Latest & greatest articles for elderly

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Top results for elderly

921. A multidisciplinary intervention to prevent the readmission of elderly patients with congestive heart failure. (PubMed)

A multidisciplinary intervention to prevent the readmission of elderly patients with congestive heart failure. Congestive heart failure is the most common indication for admission to the hospital among older adults. Behavioral factors, such as poor compliance with treatment, frequently contribute to exacerbations of heart failure, a fact suggesting that many admissions could be prevented.We conducted a prospective, randomized trial of the effect of a nurse-directed, multidisciplinary (...) of life and reduce hospital use and medical costs for elderly patients with congestive heart failure.

1995 NEJM

922. A controlled study of recombinant human granulocyte colony-stimulating factor in elderly patients after treatment for acute myelogenous leukemia. AML Cooperative Study Group. (PubMed)

A controlled study of recombinant human granulocyte colony-stimulating factor in elderly patients after treatment for acute myelogenous leukemia. AML Cooperative Study Group. Intensive chemotherapy for acute myelogenous leukemia (AML) continues to yield low rates of complete remission and survival among patients over the age of 65 years. Infection-related mortality is particularly high among these patients during the period of neutropenia that follows chemotherapy. We determined the effect

1995 NEJM

923. Granulocyte-macrophage colony-stimulating factor after initial chemotherapy for elderly patients with primary acute myelogenous leukemia. Cancer and Leukemia Group B. (PubMed)

Granulocyte-macrophage colony-stimulating factor after initial chemotherapy for elderly patients with primary acute myelogenous leukemia. Cancer and Leukemia Group B. Elderly patients with primary acute myelogenous leukemia (AML) are less likely to enter remission than younger adults, in part because of a higher mortality rate related to severe myelosuppression. Granulocyte-macrophage colony-stimulating factor (GM-CSF) has been shown to shorten the duration of neutropenia and decrease

1995 NEJM

924. Effects of self medication programme on knowledge of drugs and compliance with treatment in elderly patients. (PubMed)

Effects of self medication programme on knowledge of drugs and compliance with treatment in elderly patients. To determine whether a programme of self medication for inpatients improves compliance with treatment and knowledge of their drugs after discharge from hospital.Patients were prospectively recruited from four wards: two with a self medication programme and two acting as controls. Ten days after discharge the patients were visited at home. They were questioned about their drugs (...) , and a tablet count was undertaken.The pharmacy department and four medical wards with an interest in elderly patients at a district general hospital, and the patients' homes.88 patients discharged to their own homes who were regularly taking one or more drugs.A hospital self medication programme in which patients are educated about their medicines and given increasing responsibility for taking them in hospital.Compliance with and knowledge of the purpose of their medicines 10 days after discharge from

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1995 BMJ

925. Effects of vitamin B12, folate, and vitamin B6 supplements in elderly people with normal serum vitamin concentrations. (PubMed)

Effects of vitamin B12, folate, and vitamin B6 supplements in elderly people with normal serum vitamin concentrations. In a prospective, multicentre, double-blind controlled study, the effect of an intramuscular vitamin supplement containing 1 mg vitamin B12, 1.1 mg folate, and 5 mg vitamin B6 on serum concentrations of methylmalonic acid (MMA), homocysteine (HCYS), 2-methylcitric acid (2-MCA), and cystathionine (CYSTA) was compared with that of placebo in 175 elderly subjects living at home (...) ; and 42% vs 25% for CYSTA. The response rate to vitamin supplements supports the notion that metabolic evidence of vitamin deficiency is common in the elderly, even in the presence of normal serum vitamin levels. Metabolite assays permit identification of elderly subjects who may benefit from vitamin supplements.

