Latest & greatest articles for elderly

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Top results for elderly

901. Excessive daytime sleepiness is an independent risk indicator for cardiovascular mortality in community-dwelling elderly: the three city study Full Text available with Trip Pro

Excessive daytime sleepiness is an independent risk indicator for cardiovascular mortality in community-dwelling elderly: the three city study Excessive daytime sleepiness, one of the most frequent sleep complaints in the elderly, may affect survival, but inconsistent results have been observed in that population so far. We therefore estimated the risk of mortality for excessive daytime sleepiness (EDS) in community-dwelling elderly participating in the Three City Study.The Three City Study (...) symptoms slightly diminished the HRs. EDS was equally predictive of mortality in those who snored loudly and in those who did not. EDS was related to cardiovascular mortality but not to mortality attributable to cancer.EDS might be independently associated with total and cardiovascular mortality in community-dwelling elderly.

2009 EvidenceUpdates

902. A meta-analysis of fear of falling treatment programs for the elderly (Abstract)

A meta-analysis of fear of falling treatment programs for the elderly This study examines the effectiveness of interventions for decreasing the fear of falling by synthesizing the results of individual studies of fear of falling prevention. The mean weighted effect sizes (MWES) of six studies are computed. The overall MWES is .21 (N = 957; 95% CI .068-.362). Results indicate that interventions are effective in reducing the fear of falling or increasing fall efficacy. The MWES is .249, .024

2009 EvidenceUpdates

903. Incidence and survival of dementia in a general population of Japanese elderly: the Hisayama study (Abstract)

Incidence and survival of dementia in a general population of Japanese elderly: the Hisayama study To estimate the incidence and survival rates of total and cause specific dementia in a general Japanese population.A total of 828 subjects without dementia, aged 65 years or over, were followed-up prospectively for 17 years. Dementia was subdivided into cause specific subtypes: namely, Alzheimer's disease (AD), vascular dementia (VD), dementia with Lewy bodies (DLB), combined dementia and other (...) with increasing age, particularly after the age of 85 years, but this tendency was not observed for VD or DLB. The survival curve of dementia cases aged 65-89 years was significantly lower than that of age and sex matched controls (10 year survival rate, 13.6% vs 29.3%; hazard ratio 1.67; 95% confidence interval 1.31 to 2.13). The 10 year survival rates were not significantly different among dementia subtypes.Our findings suggest that the Japanese elderly population has a high risk for the development

2009 EvidenceUpdates

904. WITHDRAWN: Interventions for preventing falls in elderly people. (Abstract)

WITHDRAWN: Interventions for preventing falls in elderly people. Approximately 30 per cent of people over 65 years of age and living in the community fall each year; the number is higher in institutions. Although less than one fall in 10 results in a fracture, a fifth of fall incidents require medical attention.To assess the effects of interventions designed to reduce the incidence of falls in elderly people (living in the community, or in institutional or hospital care).We searched (...) with researchers in the field.Randomised trials of interventions designed to minimise the effect of, or exposure to, risk factors for falling in elderly people. Main outcomes of interest were the number of fallers, or falls. Trials reporting only intermediate outcomes were excluded.Two reviewers independently assessed trial quality and extracted data. Data were pooled using the fixed effect model where appropriate.Sixty two trials involving 21,668 people were included.Interventions likely

2009 Cochrane

905. Pulsatile perfusion with intra-aortic balloon pumping ameliorates whole body response to cardiopulmonary bypass in the elderly (Abstract)

Pulsatile perfusion with intra-aortic balloon pumping ameliorates whole body response to cardiopulmonary bypass in the elderly The growing life expectancy has led the elderly to be increasingly referred to coronary artery bypass grafting. Preexisting comorbidities may benefit from theoretical advantages of pulsatile perfusion during cardiopulmonary bypass (CPB).Prospective randomized trial.Cardiac surgery unit in a university hospital.Eighty consecutive patients older than 70 years.Elective (...) ) and intubation time (p = 0.031) in group B. Lower chest drainage (p < 0.05 at first and second day), transfusions (p < 0.05), activated partial thromboplastin time, international normalized ratio, white blood cells, and D-dimer (p < 0.05 from ITU admission to 48 hours), together with higher platelets, fibrinogen, and antithrombin III (p < 0.05 from ITU admission to 48 hours) were demonstrated in the pulsated group.IABP-induced pulsatile flow significantly improves whole body perfusion in the elderly

