Latest & greatest articles for elderly

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Top results for elderly

181. Walkers with Wheels Versus Walkers Without Wheels for Fall Prevention in Older Adults: A Review of the Comparative Clinical Effectiveness

Walkers with Wheels Versus Walkers Without Wheels for Fall Prevention in Older Adults: A Review of the Comparative Clinical Effectiveness Walkers with Wheels Versus Walkers Without Wheels for Fall Prevention in Older Adults: A Review of the Comparative Clinical Effectiveness | CADTH.ca Find the information you need Walkers with Wheels Versus Walkers Without Wheels for Fall Prevention in Older Adults: A Review of the Comparative Clinical Effectiveness Walkers with Wheels Versus Walkers Without (...) Wheels for Fall Prevention in Older Adults: A Review of the Comparative Clinical Effectiveness Last updated: July 22, 2019 Project Number: RC1160-000 Product Line: Research Type: Devices and Systems Report Type: Summary with Critical Appraisal Result type: Report Question What is the comparative clinical effectiveness of preventing falls in older adults using walkers with wheels versus walkers without wheels? Key Message One systematic review was identified regarding the comparative effectiveness

2019 Canadian Agency for Drugs and Technologies in Health - Rapid Review

182. Smaller Quantity Benzodiazepine Prescribing for the Elderly or Patients with Mental Illness: Clinical Effectiveness and Guidelines

Smaller Quantity Benzodiazepine Prescribing for the Elderly or Patients with Mental Illness: Clinical Effectiveness and Guidelines Smaller Quantity Benzodiazepine Prescribing for the Elderly or Patients with Mental Illness: Clinical Effectiveness and Guidelines | CADTH.ca Find the information you need Smaller Quantity Benzodiazepine Prescribing for the Elderly or Patients with Mental Illness: Clinical Effectiveness and Guidelines Smaller Quantity Benzodiazepine Prescribing for the Elderly (...) or Patients with Mental Illness: Clinical Effectiveness and Guidelines Last updated: June 21, 2019 Project Number: RA1040-000 Product Line: Research Type: Drug Report Type: Reference List Result type: Report Question What is the clinical effectiveness of prescribing benzodiazepines in smaller quantities for elderly patients or patients with mental illness? What are the evidence-based guidelines associated with benzodiazepine prescribing for elderly patients or patients with mental illness? Key Message One

2019 Canadian Agency for Drugs and Technologies in Health - Rapid Review

183. Neonates with a 10-min Apgar score of zero: Outcomes by gestational age (Abstract)

Neonates with a 10-min Apgar score of zero: Outcomes by gestational age The current resuscitation guidelines for neonates recommend considering stopping resuscitation efforts if the heart rate remains undetectable after 10 min of adequate resuscitation. However, this recommendation does not take into account the gestational age (GA) of the neonates. We determined the outcomes of neonates with a 10-min Apgar score of zero (Apgar10 = 0) with respect to their GA.In a retrospective matched cohort

2019 EvidenceUpdates

184. Contraception for Women Aged over 40 Years

Contraception for Women Aged over 40 Years FSRH Clinical Guideline: Contraception for Women Aged over 40 Years (August 2017, amended September 2019) - Faculty of Sexual and Reproductive Healthcare FSRH Clinical Guideline: Contraception for Women Aged over 40 Years (August 2017, amended September 2019) FSRH Clinical Guideline: Contraception for Women Aged over 40 Years (August 2017, amended September 2019) Share this article Published on: 26 September 2019 File size: 1718kb PDF File type (...) : Current Clinical Guidance Author: FSRH Clinical Effectiveness Unit This update of the 2010 Contraception for Women Aged Over 40 Years guideline has been developed by the FSRH and brings together evidence and expert opinion on contraception for women aged over 40 years. The guideline was developed with a team of experts in the relevant fields and has been extensively peer reviewed in accordance with methodology used for developing FSRH Clinical Guidelines. The guidance is intended for use by health

