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Latest & greatest articles for geriatrics
The Trip Database is a leading resource to help health professionals find trustworthy answers to their clinical questions. Users can access the latest research evidence and guidance to answer their clinical questions. We have a large collection of systematic reviews, clinical guidelines, regulatory guidance, clinical trials and many other forms of evidence. If you wanted the latest trusted evidence on geriatrics or other clinical topics then use Trip today.
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Decreased Reoperations and Improved Outcomes With Reverse Total Shoulder Arthroplasty in Comparison to Hemiarthroplasty for Geriatric Proximal Humerus Fractures: A Systematic Review and Meta-Analysis We sought to compare range of motion, clinical outcome scores, and complications after reverse total shoulder arthroplasty (RSA) and hemiarthroplasty (HA) in geriatric patients with acute proximal humerus fractures.We searched MEDLINE (1946-2017), EMBASE (1947-2017), the Cochrane Central Register
Goal-setting in geriatric rehabilitation: a systematic review and meta-analysis To explore the effect of goal-setting on physical functioning, quality of life and duration of rehabilitation in geriatric rehabilitation compared to care as usual.Medline, Embase, CINAHL, PsycINFO and the Cochrane Library were searched from initiation to October 2018.We included randomized controlled trials (RCTs), controlled before-after studies and studies using historic controls of older patients (mean age ⩾55 (...) to care as usual in geriatric rehabilitation. For quality of life and duration of rehabilitation, we could not exclude a clinically relevant effect.
Impact of Geriatrician-Performed Comprehensive Geriatric Care on Medication Use and Cognitive Function in Older Adults Referred to a Non-Hospital-Based Rehabilitation Unit Eighty-eight percent of older adults referred to Danish non-hospital-based rehabilitation units used ≥5 regular drugs per day at the beginning of rehabilitation. The aim of the study was to explore whether geriatrician-performed comprehensive geriatric care had an impact on medication use and cognitive function in older (...) adults after a 90-day follow-up.There were 368 individuals aged ≥65 years recruited from 2 Danish non-hospital-based rehabilitation units and randomized to geriatric care (the intervention group) or usual care (the control group). The medication adjustment was the key element of the geriatric intervention. The control group received standard rehabilitation with general practitioners as back-up. The outcomes were prevalence of hyperpolypharmacy (≥10 regular medications prescribed concurrently
Efficacy of Methylphenidate in the Geriatric Population for Fall Prevention "Efficacy of Methylphenidate in the Geriatric Population for Fall Preve" by Adam Stapleton < > > > > > Title Author Date of Graduation Summer 8-11-2018 Degree Type Capstone Project Degree Name Master of Science in Physician Assistant Studies Rights . Abstract || Abstract || Background: Approximately one-third of people aged 65 years and over who are not living in institutions fall at least once a year, with higher rates (...) that methylphenidate improved gait and executive function in older adults, and should be considered by clinicians as a method of fall prevention in this population. These results warrant further investigation of methylphenidate use in fall prevention with large-scale studies. Keywords: M ethylphenidate, older adults, and fall prevention Recommended Citation Stapleton, Adam, "Efficacy of Methylphenidate in the Geriatric Population for Fall Prevention" (2018). School of Physician Assistant Studies . 651. https
