Latest & greatest articles for elderly

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Top results for elderly

881. A meta-analysis of randomised controlled trials (RCT) among healthy normotensive and essential hypertensive elderly patients to determine the effect of high salt (NaC1) diet on blood pressure

A meta-analysis of randomised controlled trials (RCT) among healthy normotensive and essential hypertensive elderly patients to determine the effect of high salt (NaC1) diet on blood pressure A meta-analysis of randomised controlled trials (RCT) among healthy normotensive and essential hypertensive elderly patients to determine the effect of high salt (NaC1) diet on blood pressure A meta-analysis of randomised controlled trials (RCT) among healthy normotensive and essential hypertensive elderly (...) patients to determine the effect of high salt (NaC1) diet on blood pressure Alam S, Johnson A G Authors' objectives To examine the effect of chronic sodium chloride ingestion on blood pressure (BP) in the elderly. Searching Studies published in the English language were sought from computerised searches of MEDLINE EXPRESS (January 1966 to May 1998); EMBASE (1988 to 1998); Current Contents (October 1997 to December 1997 and January 1998 to April 1998); AMI (1966 to May 1998); API (1970 to May 1998

1999 DARE.

882. Cost-effectiveness of screening compared to case-finding approaches to tuberculosis in long-term care facilities for the elderly

Cost-effectiveness of screening compared to case-finding approaches to tuberculosis in long-term care facilities for the elderly Cost-effectiveness of screening compared to case-finding approaches to tuberculosis in long-term care facilities for the elderly Cost-effectiveness of screening compared to case-finding approaches to tuberculosis in long-term care facilities for the elderly Marchand R, Tousignant P, Chang H Record Status This is a critical abstract of an economic evaluation that meets (...) -utility analysis. Study population The study population consisted of elderly patients who were newly admitted to an institution. At admission, 27% had tuberculin reactors. Of these, 3% had old healed fibrotic lesions and 9% had medical risk factors. Setting The setting was an institution. The economic study was carried out in Montreal, Canada. Dates to which data relate The references for the clinical model parameters dated from 1956 to 1995. The price year was 1992. Source of effectiveness data

1999 NHS Economic Evaluation Database.

883. Effectiveness of assistive technology and environmental interventions in maintaining independence and reducing home care costs for the frail elderly: a randomized controlled trial

Effectiveness of assistive technology and environmental interventions in maintaining independence and reducing home care costs for the frail elderly: a randomized controlled trial Effectiveness of assistive technology and environmental interventions in maintaining independence and reducing home care costs for the frail elderly: a randomized controlled trial Effectiveness of assistive technology and environmental interventions in maintaining independence and reducing home care costs (...) for the frail elderly: a randomized controlled trial Mann W C, Ottenbacher K J, Fraas L, Tomita M, Granger C V Record Status This is a critical abstract of an economic evaluation that meets the criteria for inclusion on NHS EED. Each abstract contains a brief summary of the methods, the results and conclusions followed by a detailed critical assessment on the reliability of the study and the conclusions drawn. Health technology Assistive technology (AT) and home environmental interventions (EIs), used

1999 NHS Economic Evaluation Database.

884. Off-pump surgery decreases postoperative complications and resource utilization in the elderly

Off-pump surgery decreases postoperative complications and resource utilization in the elderly Off-pump surgery decreases postoperative complications and resource utilization in the elderly Off-pump surgery decreases postoperative complications and resource utilization in the elderly Boyd W D, Desai N D, Del Rizzo D F, Novick R J, McKenzie F N, Menkis A H Record Status This is a critical abstract of an economic evaluation that meets the criteria for inclusion on NHS EED. Each abstract contains (...) cases (46.7% for OPCAB, 28.3% for CABG; p=0.001). Effectiveness results Mortality rates did not differ significantly between the OPCAB and CABG groups (0% versus 1.7%; p=0.5). Statistically significant differences in morbidity were found for low-output syndrome (10% in the OPCAB group versus 31.7% in the CABG group; p<0.02) and atrial fibrillation (10.0% in the OPCAB group versus 28.3% in the CABG group; p<0.05). Clinical conclusions The authors concluded that OPCAB in the elderly is a safe