2019 Faculty of Sexual & Reproductive Healthcare

185. Integrated care for older people (?ICOPE)?: guidance for person-centred assessment and pathways in primary care

and encouragement from a health- care provider in the community, can modify some of the factors responsible for declines in intrinsic capacity. A partnership involving the older person, primary health- care workers, family and community will sustain people’s well-being as they age. 153 Generic care pathway Person-centered assessment and pathways in primary care STEP 4 ENSURE A REFERRAL PATHWAY AND MONITORING OF THE CARE PLAN WITH LINKS TO SPECIALIZED GERIATRIC CARE Regular and sustained follow-up (...) . The responsibility for the interpretation and use of the material lies with the reader. In no event shall WHO be liable for damages arising from its use. Design and layout by Erica Lefstad. Printed in Switzerland. Integrated Care of Older PeopleIntegrated Care of Older People Acknowledgements iv Abbreviations v 1. Integrated care for older people (ICOPE) 1 2. Optimizing capacities and abilities: towards healthy ageing for all 5 3. Assessing older people’s needs and developing a personalized care plan 9 4. Care

2019 World Health Organisation Guidelines

186. Integrated care for older people (?ICOPE)? implementation framework: guidance for systems and services

) implementation framework: guidance for systems and services The Integrated care for older people (ICOPE) implementation framework: guidance for systems and services was coordinated by the World Health Organization (WHO) Department of Ageing and Life Course. Islene Araujo de Carvalho oversaw the preparation of this document with Yuka Sumi. The WHO Department of Ageing and Life Course gratefully acknowledges the participants of the global Delphi study and consultation meeting, who have informed the development (...) : guidance for systems and services12 Integrated care for older people (ICOPE) implementation framework: guidance for systems and services The need for the ICOPE approach The integrated care for older people (ICOPE) approach has been developed by the World Health Organization (WHO) in the context of populations around the world ageing rapidly. This demographic transition will impact on almost all aspects of society and create new and complex challenges for health and social care systems. From 2015

2019 World Health Organisation Guidelines

187. Determination of Gestational Age by Ultrasound

Determination of Gestational Age by Ultrasound Guideline No. 388-Determination of Gestational Age by Ultrasound - Journal of Obstetrics and Gynaecology Canada Email/Username: Password: Remember me Search Terms Search within Search Volume 41, Issue 10, Pages 1497–1507 Guideline No. 388-Determination of Gestational Age by Ultrasound x Kimberly Butt , MD Fredericton, NB x Kenneth I. Lim Correspondence Corresponding author: Dr. Ken Lim , MD , x Kenneth I. Lim Correspondence Corresponding author: Dr (...) . Ken Lim Vancouver, BC No. 388, October 2019 (Replaces No. 303, February 2014) DOI: To view the full text, please login as a subscribed user or . Click to view the full text on ScienceDirect. Abstract Objective To assist clinicians in assigning gestational age based on ultrasound biometry. Outcomes To determine whether ultrasound dating provides more accurate gestational age assessment than menstrual dating with or without the use of ultrasound. To provide maternity health care providers

2019 Society of Obstetricians and Gynaecologists of Canada

188. When Women Rise, We All Rise: American Geriatrics Society Position Statement on Achieving Gender Equity in Geriatrics

When Women Rise, We All Rise: American Geriatrics Society Position Statement on Achieving Gender Equity in Geriatrics Geriatrics Care | Geriatric Resources | Online events | Updates - Geriatrics Care Online Search: Toggle navigation Search: Login Loging In... GeriatricsCareOnline.org Log in Follow Us Quick Links Loading... Sign up for Alerts Enter your email address : Close © 2017 All Rights Reserved. An Solution

2019 American Geriatrics Society

189. Optical coherence tomography (OCT) for neovascular age-related macular degeneration as well as diabetic retinopathy with macular oedema

