Latest & greatest articles for elderly

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Top results for elderly

81. Frailty is More Predictive than Age for Complications After Thyroidectomy for Multinodular Goiter

-targeted database (2016-2017). Outcomes were analyzed between adult (age <65), older-adult (age ≥65 and <80), and oldest-old (age ≥80) patients. Five-factor modified frailty index (mFI-5) was calculated based on functional status, diabetes, COPD, CHF, and hypertension, and used in comparative analyses. Results: A total of 2189 adult, 635 older-adult, and 59 oldest-old patients were included. Compared to adult patients, older-adult and oldest-old patients had higher mFI-5 ≥0.4 rates (14% vs. 22% vs. 31 (...) %, respectively, p < 0.001). The overall complication rate was 17.0% and similar between groups; however, oldest-old patients had higher rates of surgical site infection (3.4% vs. 0.3% vs. 0.4%), pneumonia (5.1% vs. 0.3% vs. 0.2%), and readmission (10.2% vs. 2.4% vs. 2.6%) compared to older-adult and adult patients, respectively (p < 0.05). On multivariable analyses of thyroidectomy-specific complications, mFI-5 ≥0.4 (OR 2.5, 95%-CI 1.4-4.4) and bleeding disorder (OR 4.6, 95%-CI 1.3-16.3) were predictive

2020 EvidenceUpdates

82. Prenatal Repair of Myelomeningocele and School-age Functional Outcomes

Prenatal Repair of Myelomeningocele and School-age Functional Outcomes Prenatal Repair of Myelomeningocele and School-age Functional Outcomes - PubMed This site needs JavaScript to work properly. Please enable it to take advantage of the complete set of features! Welcome to the new PubMed. For legacy PubMed go to . Clipboard, Search History, and several other advanced features are temporarily unavailable. National Institutes of Health U.S. National Library of Medicine National Center (...) Feb;145(2):e20191544. doi: 10.1542/peds.2019-1544. Prenatal Repair of Myelomeningocele and School-age Functional Outcomes , , , , , , , , , , , , , , , , , Affiliations Expand Affiliations 1 Department of Physical Medicine and Rehabilitation, University of Pittsburgh, Pittsburgh, Pennsylvania. 2 Biostatistics Center, Milken Institute School of Public Health, The George Washington University, Washington, District of Columbia; e_thom@bsc.gwu.edu. 3 Department of Psychology, University of Houston

2020 EvidenceUpdates

83. Effects of virtual reality on pain, fear and anxiety during blood draw in children aged 5-12 years old: A randomised controlled study

Effects of virtual reality on pain, fear and anxiety during blood draw in children aged 5-12 years old: A randomised controlled study Effects of Virtual Reality on Pain, Fear and Anxiety During Blood Draw in Children Aged 5-12 Years Old: A Randomised Controlled Study - PubMed This site needs JavaScript to work properly. Please enable it to take advantage of the complete set of features! Welcome to the new PubMed. For legacy PubMed go to . Clipboard, Search History, and several other advanced (...) citation management software Create file Cancel Actions Cite Share Permalink Copy Page navigation J Clin Nurs Actions . 2020 Apr;29(7-8):1151-1161. doi: 10.1111/jocn.15173. Epub 2020 Jan 22. Effects of Virtual Reality on Pain, Fear and Anxiety During Blood Draw in Children Aged 5-12 Years Old: A Randomised Controlled Study , , , Affiliations Expand Affiliation 1 Pediatric Nursing Department, Dokuz Eylul University Faculty of Nursing, Izmir, Turkey. PMID: 31889358 DOI: Item in Clipboard Effects

2020 EvidenceUpdates

84. Long-Term Survival and Risk of Institutionalization in Onco-Geriatric Surgical Patients: Long-Term Results of the PREOP Study Full Text available with Trip Pro