1999 NHS Economic Evaluation Database.

885. Cost effectiveness of screening for subclinical hypothyroidism in the elderly: a decision-analytical model

Cost effectiveness of screening for subclinical hypothyroidism in the elderly: a decision-analytical model Cost effectiveness of screening for subclinical hypothyroidism in the elderly: a decision-analytical model Cost effectiveness of screening for subclinical hypothyroidism in the elderly: a decision-analytical model Bona M, Santini F, Rivolta G, Grossi E, Grilli R Record Status This is a critical abstract of an economic evaluation that meets the criteria for inclusion on NHS EED. Each (...) abstract contains a brief summary of the methods, the results and conclusions followed by a detailed critical assessment on the reliability of the study and the conclusions drawn. Health technology Screening for subclinical hypothyroidism in the elderly, using thyroid-stimulating hormone (TSH), triiodothyronine (T3) and thyroxine (T4) serum level measurements, was studied. Type of intervention Screening. Economic study type Cost-utility analysis. Study population The study population comprised men

1999 NHS Economic Evaluation Database.

886. Asthma in the elderly

Asthma in the elderly Asthma in the elderly | CMAJ Main menu User menu Search Search for this keyword Search for this keyword Article Asthma in the elderly Epidemiology Asthma may be first diagnosed at any age and is common in the elderly. A variety of population-based studies[ – ] have shown that the prevalence of asthma in the elderly is similar to that in other adult age groups, i.e., 4.5-8%. In one study, 40% of the elderly population attending ambulatory care centres in hospitals or living (...) in subsidized nursing homes and lodges had asthma, emphasizing that it may occur with and be mistaken for such disorders as cardiac failure and COPD; in those with long-standing asthma, the disease may be difficult to distinguish from COPD. Although in some elderly patients asthma may have been present earlier in life, in at least half it is recently acquired. An incidence study demonstrated a rate of newly diagnosed asthma of 0.1% a year in those over 65 years of age. Although atopy is considered

1999 CPG Infobase

887. Effects of losartan and captopril on QT dispersion in elderly patients with heart failure. ELITE study group. (PubMed)

Effects of losartan and captopril on QT dispersion in elderly patients with heart failure. ELITE study group. Differences in QT dispersion (a predictor for sudden death) were observed in a subgroup of patients in the ELITE heart failure study of losartan compared with captopril, and may explain improved survival with losartan.

1999 Lancet Controlled trial quality: uncertain

888. Improving the health behaviours of elderly people: randomised controlled trial of a general practice education programme. (PubMed)

Improving the health behaviours of elderly people: randomised controlled trial of a general practice education programme. To establish the effect of an educational intervention for general practitioners on the health behaviours and wellbeing of elderly patients.Randomised controlled trial with 1 year follow up.Metropolitan general practices in Melbourne, Australia.42 general practitioners and 267 of their patients aged over 65 years.Educational and clinical practice audit programme for general (...) practitioners on health promotion for elderly people.Patients' physical activity, functional status, self rated health, immunisation status, social contacts, psychological wellbeing, drug usage, and rate of influenza vaccination. Primary efficacy variables were changes in outcome measures over 1 year period.Patients in the intervention group had increased (a) walking by an average of 88 minutes per fortnight, (b) frequency of pleasurable activities, and (c) self rated health compared with the control group

Full Text available with Trip Pro

1999 BMJ Controlled trial quality: uncertain

889. Randomised trial of old and new antihypertensive drugs in elderly patients: cardiovascular mortality and morbidity the Swedish Trial in Old Patients with Hypertension-2 study. (PubMed)

Randomised trial of old and new antihypertensive drugs in elderly patients: cardiovascular mortality and morbidity the Swedish Trial in Old Patients with Hypertension-2 study. The efficacy of new antihypertensive drugs has been questioned. We compared the effects of conventional and newer antihypertensive drugs on cardiovascular mortality and morbidity in elderly patients.We did a prospective, randomised trial in 6614 patients aged 70-84 years with hypertension (blood pressure > or = 180 mm Hg

1999 Lancet Controlled trial quality: predicted high

890. Prevention of falls in the elderly trial (PROFET): a randomised controlled trial. (PubMed)

Prevention of falls in the elderly trial (PROFET): a randomised controlled trial. Falls in elderly people are a common presenting complaint to accident and emergency departments. Current practice commonly focuses on the injury, with little systematic assessment of the underlying cause, functional consequences, and possibilities for future prevention. We undertook a randomised controlled study to assess the benefit of a structured inderdisciplinary assessment of people who have fallen in terms

