Latest & greatest articles for geriatrics

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Top results for geriatrics

101. A randomized trial of comprehensive geriatric assessment in the care of hospitalized patients.

A randomized trial of comprehensive geriatric assessment in the care of hospitalized patients. 7715645 1995 05 18 1995 05 18 2010 03 24 0028-4793 332 20 1995 May 18 The New England journal of medicine N. Engl. J. Med. A randomized trial of comprehensive geriatric assessment in the care of hospitalized patients. 1345-50 Although many studies describe benefits from the comprehensive assessment of elderly patients by an interdisciplinary team (comprehensive geriatric assessment), the most (...) supportive evidence for the process has come from programs that rely on specialized inpatient units and long hospital stays. We examined whether an inpatient geriatric consultation service might also be beneficial in a trial involving four medical centers of a group-practice health maintenance organization (HMO). We conducted a randomized clinical trial with 2353 hospitalized patients 65 years of age or older in whom at least 1 of 13 screening criteria were present: stroke, immobility, impairment in any

NEJM1995

102. An economic appraisal of two strategies in geriatric screening

An economic appraisal of two strategies in geriatric screening An economic appraisal of two strategies in geriatric screening An economic appraisal of two strategies in geriatric screening Johansen G 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 Screening to identify previously unreported needs for geriatric care. Type of intervention Screening. Economic study type Cost-effectiveness analysis. Study population Individuals over 70 years of age, from a coastal community who were not admitted to a hospital or nursing home. Most of the study population werepreviously associated with the fishing industry and educated only to primary school level. Setting Healthcare clinic/community. The economic study was carried out

NHS Economic Evaluation Database.1994

103. Consultative geriatric assessment for ambulatory patients. A randomized trial in a health maintenance organization.

Consultative geriatric assessment for ambulatory patients. A randomized trial in a health maintenance organization. 2294326 1990 02 07 1990 02 07 2016 10 17 0098-7484 263 4 1990 Jan 26 JAMA JAMA Consultative geriatric assessment for ambulatory patients. A randomized trial in a health maintenance organization. 538-44 Previous studies have shown that comprehensive geriatric assessment and follow-up can improve the health of hospitalized elderly patients. To evaluate the effectiveness (...) of consultative geriatric assessment and limited follow-up for ambulatory patients, we randomized 600 elderly patients who were enrolled in a health maintenance organization into three groups: (1) consultation by a geriatric assessment team, (2) consultation by a "second opinion" internist, and (3) only traditional health maintenance organization services (control patients). The geriatric assessment team identified previously unrecognized problems in 35% of patients and advised changes in medication regimens

JAMA1990

104. A randomized, controlled trial of a geriatric assessment unit in a community rehabilitation hospital.

A randomized, controlled trial of a geriatric assessment unit in a community rehabilitation hospital. 2186276 1990 06 11 1990 06 11 2010 04 12 0028-4793 322 22 1990 May 31 The New England journal of medicine N. Engl. J. Med. A randomized, controlled trial of a geriatric assessment unit in a community rehabilitation hospital. 1572-8 We conducted a randomized trial in a community rehabilitation hospital to determine the effect of treatment in a geriatric assessment unit on the physical function (...) , institutionalization rate, and mortality of elderly patients. Functionally impaired elderly patients (mean age, 78.8 years) who were recovering from acute medical or surgical illnesses and were considered at risk for nursing home placement were randomly assigned either to the geriatric assessment unit (n = 78) or to a control group that received usual care (n = 77). The two groups were similar at entry and were stratified according to the perceived risk of an immediate nursing home placement. After six months

NEJM1990

105. Effectiveness of geriatric rehabilitative care after fractures of the proximal femur in elderly women: a randomised clinical trial.

Effectiveness of geriatric rehabilitative care after fractures of the proximal femur in elderly women: a randomised clinical trial. 3143436 1989 01 25 1989 01 25 2013 10 01 0959-8138 297 6656 1988 Oct 29 BMJ (Clinical research ed.) BMJ Effectiveness of geriatric rehabilitative care after fractures of the proximal femur in elderly women: a randomised clinical trial. 1083-6 To compare postoperative collaborative care between orthopaedic surgeons and physicians in geriatric medicine with routine (...) orthopaedic care in elderly women with proximal femoral fracture. Exclusion of patients dying before fit enough to enter trial, those with pathological fractures, those likely to be discharged within seven days of entering the trial, and those remaining unfit for transfer to a peripheral hospital. Remainder allocated to two groups: treatment group and control group. District hospital acute admission ward and rehabilitation ward. 144 sequentially admitted elderly women with proximal fracture of the femur