1995 Lancet

926. Improvement of sleep quality in elderly people by controlled-release melatonin. (PubMed)

Improvement of sleep quality in elderly people by controlled-release melatonin. Melatonin, produced by the pineal gland at night, has a role in regulation of the sleep-wake cycle. Among elderly people, even those who are healthy, the frequency of sleep disorders is high and there is an association with impairment of melatonin production. We investigated the effect of a controlled-release formulation of melatonin on sleep quality in 12 elderly subjects (aged 76 [SD 8] years) who were receiving (...) various medications for chronic illnesses and who complained of insomnia. In all 12 subjects the peak excretion of the main melatonin metabolite 6-sulphatoxymelatonin during the night was lower than normal and/or delayed in comparison with non-insomniac elderly people. In a randomised, double-blind, crossover study the subjects were treated for 3 weeks with 2 mg per night of controlled-release melatonin and for 3 weeks with placebo, with a week's washout period. Sleep quality was objectively monitored

1995 Lancet

927. Meta-analysis of efficacy of quinine for treatment of nocturnal leg cramps in elderly people. (PubMed)

Meta-analysis of efficacy of quinine for treatment of nocturnal leg cramps in elderly people. To assess quantitatively the efficacy of quinine (as quinine sulphate) compared with placebo in the treatment of nocturnal leg cramps.A meta-analysis of six randomised, double blind, crossover trials.Randomised trials that were available as of April 1994.A total of 107 general ambulatory patients who suffered from regular nocturnal leg cramps from six clinical trials.Data from individual patients were

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1995 BMJ

928. The effects of exercise on falls in elderly patients. A preplanned meta-analysis of the FICSIT Trials. Frailty and Injuries: Cooperative Studies of Intervention Techniques. (PubMed)

The effects of exercise on falls in elderly patients. A preplanned meta-analysis of the FICSIT Trials. Frailty and Injuries: Cooperative Studies of Intervention Techniques. To determine if short-term exercise reduces falls and fall-related injuries in the elderly.A preplanned meta-analysis of the seven Frailty and Injuries: Cooperative Studies of Intervention Techniques (FICSIT)--independent, randomized, controlled clinical trials that assessed intervention efficacy in reducing falls (...) and frailty in elderly patients. All included an exercise component for 10 to 36 weeks. Fall and injury follow-up was obtained for up to 2 to 4 years.Two nursing home and five community-dwelling (three health maintenance organizations) sites. Six were group and center based; one was conducted at home.Numbers of participants ranged from 100 to 1323 per study. Subjects were mostly ambulatory and cognitively intact, with minimum ages of 60 to 75 years, although some studies required additional deficits

1995 JAMA

929. Costs and effectiveness of prostate cancer screening in elderly men

Costs and effectiveness of prostate cancer screening in elderly men Costs and effectiveness of prostate cancer screening in elderly men Costs and effectiveness of prostate cancer screening in elderly men Office of Technology Assessment Record Status This is a bibliographic record of a published health technology assessment. The agency responsible for the publication, formerly a member of INAHTA, has subsequently been disbanded. No evaluation of the quality of this assessment has been made (...) for the HTA database. Citation Office of Technology Assessment. Costs and effectiveness of prostate cancer screening in elderly men. Washington DC: U. S. Congress. Office of Technology Assessment (OTA) 1995: 130 Authors' objectives To examine the effectiveness, safety, and costs of screening for prostate cancer among asymptomatic men over 65 years in order to analyze the implications of a potential screening benefit under the U. S. Medicare program. Authors' conclusions Given the state of current

1995 Health Technology Assessment (HTA) Database.

930. Efectividad de la vacunacion antigripal en los ancianos: una revision critica de la bibliografia [Influenza vaccine effectiveness in the elderly: a critical literature review]

Efectividad de la vacunacion antigripal en los ancianos: una revision critica de la bibliografia [Influenza vaccine effectiveness in the elderly: a critical literature review] Efectividad de la vacunacion antigripal en los ancianos: una revision critica de la bibliografia [Influenza vaccine effectiveness in the elderly: a critical literature review] Efectividad de la vacunacion antigripal en los ancianos: una revision critica de la bibliografia [Influenza vaccine effectiveness in the elderly (...) : a critical literature review] Puig-Barbera J, Marquez-Calderon S Authors' objectives To review the existing evidence on influenza vaccine effectiveness in preventing pneumonia and influenza hospitalisations in non-institutionalised elderly. Searching MEDLINE was searched from 1984 and 1994 using the following search terms: 'influenza-vaccine' and 'efficacy', and 'influenza-vaccine' and 'effectiveness'. The bibliographies of all retrieved articles were searched, and relevant articles published in English

