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)
Latest & greatest articles for elderly
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 elderly or other clinical topics then use Trip today.
This page lists the very latest high quality evidence on elderly and also the most popular articles. Popularity measured by the number of times the articles have been clicked on by fellow users in the last twelve months.
What is Trip?
Trip is a clinical search engine designed to allow users to quickly and easily find and use high-quality research evidence to support their practice and/or care.
Trip has been online since 1997 and in that time has developed into the internet’s premier source of evidence-based content. Our motto is ‘Find evidence fast’ and this is something we aim to deliver for every single search.
As well as research evidence we also allow clinicians to search across other content types including images, videos, patient information leaflets, educational courses and news.
For further information on Trip click on any of the questions/sections on the left-hand side of this page. But if you still have questions please contact us via email@example.com
Covid-19: Alert Level 3 guidance for providers of services for olderpeople, including aged care and home and community support service Alert Level 3 guidance for providers of services for olderpeople, including aged care and home and community support service 5 May 2020 The following guidance is to help support a safe transition to Alert Level 3 for providers of olderpeople services, including aged care and home and community support services. Essential and ‘safe’ services under Alert Level (...) modifications that may safely proceed at alert level 3 will commence. • Vehicle modification requests will be considered on a case by case basis. Services not seen as essential Day services and programmes will remain suspended at Alert Level 3. People are encouraged to consider alternative ways to connecting, for example virtual supports. Health promotion activities for olderpeople continue to be provided on a different non-contact basis, e.g. by phone. Guidelines for at risk staff There may be some
Covid-19: Advice for aged care providers – residents with dementia Advice for aged care providers – residents with dementia 27 APRIL 2020 This advice provides information that may help to: i. reduce transmission of COVID-19 from resident to resident in aged residential care ii. maintain care and quality of life for residents with dementia or cognitive impairment. This advice is additional to, and should be read alongside, other guidance provided for health professionals and specifically (...) for aged residential care, which can be found on health.govt.nz/covid-19. Preventing COVID-19 in residents with dementia COVID-19 is highly contagious. We recognise that social distancing for residents with dementia may be difficult to maintain, and may heighten their anxiety and agitation. Increased staffing may be needed. You and your staff are in a good position to manage the care and wellbeing of your residents with dementia. This includes thinking about, preparing and communicating with residents
your situation further. Staying in contact with whanau, family and friends During all Alert Levels, visitors to Aged Care Residential facilities will be restricted. These extra precautions are needed to ensure people in a facility are safe, particularly those who are more at risk of infection and severe illness. Contact the provider to discuss other options to maintain contact. More information For the latest advice, information and resources, go to health.govt.nz/covid-19 or covid19.govt.nz (...) COVID-19 interNASC transfers – Aged Residential Care COVID-19 interNASC transfers – Aged Residential Care Information for transferring between District Health Boards 28 April 2020 An interNASC transfer is when a person moves between District Health Boards. In Aged Residential Care this means moving from one facility to another in a different region. Transfers from one Aged Residential Care facility to another is restricted The restrictions on transfers will depend on the Alert Level. This may
Covid-19: Guidance for preventing and controlling COVID-19 outbreaks in New Zealand aged residential care Health Quality & Safety Commission | Guidance for preventing and controlling COVID-19 outbreaks in New Zealand aged residential care Rārangi matua Main Menu Mortality review committees are statutory committees that review particular deaths, or the deaths of particular people, in order to learn how to best prevent these deaths. › › › Aged Residential Care Navigation Menu Projects Guidance (...) for preventing and controlling COVID-19 outbreaks in New Zealand aged residential care 3 Apr 2020 | This guidance document and supporting resources provide practical assistance to aged residential care facilities in response to the global COVID-19 pandemic. Please note: These documents are being updated regularly and links may change. Instead of downloading the documents, please use and share the link to this page and return here to get the most recent versions. We welcome all feedback on the guide
Covid-19: Guidance for managing staff and residents with COVID-19 infection in aged residential care facilities COVID-19: Guidance for managing staff/residents with COVID-19 infection in aged residential care facilities 26 April 2020 This document outlines guidance on managing staff and residents with potential COVID-19 infection in aged residential care (ARC) facilities. District health boards (DHBs) are expected to work closely with ARC facilities to ensure there are adequate supplies (...) of personal protective equipment (PPE) to meet requirements. These guidelines are interim and may be amended as the COVID-19 outbreak evolves. Aged care facilities are residents’ homes where they are cared for by staff. There are multiple contact points between residents and staff daily, which increases the risk of transmission of COVID-19. If a staff member or resident is suspected of having COVID-19, the person has likely had contacts with multiple staff, residents and visitors. Management of staff