BMJ1988 Full Text: Link to full Text with Trip Pro

106. Prospective randomised study of an orthopaedic geriatric inpatient service.

Prospective randomised study of an orthopaedic geriatric inpatient service. 3143450 1989 01 25 1989 01 25 2013 10 01 0959-8138 297 6656 1988 Oct 29 BMJ (Clinical research ed.) BMJ Prospective randomised study of an orthopaedic geriatric inpatient service. 1116-8 A randomised controlled trial of two management regimens was carried out in women patients over 65 years of age with hip fractures. Ninety seven patients were admitted to a designated orthopaedic geriatric unit and 125 to orthopaedic (...) wards. No difference was observed in mortality, length of stay, or placement of patients between the two groups. More medical conditions were recognised and treated in patients in the orthopaedic geriatric unit group. It is concluded that designated orthopaedic geriatric units can provide medical care to these patients and should be administered without additional cost. Gilchrist W J WJ Department of Geriatric Medicine, Gartnavel General Hospital, Glasgow. Newman R J RJ Hamblen D L DL Williams B O

BMJ1988 Full Text: Link to full Text with Trip Pro

107. Hospital-acquired complications in a randomized controlled clinical trial of a geriatric consultation team.

Hospital-acquired complications in a randomized controlled clinical trial of a geriatric consultation team. 3553627 1987 05 22 1987 05 22 2016 10 17 0098-7484 257 17 1987 May 01 JAMA JAMA Hospital-acquired complications in a randomized controlled clinical trial of a geriatric consultation team. 2313-7 As part of a controlled clinical trial of a geriatric consultation team (GCT), we investigated whether a GCT could affect the incidence of hospital-acquired complications in elderly patients. One (...) hundred eighty-five patients, aged 75 years and older, were randomized into an intervention (N = 92) and a control (N = 93) group. Members of the intervention group received a GCT consultation and were routinely followed up throughout their hospitalization. The incidence of hospital-acquired complications for the entire study population was 38%. The type and rate of hospital-acquired complications in the intervention and control groups were not significantly different. Functional status on admission

JAMA1987

108. A randomized, controlled clinical trial of a geriatric consultation team. Compliance with recommendations.

A randomized, controlled clinical trial of a geriatric consultation team. Compliance with recommendations. 3517396 1986 06 02 1986 06 02 2016 10 17 0098-7484 255 19 1986 May 16 JAMA JAMA A randomized, controlled clinical trial of a geriatric consultation team. Compliance with recommendations. 2617-21 As part of a prospective, randomized, controlled study of the effectiveness of a geriatric consultation team, we examined compliance by the house staff with recommendations made by the team (...) . Recommendations were formulated for 185 patients, aged 75 years or older, who were randomized into intervention (n = 92) and control (n = 93) groups. In the control group, only 27.1% of the actions that would have been recommended by the team were implemented independently by the house staff. Problems commonly neglected included polypharmacy, sensory impairment, confusion, and depression. In the intervention group, overall compliance was 71.7%. Highest compliance occurred for recommendations addressing

JAMA1986

109. Effectiveness of a geriatric evaluation unit. A randomized clinical trial.

Effectiveness of a geriatric evaluation unit. A randomized clinical trial. 6390207 1985 01 14 1985 01 14 2007 11 15 0028-4793 311 26 1984 Dec 27 The New England journal of medicine N. Engl. J. Med. Effectiveness of a geriatric evaluation unit. A randomized clinical trial. 1664-70 We randomly assigned frail elderly inpatients with a high probability of nursing-home placement to an innovative geriatric evaluation unit intended to provide improved diagnostic assessment, therapy, rehabilitation (...) , and placement. Patients randomly assigned to the experimental (n = 63) and control (n = 60) groups were equivalent at entry. At one year, patients who had been assigned to the geriatric unit had much lower mortality than controls (23.8 vs. 48.3 per cent, P less than 0.005) and were less likely to have initially been discharged to a nursing home (12.7 vs. 30.0 per cent, P less than 0.05) or to have spent any time in nursing home during the follow-up period (26.9 vs. 46.7 per cent, P less than 0.05

NEJM1984