Optical coherence tomography (OCT) for neovascular age-related macular degeneration as well as diabetic retinopathy with macular oedema 1 Translation of the key statement of the final report D15-01 Optische Kohärenztomografie bei neovaskulärer altersbedingter Makuladegeneration sowie beim Makulaödem im Rahmen der diabetischen Retinopathie (Version 1.1; Status: 7 July 2017). Please note: This document was translated by an external translator and is provided as a service by IQWiG to English (...) -language readers. However, solely the German original text is absolutely authoritative and legally binding. Extract IQWiG Reports – Commission No. D15-01 Optical coherence tomography (OCT) for neovascular age-related macular degeneration as well as diabetic retinopathy with macular oedema 1 Extract of final report D15-01 Version 1.1 Optical coherence tomography for maculo- and retinopathy 7 July 2017 Institute for Quality and Efficiency in Health Care (IQWiG) - i - Publishing details Publisher

2019 Institute for Quality and Efficiency in Healthcare (IQWiG)

190. Interventions for Malnutrition in Seniors: A Review of Clinical Effectiveness

Interventions for Malnutrition in Seniors: A Review of Clinical Effectiveness Interventions for Malnutrition in Seniors: A Review of Clinical Effectiveness | CADTH.ca Find the information you need Interventions for Malnutrition in Seniors: A Review of Clinical Effectiveness Interventions for Malnutrition in Seniors: A Review of Clinical Effectiveness Last updated: January 3, 2019 Project Number: RC1054-000 Product Line: Report Type: Summary with Critical Appraisal Result type: Report Question (...) What is the clinical effectiveness of interventions for community-dwelling older adults who are malnourished or at nutritional risk? Key Message One relevant systematic review with meta-analysis, one partially randomized clinical trial, and one non-randomized study were identified regarding the clinical effectiveness of nutritional interventions for community-dwelling older adults who are malnourished or at nutritional risk. The studied interventions included multidisciplinary nutritional

2019 Canadian Agency for Drugs and Technologies in Health - Rapid Review

191. Congregate Meal Programs for Older Adults Living in the Community: A Review of Clinical Effectiveness

Congregate Meal Programs for Older Adults Living in the Community: A Review of Clinical Effectiveness Congregate Meal Programs for Older Adults Living in the Community: A Review of Clinical Effectiveness | CADTH.ca Find the information you need Congregate Meal Programs for Older Adults Living in the Community: A Review of Clinical Effectiveness Congregate Meal Programs for Older Adults Living in the Community: A Review of Clinical Effectiveness Last updated: January 10, 2019 Project Number (...) : RC1055-000 Product Line: Research Type: Devices and Systems Report Type: Summary with Critical Appraisal Result type: Report Question What is the clinical effectiveness of congregate meal programs for older adults living in the community? Key Message No relevant evidence regarding the clinical effectiveness of congregate meal programs for older adults living in the community was identified. Files Rapid Response Summary with Critical Appraisal Published : January 10, 2019 Follow us: © 2019 Canadian

2019 Canadian Agency for Drugs and Technologies in Health - Rapid Review

192. Adverse Childhood Experience Questionnaire for All Ages: Clinical Effectiveness

Adverse Childhood Experience Questionnaire for All Ages: Clinical Effectiveness Adverse Childhood Experience Questionnaire for All Ages: Clinical Effectiveness | CADTH.ca Find the information you need Adverse Childhood Experience Questionnaire for All Ages: Clinical Effectiveness Adverse Childhood Experience Questionnaire for All Ages: Clinical Effectiveness Last updated: January 18, 2019 Project Number: RA1001-000 Product Line: Research Type: Devices and Systems Report Type: Reference List