JAMA Intern Med Actions . 2020 Apr 20;e200440. doi: 10.1001/jamainternmed.2020.0440. Online ahead of print. Effect of a Mammography Screening Decision Aid for Women 75 Years and Older: A Cluster Randomized Clinical Trial , , , , , , , , , , , , , , Affiliations Expand Affiliations 1 Division of General Medicine, Department of Medicine, Harvard Medical School, Beth Israel Deaconess Medical Center, Boston, Massachusetts. 2 Division of Geriatric Medicine, Department of Medicine, The University (...) aid (DA) for women 75 years and older on their screening decisions. Design, setting, and participants: A cluster randomized clinical trial with clinician as the unit of randomization. All analyses were completed on an intent-to-treat basis. The setting was 11 primary care practices in Massachusetts or North Carolina. Of 1247 eligible women reached, 546 aged 75 to 89 years without breast cancer or dementia who had a mammogram within 24 months but not within 6 months and saw 1 of 137 clinicians
Institute of Evidence-Based Medicine in OldAge, Leiden, The Netherlands. PMID: 32246476 DOI: Item in Clipboard Geriatric Screening, Triage Urgency, and 30-Day Mortality in Older Emergency Department Patients Laura C Blomaard et al. J Am Geriatr Soc . 2020 . Show details J Am Geriatr Soc Actions . 2020 Apr 4. doi: 10.1111/jgs.16427. Online ahead of print. Authors , , , , , , , , , Affiliations 1 Department of Internal Medicine, Section Geriatrics, Leiden University Medical Center, Leiden (...) , in older patients, urgency triage systems could be improved by taking geriatric vulnerability into account. We investigated the association of geriatric vulnerability screening in addition to triage urgency levels with 30-day mortality in older ED patients. Design: Secondary analysis of the observational multicenter Acutely Presenting Older Patient (APOP) study. Setting: EDs within four Dutch hospitals. Participants: Consecutive patients, aged 70 years or older, who were prospectively included
Sit stand desks to reduce sedentary behaviour in 9- to 10-year-olds: the Stand Out in Class pilot cluster RCT Sit-stand desks to reduce sedentary behaviour in 9- to 10-year-olds: the Stand Out in Class pilot cluster RCT Journals Library An error occurred retrieving content to display, please try again. >> >> >> Page Not Found Page not found (404) Sorry - the page you requested could not be found. Please choose a page from the navigation or try a website search above to find the information you
Clopidogrel versus ticagrelor or prasugrel in patients aged 70 years or older with non-ST-elevation acute coronary syndrome (POPular AGE): the randomised, open-label, non-inferiority trial. Current guidelines recommend potent platelet inhibition with ticagrelor or prasugrel in patients after an acute coronary syndrome. However, data about optimal platelet inhibition in older patients are scarce. We aimed to investigate the safety and efficacy of clopidogrel compared with ticagrelor or prasugrel (...) in older patients with non-ST-elevation acute coronary syndrome (NSTE-ACS).We did the open-label, randomised controlled POPular AGE trial in 12 sites (ten hospitals and two university hospitals) in the Netherlands. Patients aged 70 years or older with NSTE-ACS were enrolled and randomly assigned in a 1:1 ratio using an internet-based randomisation procedure with block sizes of six to receive a loading dose of clopidogrel 300 mg or 600 mg, or ticagrelor 180 mg or prasugrel 60 mg, and then a maintenance
the efficacy and safety of levetiracetam, fosphenytoin, and valproate in established status epilepticus, and here we describe our results after extending enrolment in children to compare outcomes in three age groups.In this multicentre, double-blind, response-adaptive, randomised controlled trial, we recruited patients from 58 hospital emergency departments across the USA. Patients were eligible for inclusion if they were aged 2 years or older, had been treated for a generalised convulsive seizure (...) included: 225 children (aged <18 years), 186 adults (18-65 years), and 51 older adults (>65 years). 175 (38%) patients were randomly assigned to levetiracetam, 142 (31%) to fosphenyltoin, and 145 (31%) were to valproate. Baseline characteristics were balanced across treatments within age groups. The primary efficacy outcome was met in those treated with levetiracetam for 52% (95% credible interval 41-62) of children, 44% (33-55) of adults, and 37% (19-59) of older adults; with fosphenytoin in 49% (38
and confounding in observational data.To determine the effectiveness of the influenza vaccine in reducing hospitalizations and mortality among elderly persons by using an observational research design that reduces the possibility of bias and confounding.A regression discontinuity design was applied to the sharp change in vaccination rate at age 65 years that resulted from an age-based vaccination policy in the United Kingdom. In this design, comparisons were limited to individuals who were near the age-65 (...) reduced hospitalizations or mortality among elderly persons. The estimates were precise enough to rule out results from many previous studies.The study relied on observational data, and its focus was limited to individuals near age 65 years.Current vaccination strategies prioritizing elderly persons may be less effective than believed at reducing serious morbidity and mortality in this population, which suggests that supplementary strategies may be necessary.National Institute on Aging.