Geriatric assessment in acute myeloid leukemia: current and future landscape 30254106 2018 09 28 2473-9537 2 18 2018 Sep 25 Blood advances Blood Adv Geriatric assessment in acute myeloid leukemia: current and future landscape. 2418 10.1182/bloodadvances.2018016477 Loh Kah Poh KP http://orcid.org/0000-0002-6978-0418 Division of Hematology/Oncology, James P. Wilmot Cancer Institute, University of Rochester/Strong Memorial Hospital, Rochester, NY; and. Klepin Heidi D HD http://orcid.org/0000-0002 (...) -6262-1123 Section of Hematology and Oncology, Wake Forest School of Medicine, Winston-Salem, NC. eng Journal Article United States Blood Adv 101698425 2473-9529 Conflict-of-interest disclosure: H.D.K. contributes to UpToDate on assessment strategies for older adults with AML and is an unpaid scientific consultant to Genentech on geriatric assessment in AML. K.P.L. declares no competing financial interests. 2018 06 12 2018 07 06 2018 9 27 6 0 2018 9 27 6 0 2018 9 27 6 0 ppublish 30254106
Effects of geriatric interdisciplinary home rehabilitation on complications and readmissions after hip fracture: a randomized controlled trial This pre-planned secondary analysis of geriatric interdisciplinary home rehabilitation, which was initially found to shorten the postoperative length of stay in hospital for older individuals following hip fracture, investigated whether such rehabilitation reduced the numbers of complications, readmissions, and total days spent in hospital after (...) discharge during a 12-month follow-up period compared with conventional geriatric care and rehabilitation.Randomized controlled trial.Geriatric department, participants' residential care facilities, and ordinary housing.Individuals aged ⩾70 years with acute hip fracture ( n = 205) were included.Geriatric interdisciplinary home rehabilitation was individually designed and aimed at early discharge with the intention to prevent, detect, and treat complications after discharge.Complications, readmissions
Geriatrics Top results for geriatrics - Trip Database or use your Google+ account Liberating the literature ALL of these words: Title only Anywhere in the document ANY of these words: Title only Anywhere in the document This EXACT phrase: Title only Anywhere in the document EXCLUDING words: Title only Anywhere in the document Timeframe: to: Combine searches by placing the search numbers in the top search box and pressing the search button. An example search might look like (#1 or #2) and (#3 (...) or #4) Loading history... Population: Intervention: Comparison: Outcome: Population: Intervention: Latest & greatest articles for geriatrics The Trip Database is a leading resource to help health professionals find trustworthy answers to their clinical questions. Users can access the latest research evidence and guidance to answer their clinical questions. We have a large collection of systematic reviews, clinical guidelines, regulatory guidance, clinical trials and many other forms of evidence
A nutritional intervention program improves the nutritional status of geriatric patients at nutritional risk-a randomized controlled trial To investigate the effect of a nutrition intervention program for geriatric nutritional at-risk patients.A randomized controlled trial.Department of geriatric medicine in a university hospital and in the primary healthcare sector, Copenhagen.Geriatric patients ( N = 144) at nutritional risk.The intervention consisted of an individual dietary plan for home (...) health in geriatric patients.
CRACKCast E182 – Drug Therapy in the Geriatric Patient CRACKCast E182 - Drug Therapy in the Geriatric Patient - CanadiEM CRACKCast E182 – Drug Therapy in the Geriatric Patient In , by Chris Lipp May 31, 2018 This episode of CRACKCast covers Rosen’s chapter 185, Drug Therapy in the Geriatric Patient. Although short, this post contains vital information that will help you optimize the care of yours elderly patients in the ED. Take some time to commit this information to memory
CRACKCast E181 – Approach to the Geriatric Patient CRACKCast E181 - Approach to the Geriatric Patient - CanadiEM CRACKCast E181 – Approach to the Geriatric Patient In , , by Adam Thomas May 28, 2018 This episode of CRACKCast covers Rosen’s chapter 183, approach to the geriatric patient. Our geriatric patients can often mask serious diagnoses with vague presentations and multiple co-morbidities. Shownotes– Rosen’s In Perspective Taking care of the elderly is hard! Given the Silver-Tsunami (...) day? (yes) Each “yes” response counts as 1 point, for a total score ranging from 0 to 6. A patient is considered at high risk when the score is 2 or more. Adapted from McCusker J, Bellavance F, Cardin S, et al: Detection of older people at increased risk of adverse health outcomes after an emergency visit: the ISAR screening tool. J Am Geriatr Soc 47:1229–1237, 1999. bCAM Assessment (Brief Confusion Assessment Method) Figure 183.2 Need both of: Acute altered mental status or fluctuating course