1995 DARE.

931. The effects of endurance training on functional capacity in the elderly: a meta-analysis

The effects of endurance training on functional capacity in the elderly: a meta-analysis The effects of endurance training on functional capacity in the elderly: a meta-analysis The effects of endurance training on functional capacity in the elderly: a meta-analysis Green J S, Crouse S F Authors' objectives To examine the effects of endurance training on functional capacity (maximum oxygen consumption, MOC) in the elderly. Searching MEDLINE and the TEXSEARCH system (Texas A&M University) were (...) searched; search terms are reported but search dates are unclear. Bibliographies of retrieved articles were examined, and selected journals relating to the elderly were handsearched. Only studies published in the English language appear to have been included. Study selection Study designs of evaluations included in the review Studies comparing an experimental and a control group were included. It is unclear whether any of the studies are randomised, and the sources of the controls for these studies

1995 DARE.

932. The effects of exercise on falls in elderly patients: a preplanned meta-analysis of the FICSIT Trials

The effects of exercise on falls in elderly patients: a preplanned meta-analysis of the FICSIT Trials The effects of exercise on falls in elderly patients: a preplanned meta-analysis of the FICSIT Trials The effects of exercise on falls in elderly patients: a preplanned meta-analysis of the FICSIT Trials Province M A, Hadley E C, Hornbrook M C, Lipsitz L A, Miller J P, Mulrow C D, Ory M G, Sattin R W, Tinetti M E, Wolf S L Authors' objectives To determine if short-term exercise reduces falls (...) and fall-related injuries in the elderly. This was to be performed by a pre-planned meta-analysis of the seven Frailty and Injuries: Cooperative Studies of Intervention Techniques (FICSIT) trials. Searching The studies were all part of a collection of eight independent clinical trials, which made up a multicentre study in the USA called Frailty and Injuries: Cooperative Studies of Intervention Techniques (FICSIT). Study selection Study designs of evaluations included in the review All the studies were

1995 DARE.

933. Morbidity, mortality, and charges for hospital care of the elderly: a comparison of internists' and family physicians' admissions

Morbidity, mortality, and charges for hospital care of the elderly: a comparison of internists' and family physicians' admissions Morbidity, mortality, and charges for hospital care of the elderly: a comparison of internists' and family physicians' admissions Morbidity, mortality, and charges for hospital care of the elderly: a comparison of internists' and family physicians' admissions McGann K P, Bowman M A, Davis S W 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 Hospital care of elderly patients for common medical problems. Technologies include magnetic resonance imaging, haemodialysis, transplant service, radiation therapy, therapeutic radioisotope, open heart surgery, and cardiac catheterisation. Type

1995 NHS Economic Evaluation Database.

934. Outcomes of elderly stroke patients: day hospital versus conventional medical management

Outcomes of elderly stroke patients: day hospital versus conventional medical management Outcomes of elderly stroke patients: day hospital versus conventional medical management Outcomes of elderly stroke patients: day hospital versus conventional medical management Hui E, Lum C M, Woo J, Or K H, Kay R L 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 (...) hundred and twenty elderly patients with the clinical diagnosis of cerebrovascular accident were randomised to inpatient care on a stroke ward under the care of either a neurologist (conventional, n=61) or a geriatric team (GDH, n=59). At baseline, fifty patients in the conventional and 49 patients in the GDH groups had a functional improvement Barthel Index (BI) score of <= 15, whilst 11 and 10 patients had a BI score between 16 to 19. Study design Randomised controlled trial. The study was carried

1995 NHS Economic Evaluation Database.

935. Cost-effectiveness of preventing hip fractures in the elderly population using vitamin D and calcium

Cost-effectiveness of preventing hip fractures in the elderly population using vitamin D and calcium Cost-effectiveness of preventing hip fractures in the elderly population using vitamin D and calcium Cost-effectiveness of preventing hip fractures in the elderly population using vitamin D and calcium Torgerson D J, Kanis J A 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 Ergocalciferol and calciferol (Vitamins D) and calcium supplementation. Type of intervention Secondary prevention. Economic study type Cost-effectiveness analysis. Study population Elderly women with and without a low body mass index (BMI) (high risk group). Setting Community and nursing homes. Dates to which data relate The effectiveness data relate

