Latest & greatest articles for geriatrics

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Top results for geriatrics

61. 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

62. 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

63. Inpatient rehabilitation specifically designed for geriatric patients: systematic review and meta-analysis of randomised controlled trials

Inpatient rehabilitation specifically designed for geriatric patients: systematic review and meta-analysis of randomised controlled trials Inpatient rehabilitation specifically designed for geriatric patients: systematic review and meta-analysis of randomised controlled trials Inpatient rehabilitation specifically designed for geriatric patients: systematic review and meta-analysis of randomised controlled trials Bachmann S, Finger C, Huss A, Egger M, Stuck AE, Clough-Gorr KM CRD summary (...) This well-conducted systematic review concluded that in-patient geriatric rehabilitation programmes appeared to have potential to improve function, admissions to nursing homes and mortality outcomes. This conclusion is likely to be reliable. Authors' objectives To assess short-term and longer term effects of in-patient rehabilitation specifically designed for geriatric patients on the outcomes of functional improvement, admissions to nursing homes and mortality. Searching MEDLINE, EMBASE and Cochrane

DARE.2010

64. The Relationship Between Vitamin D Deficiency and Cognitive Decline in the Geriatric Population

The Relationship Between Vitamin D Deficiency and Cognitive Decline in the Geriatric Population "The Relationship Between Vitamin D Deficiency and Cognitive Decline in" by Erin Walker < > > > > > Title Author Date of Award 8-14-2010 Degree Type Capstone Project Degree Name Master of Science in Physician Assistant Studies First Advisor Mary Von PA-C, MS, DFAAPA Second Advisor Annjanette Sommers MS, PAC Third Advisor Rob Rosenow PharmD, OD Rights . Abstract Background: The role that vitamin D (...) plays in numerous biological systems has been an intriguing topic in recent decades. Currently, scientists are researching its interaction with the central nervous system, and in particular, the ageing brain. Substantial data from animal research exist on the physiologic effects of vitamin D on the neurological system. It is postulated that this vitamin may influence cognitive function in humans. Methods: Using the search terms “vitamin D” and “cognitive function,” an exhaustive literature search

Pacific University EBM Capstone Project2010

65. How Should You Approach a Geriatric Insomniac?

How Should You Approach a Geriatric Insomniac? How Should You Approach a Geriatric Insomniac? | Clinical Correlations How Should You Approach a Geriatric Insomniac? September 2, 2009 Gilda Boroumand, MS4 Faculty Peer Reviewed Chronic insomnia, defined as difficulty with the initiation, maintenance, duration, and quality of sleep for at least one month, is a common complaint with significant impact on an individual’s daytime functioning and quality of life. It is particularly prevalent (...) in the elderly, affecting between 23% to 34% of individuals over the age of 64.[1] This same group is also more likely to experience adverse effects from various treatment regimens, thus leaving physicians with the task of weighing possible benefits against the risk of side effects. This is a difficult task, for the assessment of treatment efficacy is complicated by insomnia’s overlap with medical and psychiatric conditions, lack of consistency in diagnostic criteria, variation in methods used to assess

Clinical Correlations2009

66. A literature review of the application of the Geriatric Depression Scale, Depression Anxiety Stress Scales and Post-traumatic Stress Disorder Checklist to community nursing cohorts

A literature review of the application of the Geriatric Depression Scale, Depression Anxiety Stress Scales and Post-traumatic Stress Disorder Checklist to community nursing cohorts 19284431 2009 03 16 2009 07 17 2009 03 16 1365-2702 18 7 2009 Apr Journal of clinical nursing J Clin Nurs A literature review of the application of the Geriatric Depression Scale, Depression Anxiety Stress Scales and Post-traumatic Stress Disorder Checklist to community nursing cohorts. 949-59 10.1111/j.1365 (...) positioned to do so. The use of valid and reliable self-report tools is one method of improving nurses' identification of people with actual or potential mental health difficulties for referral to a general practitioner or mental health practitioner for diagnostic assessment and treatment. The Geriatric Depression Scale, Depression Anxiety Stress Scales and Post-traumatic Stress Disorder Checklist are frequently recommended for mental health screening but the appropriateness of using the tools

EvidenceUpdates2009

67. A literature review of the application of the Geriatric Depression Scale, Depression Anxiety Stress Scales and Post-traumatic Stress Disorder Checklist to community nursing cohorts