2019 Canadian Agency for Drugs and Technologies in Health - Rapid Review

193. Resiliency Interventions for Adverse Childhood Experiences in All Ages: Clinical Effectiveness and Guidelines

Resiliency Interventions for Adverse Childhood Experiences in All Ages: Clinical Effectiveness and Guidelines Resiliency Interventions for Adverse Childhood Experiences in All Ages: Clinical Effectiveness and Guidelines | CADTH.ca Find the information you need Resiliency Interventions for Adverse Childhood Experiences in All Ages: Clinical Effectiveness and Guidelines Resiliency Interventions for Adverse Childhood Experiences in All Ages: Clinical Effectiveness and Guidelines Last updated (...) : January 18, 2019 Project Number: RA1002-000 Product Line: Research Type: Devices and Systems Report Type: Reference List Result type: Report Question What is the clinical effectiveness of psychological resilience-building interventions for patients (any age) exposed to adverse childhood experiences (ACEs) or trauma? What are the evidence-based guidelines regarding psychological resilience-building interventions for patients (any age) with ACEs or trauma? Key Message Four systematic reviews, four

2019 Canadian Agency for Drugs and Technologies in Health - Rapid Review

194. The role of CPAP treatment in elderly patients with moderate obstructive sleep apnoea: a multicentre randomised controlled trial (Abstract)

, multicentre clinical trial in 145 elderly patients (≥70 years old) with confirmed moderate OSA (apnoea-hypopnoea index 15-29.9 events·h-1) randomised to receive CPAP (n=73) or no CPAP (n=72) for 3 months. The primary end-point was the Epworth Sleepiness Scale (ESS) score, and the secondary end-points included quality of life (Quebec Sleep Questionnaire (QSQ) domain scores), sleep-related symptoms, presence of anxiety/depression, office-based blood pressure measurements and some neurocognitive tests (...) The role of CPAP treatment in elderly patients with moderate obstructive sleep apnoea: a multicentre randomised controlled trial The efficacy of continuous positive airway pressure (CPAP) treatment in elderly patients with nonsevere obstructive sleep apnoea (OSA) is controversial. The objective of this study was to assess the effect of CPAP treatment in elderly patients with moderate OSA in terms of clinical, quality-of-life and neurocognitive measures.This was an open-label, randomised

2019 EvidenceUpdates

195. Lumacaftor/ivacaftor (cystic fibrosis in children aged 2 to 5 years) - Benefit assessment according to §35a Social Code Book V

the results of the VX15-809-115 study. It justified this with the transferability of the added benefit of lumacaftor/ ivacaftor determined by the G-BA for children aged 6 to 11 years and patients aged 12 years and older due to the same underlying genetic disease and advantages of the earliest possible start of causal treatment. For this purpose, the company presented the results from the single- arm study as proportions of patients with events or as the number of events per patient years (outcomes (...) with binary data) or as a before-after comparison (outcomes with continuous data). The company’s approach to transfer study results from older patients to the population to be assessed is comprehensible due to the lack of comparative data in children aged 2 to 5 years. The concrete approach adopted by the company was unsuitable, however. An added benefit of lumacaftor/ivacaftor versus the ACT in children aged 2 to 5 years cannot be derived from the data presented by the company for the following reasons

2019 Institute for Quality and Efficiency in Healthcare (IQWiG)

196. Common clinical conditions in aged care (Silver Book)

recommendations therefore cannot be provided as the inclusion and exclusion criteria from available systematic reviews and research literature are often too restrictive and unhelpful. Often, the clinical recommendations are single-disease specific, and fail to consider comorbidities, patient needs and polypharmacy that most (if not all) older people experience. Some clinical practice points and general principles are provided in each chapter. A ‘Consensus-based recommendation’ denotes a practice point (...) Common clinical conditions in aged care (Silver Book) RACGP - Silver Book - Part A Search Become a student member today for free and be part of the RACGP community A career in general practice Starting the GP journey Enrolments for the 2019.1 OSCE FRACGP exams closing 29 March 2019 Fellowship FRACGP exams Research Practice Experience Program is a self-directed education program designed to support non vocationally registered doctors on their pathway to RACGP Fellowship Fellowship International