1999 Lancet Controlled trial quality: uncertain

891. Are beta-blockers efficacious as first-line therapy for hypertension in the elderly? A systematic review. (PubMed)

Are beta-blockers efficacious as first-line therapy for hypertension in the elderly? A systematic review. To assess antihypertensive efficacy of beta-blockers and their effects on cardiovascular morbidity and mortality and all-cause morbidity compared with diuretics in elderly patients with hypertension.A MEDLINE search of English-language articles published between January 1966 and January 1998 using the terms hypertension (drug therapy) and elderly or aged or geriatric, and cerebrovascular (...) or cardiovascular diseases, and morbidity or mortality. References from identified articles were also reviewed.Randomized trials lasting at least 1 year, which used as first-line agents diuretics and/or beta-blockers, and reported morbidity and mortality outcomes in elderly patients with hypertension. DATA SYNTHESIS AND RESULTS: Ten trials involving a total of 16164 elderly patients (> or =60 years) were included. Two thirds of the patients assigned to diuretics were well controlled on monotherapy, whereas less

1998 JAMA

892. The effects of aftercare on chronic patients and frail elderly patients when discharged from hospital: a systematic review

The effects of aftercare on chronic patients and frail elderly patients when discharged from hospital: a systematic review The effects of aftercare on chronic patients and frail elderly patients when discharged from hospital: a systematic review The effects of aftercare on chronic patients and frail elderly patients when discharged from hospital: a systematic review Bours G J, Ketelaars C A, Frederiks C M, Huyer Abu-Saad H, Wouters E F Authors' objectives To assess the efficacy of aftercare (...) in chronic patients and the frail elderly when discharged from hospital. Searching MEDLINE was searched for the period 1981 to 1994 (keywords are provided). Other sources were personal contacts, the 'snowball method' for tracing unpublished studies and citations screening of all identified articles. For inclusion, articles had to be published in English, French or Dutch or have an abstract in one of these languages. Study selection Study designs of evaluations included in the review Controlled trials

1998 DARE.

893. Are beta-blockers efficacious as first-line therapy for hypertension in the elderly: a systematic review

Are beta-blockers efficacious as first-line therapy for hypertension in the elderly: a systematic review Are beta-blockers efficacious as first-line therapy for hypertension in the elderly: a systematic review Are beta-blockers efficacious as first-line therapy for hypertension in the elderly: a systematic review Messerli F H, Grossman E, Goldbourt U Authors' objectives To assess the antihypertensive efficacy of beta-blockers and their effect on cardiovascular morbidity and mortality, and all (...) -cause mortality in elderly patients with hypertension, compared with diuretics. Searching MEDLINE was searched from January 1966 to January 1998 using the following terms: 'hypertension (drug therapy)' and 'elderly', 'aged' or 'geriatric', and 'cerebrovascular' or 'cardiovascular diseases', and 'morbidity' or 'mortality'. In addition, CARDLINE was searched from 1986 to 1997, and the bibliographies of retrieved papers were examined. The search was limited to articles published in the English language

1998 DARE.

894. Effectiveness of interventions to promote healthy eating in elderly people living in the community: a review

Effectiveness of interventions to promote healthy eating in elderly people living in the community: a review Effectiveness of interventions to promote healthy eating in elderly people living in the community: a review Effectiveness of interventions to promote healthy eating in elderly people living in the community: a review Fletcher A, Rake C Authors' objectives To establish which interventions are effective in promoting healthy eating among elderly people living in the community. Searching (...) intervention to promote healthy eating was included, with the exception of interventions designed to prevent hypertension through healthy eating. The interventions included: nutrition education targeted at the individual or the community; individual counselling; and policies to facilitate healthy eating behaviour, but not the provision of a meal. Participants included in the review Free living (i.e. not institutionalised) elderly people above the age of 65 years. Studies with lower age cut-off points were

1998 DARE.

895. Psychological outreach programmes for the depressed elderly: a meta-analysis of effects and dropout

Psychological outreach programmes for the depressed elderly: a meta-analysis of effects and dropout Psychological outreach programmes for the depressed elderly: a meta-analysis of effects and dropout Psychological outreach programmes for the depressed elderly: a meta-analysis of effects and dropout Cuijpers P Authors' objectives To investigate the effectiveness and drop-out rates of outreach programmes for the depressed elderly. Searching PsycLIT and MEDLINE (the search dates were unclear) were (...) searched using the search terms 'depression' and 'elderly'. Studies used in earlier meta-analyses, and the references of some important recent reviews of the literature, were also screened. Study selection Study designs of evaluations included in the review There were no restrictions on study design but at least pre-test and post-test data had to be presented. Most interventions had 10 to 20 sessions (range: 5 to 46). The measurements were taken pre- and post- treatment in all studies and were followed