1995 NHS Economic Evaluation Database.

936. The efficacy of influenza vaccine in elderly persons: a meta-analysis and review of the literature

The efficacy of influenza vaccine in elderly persons: a meta-analysis and review of the literature The efficacy of influenza vaccine in elderly persons: a meta-analysis and review of the literature The efficacy of influenza vaccine in elderly persons: a meta-analysis and review of the literature Gross P A, Hermogenes A W, Sacks H S, Lau J, Levandowski R A Authors' objectives To review the protective efficacy of influenza vaccination in elderly people. Searching MEDLINE was searched (search (...) dates are unclear)using the terms 'influenza vaccine', 'vaccine efficacy', 'elderly', 'mortality', 'hospitalised' and 'pneumonia', and appropriate references in the retrieved literature were identified. Study selection Study designs of evaluations included in the review Eleven retrospective cohort trials, 9 prospective cohort trials, 3 case-control trials and 1 randomised controlled trial (RCT). Only cohort trials were used for the meta-analysis (n=20). Specific interventions included in the review

1995 DARE.

937. Meta-analysis of efficacy of quinine for treatment of nocturnal leg cramps in elderly people

Meta-analysis of efficacy of quinine for treatment of nocturnal leg cramps in elderly people Meta-analysis of efficacy of quinine for treatment of nocturnal leg cramps in elderly people Meta-analysis of efficacy of quinine for treatment of nocturnal leg cramps in elderly people Man-Son-Hing M, Wells G Authors' objectives To quantitatively assess the efficacy of quinine (as quinine sulphate) compared with a placebo in the treatment of nocturnal leg cramps in ambulatory people. Searching MEDLINE (...) be appropriate to prescribe quinine for patients with nocturnal leg cramps, but given the possible serious side-effects patients taking this drug should be closely monitored. Bibliographic details Man-Son-Hing M, Wells G. Meta-analysis of efficacy of quinine for treatment of nocturnal leg cramps in elderly people. BMJ 1995; 310: 13-17 PubMedID Original Paper URL Other publications of related interest This additional published commentary may also be of interest. Voon WC, Sheu SH. Diltiazem for nocturnal leg

1995 DARE.

938. Early discharge planning for elderly patients in acute hospitals: an intervention study

Early discharge planning for elderly patients in acute hospitals: an intervention study Early discharge planning for elderly patients in acute hospitals: an intervention study Early discharge planning for elderly patients in acute hospitals: an intervention study Styrborn K 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 Early discharge planning for elderly patients in acute hospitals and subsequent care of these patients after discharge. Type of intervention Care and rehabilitation of the elderly. Economic study type Cost-effectiveness analysis. Study population Patients aged 75 years and over. Setting Acute hospital. The economic study was carried out in Sweden. Dates to which data relate 1991, except for the follow-up

1995 NHS Economic Evaluation Database.

939. Preventive services for the elderly: would coverage affect utilisation and costs under Medicare?

Preventive services for the elderly: would coverage affect utilisation and costs under Medicare? Preventive services for the elderly: would coverage affect utilisation and costs under Medicare? Preventive services for the elderly: would coverage affect utilisation and costs under Medicare? Burton L C, Steinwachs D M, German P S, Shapiro S, Brant L J, Richards T M, Clark R 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 Annual preventive and health risk screening service. Type of intervention Primary prevention. Economic study type Cost-effectiveness analysis. Study population Study participants were elderly (aged 65 or older), 62.7%in the intervention and 63.6% in the control group were female. 15.1% in the intervention

1995 NHS Economic Evaluation Database.

940. A trial of annual in-home comprehensive geriatric assessments for elderly people living in the community

A trial of annual in-home comprehensive geriatric assessments for elderly people living in the community Untitled Document The CRD Databases will not be available from 08:00 BST on Friday 4th October until 08:00 BST on Monday 7th October for essential maintenance. We apologise for any inconvenience.

1995 NHS Economic Evaluation Database.