A literature review of the application of the Geriatric Depression Scale, Depression Anxiety Stress Scales and Post-traumatic Stress Disorder Checklist to community nursing cohorts A literature review of the application of the Geriatric Depression Scale, Depression Anxiety Stress Scales and Post-traumatic Stress Disorder Checklist to community nursing cohorts A literature review of the application of the Geriatric Depression Scale, Depression Anxiety Stress Scales (...) and Post-traumatic Stress Disorder Checklist to community nursing cohorts Allen J, Annells M CRD summary This review concluded that the Geriatric Depression Scale predicted depression in community nursing cohorts and the Post-traumatic Stress Disorder Checklist predicted post-traumatic stress disorder in community cohorts; no studies were identified for the Depression Anxiety Stress Scales. The potential for missing studies, poor reporting of review methods and uncertain study quality suggests these conclusions should

DARE.2009

68. Effectiveness of acute geriatric units on functional decline, living at home, and case fatality among older patients admitted to hospital for acute medical disorders: meta-analysis

Effectiveness of acute geriatric units on functional decline, living at home, and case fatality among older patients admitted to hospital for acute medical disorders: meta-analysis Effectiveness of acute geriatric units on functional decline, living at home, and case fatality among older patients admitted to hospital for acute medical disorders: meta-analysis Effectiveness of acute geriatric units on functional decline, living at home, and case fatality among older patients admitted to hospital (...) for acute medical disorders: meta-analysis Baztan J J, Suarez-Garcia F M, Lopez-Arrieta J, Rodriguez-Manas L, Rodriguez-Artalejo F CRD summary This well-conducted review compared acute geriatric units with conventional hospital care for elderly patients admitted for acute medical disorders. The authors concluded that acute geriatric unit care provides greater funciontal benefit and increased likelihood of living at home after discharge compared to conventional hospital care. This conclusion clearly

DARE.2009

69. Central but not brachial blood pressure predicts cardiovascular events in an unselected geriatric population: the ICARe Dicomano Study

Central but not brachial blood pressure predicts cardiovascular events in an unselected geriatric population: the ICARe Dicomano Study 18565402 2008 06 20 2008 07 22 2008 06 20 1558-3597 51 25 2008 Jun 24 Journal of the American College of Cardiology J. Am. Coll. Cardiol. Central but not brachial blood pressure predicts cardiovascular events in an unselected geriatric population: the ICARe Dicomano Study. 2432-9 10.1016/j.jacc.2008.03.031 The present study investigated whether central blood (...) pressure (BP) predicts cardiovascular (CV) events better than brachial BP in a cohort of normotensive and untreated hypertensive elderly individuals. Limited and conflicting data have been reported on the prognostic relevance of central BP compared with brachial BP. Community-dwelling individuals > or =65 years of age, living in Dicomano, Italy, underwent an extensive clinical assessment in 1995 including echocardiography and carotid ultrasonography and applanation tonometry. In 2003, vital status and CV

EvidenceUpdates2008

70. Geriatric conditions and disability: the Health and Retirement Study.

Geriatric conditions and disability: the Health and Retirement Study. BACKGROUND: Geriatric conditions, such as incontinence and falling, are not part of the traditional disease model of medicine and may be overlooked in the care of older adults. The prevalence of geriatric conditions and their effect on health and disability in older adults has not been investigated in population-based samples. OBJECTIVE: To investigate the prevalence of geriatric conditions and their association (...) with dependency in activities of daily living by using nationally representative data. DESIGN: Cross-sectional analysis. SETTING: Health and Retirement Study survey administered in 2000. PARTICIPANTS: Adults age 65 years or older (n = 11 093, representing 34.5 million older Americans) living in the community and in nursing homes. MEASUREMENTS: Geriatric conditions (cognitive impairment, falls, incontinence, low body mass index, dizziness, vision impairment, hearing impairment) and dependency in activities