2009 EvidenceUpdates Controlled trial quality: uncertain

906. Plasma leptin levels and incidence of heart failure, cardiovascular disease and total mortality in the elderly Full Text available with Trip Pro

Plasma leptin levels and incidence of heart failure, cardiovascular disease and total mortality in the elderly Obesity predisposes individuals to congestive heart failure (CHF) and cardiovascular disease (CVD). Leptin regulates energy homeostasis, is elevated in obesity, and influences ventricular and vascular remodeling. We tested the hypothesis that leptin levels are associated with greater risk of CHF, CVD, and mortality in elderly individuals.We evaluated 818 elderly (mean age 79 years, 62 (...) (hazard ratio [HR] per SD increment 1.26 [95% CI 1.03-1.55] and 1.28 [1.09-1.50], respectively). Additional adjustment for BMI nullified the association with CHF (0.97 [0.75-1.24]) but only modestly attenuated the relation to CVD incidence (1.23 [1.00-1.51], P = 0.052). We observed a nonlinear, U-shaped relation between log-leptin and mortality (P = 0.005 for quadratic term) with greater risk of death evident at both low and high leptin levels.In our moderate-sized community-based elderly sample

2009 EvidenceUpdates

907. Validation of a model to predict perioperative mortality from lung cancer resection in the elderly (Abstract)

Validation of a model to predict perioperative mortality from lung cancer resection in the elderly Surgical resection is the mainstay therapy for localized non-small cell lung cancer (NSCLC), yet elderly patients are less likely to be treated due to concerns about morbidity and mortality related to surgery.To validate and refine a clinical model to predict 30-day perioperative mortality (POM) in elderly patients undergoing curative resection for lung cancer.We identified 14,297 patients aged 65 (...) were associated with increased risk for POM. These risk factors were similar to those observed in the prior model. When patients were stratified according to their predicted risk of POM, the observed mortality increased from 1.2 to more than 10%.Among elderly patients with lung cancer, a prediction rule can identify those patients at higher risk for fatal complications from surgery. Further studies should evaluate whether use of the model can lead to improvements in treatment decision making.

2009 EvidenceUpdates

908. Systematic review of hip fracture rehabilitation practices in the elderly (Abstract)

Systematic review of hip fracture rehabilitation practices in the elderly To address the need for a research synthesis on the effectiveness of the full range of hip fracture rehabilitation interventions for older adults and make evidence based conclusions.Medline, PubMed, EMBASE, CINAHL, and the Cochrane Central Register of Controlled Trials were searched from 1980 to 2007 for studies published in English. The terms rehabilitation and hip fracture were exploded in order to obtain related search

2009 EvidenceUpdates

909. Leptin predicts diabetes but not cardiovascular disease: results from a large prospective study in an elderly population Full Text available with Trip Pro

Leptin predicts diabetes but not cardiovascular disease: results from a large prospective study in an elderly population To clarify the association of circulating levels of leptin with risk for cardiovascular disease (CVD) events and new-onset diabetes in men and women.We related baseline leptin levels to CVD events (n = 864) and incident diabetes (n = 289) in an elderly population (n = 5,672) over 3.2 years of follow-up.In treatment-, age-, and country-adjusted models, leptin (...) to risk of diabetes than CVD in the elderly.

2009 EvidenceUpdates

910. A multicenter, prospective, randomized, controlled trial of open reduction--internal fixation versus total elbow arthroplasty for displaced intra-articular distal humeral fractures in elderly patients (Abstract)

A multicenter, prospective, randomized, controlled trial of open reduction--internal fixation versus total elbow arthroplasty for displaced intra-articular distal humeral fractures in elderly patients We conducted a prospective, randomized, controlled trial to compare functional outcomes, complications, and reoperation rates in elderly patients with displaced intra-articular, distal humeral fractures treated with open reduction-internal fixation (ORIF) or primary semiconstrained total elbow (...) result in decreased reoperation rates, considering that 25% of fractures randomized to ORIF were not amenable to internal fixation. TEA is a preferred alternative for ORIF in elderly patients with complex distal humeral fractures that are not amenable to stable fixation. Elderly patients have an increased baseline DASH score and appear to accommodate to objective limitations in function with time.

