Latest & greatest articles for geriatrics

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Top results for geriatrics

41. Head-to-head comparison of disaster triage methods in pediatric, adult, and geriatric patients

Head-to-head comparison of disaster triage methods in pediatric, adult, and geriatric patients 23465555 2013 05 20 2013 07 22 2014 01 07 1097-6760 61 6 2013 Jun Annals of emergency medicine Ann Emerg Med Head-to-head comparison of disaster triage methods in pediatric, adult, and geriatric patients. 668-676.e7 10.1016/j.annemergmed.2012.12.023 S0196-0644(12)01912-9 A variety of methods have been proposed and used in disaster triage situations, but there is little more than expert opinion (...) to support most of them. Anecdotal disaster experiences often report mediocre real-world triage accuracy. The study objective was to determine the accuracy of several disaster triage methods when predicting clinically important outcomes in a large cohort of trauma victims. Pediatric, adult, and geriatric trauma victims from the National Trauma Data Bank were assigned triage levels, using each of 6 disaster triage methods: simple triage and rapid treatment (START), Fire Department of New York (FDNY

EvidenceUpdates2013

42. Predicting outcome after hip fracture: using a frailty index to integrate comprehensive geriatric assessment results

Predicting outcome after hip fracture: using a frailty index to integrate comprehensive geriatric assessment results 23832264 2013 12 16 2014 08 05 2013 12 16 1468-2834 43 1 2014 Jan Age and ageing Age Ageing Predicting outcome after hip fracture: using a frailty index to integrate comprehensive geriatric assessment results. 122-6 10.1093/ageing/aft084 hip fracture is expensive in terms of mortality, hospital length of stay (LOS) and consequences for independence. Poor outcome reflects (...) the vulnerability of patients who typically sustain this injury, but the impact of different comorbidities and impairments is complex to understand. We consider this in a prospective cohort study designed to examine how a patients' frailty index (FI) predicts outcome. consecutive patients with low trauma hip fracture were assessed, excluding only those unfit for surgery. Comprehensive Geriatric Assessment (CGA) findings were used to derive a FI for each patient, which was examined alongside other assessment

EvidenceUpdates2013

43. Efficacy of Chlorhexidine Varnish In Treating Root Caries Of Geriatric Patients

Efficacy of Chlorhexidine Varnish In Treating Root Caries Of Geriatric Patients UTCAT2411, Found CAT view, CRITICALLY APPRAISED TOPICs University: | | ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM View the CAT / Title Efficacy of Chlorhexidine Varnish In Treating Root Caries of Geriatric Patients Clinical Question Will the application of a chlorhexidine varnish prevent or reduce the progression of root caries in a geriatric population versus a placebo group? Clinical Bottom Line Chlorhexidine (...) varnish can aid in the reduction of the occurrence and progression of root caries in geriatric patients. Best Evidence (you may view more info by clicking on the PubMed ID link) PubMed ID Author / Year Patient Group Study type (level of evidence) #1) Banting/2000 236 Subjects Randomized control Trial Key results Treatment with 10% chlohexidine varnish demonstrated a significant reduction in root caries (p=0.02) and total caries (p=0.03) versus the placebo groups. The chlorhexidine varnish treatment

UTHSCSA Dental School CAT Library2013

44. Advanced age affects the outcome-predictive power of RIFLE classification in geriatric patients with acute kidney injury

Advanced age affects the outcome-predictive power of RIFLE classification in geriatric patients with acute kidney injury 22763817 2012 09 28 2013 07 08 2013 11 21 1523-1755 82 8 2012 Oct Kidney international Kidney Int. Advanced age affects the outcome-predictive power of RIFLE classification in geriatric patients with acute kidney injury. 920-7 10.1038/ki.2012.237 The RIFLE (risk, injury, failure, loss, and end-stage) classification is widely used to gauge the severity of acute kidney injury (...) , but its efficacy has not been formally tested in geriatric patients. To correct this we conducted a prospective observational study in a multicenter cohort of 3931 elderly patients (65 years of age or older) who developed acute kidney injury in accordance with the RIFLE creatinine criteria after major surgery. We studied the predictive power of the RIFLE classification for in-hospital mortality and investigated the potential interaction between age and RIFLE classification. In general, the survivors