care” or high care) residents had this diagnosis. The prevalence of “cognitive impairment” (which in this setting usually indicates delirium or dementia) was much higher at 54% in low care settings and 90% in high care settings. People with dementia in residential care tend to be older than those with dementia living in private households, and have more severe dementia (91% of those with moderate or severe dementia were in residential aged care) . In 2008, people living with dementia made up (...) of the nursing home population suffers from urinary incontinence .Falls, often recurrent, affect 30% of nursing home residents. . Osteoporosis is almost universal in the nursing home . Long term care residents in New Zealand have a 10.5 fold increase in risk of hip fracture compared with age-matched people living in private homes , and 38% of the 15,000 hip fractures in Australia in 1996, occurred among olderpeople living in hostels and nursing homes . Annual hip fracture risk
Checklist for Residential Aged Care Facility (RACF) preparation for COVID-19 prevention and outbreak management Version 1.4 Issued 17/3/2020 Checklist for Residential Aged Care Facility (RACF) preparation for COVID-19 prevention and outbreak management Please note that this checklist for preparation is presented as a guide only and is not an exhaustive list of requirements for RACF pandemic preparation. It should be used in conjunction with the CDNA National Guidelines for the Prevention (...) in the Australian Guidelines for the Prevention and Control of Infection in Healthcare (2019). RACFs are also required to operate under the Aged Care Act 1997 and comply with Aged Care Quality Standards. Checklist ???? Review and update RACF outbreak management plan including, but not limited to, consideration of: - single point of entry and risk assessment for all staff, visitors, contractors, delivery drivers - business continuity planning in setting of potential staff sick leave - roster adjustments
practical and timely clinical recom- mendations on the prevention, assessment, and treatment of OUD in older adults within the Canadian context. Key words: opioids, opioid dependence, opioid use disorder, substance use disorder, substance abuse, older adult, geriatric, systematic review, guideline INTRODUCTION According to the World Health Organization (WHO), people over the age of 50 accounted for 39% of deaths from drug use worldwide by 2015, and of those deaths in older adults (age = 65 (...) opioid therapy (24.8%) than any other age group. (14) From 2007 to 2015, hospitalizations for opioid overdose (referred to as poisonings) in Canada were con- sistently higher in older adults than in any other age cohort: At over 20 per 100,000, older-adult admissions are almost double that of 15 to 24-year-olds, and represent 30% of all admissions to hospital for opioid poisoning. (15) Only recently by 2017 have younger adults in Canada started to equal and just surpass older adults
Canadian guidelines on cannabis use disorder among older adults 135 CANADIAN GERIATRICS JOURNAL, VOLUME 23, ISSUE 1, MARCH 2020 ABSTRACT Background Cannabis Use Disorder (CUD) is an emerging and diverse challenge among older adults. Methods The Canadian Coalition for Seniors’ Mental Health, with financial support from Health Canada, has produced evidence- based guidelines on the prevention, identification, assessment, and treatment of this form of substance use disorder. Conclusions Older (...) and distribution, provided the original work is properly cited.BERTRAM: CANNABIS USE DISORDER GUIDELINES 136 CANADIAN GERIATRICS JOURNAL, VOLUME 23, ISSUE 1, MARCH 2020 among older adults. The pace and scope of cannabis research may require clinical recommendations, and recommenda- tions such as those below, to be updated and modified more frequently than other clinical guidelines. The Canadian Coalition for Seniors’ Mental Health (CC- SMH), with financial support from the Substance Use and Addictions Program
trauma already accounts for 33% of trauma care expenditures in the United States, or US $9 billion per year,  while trauma ranks as the seventh-highest cause of death for those 65 years and older.  Among elderly trauma patients, ground-level fall (GLF) is the most common traumatic mechanism, occurring nearly 10 times more often than motor vehicle crashes.  Nearly one in three geriatric persons will have a GLF each year.  These GLFs are not benign in this population, as 6% will sustain (...) TJ, Kammerlander-Knauer U, Krappinger D, Blauth M. Ortho-geriatric service—a literature review comparing different models. Osteoporos Int . 2010;21(Suppl 4):S637–S646. Handoll HH, Cameron ID, Mak JC, Finnegan TP. Multidisciplinary rehabilitation for olderpeople with hip fractures . Cochrane Bone, Joint and Muscle Trauma Group, editor. Cochrane Database Syst Rev . 2009;15(1):29. Cameron ID, Handoll HH, Finnegan TP, Madhok R, Langhorne P. Co-ordinated multidisciplinary approaches for inpatient