2009 EvidenceUpdates Controlled trial quality: predicted high

911. Declining in-hospital mortality and increasing heart failure incidence in elderly patients with first myocardial infarction Full Text available with Trip Pro

Declining in-hospital mortality and increasing heart failure incidence in elderly patients with first myocardial infarction The purpose of this study was to examine the long-term incidence of heart failure (HF) in elderly patients with myocardial infarction (MI).In-hospital HF is common after MI and is associated with poor short-term prognosis. Limited data exist concerning the long-term incidence or prognosis of HF after MI, particularly in the era of coronary revascularization.A population (...) ), an additional 3,040 patients (71%) developed HF by 5 years, 64% of which occurred in the first year. In total, 5,871 (76%) elderly patients who survived their first MI developed HF over 5 years. Among those who survived the index hospitalization, the 5-year mortality rate was 39.1% for those with HF during the index MI hospitalization compared with 26.7% among those without HF (p < 0.0001) during the index MI hospitalization. Over the study period, the 5-year mortality rate after MI decreased by 28

2009 EvidenceUpdates

912. Metabolic syndrome and all-cause and cardiovascular mortality in an Italian elderly population Full Text available with Trip Pro

Metabolic syndrome and all-cause and cardiovascular mortality in an Italian elderly population The purpose of this study was to explore the association of metabolic syndrome and each of its components with all-cause and cardiovascular mortality in a general Italian elderly population.Metabolic syndrome, diagnosed by National Cholesterol Education Program Adult Treatment Panel III criteria, all-cause mortality, and cardiovascular mortality, was evaluated in 2,910 subjects aged > or =65 years (...) cardiovascular mortality.In this general Italian elderly population, among metabolic syndrome components, all-cause mortality is better predicted by high glucose in all subjects and in women and by low HDL cholesterol in women, whereas cardiovascular mortality is better predicted by high glucose and low HDL cholesterol in women.

2009 EvidenceUpdates

913. Is albumin administration in hypoalbuminemic elderly cardiac surgery patients of benefit with regard to inflammation, endothelial activation, and long-term kidney function? Full Text available with Trip Pro

Is albumin administration in hypoalbuminemic elderly cardiac surgery patients of benefit with regard to inflammation, endothelial activation, and long-term kidney function? Because patients with low albumin levels may benefit from human albumin (HA) administration, we studied correction of hypovolemia with HA in hypoalbuminic elderly cardiac surgery patients.In a prospective, randomized study, 50 patients aged >80 yr undergoing cardiac surgery using cardiopulmonary bypass with a preoperative

2009 EvidenceUpdates Controlled trial quality: uncertain

914. Ginkgo biloba does not reduce incidence of dementia in elderly people

Ginkgo biloba does not reduce incidence of dementia in elderly people Ginkgo biloba does not reduce incidence of dementia in elderly people | Evidence-Based Mental Health We use cookies to improve our service and to tailor our content and advertising to you. You can manage your cookie settings via your browser at any time. To learn more about how we use cookies, please see our . Log in using your username and password For personal accounts OR managers of institutional accounts Username (...) * Password * your user name or password? Search for this keyword Search for this keyword Main menu Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? You are here Ginkgo biloba does not reduce incidence of dementia in elderly people Article Text Therapeutics Ginkgo biloba does not reduce incidence of dementia in elderly people Statistics from Altmetric.com QUESTION Question: Does Ginkgo biloba reduce

2009 Evidence-Based Mental Health

915. Starting a conventional antipsychotic increases risk of death more than an atypical antipsychotic in elderly people with dementia

Starting a conventional antipsychotic increases risk of death more than an atypical antipsychotic in elderly people with dementia Starting a conventional antipsychotic increases risk of death more than an atypical antipsychotic in elderly people with dementia | Evidence-Based Mental Health We use cookies to improve our service and to tailor our content and advertising to you. You can manage your cookie settings via your browser at any time. To learn more about how we use cookies, please see our (...) . Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? Search for this keyword Search for this keyword Main menu Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? You are here Starting a conventional antipsychotic increases risk of death more than an atypical antipsychotic in elderly people with dementia