: Prospective cohort study with long-term follow-up. Setting: International and multicenter locations. Participants: Patients aged 70 years or older undergoing elective surgery for a malignant solid tumor at five centers (n = 229). Measurements: We assessed long-term survival and institutionalization using the Preoperative Risk Estimation for Onco-geriatric Patients (PREOP) score, developed to predict the 30-day risk of major complications. The PREOP score collected data about sex, type of surgery (...) REFERENCES Kinsella K, Philips DR. Global aging: the challenge of success. Popul Bull. 2005;60(1):3-40. Korc-Grodzicki B, Downey RJ, Shahrokni A, Kingham TP, Patel SG, Audisio RA. Surgical considerations in older adults with cancer. J Clin Oncol. 2014;32(24):2647-2653. Mohanty S, Rosenthal RA, Russell MM, Neuman MD, Ko CY, Esnaola NF. Optimal perioperative management of the geriatric patient: a best practices guideline from the American College of Surgeons NSQIP and the American Geriatrics Society. J Am

2020 EvidenceUpdates

85. Self-Administered Acupressure for Caregivers of Older Family Members: A Randomized Controlled Trial

Share Permalink Copy Page navigation J Am Geriatr Soc Actions . 2020 Feb 25. doi: 10.1111/jgs.16357. Online ahead of print. Self-Administered Acupressure for Caregivers of Older Family Members: A Randomized Controlled Trial , , , , , , , , , , , Affiliations Expand Affiliations 1 School of Nursing, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, China. 2 School of Nursing, Hong Kong Sanatorium and Hospital, Hong Kong, China. 3 School of Nursing, The Hong Kong Polytechnic (...) Faculty of Medicine, The University of Hong Kong, Hong Kong, China. 9 Virginia University of Integrative Medicine, Fairfax, Virginia. PMID: 32096884 DOI: Item in Clipboard Self-Administered Acupressure for Caregivers of Older Family Members: A Randomized Controlled Trial Denise Shuk Ting Cheung et al. J Am Geriatr Soc . 2020 . Show details J Am Geriatr Soc Actions . 2020 Feb 25. doi: 10.1111/jgs.16357. Online ahead of print. Authors , , , , , , , , , , , Affiliations 1 School of Nursing, Li Ka Shing

2020 EvidenceUpdates

86. Effect of High-Dose vs Standard-Dose Vitamin D Supplementation in Pregnancy on Bone Mineralization in Offspring Until Age 6 Years: A Prespecified Secondary Analysis of a Double-Blinded, Randomized Clinical Trial

Effect of High-Dose vs Standard-Dose Vitamin D Supplementation in Pregnancy on Bone Mineralization in Offspring Until Age 6 Years: A Prespecified Secondary Analysis of a Double-Blinded, Randomized Clinical Trial Effect of High-Dose vs Standard-Dose Vitamin D Supplementation in Pregnancy on Bone Mineralization in Offspring Until Age 6 Years: A Prespecified Secondary Analysis of a Double-Blinded, Randomized Clinical Trial - PubMed This site needs JavaScript to work properly. Please enable (...) : Which day? Which day? Report format: Send at most: Send even when there aren't any new results Optional text in email: Save Cancel Create a file for external citation management software Create file Cancel Actions Cite Share Permalink Copy Page navigation JAMA Pediatr Actions . 2020 Feb 24;e196083. doi: 10.1001/jamapediatrics.2019.6083. Online ahead of print. Effect of High-Dose vs Standard-Dose Vitamin D Supplementation in Pregnancy on Bone Mineralization in Offspring Until Age 6 Years

2020 EvidenceUpdates

87. A school intervention for 13- to 15-year-olds to prevent dating and relationship violence: the Project Respect pilot cluster RCT Full Text available with Trip Pro

A school intervention for 13- to 15-year-olds to prevent dating and relationship violence: the Project Respect pilot cluster RCT A school intervention for 13- to 15-year-olds to prevent dating and relationship violence: the Project Respect 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

