Latest & greatest articles for elderly

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Top results for elderly

1001. Review: silent brain infarcts are common in the elderly general population

Review: silent brain infarcts are common in the elderly general population Review: silent brain infarcts are common in the elderly general population | 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: silent brain infarcts are common in the elderly general population Article Text Aetiology Review: silent brain infarcts are common in the elderly general population Statistics from Altmetric.com Request Permissions If you wish to reuse any

2008 Evidence-Based Medicine

1002. Short-term vitamin D plus calcium did not prevent falls more than calcium alone in elderly inpatients

Short-term vitamin D plus calcium did not prevent falls more than calcium alone in elderly inpatients Short-term vitamin D plus calcium did not prevent falls more than calcium alone in elderly inpatientsCommentary | 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 Short-term vitamin D plus calcium did not prevent falls more than calcium alone in elderly inpatientsCommentary Article Text Treatment Short-term vitamin D plus calcium did

2008 Evidence-Based Nursing

1003. Enalapril and captopril increased mortality compared with ramipril in elderly patients with heart failure

Enalapril and captopril increased mortality compared with ramipril in elderly patients with heart failure Enalapril and captopril increased mortality compared with ramipril in elderly patients with heart failureCommentary | 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 Enalapril and captopril increased mortality compared with ramipril in elderly patients with heart failureCommentary Article Text Causation Enalapril and captopril increased

2008 Evidence-Based Nursing

1004. A multifactorial intervention did not prevent falls or fractures in elderly patients during short hospital stays

A multifactorial intervention did not prevent falls or fractures in elderly patients during short hospital stays A multifactorial intervention did not prevent falls or fractures in elderly patients during short hospital staysCommentary | 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 A multifactorial intervention did not prevent falls or fractures in elderly patients during short hospital staysCommentary Article Text Treatment A multifactorial

2008 Evidence-Based Nursing

1005. Treatment of elevated blood pressure in the very elderly: Less is better

Treatment of elevated blood pressure in the very elderly: Less is better [71] Treatment of elevated blood pressure in the very elderly: Less is better | Therapeutics Initiative Independent Healthcare Evidence > > [71] Treatment of elevated blood pressure in the very elderly: Less is better Risk of serious adverse cardiovascular events increases with advancing age and with higher blood pressure. Falls and other serious adverse events associated with postural hypotension also increase with age (...) (95%CI 0.95, 1.25). The authors concluded that, because of the potential for an increase in mortality due to treatment, further trials were necessary. What have we learned from the two HYVET studies? The HYpertension in the Very Elderly Trial (HYVET) investigators designed two trials to determine whether antihypertensive treatment was beneficial in this older age group. The HYVET investigators began with a pilot open label multicentre RCT3 published in 2003. It was conducted in 10 European

2008 Therapeutics Letter

1006. Effect of different angiotensin-converting-enzyme inhibitors on mortality among elderly patients with congestive heart failure Full Text available with Trip Pro

Effect of different angiotensin-converting-enzyme inhibitors on mortality among elderly patients with congestive heart failure Existing clinical trial data do not address whether all angiotensin-converting-enzyme (ACE) inhibitors are similarly beneficial in improving survival and reducing the rate of readmission among patients with congestive heart failure. We sought to answer this question using administrative databases from Canada's 3 most populous provinces.Using linked hospital discharge

2008 EvidenceUpdates

1007. Biomarkers of inflammation and malnutrition associated with early death in healthy elderly people Full Text available with Trip Pro

Biomarkers of inflammation and malnutrition associated with early death in healthy elderly people To determine whether malnutrition and biomarkers of inflammation predict all-cause, cancer, and cardiovascular mortality in healthy elderly subjects.Population-based study, prospective cohort.Sète, on the French Mediterranean coast.Five hundred and fifty-three men and 888 women aged 60 and older from the Pathologies Oculaires Liées à l'Age cohort free of known comorbidities.Plasma levels (...) for high CRP and AAG and for low albumin and TTR in men but not in women.Biomarkers of inflammation and malnutrition together predict early mortality. In healthy elderly subjects, TTR and AAG could be helpful in identifying elderly subjects at higher risk of death.