EvidenceUpdates2013

45. Specialized geriatric care for hospitalized inpatients

Specialized geriatric care for hospitalized inpatients Specialized geriatric care for hospitalized inpatients Specialized geriatric care for hospitalized inpatients Lavenberg JG, Williams K Record Status This is a bibliographic record of a published health technology assessment. No evaluation of the quality of this assessment has been made for the HTA database. Citation Lavenberg JG, Williams K. Specialized geriatric care for hospitalized inpatients. Philadelphia: Center for Evidence (...) -based Practice (CEP). 2013 Final publication URL Indexing Status Subject indexing assigned by CRD MeSH Geriatric Nursing; Humans; Inpatients Language Published English Country of organisation United States English summary An English language summary is available. Address for correspondence Center for Evidence-based Practice, University of Pennsylvania Health System, 3535 Market St. Suite 50, Philadelphia PA 19104 Email: Cep2@uphs.upenn.edu AccessionNumber 32014000621 Date abstract record published 17/06/2014

Health Technology Assessment (HTA) Database.2013

47. Dialogue on Geriatrics: How Should We Fix the Problem?

Dialogue on Geriatrics: How Should We Fix the Problem? 22986387 2012 09 18 2012 12 03 2017 02 20 1539-3704 157 6 2012 Sep 18 Annals of internal medicine Ann. Intern. Med. Dialogue on geriatrics: how should we fix the problem? 456-7; author reply 458-9 10.7326/0003-4819-157-6-201209180-00018 Madden Kenneth M KM Rockwood Kenneth K eng 77789-1 Canadian Institutes of Health Research Canada Comment Letter United States Ann Intern Med 0372351 0003-4819 AIM IM Ann Intern Med. 2012 May 1;156(9):654-6 (...) 22547474 Clin Geriatr Med. 2011 Feb;27(1):17-26 21093719 BMJ. 2011;343:d6553 22034146 Ann Intern Med. 2012 May 1;156(9):654-6 22547474 Can Geriatr J. 2013;16(1):1-2 23441141 Career Choice Geriatrics education manpower Humans CAMS3232 PMC3767604 2012 9 19 6 0 2012 9 19 6 0 2012 12 10 6 0 ppublish 22986387 1359229 10.7326/0003-4819-157-6-201209180-00018 PMC3767604 CAMS3232

Annals of Internal Medicine2012 Full Text: Link to full Text with Trip Pro

48. A systematic review of comprehensive geriatric assessment to improve outcomes for frail older people being rapidly discharged from acute hospital: 'interface geriatrics'

A systematic review of comprehensive geriatric assessment to improve outcomes for frail older people being rapidly discharged from acute hospital: 'interface geriatrics' A systematic review of comprehensive geriatric assessment to improve outcomes for frail older people being rapidly discharged from acute hospital: 'interface geriatrics' A systematic review of comprehensive geriatric assessment to improve outcomes for frail older people being rapidly discharged from acute hospital: 'interface (...) geriatrics' Conroy SP, Stevens T, Parker SG, Gladman JR CRD summary The authors concluded there was no clear evidence of a benefit for comprehensive geriatric assessment of frail older people being discharged from emergency departments or hospital settings. However few trials have been carried out and their overall quality was poor. The authors' cautious conclusions reflect the evidence presented, but the potential for selection bias should be considered. Authors' objectives To assess the role

DARE.2012

49. Frailty screening methods for predicting outcome of a comprehensive geriatric assessment in elderly patients with cancer: a systematic review

Frailty screening methods for predicting outcome of a comprehensive geriatric assessment in elderly patients with cancer: a systematic review Frailty screening methods for predicting outcome of a comprehensive geriatric assessment in elderly patients with cancer: a systematic review Frailty screening methods for predicting outcome of a comprehensive geriatric assessment in elderly patients with cancer: a systematic review Hamaker ME, Jonker JM, de Rooij SE, Vos AG, Smorenburg CH, van Munster BC (...) CRD summary This review concluded that available frailty screening methods had insufficient discriminative power to select patients for further assessment and that it may be beneficial for all elderly patients with cancer to receive a comprehensive geriatric assessment. These cautious conclusions reflect the available data and are likely to be reliable. Authors' objectives To assess the diagnostic performance of frailty screening methods to predict the presence of impairments on a comprehensive

DARE.2012

50. Effectiveness of acute geriatric unit care using Acute Care for Elders components: a systematic review and meta-analysis