Annals of Internal Medicine2007

71. Geriatric care management for low-income seniors: a randomized controlled trial.

Geriatric care management for low-income seniors: a randomized controlled trial. 18073358 2007 12 12 2007 12 14 2016 10 19 1538-3598 298 22 2007 Dec 12 JAMA JAMA Geriatric care management for low-income seniors: a randomized controlled trial. 2623-33 Low-income seniors frequently have multiple chronic medical conditions for which they often fail to receive the recommended standard of care. To test the effectiveness of a geriatric care management model on improving the quality of care (...) and a geriatrics interdisciplinary team and were guided by 12 care protocols for common geriatric conditions. The Medical Outcomes 36-Item Short-Form (SF-36) scales and summary measures; instrumental and basic activities of daily living (ADLs); and emergency department (ED) visits not resulting in hospitalization and hospitalizations. Intention-to-treat analysis revealed significant improvements for intervention patients compared with usual care at 24 months in 4 of 8 SF-36 scales: general health (0.2 vs -2.3

JAMA2007

72. Do geriatric interventions reduce emergency department visits: a systematic review

Do geriatric interventions reduce emergency department visits: a systematic review Do geriatric interventions reduce emergency department visits: a systematic review Do geriatric interventions reduce emergency department visits: a systematic review McCusker J, Verdon J CRD summary This review assessed the effects of comprehensive geriatric assessment on emergency department visits. The authors concluded that many out-patient or community-based interventions reduced emergency department visits (...) , whereas hospital-based interventions had little effect. The lack of a quality assessment means that the reliability of the authors' conclusions is unclear. Authors' objectives To evaluate the effects of comprehensive geriatric assessment (CGA) on emergency department (ED) visits. Searching MEDLINE and the Cochrane Controlled Trials Register were searched from 1965 to 2004 using the reported search terms. In addition, the reference lists of relevant studies and reviews were screened and the authors

DARE.2006

73. The criterion validity of the Geriatric Depression Scale: a systematic review

The criterion validity of the Geriatric Depression Scale: a systematic review The criterion validity of the Geriatric Depression Scale: a systematic review The criterion validity of the Geriatric Depression Scale: a systematic review Wancata J, Alexandrowicz R, Marquart B, Weiss M, Friedrich F CRD summary The review assessed the diagnostic accuracy of the Geriatric Depression Scale (GDS-15 and GDS-30 versions). It concluded that the GDS is similar to the Centre for Epidemiological Studies (...) Depression scale and better than the Yale-1-question screen. Limitations in the search, the reporting of the review and the meta-analytic methods mean that conclusions should be viewed with caution. Authors' objectives To assess the screening accuracy of both versions of the Geriatric Depressions Scale (GDS-30 and GDS-15) and to compare the GDS with other screening instruments. Searching MEDLINE, EMBASE, CINAHL, PSYNDEX and the Cochrane Library were searched to September 2004. The search terms, which

DARE.2006

74. Can hip protector use cost-effectively prevent fractures in community-dwelling geriatric populations?

Can hip protector use cost-effectively prevent fractures in community-dwelling geriatric populations? Can hip protector use cost-effectively prevent fractures in community-dwelling geriatric populations? Can hip protector use cost-effectively prevent fractures in community-dwelling geriatric populations? Honkanen L A, Mushlin A I, Lachs M, Schackman B R Record Status This is a critical abstract of an economic evaluation that meets the criteria for inclusion on NHS EED. Each abstract contains (...) of community-dwelling individuals aged 65 years and older who had not fractured their hip before. Setting The setting was the community and institutional care. The economic study was carried out in the USA. Dates to which data relate The effectiveness data used to populate the model were derived from studies published between 1988 and 2004. Most of the cost data were derived from sources published between 1993 and 2002. The price year was 2004. Source of effectiveness data The clinical parameters

NHS Economic Evaluation Database.2006

75. Evidence-based caregiver interventions in geriatric psychiatry

Evidence-based caregiver interventions in geriatric psychiatry Evidence-based caregiver interventions in geriatric psychiatry Evidence-based caregiver interventions in geriatric psychiatry Schulz R, Martire L M, Klinger J N CRD summary The conclusion of this review was not explicitly stated. The authors stated that differences among studies made it difficult to draw definitive conclusions, although they did make recommendations for future research. Poor reporting of review methods (...) with problems targeted by the intervention. Patient and caregiver outcomes, such as mood and quality of life for patients and burden and depression for caregivers, should be assessed. Funding National Institutes of Health, grants NIMH P30 MH52247 and K01 MH065547, NHLBI P50 HL65111-65112 and R24 HL076852, NIA K07 AG000923 and U01 AG013305, NINR R01 NR008272 and NIH P60 MD000207. Bibliographic details Schulz R, Martire L M, Klinger J N. Evidence-based caregiver interventions in geriatric psychiatry