2019 The Royal Australian College of General Practitioners

197. Effect of a Multicomponent Home-Based Physical Therapy Intervention on Ambulation After Hip Fracture in Older Adults: The CAP Randomized Clinical Trial. Full Text available with Trip Pro

clinical centers (Arcadia University, University of Connecticut Health Center, and University of Maryland, Baltimore). Randomization began on September 16, 2013, and ended on June 20, 2017; follow-up ended on October 17, 2017. Patients aged 60 years and older were enrolled after nonpathologic, minimal trauma hip fracture, if they were living in the community and walking without human assistance before the fracture, were assessed within 26 weeks of hospitalization, and were not able to walk during daily (...) Effect of a Multicomponent Home-Based Physical Therapy Intervention on Ambulation After Hip Fracture in Older Adults: The CAP Randomized Clinical Trial. Disability persists after hip fracture in older persons. Current rehabilitation may not be sufficient to restore ability to walk in the community.To compare a multicomponent home-based physical therapy intervention (training) with an active control on ability to walk in the community.Parallel, 2-group randomized clinical trial conducted at 3 US

2019 JAMA

198. Local Area Variation in Morbidity Among Low-Income, Older Adults in the United States: A Cross-sectional Study. (Abstract)

of receipt of Medicare Part D low-income subsidies and not capturing persons not enrolled in Medicare Part D.Low-income, older adults living in more affluent areas of the country are healthier, and areas with poor health in the low-income, older adult population tend to have a high prevalence of most chronic conditions.National Institute on Aging. (...) Local Area Variation in Morbidity Among Low-Income, Older Adults in the United States: A Cross-sectional Study. Recent studies have reported that low-income adults living in more affluent areas of the United States have longer life expectancies. Less is known about the relationship between the affluence of a geographic area and morbidity of the low-income population.To evaluate the association between the prevalence of chronic conditions among low-income, older adults and the economic affluence

2019 Annals of Internal Medicine

199. Variations in common diseases, hospital admissions, and deaths in middle-aged adults in 21 countries from five continents (PURE): a prospective cohort study. (Abstract)

Variations in common diseases, hospital admissions, and deaths in middle-aged adults in 21 countries from five continents (PURE): a prospective cohort study. To our knowledge, no previous study has prospectively documented the incidence of common diseases and related mortality in high-income countries (HICs), middle-income countries (MICs), and low-income countries (LICs) with standardised approaches. Such information is key to developing global and context-specific health strategies. In our (...) analysis of the Prospective Urban Rural Epidemiology (PURE) study, we aimed to evaluate differences in the incidence of common diseases, related hospital admissions, and related mortality in a large contemporary cohort of adults from 21 HICs, MICs, and LICs across five continents by use of standardised approaches.The PURE study is a prospective, population-based cohort study of individuals aged 35-70 years who have been enrolled from 21 countries across five continents. The key outcomes were

2019 Lancet

200. Rate or Rhythm Control in Older Atrial Fibrillation Patients: Risk of Fall-Related Injuries and Syncope Full Text available with Trip Pro

.A total of 100 935 patients with AF aged 65 years or older claiming prescription of rate-lowering drugs (RLDs) and/or anti-arrhythmic drugs (AADs) were included. We compared the use of rate-lowering monotherapy with rate-lowering dual therapy, AAD monotherapy, and AAD combined with rate-lowering therapy.Outcomes were fall-related injuries and syncope as a composite end point (primary) or separate end point (secondary).In this population, the median age was 78 years (interquartile range [IQR] = 72-84 y (...) with rate-lowering therapy. When stratifying by individual drugs, amiodarone significantly increased the risk of fall-related injuries and syncope (IRR = 1.40 [1.26-1.55]). Compared with more than 180 days of rate-lowering monotherapy, a higher risk of all outcomes was seen in the first 90 days of any treatment; however, the greatest risk was in the first 14 days for those treated with AADs.In AF patients aged 65 years and older, AAD use was associated with a higher risk of fall-related injuries

2019 EvidenceUpdates