Effectiveness of acute geriatric unit care using Acute Care for Elders components: a systematic review and meta-analysis Effectiveness of acute geriatric unit care using Acute Care for Elders components: a systematic review and meta-analysis Effectiveness of acute geriatric unit care using Acute Care for Elders components: a systematic review and meta-analysis Fox MT, Persaud M, Maimets I, O'Brien K, Brooks D, Tregunno D, Schraa E CRD summary The authors concluded that acute geriatric unit care (...) , with one or more elements of the Acute Care for Elders model, for older patients with acute illness or injury, had beneficial effects, over usual care, in reducing falls, delirium, functional decline, length of hospital stay, and costs. This was a well-conducted review; the conclusions reflect the evidence and seem reliable. Authors' objectives To compare the effectiveness of acute geriatric unit care, versus usual care, for acutely ill or injured older adults. Searching Seventeen databases, including

DARE.2012

51. Systematic review with meta-analysis: Review: comprehensive geriatric assessment increases a patient's likelihood of being alive and in their own home at up to 12 months

Systematic review with meta-analysis: Review: comprehensive geriatric assessment increases a patient's likelihood of being alive and in their own home at up to 12 months Review: comprehensive geriatric assessment increases a patient's likelihood of being alive and in their own home at up to 12 months | Evidence-Based Nursing This site uses cookies. By continuing to browse the site you are agreeing to our use of cookies. Log in via your Society 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 via your Society 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: comprehensive geriatric assessment increases a patient's likelihood of being alive and in their own home at up to 12 months Article Text Care

Evidence-Based Nursing (Requires free registration)2012

52. Geriatric Trauma, Evaluation and Management of

Geriatric Trauma, Evaluation and Management of Geriatric Trauma, Evaluation and Management of - Practice Management Guideline Search » Geriatric Trauma, Evaluation and Management of Published 2012 Citation: Authors Calland, James Forrest MD; Ingraham, Angela M. MD; Martin, Niels MD; Marshall, Gary T. MD; Schulman, Carl I. MD, PhD, MSPH; Stapleton, Tristan; Barraco, Robert D. MD, MPH Author Information From the Department of Surgery (J.F.C.), University of Virginia, Charlottesville, Virginia (...) Valley Health Network (R.D.B.), Allentown, Pennsylvania. Address for reprints: James Forrest Calland, MD, FACS, Box 800709, Department of Surgery, University of Virginia, Charlottesville, VA 22908; email: calland@virginia.edu. Introduction Elderly trauma patients face an increased risk for adverse outcomes after injury. As such, clinicians treating injured patients of advanced age need guidance in identifying the techniques and practices that have the proven capacity to improve outcomes. Although

Eastern Association for the Surgery of Trauma2012

54. The Six-Item Screener and AD8 for the Detection of Cognitive Impairment in Geriatric Emergency Department Patients

The Six-Item Screener and AD8 for the Detection of Cognitive Impairment in Geriatric Emergency Department Patients 20855129 2011 05 30 2011 07 29 2017 02 20 1097-6760 57 6 2011 Jun Annals of emergency medicine Ann Emerg Med The Six-Item Screener and AD8 for the detection of cognitive impairment in geriatric emergency department patients. 653-61 10.1016/j.annemergmed.2010.06.560 We evaluate the diagnostic test characteristics of the Six-Item Screener and the AD8 to detect cognitive dysfunction (...) AIM IM Ann Emerg Med. 1999 May;33(5):575-80 10216335 J Am Geriatr Soc. 2007 Nov;55(11):1873-6 17916122 Ann Intern Med. 2003 Jan 7;138(1):W1-12 12513067 Ann Emerg Med. 2008 Aug;52(2):151-9 18282636 Acad Emerg Med. 2009 May;16(5):441-9 19344452 N Engl J Med. 2003 Dec 25;349(26):2510-8 14695411 Psychol Med. 1982 May;12(2):397-408 7100362 Emerg Med J. 2009 Apr;26(4):238-40 19307380 Ann Emerg Med. 1999 Apr;33(4):437-47 10092723 J Clin Epidemiol. 2003 Nov;56(11):1118-28 14615003 N Engl J Med. 1980 May

EvidenceUpdates2011 Full Text: Link to full Text with Trip Pro

55. Summary of the Updated American Geriatrics Society/British Geriatrics Society clinical practice guideline for prevention of falls in older persons

Summary of the Updated American Geriatrics Society/British Geriatrics Society clinical practice guideline for prevention of falls in older persons 21226685 2011 01 13 2011 02 18 2016 11 25 1532-5415 59 1 2011 Jan Journal of the American Geriatrics Society J Am Geriatr Soc Summary of the Updated American Geriatrics Society/British Geriatrics Society clinical practice guideline for prevention of falls in older persons. 148-57 10.1111/j.1532-5415.2010.03234.x The following article is a summary (...) of the American Geriatrics Society/British Geriatrics Society Clinical Practice Guideline for Prevention of Falls in Older Persons (2010). This article provides additional discussion of the guideline process and the differences between the current guideline and the 2001 version and includes the guidelines' recommendations, algorithm, and acknowledgments. The complete guideline is published on the American Geriatrics Society's Web site (http://www.americangeriatrics.org/health_care_professionals