DARE.2005

76. A systematic review of antidepressant placebo-controlled trials for geriatric depression: limitations of current data and directions for the future

A systematic review of antidepressant placebo-controlled trials for geriatric depression: limitations of current data and directions for the future A systematic review of antidepressant placebo-controlled trials for geriatric depression: limitations of current data and directions for the future A systematic review of antidepressant placebo-controlled trials for geriatric depression: limitations of current data and directions for the future Taylor W D, Doraiswamy P M CRD summary This review (...) evaluated the effectiveness of antidepressants in the treatment of depression in elderly people. The authors concluded that antidepressants appear effective in treating depression in the elderly, although they acknowledged limitations in the methodology of the included studies. Considering the omission of methodological details and a validity assessment, and inconsistencies in reporting, the results of the review may not be reliable. Authors' objectives To determine the effectiveness of antidepressants

DARE.2004

77. What is the evidence for the effectiveness of specialist geriatric services in acute, post-acute and sub-acute settings? A critical appraisal of the literature

What is the evidence for the effectiveness of specialist geriatric services in acute, post-acute and sub-acute settings? A critical appraisal of the literature What is the evidence for the effectiveness of specialist geriatric services in acute, post-acute and sub-acute settings? A critical appraisal of the literature What is the evidence for the effectiveness of specialist geriatric services in acute, post-acute and sub-acute settings? A critical appraisal of the literature Day P, Rasmussen P (...) Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation Day P, Rasmussen P. What is the evidence for the effectiveness of specialist geriatric services in acute, post-acute and sub-acute settings? A critical appraisal of the literature. Christchurch: New Zealand Health Technology Assessment (NZHTA) 2004: 149 Authors' objectives To provide the evidence

Health Technology Assessment (HTA) Database.2004

78. General internal medicine and geriatrics: building a foundation to improve the training of general internists in the care of older adults.

General internal medicine and geriatrics: building a foundation to improve the training of general internists in the care of older adults. Internists--"doctors for adults"--provide most of the medical care given to older Americans, especially those with serious chronic disease. Nonetheless, the United States lacks an adequate physician workforce with mastery in caring for older persons and with expertise in building knowledge about how best to provide this care. This supplement aims (...) to strengthen the physician workforce by fostering incremental and sustained improvements in the training of internal medicine residents in the care of older adults and in the development of geriatrics-oriented general internal medicine faculty. It identifies 3 major barriers to these improvements: lack of adequately trained teachers and mentors, the belief that explicit training in geriatrics has little to offer the generalist, and inadequate funding. Three strategies offer particular promise in overcoming

Annals of Internal Medicine2003

79. Development of geriatrics-oriented faculty in general internal medicine.

Development of geriatrics-oriented faculty in general internal medicine. The need for adequate geriatrics training for the physician workforce has been recognized for decades. However, there are not enough academic geriatricians to provide for the educational needs of trainees, and this situation is not expected to change in the future. General internists are often responsible for teaching medical students and internal medicine residents to care for elderly patients in inpatient and ambulatory (...) settings. These academic general internists could play a pivotal role in providing geriatrics instruction. To characterize what is being done to develop geriatrics-oriented general internal medicine faculty, we identified current practices, "best practices," goals and targets, and barriers to achieving those goals and targets. We reviewed the literature on faculty-development programs for general internal medicine faculty, and we held focus groups and structured interviews with general internal

Annals of Internal Medicine2003

80. Geriatrics training in general internal medicine fellowship programs: current practice, barriers, and strategies for improvement.

Geriatrics training in general internal medicine fellowship programs: current practice, barriers, and strategies for improvement. To ensure its growth and prosperity, general internal medicine will need to embrace care of the elderly, research on aging, and geriatrics education as components of its core mission. Experts agree that general internal medicine fellows could benefit from increased opportunities in research on aging and geriatrics education; however, important barriers will hamper (...) efforts to integrate geriatrics training into general internal medicine fellowship programs. This article reviews the barriers to integration and proposes solutions for overcoming those barriers. As a result of interviews and meetings with a broad representation of general internists, geriatricians, funding agencies, and policymakers, we propose 2 interventions: 1) the development of institutional program grants to foster collaboration between general internal medicine and geriatrics faculty

Annals of Internal Medicine2003