2009 Evidence-Based Mental Health

916. Review: enhanced oral hygiene prevents respiratory infection in elderly people in hospitals and nursing homes

Review: enhanced oral hygiene prevents respiratory infection in elderly people in hospitals and nursing homes Review: enhanced oral hygiene prevents respiratory infection in elderly people in hospitals and nursing homes | BMJ Evidence-Based Medicine We use cookies to improve our service and to tailor our content and advertising to you. You can manage your cookie settings via your browser at any time. To learn more about how we use cookies, please see our . Log in using your username (...) and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? Search for this keyword Search for this keyword Main menu Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? You are here Review: enhanced oral hygiene prevents respiratory infection in elderly people in hospitals and nursing homes Article Text Therapeutics Review: enhanced oral hygiene

2009 Evidence-Based Medicine

917. Review: exercise programmes prevent falls in elderly people

Review: exercise programmes prevent falls in elderly people Review: exercise programmes prevent falls in elderly people | BMJ Evidence-Based Medicine We use cookies to improve our service and to tailor our content and advertising to you. You can manage your cookie settings via your browser at any time. To learn more about how we use cookies, please see our . Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name (...) or password? Search for this keyword Search for this keyword Main menu Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? You are here Review: exercise programmes prevent falls in elderly people Article Text Therapeutics Review: exercise programmes prevent falls in elderly people Statistics from Altmetric.com QUESTIONS Do exercise programmes prevent falls in elderly people? What are the most important

2009 Evidence-Based Medicine

918. Ginkgo biloba did not prevent dementia or Alzheimer disease in elderly people Full Text available with Trip Pro

Ginkgo biloba did not prevent dementia or Alzheimer disease in elderly people Ginkgo biloba did not prevent dementia or Alzheimer disease in elderly peopleCommentary | Evidence-Based Nursing We use cookies to improve our service and to tailor our content and advertising to you. You can manage your cookie settings via your browser at any time. To learn more about how we use cookies, please see our . Log in using your username and password For personal accounts OR managers of institutional (...) accounts Username * Password * your user name or password? Search for this keyword Search for this keyword Main menu Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? You are here Ginkgo biloba did not prevent dementia or Alzheimer disease in elderly peopleCommentary Article Text Treatment Ginkgo biloba did not prevent dementia or Alzheimer disease in elderly people Commentary Free Gareth Parsons

2009 Evidence-Based Nursing

919. Review: enhanced oral hygiene prevents respiratory infection in elderly people in hospitals and nursing homes

Review: enhanced oral hygiene prevents respiratory infection in elderly people in hospitals and nursing homes Review: enhanced oral hygiene prevents respiratory infection in elderly people in hospitals and nursing homesCommentary | Evidence-Based Nursing We use cookies to improve our service and to tailor our content and advertising to you. You can manage your cookie settings via your browser at any time. To learn more about how we use cookies, please see our . Log in using your username (...) and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? Search for this keyword Search for this keyword Main menu Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? You are here Review: enhanced oral hygiene prevents respiratory infection in elderly people in hospitals and nursing homesCommentary Article Text Treatment Review: enhanced oral

2009 Evidence-Based Nursing

920. Review: long-term annual conversion rate to dementia was 3.3% in elderly people with mild cognitive impairment

Review: long-term annual conversion rate to dementia was 3.3% in elderly people with mild cognitive impairment Review: long-term annual conversion rate to dementia was 3.3% in elderly people with mild cognitive impairment | BMJ Evidence-Based Medicine We use cookies to improve our service and to tailor our content and advertising to you. You can manage your cookie settings via your browser at any time. To learn more about how we use cookies, please see our . Log in using your username (...) and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? Search for this keyword Search for this keyword Main menu Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? You are here Review: long-term annual conversion rate to dementia was 3.3% in elderly people with mild cognitive impairment Article Text Prognosis Review: long-term annual

2009 Evidence-Based Medicine