EvidenceUpdates2011

56. Models of community care for the elderly involving collaboration between specialized geriatric services and primary care practitioners

Models of community care for the elderly involving collaboration between specialized geriatric services and primary care practitioners

OHRI Knowledge to Action2011

57. Review: the STRATIFY prediction tool has limited accuracy for predicting falls in hospital and geriatric rehabilitation inpatients

Review: the STRATIFY prediction tool has limited accuracy for predicting falls in hospital and geriatric rehabilitation inpatients Review: the STRATIFY prediction tool has limited accuracy for predicting falls in hospital and geriatric rehabilitation inpatients | Evidence-Based Nursing This site uses cookies. By continuing to browse the site you are agreeing to our use of cookies. Log in via your Society 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 via your Society 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: the STRATIFY prediction tool has limited accuracy for predicting falls in hospital and geriatric rehabilitation inpatients Article Text Clinical prediction guide Review: the STRATIFY prediction

Evidence-Based Nursing (Requires free registration)2010

58. Effectiveness of a geriatric intervention in primary care: a randomized clinical trial

Effectiveness of a geriatric intervention in primary care: a randomized clinical trial 20053673 2010 05 20 2010 08 26 2010 05 20 1460-2229 27 3 2010 Jun Family practice Fam Pract Effectiveness of a geriatric intervention in primary care: a randomized clinical trial. 239-45 10.1093/fampra/cmp101 To assess the effectiveness of an intervention after comprehensive geriatric assessment (CGA) in reducing morbidity and mortality in patients over 74 years in primary care. Randomized controlled trial (...) @eapsardenya.cat Brotons Carlos C Moral Irene I Altimir Salvador S San José Antonio A Santaeugenia Sebastián S Sellarès Jaume J Padrós Jaume J eng Journal Article Randomized Controlled Trial Research Support, Non-U.S. Gov't 2010 01 06 England Fam Pract 8500875 0263-2136 IM Aged Aged, 80 and over Female Frail Elderly Geriatric Assessment Humans Male Morbidity Mortality Primary Health Care Program Evaluation Proportional Hazards Models Risk Reduction Behavior Spain 2010 1 8 6 0 2010 1 8 6 0 2010 8 27 6 0

EvidenceUpdates2010

59. Which version of the geriatric depression scale is most useful in medical settings and nursing homes? Diagnostic validity meta-analysis

Which version of the geriatric depression scale is most useful in medical settings and nursing homes? Diagnostic validity meta-analysis Which version of the geriatric depression scale is most useful in medical settings and nursing homes? Diagnostic validity meta-analysis Which version of the geriatric depression scale is most useful in medical settings and nursing homes? Diagnostic validity meta-analysis Mitchell AJ, Bird V, Rizzo M, Meader N CRD summary This review concluded that all versions (...) of the geriatric depression scale (GDS) provided potential added value in medical settings. GDS 4/5 was most efficient. In the absence of GDS 4/5 data for nursing homes, GDS 15 may be preferred. Limitations in the methods and reporting of the review mean that these conclusions should be interpreted cautiously. Authors' objectives To assess the diagnostic accuracy of different forms (long, short and ultrashort) of the Geriatric Depression Scale (GDS) in patients with and without cognitive impairment. Searching

DARE.2010

60. The effectiveness of inpatient geriatric evaluation and management units: a systematic review and meta-analysis

The effectiveness of inpatient geriatric evaluation and management units: a systematic review and meta-analysis The effectiveness of inpatient geriatric evaluation and management units: a systematic review and meta-analysis The effectiveness of inpatient geriatric evaluation and management units: a systematic review and meta-analysis Van Craen K, Braes T, Wellens N, Denhaerynck K, Flamaing J, Moons P, Boonen S, Gosset C, Petermans J, Milisen K CRD summary This review examined the effectiveness (...) of inpatient geriatric evaluation and management units and found that they may add value to the care of frail older people, but that more and better quality primary research was needed. Not enough detail about the review process was provided, but the cautious conclusion appears appropriate given the evidence provided. Authors' objectives To examine the effectiveness of inpatient geriatric evaluation and management units (GEMUs). Searching Five databases were searched, including MEDLINE and EMBASE

DARE.2010