Global Geriatric Assessment and In-Hospital Bleeding Risk in Elderly Patients with Acute Coronary Syndromes: Insights from the LONGEVO-SCA Registry Bleeding risk scores have shown a limited predictive ability in elderly patients with acute coronary syndromes (ACS). No study explored the role of a comprehensive geriatric assessment to predict in-hospital bleeding in this clinical setting.The prospective multicentre LONGEVO-SCA registry included 532 unselected patients with non-ST segment (...) elevation ACS (NSTEACS) aged 80 years or older. Comorbidity (Charlson index), frailty (FRAIL scale), disability (Barthel index and Lawton-Brody index), cognitive status (Pfeiffer test) and nutritional risk (mini nutritional assessment-short form test) were assessed during hospitalization. CRUSADE score was prospectively calculated for each patient. In-hospital major bleeding was defined by the CRUSADE classification. The association between geriatric syndromes and in-hospital major bleeding was assessed
Comprehensive geriatric assessment for older people admitted to a surgical service. Aging populations are at increased risk of postoperative complications. New methods to provide care for older people recovering from surgery may reduce surgery-related complications. Comprehensive geriatric assessment (CGA) has been shown to improve some outcomes for medical patients, such as enabling them to continue living at home, and has been proposed to have positive impacts for surgical patients. CGA
Frailty as an outcome in geriatrics research: not ready for prime time? 29310132 2019 03 13 2019 03 13 1539-3704 168 5 2018 03 06 Annals of internal medicine Ann. Intern. Med. Frailty as an Outcome in Geriatrics Research: Not Ready for Prime Time? 361-362 10.7326/M17-3048 Brown Rebecca T RT Division of Geriatrics, University of California, San Francisco, and San Francisco VA Medical Center, San Francisco, California (R.T.B., K.E.C.). Covinsky Kenneth E KE Division of Geriatrics, University (...) of California, San Francisco, and San Francisco VA Medical Center, San Francisco, California (R.T.B., K.E.C.). eng K23 AG045290 AG NIA NIH HHS United States K24 AG029812 AG NIA NIH HHS United States KL2 TR001870 TR NCATS NIH HHS United States P30 AG044281 AG NIA NIH HHS United States Editorial Comment 2018 01 09 United States Ann Intern Med 0372351 0003-4819 AIM IM Ann Intern Med. 2018 Mar 6;168(5):309-316 29310138 Exercise Frail Elderly Frailty Geriatric Assessment Geriatrics Humans 2018 1 9 6 0 2019 3 14
Patient Empowerment Reduces Pain in Geriatric Patients After Gynecologic Onco-Surgery: Subgroup Analysis ofÂ aÂ Prospective Randomized ControlledÂ Clinical Trial. This study aimed to determine the effect of patient empowerment on acute postoperative pain. This research was part of the Patient Empowerment and Risk-Assessed Treatment to Improve Outcome in the Elderly After Onco-Surgery Trial.This research was a prospective randomized controlled interventional study.Patients who underwent
American Geriatrics Society Beers Criteria and Anticoagulant Use in Older Adults With Renal Impairment 29340340 2018 11 13 2468-0249 3 1 2018 Jan Kidney international reports Kidney Int Rep American Geriatrics Society Beers Criteria and Anticoagulant Use in Older Adults With Renal Impairment. 222-223 10.1016/j.ekir.2017.11.006 Foody JoAnne J Janssen Pharmaceuticals, Inc, Titusville, New Jersey, USA. Moore Kenneth Todd KT Janssen Pharmaceuticals, Inc, Titusville, New Jersey, USA. eng Journal (...) Article 2017 12 05 United States Kidney Int Rep 101684752 2468-0249 2017 10 19 2017 11 06 2017 11 13 2018 1 18 6 0 2018 1 18 6 0 2018 1 18 6 1 epublish 29340340 10.1016/j.ekir.2017.11.006 S2468-0249(17)30441-2 PMC5762967 Br J Clin Pharmacol. 2010 Nov;70(5):703-12 21039764 J Am Geriatr Soc. 2015 Nov;63(11):2227-46 26446832 Am J Nephrol. 2016;43(4):229-36 27100875
