57. Increasing Influenza and Pneumococcal Vaccination Uptake in Seniors Using Point-of-Care Informational Interventions in Primary Care in Singapore: A Pragmatic, Cluster-Randomized Crossover Trial Full Text available with Trip Pro

Increasing Influenza and Pneumococcal Vaccination Uptake in Seniors Using Point-of-Care Informational Interventions in Primary Care in Singapore: A Pragmatic, Cluster-Randomized Crossover Trial Objectives. To evaluate the effectiveness of point-of-care informational interventions in general practitioner clinics to improve influenza and pneumococcal vaccination uptake among elderly patients.Methods. We conducted a pragmatic, cluster-randomized crossover trial in 22 private general practitioner (...) clinics in Singapore, from November 2017 to July 2018. We included all patients aged 65 years or older. Clinics were assigned to a 3-month intervention (flyers and posters encouraging vaccination) plus 1-month washout period, and a 4-month control period (usual care). Primary outcomes were differences in vaccination uptake rates between periods. Secondary outcomes were identification of other factors associated with vaccination uptake.Results. A total of 4378 and 4459 patients were included

2019 EvidenceUpdates

58. Effect of the Tailored, Family-Involved Hospital Elder Life Program on Postoperative Delirium and Function in Older Adults: A Randomized Clinical Trial (Abstract)

Effect of the Tailored, Family-Involved Hospital Elder Life Program on Postoperative Delirium and Function in Older Adults: A Randomized Clinical Trial Postoperative delirium (POD) is a common condition for older adults, contributing to their functional decline.To investigate the effectiveness of the Tailored, Family-Involved Hospital Elder Life Program (t-HELP) for preventing POD and functional decline in older patients after a noncardiac surgical procedure.A 2-arm, parallel-group, single (...) . Secondary outcomes included the pattern of functional and cognitive changes (activities of daily living [ADLs], instrumental activities of daily living [IADLs], Short Portable Mental Status Questionnaire [SPMSQ]) from hospital admission to 30 days after discharge, and the length of hospital stay (LOS).Of the 475 patients screened for eligibility, 281 (171 [60.9%] male, mean [SD] age 74.7 [5.2] years) were enrolled and randomized to receive t-HELP (n = 152) or usual care (n = 129). Postoperative delirium

2019 EvidenceUpdates

59. The effect of volunteers' care and support on the health outcomes of older adults in acute care: A systematic scoping review Full Text available with Trip Pro

terms: 'hospital', 'volunteer', 'sitter', 'acute care', 'older adults', 'confusion', 'dementia' and 'frail'. The search was limited to papers written in English and published from 2002-2017. Inclusion criteria were studies involving the use of hospital volunteers in the care or support of older adult patients aged ≥ 65 years, or ≥ 50 years for Indigenous peoples, with chronic health conditions, cognitive impairment and/or physical decline or frailty, within the acute inpatient settings.Of the 199 (...) The effect of volunteers' care and support on the health outcomes of older adults in acute care: A systematic scoping review To examine the available evidence on the effects of care and support provided by volunteers on the health outcomes of older adults in acute care services.Acute hospital inpatient populations are becoming older, and this presents the potential for poorer health outcomes. Factors such as chronic health conditions, polypharmacy and cognitive and functional decline

2019 EvidenceUpdates

60. Motor imagery training improves balance and mobility outcomes in older adults: a systematic review Full Text available with Trip Pro

Motor imagery training improves balance and mobility outcomes in older adults: a systematic review Does motor imagery training improve measures of balance, mobility and falls in older adults without a neurological condition?Systematic review and meta-analysis of randomised controlled trials.Adults aged at least 60 years and without a neurological condition.Three or more sessions of motor imagery training.The primary outcomes were balance measures (such as single leg stance and Berg Balance (...) participants or older adults after orthopaedic surgery. There was evidence that motor imagery training can significantly improve balance (SMD 1.03, 95% CI 0.25 to 1.82), gait speed (MD 0.13 m/s, 95% CI 0.04 to 0.22) and Timed Up and Go (MD 1.64 seconds, 95% CI 0.79 to 2.49) in older adults; however, the quality of evidence was very low to low. No data regarding falls were identified.Motor imagery training improves balance and mobility in older adults who do not have a neurological condition. These results

2019 EvidenceUpdates