2008 EvidenceUpdates

1008. Use of the berg balance scale for predicting multiple falls in community-dwelling elderly people: a prospective study Full Text available with Trip Pro

Use of the berg balance scale for predicting multiple falls in community-dwelling elderly people: a prospective study Falls are a significant public health concern for older adults; early identification of people at high risk for falling facilitates the provision of rehabilitation treatment to reduce future fall risk. The objective of this prospective cohort study was to examine the predictive validity of the Berg Balance Scale (BBS) for 3 types of outcomes-any fall (> or =1 fall), multiple

2008 EvidenceUpdates

1009. Statins for secondary prevention in elderly patients: a hierarchical bayesian meta-analysis Full Text available with Trip Pro

Statins for secondary prevention in elderly patients: a hierarchical bayesian meta-analysis This study was designed to determine whether statins reduce all-cause mortality in elderly patients with coronary heart disease.Statins continue to be underutilized in elderly patients because evidence has not consistently shown that they reduce mortality.We searched 5 electronic databases, the Internet, and conference proceedings to identify relevant trials. In addition, we obtained unpublished data (...) for the elderly patient subgroups from 4 trials and for the secondary prevention subgroup from the PROSPER (PROspective Study of Pravastatin in the Elderly at Risk) trial. Inclusion criteria were randomized allocation to statin or placebo, documented coronary heart disease, > or =50 elderly patients (defined as age > or =65 years), and > or =6 months of follow-up. Data were analyzed with hierarchical Bayesian modeling.We included 9 trials encompassing 19,569 patients with an age range of 65 to 82 years

2008 EvidenceUpdates

1010. Continuous-Flow Cell Saver Reduces Cognitive Decline in Elderly Patients After Coronary Bypass Surgery. Full Text available with Trip Pro

Continuous-Flow Cell Saver Reduces Cognitive Decline in Elderly Patients After Coronary Bypass Surgery. BACKGROUND: Cerebral microembolization during cardiopulmonary bypass may lead to cognitive decline after cardiac surgery. Transfusion of the unprocessed shed blood (major source of lipid microparticulates) into the patient during cardiopulmonary bypass is common practice to reduce blood loss and blood transfusion. Processing of shed blood with cell saver before transfusion may limit cerebral (...) microembolization and reduce cognitive decline after surgery. METHODS AND RESULTS: A total of 226 elderly patients were randomly allocated to either cell saver or control groups. Anesthesia and surgical management were standardized. Epiaortic scanning of the proximal thoracic aorta was performed in all patients. Transcranial Doppler was used to measure cerebral embolic rates. Standardized neuropsychological testing was conducted 1 week before and 6 weeks after surgery. The raw scores for each test were

2007 EvidenceUpdates Controlled trial quality: uncertain

1011. Effectiveness of influenza vaccine in the community-dwelling elderly. (Abstract)

Effectiveness of influenza vaccine in the community-dwelling elderly. Reliable estimates of the effectiveness of influenza vaccine among persons 65 years of age and older are important for informed vaccination policies and programs. Short-term studies may provide misleading pictures of long-term benefits, and residual confounding may have biased past results. This study examined the effectiveness of influenza vaccine in seniors over the long term while addressing potential bias and residual (...) confounding in the results.Data were pooled from 18 cohorts of community-dwelling elderly members of one U.S. health maintenance organization (HMO) for 1990-1991 through 1999-2000 and of two other HMOs for 1996-1997 through 1999-2000. Logistic regression was used to estimate the effectiveness of the vaccine for the prevention of hospitalization for pneumonia or influenza and death after adjustment for important covariates. Additional analyses explored for evidence of bias and the potential effect

2007 NEJM

1012. Epidemiology of major depressive disorder in elderly Nigerians in the Ibadan Study of Ageing: a community-based survey. Full Text available with Trip Pro

Epidemiology of major depressive disorder in elderly Nigerians in the Ibadan Study of Ageing: a community-based survey. The growing populations of elderly people in sub-Saharan Africa are exposed to social changes with potential adverse effects on mental health. Our aim was to estimate the occurrence and effect of major depressive disorder in a large and representative community sample of elderly Africans.Face-to-face interviews with a representative sample of people aged 65 years and older (n (...) treatment, and there was a mean delay of 5 years from onset of depression to receipt of first treatment. Low economic status (0.3) and rural residence (1.0) predicted no treatment.Major depressive disorder is common in elderly Nigerians and its occurrence is related to urbanisation. This disorder is a seriously disabling illness in this group but only a few sufferers have ever received treatment. Health-care services need to invest in effective treatment programmes for major depressive disorder.