International practice settings, interventions and outcomes of nurse practitioners in geriatric care: A scoping review To identify and summarize the common clinical settings, interventions, and outcomes of nurse practitioner care specific to older people.Scoping review of the international published and grey literature.A structured literature search was conducted of CINAHL, EMBASE, MEDLINE, Google Scholar, and Cochrane Collaboration and Joanna Briggs Institute databases.Following the Arksey
Comprehensive geriatric assessment for older adults admitted to hospital. Comprehensive geriatric assessment (CGA) is a multi-dimensional, multi-disciplinary diagnostic and therapeutic process conducted to determine the medical, mental, and functional problems of older people with frailty so that a co-ordinated and integrated plan for treatment and follow-up can be developed. This is an update of a previously published Cochrane review.We sought to critically appraise and summarise current (...) evidence on the effectiveness and resource use of CGA for older adults admitted to hospital, and to use these data to estimate its cost-effectiveness.We searched CENTRAL, MEDLINE, Embase, three other databases, and two trials registers on 5 October 2016; we also checked reference lists and contacted study authors.We included randomised trials that compared inpatient CGA (delivered on geriatric wards or by mobile teams) versus usual care on a general medical ward or on a ward for older people, usually
Integration of Geriatric Assessment in the Care of Patients with Gastrointestinal Malignancies The majority of patients with gastrointestinal (GI) malignancies are older. Recently, it has become evident that elements from a geriatric assessment (GA) are powerful predictors of outcomes such as postoperative morbidity and mortality, length of stay, type of treatment received, and survival across several GI tumor types in older adults. A GA is a systematic evaluation of functional status (...) findings.Increasing data shows that elements from a GA and frailty are consistently associated with negative short- and long-term treatment outcomes in older patients with GI malignancies. Future studies should investigate the impact of geriatric interventions on outcomes.
Top 5 Things I’ve Learned About Geriatric Emergency Medicine Top 5 Things I've Learned About Geriatric Emergency Medicine - CanadiEM Top 5 Things I’ve Learned About Geriatric Emergency Medicine In by Thom Ringer August 1, 2017 My medical school dean urged our class to “think not just about what interests you, but about who needs you.” Few patients I’ve encountered in healthcare have struck me as more in need than the frail elderly. As I’ve learned, the ED lies at the heart of the elder care (...) ecosystem, a hub connecting seniors to resources, investigations, specialists, and acute care. In this post, I’d like to share the Top Five things I’ve found interesting about geriatric emergency medicine, as well as some practical advice for learners. 1. Older adults come to the ED often, and are more unwell when they do. In Ontario, persons over the age of 75 have the highest ED visit rate (73.1 per 100 of the population, compared to an average of 39.7). 1 In 2015, adults aged 65 or better accounted
Prevention of Dehydration in Geriatric Patients in Long-Term Care: Guidelines Prevention of Dehydration in Geriatric Patients in Long-Term Care: Guidelines | CADTH.ca Find the information you need Prevention of Dehydration in Geriatric Patients in Long-Term Care: Guidelines Prevention of Dehydration in Geriatric Patients in Long-Term Care: Guidelines Published on: June 28, 2017 Project Number: RB1114-000 Product Line: Research Type: Devices and Systems Report Type: Summary of Abstracts Result (...) type: Report Question What are the evidence-based guidelines regarding the prevention and identification of dehydration in geriatric patients in long-term care? Key Message Five systematic reviews (two with meta-analyses) and three evidence-based guidelines were identified regarding hydration management procedures or dehydration assessment for geriatric patients in the long-term care setting. Tags aged, dehydration, geriatrics, housing for the elderly, nursing homes, rehydration solutions, thirst