2020 NIHR HTA programme

88. Continuation of Annual Screening Mammography and Breast Cancer Mortality in Women Older Than 70 Years. (Abstract)

Continuation of Annual Screening Mammography and Breast Cancer Mortality in Women Older Than 70 Years. Randomized trials have shown that initiating breast cancer screening between ages 50 and 69 years and continuing it for 10 years decreases breast cancer mortality. However, no trials have studied whether or when women can safely stop screening mammography. An estimated 52% of women aged 75 years or older undergo screening mammography in the United States.To estimate the effect of breast cancer (...) screening on breast cancer mortality in Medicare beneficiaries aged 70 to 84 years.Large-scale, population-based, observational study of 2 screening strategies: continuing annual mammography, and stopping screening.U.S. Medicare program, 2000 to 2008.1 058 013 beneficiaries aged 70 to 84 years who had a life expectancy of at least 10 years, had no previous breast cancer diagnosis, and underwent screening mammography.Eight-year breast cancer mortality, incidence, and treatments, plus the positive

2020 Annals of Internal Medicine

89. Mortality and Hospitalizations for Dually Enrolled and Nondually Enrolled Medicare Beneficiaries Aged 65 Years or Older, 2004 to 2017. (Abstract)

Mortality and Hospitalizations for Dually Enrolled and Nondually Enrolled Medicare Beneficiaries Aged 65 Years or Older, 2004 to 2017. Medicare beneficiaries who are also enrolled in Medicaid (dually enrolled beneficiaries) have drawn the attention of policy makers because they comprise the poorest subset of the Medicare population; however, it is unclear how their outcomes have changed over time compared with those only enrolled in Medicare (nondually enrolled beneficiaries).To evaluate annual (...) changes in all-cause mortality, hospitalization rates, and hospitalization-related mortality among dually enrolled beneficiaries and nondually enrolled beneficiaries.Serial cross-sectional study of Medicare fee-for-service beneficiaries aged 65 years or older between January 2004 and December 2017. The final date of follow-up was September 30, 2018.Dual vs nondual enrollment status.Annual all-cause mortality rates; all-cause hospitalization rates; and in-hospital, 30-day, 1-year hospitalization

2020 JAMA

90. Deprescribing for Older Veterans: A Systematic Review

& Development Management eBrief no. 170 » Issue 170 March 2020 The report is a product of the VA/HSR&D Evidence Synthesis Program. Deprescribing for Older Veterans: A Systematic Review More than 40% of people in the United States age ≥65 years take five or more prescription medications on a regular basis to control or prevent disease symptoms and complications. The number of medications a person is taking may be the single most important predictor of adverse drug effects. Efforts have been underway for more (...) medications, and medications known to pose risks in the elderly. The VA Center for Medication Safety in Aging was charged with the development and implementation of deprescribing approaches in VA settings. Commissioned by the National Center for Patient Safety and endorsed by VA Pharmacy Benefits Management and the Geriatrics and Extended Care Services, the purpose of this evidence review is to inform that work. Specific questions to be addressed included: What are the effectiveness, comparative

2020 Veterans Affairs - R&D

91. Preventive home visits to older people

" OR AB "Health promotion") 1236 4. 1 OR 2 OR 3 5690 Population: 5. DE "OLDER people" 7927 6. (TI (elderly OR aged OR old*) N2 (person* OR people* OR m#n OR wom#n OR patient*)) OR (AB (elderly OR aged OR old*) N2 (person* OR people* OR m#n OR wom#n OR patient*)) 29086 7. (TI (geriatric* OR "senior citizen*")) OR (AB (geriatric* OR "senior citizen*")) 4799 8. 5 OR 6 OR 7 36564 Study types: 9. DE "Systematic reviews (Medical research)" OR DE "Cochrane reviews" OR DE "Meta-analysis" 5181 10. (TI (...) Population: 5. exp Aged/ 3041480 6. ((elderly or aged or old$) adj2 (person$ or people$ or m?n or wom?n or patient$)).ti,ab. 714320 7. (geriatric$ or senior citizen$).ti,ab 46885 8. 5 OR 6 OR 7 3469976 Study types: 9. Exp systematic review/ OR cochrane library.mp OR exp meta analysis/ 191889 10. ((systematic* ADJ3 review) OR meta analy* OR metaanaly*).ab,ti,kw 255856 11. 9 OR 10 282791 Combined sets: 12. 4 AND 8 5311 Final 11 AND 12 102 Cochrane Library via Wiley 2020-01-14 Preventive home visits