2007 Lancet

1013. IMPACT collaborative care improves depression in elderly patients in primary care in the longer term Full Text available with Trip Pro

IMPACT collaborative care improves depression in elderly patients in primary care in the longer term IMPACT collaborative care improves depression in elderly patients in primary care in the longer term | 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 IMPACT collaborative care improves depression in elderly patients in primary care in the longer term Article Text Therapeutics IMPACT collaborative care improves depression in elderly

2007 Evidence-Based Mental Health

1014. Appropriate prescribing in elderly people: how well can it be measured and optimised? (Abstract)

Appropriate prescribing in elderly people: how well can it be measured and optimised? Prescription of medicines is a fundamental component of the care of elderly people, and optimisation of drug prescribing for this group of patients has become an important public-health issue worldwide. Several characteristics of ageing and geriatric medicine affect medication prescribing for elderly people and render the selection of appropriate pharmacotherapy a challenging and complex process. In the first (...) paper in this series we aim to define and categorise appropriate prescribing in elderly people, critically review the instruments that are available to measure it and discuss their predictive validity, critically review recent randomised controlled intervention studies that assessed the effect of optimisation strategies on the appropriateness of prescribing in elderly people, and suggest directions for future research and practice.

2007 Lancet

1015. The challenge of managing drug interactions in elderly people. (Abstract)

The challenge of managing drug interactions in elderly people. Drug therapy is essential when caring for elderly patients, but clearly it is a double-edged sword. Elderly patients are at high risk of having drug interactions, but the prevalence of these interactions is not well documented. Several types of interactions exist: drug-drug, drug-disease, drug-food, drug-alcohol, drug-herbal products, and drug-nutritional status. Factors such as age-related changes in pharmacokinetics (...) and pharmacodynamics, frailty, interindividual variability, reduced homoeostatic mechanisms, and psychosocial issues need to be considered when drug interactions are assessed. Software can help clinicians to detect drug interactions, but many programmes have not been updated with the evolving knowledge of these interactions, and do not take into consideration important factors needed to optimise drug treatment in elderly patients. Any generated recommendations have to be tempered by a holistic, geriatric

2007 Lancet

1016. Inappropriate use of medicines in acute care for the elderly related to a focus on acute care, providers’ passive attitudes about learning, and paternalistic decision making

Inappropriate use of medicines in acute care for the elderly related to a focus on acute care, providers’ passive attitudes about learning, and paternalistic decision making Inappropriate use of medicines in acute care for the elderly related to a focus on acute care, providers’ passive attitudes about learning, and paternalistic decision making | 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 (...) for the elderly related to a focus on acute care, providers’ passive attitudes about learning, and paternalistic decision making Article Text Qualitative Inappropriate use of medicines in acute care for the elderly related to a focus on acute care, providers’ passive attitudes about learning, and paternalistic decision making Statistics from Altmetric.com Request Permissions If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s

2007 Evidence-Based Nursing

1017. Moving elderly inpatients to a transitional care facility reduced hospital stay but increased time to transfer to long term care

Moving elderly inpatients to a transitional care facility reduced hospital stay but increased time to transfer to long term care Moving elderly inpatients to a transitional care facility reduced hospital stay but increased time to transfer to long term care | 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 Moving elderly inpatients to a transitional care facility reduced hospital stay but increased time to transfer to long term care Article

2007 Evidence-Based Nursing

1018. Review: protein and energy supplements reduce mortality and complications in undernourished elderly people in hospital

Review: protein and energy supplements reduce mortality and complications in undernourished elderly people in hospital Review: protein and energy supplements reduce mortality and complications in undernourished elderly people in hospital | 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: protein and energy supplements reduce mortality and complications in undernourished elderly people in hospital Article Text Treatment Review

2007 Evidence-Based Nursing

1019. Review: sedative hypnotics may improve sleep quality but increase adverse effects in elderly people with insomnia

Review: sedative hypnotics may improve sleep quality but increase adverse effects in elderly people with insomnia Review: sedative hypnotics may improve sleep quality but increase adverse effects in elderly people with insomnia | 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: sedative hypnotics may improve sleep quality but increase adverse effects in elderly people with insomnia Article Text Treatment Review: sedative hypnotics may

2007 Evidence-Based Nursing

1020. Level of dependency: a simple marker associated with mortality during the 2003 heatwave among French dependent elderly people living in the community or in institutions. Full Text available with Trip Pro

Level of dependency: a simple marker associated with mortality during the 2003 heatwave among French dependent elderly people living in the community or in institutions. BACKGROUND: In France, the August 2003 heat wave was responsible for considerable excess mortality among the elderly. We wonder whether the dependency level could be a marker of the risk for mortality during this heat wave. METHODS: Retrospective cohort study of deaths that occurred between 1 and 20 August 2003, conducted (...) , 16,779 were community dwellers and 14,824 lived in institutions. Between 1 and 20 August 2003, 858 subjects died: 300 community dwellers and 558 institutionalised (mortality rates of 2.7, 1.8 and 3.8 per cent, respectively). Independent risk factors for mortality were: age, sex and GIR group in community dwellers; age, GIR group and living in a region highly exposed to heatwave mortality for institutionalised elderly; independent factors for mortality were age, sex, GIR group, type of residence

2007 EvidenceUpdates