1998 DARE.

896. Evaluation of medication management interventions for the elderly

Evaluation of medication management interventions for the elderly Evaluation of medication management interventions for the elderly Evaluation of medication management interventions for the elderly Wendt D A Authors' objectives To describe and summarise specific nursing interventions that have been devised to aid the community-dwelling elderly with the self-administration of prescribed medications. Searching CINAHL and MEDLINE were searched from 1980 to 1997, and the bibliographies (...) alternative interventions or no treatment. Participants included in the review Three hundred and forty-two elderly people (convenience samples) were included. The participants were aged at least 65 years, and were managing their own medications in the home setting. Outcomes assessed in the review Compliance with medication, as assessed by pill count, survey or self-report. In addition, knowledge was assessed. How were decisions on the relevance of primary studies made? The titles and abstracts

1998 DARE.

897. Cost-effectiveness and quality-of-life assessment of GM-CSF as an adjunct to intensive remission induction chemotherapy in elderly patients with acute myeloid leukaemia

Cost-effectiveness and quality-of-life assessment of GM-CSF as an adjunct to intensive remission induction chemotherapy in elderly patients with acute myeloid leukaemia Cost-effectiveness and quality-of-life assessment of GM-CSF as an adjunct to intensive remission induction chemotherapy in elderly patients with acute myeloid leukaemia Cost-effectiveness and quality-of-life assessment of GM-CSF as an adjunct to intensive remission induction chemotherapy in elderly patients with acute myeloid (...) leukaemia Uyl-de Groot C A, Lowenberg B, Vellenga E, Suciu S, Willemze R, Rutten F F Record Status This is a critical abstract of an economic evaluation that meets the criteria for inclusion on NHS EED. Each abstract contains a brief summary of the methods, the results and conclusions followed by a detailed critical assessment on the reliability of the study and the conclusions drawn. Health technology GM-CSF in the treatment of elderly patients with acute myeloid leukaemia (AML). Type of intervention

1998 NHS Economic Evaluation Database.

898. The cost-effectiveness of home assessment and modification to reduce falls in the elderly

The cost-effectiveness of home assessment and modification to reduce falls in the elderly The cost-effectiveness of home assessment and modification to reduce falls in the elderly The cost-effectiveness of home assessment and modification to reduce falls in the elderly Smith R D, Widiatmoko D Record Status This is a critical abstract of an economic evaluation that meets the criteria for inclusion on NHS EED. Each abstract contains a brief summary of the methods, the results and conclusions (...) followed by a detailed critical assessment on the reliability of the study and the conclusions drawn. Health technology Fall prevention programmes for the elderly. Type of intervention Primary prevention. Economic study type Cost-effectiveness analysis. Study population Elderly people aged 75 years or older, living independently in the community. Setting Community setting. The study used Australian data where possible. Dates to which data relate The effectiveness data were retrieved from studies

1998 NHS Economic Evaluation Database.

899. The cost-effectiveness of a clinical pharmacist intervention among elderly outpatients

The cost-effectiveness of a clinical pharmacist intervention among elderly outpatients The cost-effectiveness of a clinical pharmacist intervention among elderly outpatients The cost-effectiveness of a clinical pharmacist intervention among elderly outpatients Cowper P A, Weinberger M, Hanlon J T, Landsman P B, Samsa G P, Uttech K M, Schmader K E, Lewis I K, Cohen H J, Feussner J R Record Status This is a critical abstract of an economic evaluation that meets the criteria for inclusion on NHS (...) EED. Each abstract contains a brief summary of the methods, the results and conclusions followed by a detailed critical assessment on the reliability of the study and the conclusions drawn. Health technology Prescribing practice guidance protocol, in which a clinical pharmacist assesses the appropriateness of medications for elderly patients, and then provides non-mandatory advice to physicians on suitable medications which may be prescribed. Type of intervention Prescribing practice advice

1998 NHS Economic Evaluation Database.

900. Influences of educational interventions and adverse news about calcium-channel blockers on first-line prescribing of antihypertensive drugs to elderly people in British Columbia. (PubMed)

Influences of educational interventions and adverse news about calcium-channel blockers on first-line prescribing of antihypertensive drugs to elderly people in British Columbia. The way in which dissemination of evidence changes medical practice needs to be better understood. Controversy about calcium-channel blockers (CCB) in the past 3 years has provided a natural experiment, enabling assessment of the impact of media stories, a national warning letter, a teleconference, small group (...) workshops, and newsletters on first-line prescribing of antihypertensive drugs.We included all physicians (4403) in British Columbia who prescribed a thiazide diuretic, beta-blocker, inhibitor of angiotensin-converting enzyme (ACE), or CCB as the first antihypertensive agent for 36,507 residents aged 66 years and over, with no previous or concurrent sign of underlying cardiovascular disease. We used a database covering all prescriptions to elderly people to measure the change in proportion of newly

1998 Lancet Controlled trial quality: uncertain