2020 Swedish Council on Technology Assessement

92. Similar Breast Cancer Risk in Women Older Than 65 Years Initiating Glargine, Detemir, and NPH Insulins

Similar Breast Cancer Risk in Women Older Than 65 Years Initiating Glargine, Detemir, and NPH Insulins Similar Breast Cancer Risk in Women Older Than 65 Years Initiating Glargine, Detemir, and NPH Insulins - PubMed This site needs JavaScript to work properly. Please enable it to take advantage of the complete set of features! Welcome to the new PubMed. For legacy PubMed go to . Clipboard, Search History, and several other advanced features are temporarily unavailable. National Institutes (...) to an error Add Cancel Add to My Bibliography My Bibliography Unable to load your delegates due to an error Add Cancel Actions Cite Share Permalink Copy Page navigation Diabetes Care Actions 2020 Feb 19 [Online ahead of print] Similar Breast Cancer Risk in Women Older Than 65 Years Initiating Glargine, Detemir, and NPH Insulins , , , , , , , , , , Affiliations Expand Affiliations 1 Office of Surveillance and Epidemiology, Center for Drug Evaluation and Research, U.S. Food and Drug Administration, Silver

2020 EvidenceUpdates

93. Reverse Shoulder Arthroplasty Is Superior to Plate Fixation at 2 Years for Displaced Proximal Humeral Fractures in the Elderly: A Multicenter Randomized Controlled Trial Full Text available with Trip Pro

results compared with open reduction and internal fixation (ORIF) using an angular stable plate. Methods: The DelPhi trial is a randomized controlled trial comparing reverse TSA with ORIF for displaced proximal humeral fractures (OTA/AO types 11-B2 and 11-C2) in elderly patients (65 to 85 years of age). The primary outcome measure was the Constant score at a 2-year follow-up. The secondary outcome measures included the Oxford Shoulder Score and radiographic evaluation. Results were reported (...) Reverse Shoulder Arthroplasty Is Superior to Plate Fixation at 2 Years for Displaced Proximal Humeral Fractures in the Elderly: A Multicenter Randomized Controlled Trial Reverse Shoulder Arthroplasty Is Superior to Plate Fixation at 2 Years for Displaced Proximal Humeral Fractures in the Elderly: A Multicenter Randomized Controlled Trial - PubMed This site needs JavaScript to work properly. Please enable it to take advantage of the complete set of features! Welcome to the new PubMed. For legacy

2020 EvidenceUpdates

94. Association between preadmission frailty and care level at discharge in older adults undergoing emergency laparotomy (Abstract)

with increased dependence at the time of discharge.The ELF study was a UK-wide multicentre prospective cohort study of older patients (65 years or more) undergoing emergency laparotomy during March and June 2017. The objective was to establish whether preoperative frailty was associated with increased care level at discharge compared with preoperative care level. The analysis used a multilevel logistic regression adjusted for preadmission frailty, patient age, sex and care level.A total of 934 patients were (...) included from 49 hospitals. Mean(s.d.) age was 76·2(6·8) years, with 57·6 per cent women; 20·2 per cent were frail. Some 37·4 per cent of older adults had an increased care level at discharge. Increasing frailty was associated with increased discharge care level, with greater predictive power than age. The adjusted odds ratio for an increase in care level was 4·48 (95 per cent c.i. 2·03 to 9·91) for apparently vulnerable patients (Clinical Frailty Score (CFS) 4), 5·94 (2·54 to 13·90) for those mildly

2020 EvidenceUpdates

95. Happiness or hopelessness in late life: A cluster RCT of the 3L-Mind-Training programme among the institutionalized older people (Abstract)

Happiness or hopelessness in late life: A cluster RCT of the 3L-Mind-Training programme among the institutionalized older people To explore the effectiveness of a new mental health promotion activities programme by including the criterion variables of happiness and depressive mood.A single-blinded, clustered, randomized and controlled trial.A list consisting of the names of elderly residents was provided by the senior social worker at a geriatric institution. The participants recruited (...) to measure happiness. The Geriatric Depression Scale short-form was used to measure depression in older people. A generalized estimating equation was used to analyse the short-term and durative effects.The 126 residents included in the study were 65-97 years old, and 90% of the residents relied on wheelchairs. The intervention activities give significant immediate and durative effects both on subjective well-being enhancement and depressive mood relief. When evaluating the overall intervention activity

2020 EvidenceUpdates

96. Acupuncture vs Noninsertive Sham Acupuncture in Aging Patients with Degenerative Lumbar Spinal Stenosis: A Randomized Controlled Trial Full Text available with Trip Pro

Acupuncture vs Noninsertive Sham Acupuncture in Aging Patients with Degenerative Lumbar Spinal Stenosis: A Randomized Controlled Trial Acupuncture is commonly used to treat degenerative lumbar spinal stenosis in Asian countries. However, rigorous data regarding the efficacy and safety of acupuncture for aging patients are currently lacking.Eighty patients older than 50 years were assigned randomly to the acupuncture group or the noninsertive sham acupuncture for 24 treatments over an 8-week

2020 EvidenceUpdates

97. High-dose oral vitamin D supplementation and mortality in people aged 65 84 years: the VIDAL cluster feasibility RCT of open versus double-blind individual randomisation Full Text available with Trip Pro

High-dose oral vitamin D supplementation and mortality in people aged 65 84 years: the VIDAL cluster feasibility RCT of open versus double-blind individual randomisation High-dose oral vitamin D supplementation and mortality in people aged 65 84 years: the VIDAL cluster feasibility RCT of open versus double-blind individual randomisation Journals Library An error occurred retrieving content to display, please try again. >> >> >> Page Not Found Page not found (404) Sorry - the page you requested

2020 NIHR HTA programme

98. A weight management programme for fathers of children aged 4 11 years: cultural adaptation and the Healthy Dads, Healthy Kids UK feasibility RCT Full Text available with Trip Pro

A weight management programme for fathers of children aged 4 11 years: cultural adaptation and the Healthy Dads, Healthy Kids UK feasibility RCT A weight management programme for fathers of children aged 4 11 years: cultural adaptation and the Healthy Dads, Healthy Kids UK feasibility 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

2020 NIHR HTA programme

99. Epilepsy in older people. (Abstract)

Epilepsy in older people. Globally, as populations age there will be challenges and opportunities to deliver optimal health care to senior citizens. Epilepsy, a condition characterised by spontaneous recurrent seizures, is common in older adults (aged >65 years) and yet has received comparatively little attention in this age group. In this Review, we evaluate the underlying causes of epilepsy in older people, explore difficulties in establishing a diagnosis of epilepsy in this population (...) , discuss appropriate antiseizure medications, and evaluate potential surgical treatment options. We consider cognitive, psychological, and psychosocial comorbidities and the effect that epilepsy might have on an older person's broader social or care network in high-income versus middle-income and low-income countries. We emphasise the need for clinical trials to be more inclusive of older people with epilepsy to help inform therapeutic decision making and discuss whether measures to improve vascular

2020 Lancet

100. Screening for Cognitive Impairment in Older Adults: US Preventive Services Task Force Recommendation Statement. Full Text available with Trip Pro

Screening for Cognitive Impairment in Older Adults: US Preventive Services Task Force Recommendation Statement. Dementia (also known as major neurocognitive disorder) is defined by a significant decline in 1 or more cognitive domains that interferes with a person's independence in daily activities. Dementia affects an estimated 2.4 to 5.5 million individuals in the United States, and its prevalence increases with age.To update its 2014 recommendation, the US Preventive Services Task Force (...) (USPSTF) commissioned a review of the evidence on screening for cognitive impairment, including mild cognitive impairment and mild to moderate dementia, in community-dwelling adults, including those 65 years or older residing in independent living facilities.This recommendation applies to community-dwelling older adults 65 years or older, without recognized signs or symptoms of cognitive impairment.The USPSTF concludes that the evidence is lacking, and the balance of benefits and harms of screening

2020 JAMA