Latest & greatest articles for geriatrics

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Top results for geriatrics

1. Reduced exposure to vasopressors through permissive hypotension to reduce mortality in critically ill people aged 65 and over: the 65 RCT Full Text available with Trip Pro

Reduced exposure to vasopressors through permissive hypotension to reduce mortality in critically ill people aged 65 and over: the 65 RCT Reduced exposure to vasopressors through permissive hypotension to reduce mortality in critically ill people aged 65 and over: the 65 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 need. >> >> >> >> Issue {{metadata .Issue }} Toolkit 1)"> 0)"> 1)"> {{metadata.Title}} {{metadata.Headline}} Permissive hypotension did not significantly reduce mortality at 90 days compared to usual care, in critically ill people aged 65 and over receiving vasopressors for vasodilatory hypotension. {{author}} {{($index , , , , , , , , , , , , , , , & . Paul R Mouncey 1, * , Alvin Richards-Belle 1 , Karen Thomas 1 , David A Harrison 1 , M Zia

2021 NIHR HTA programme

2. Respite care and short breaks for young adults aged 18-40 with complex health-care needs: mixed-methods systematic review and conceptual framework development Full Text available with Trip Pro

Respite care and short breaks for young adults aged 18-40 with complex health-care needs: mixed-methods systematic review and conceptual framework development Respite care and short breaks for young adults aged 18-40 with complex health-care needs: mixed-methods systematic review and conceptual framework development 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

2021 NIHR HTA programme

3. Effect of Aspirin on Cancer Incidence and Mortality in Older Adults Full Text available with Trip Pro

, a randomized, double-blind, placebo-controlled trial of daily low-dose aspirin (100 mg) in older adults, showed an increase in all-cause mortality, primarily due to cancer. In contrast, prior randomized controlled trials, mainly involving younger individuals, demonstrated a delayed cancer benefit with aspirin. We now report a detailed analysis of cancer incidence and mortality. Methods: 19 114 Australian and US community-dwelling participants aged 70 years and older (US minorities 65 years and older (...) , aspirin treatment had an adverse effect on later stages of cancer evolution. These findings suggest that in older persons, aspirin may accelerate the progression of cancer and, thus, suggest caution with its use in this age group. © The Author(s) 2020. Published by Oxford University Press. Figures Figure 1. Cumulative incidence of first incidence… Figure 1. Cumulative incidence of first incidence of solid tumor cancer, by stage and treatment… Figure 1. Cumulative incidence of first incidence of solid

2021 EvidenceUpdates

4. Effect of Levothyroxine Therapy on the Development of Depressive Symptoms in Older Adults With Subclinical Hypothyroidism: An Ancillary Study of a Randomized Clinical Trial Full Text available with Trip Pro

and Geriatrics, Leiden University Medical Center, Leiden, the Netherlands. 6 Service of Endocrinology, Diabetology, Nutrition, and Therapeutic Education, Geneva University Hospitals, Geneva, Switzerland. 7 School of Public Health, University College Cork, Cork, Ireland. 8 Institute of Cardiovascular Medicine, University of Glasgow, Glasgow, Scotland. 9 University Hospital of Old Age Psychiatry, University of Bern, Bern, Switzerland. 10 Departments of Medicine and Epidemiology and Biostatistics, University (...) of California, San Francisco, San Francisco, California. 11 Department of Medicine, Erasmus Medical Center, Rotterdam, the Netherland. 12 Department of Public Health and Center for Healthy Aging, University of Copenhagen, Copenhagen, Denmark. PMID: 33566107 PMCID: DOI: Free PMC article Item in Clipboard Effect of Levothyroxine Therapy on the Development of Depressive Symptoms in Older Adults With Subclinical Hypothyroidism: An Ancillary Study of a Randomized Clinical Trial Lea Wildisen et al. JAMA Netw Open

2021 EvidenceUpdates

5. Silver Book II: Disaster medicine involving older people

Silver Book II: Disaster medicine involving older people Silver Book II: Disaster medicine involving older people | British Geriatrics Society Toggle main menu visibility Search Search Search Resources (menu position rule) ) and have increased trauma risk following explosions and penetrating injuries (see section on ). 285 Standard approaches to managing patients after large-scale mass casualty incidents using generic triage tools 286 and decontamination tents 287 can actually cause harm (...) training have limited detail on geriatric care. 293 In addition to understanding the negative impact of disasters on older adults and the preventable factors associated with those outcomes, medical providers should be aware all disaster triage schemes among those over age 65 are inaccurate and inadequate for assessing emergent intervention needs, especially in context of those with multiple active prescriptions. 286 However, adapting training to incorporate age-specific disaster training is only one

2021 British Geriatrics Society

6. Silver Book II: Geriatric syndromes

Silver Book II: Geriatric syndromes Silver Book II: Geriatric syndromes | British Geriatrics Society Toggle main menu visibility Search Search Search Resources (menu position rule) was written to address the care needs of older people, specifically older people living with frailty, during the first 72 hours of an urgent care episode. This chapter, edited by Simon Mooijaart, Jacinta Lucke, Christian Nickel and Glenn Arendts, covers the presentation of common geriatric conditions in an urgent (...) in older people is much less common than at a younger age; of 5038 consecutive self-harm attendances in one Emergency Department, 110 (2.2%) were of people aged 65 years or over. 175 However older people who self-harm have high levels of suicidal intent 176,177 and often have on-going suicidal ideation following initial presentation. World Health Organisation data indicate that between a quarter and half of all suicides are accounted for by people aged 55 or over with considerable variation between

2021 British Geriatrics Society

7. Elder Abuse and Women’s Health

( , ). Elder abuse is defined as a “single or repeated act, or lack of appropriate actions, which causes harm, risk of harm, or distress to an individual 60 years or older and occurs: within a relationship where there is an expectation of trust; or when the targeted act is directed towards an elder person by virtue of age or disabilities. Elder abuse can be intentional or unintentional, can take various forms, and includes but is not limited to physical, psychological, emotional, or sexual abuse, neglect (...) at Risk Although all older adults are potential targets of abuse, elderly individuals are often the most physically or psychologically vulnerable. Individuals who have disabilities or are homebound may be so desperate for help that they exercise poor judgment in choosing whom to trust. A major risk factor for elder abuse is cognitive impairment; approximately 50% of adults older than 85 years are cognitively impaired . Depression and anxiety are highly prevalent among older adults and are risk factors

2021 American College of Obstetricians and Gynecologists

8. Silver Book II: Holistic assessment of older people

Silver Book II: Holistic assessment of older people Silver Book II: Holistic assessment of older people | British Geriatrics Society Toggle main menu visibility Search Search Search Resources (menu position rule) was written to address the care needs of older people, specifically older people living with frailty, during the first 72 hours of an urgent care episode. This chapter, edited by Finbarr Martin, Simon Conroy and Bianca Buurman, covers the assessment of older people in an urgent care (...) and competencies in areas outside of the geriatric ward area is somewhat limited. 36,57 Resources: Comprehensive Geriatric Assessment Holistic care for urgent scenarios in different settings Proactive care for older people Early identification of older people with frailty living at home and providing optimal care to this population has become a high priority 58 since being able to maintain functioning and independence is an important goal of older people. 59 However, providing optimal care for this population

2021 British Geriatrics Society

9. Reducing the minimum age for mask wearing requirements and recommendations in COVID-19

— The Chief Inspector within HIQA is responsible for registering and inspecting residential services for older people and people with a disability, and children’s special care units. ? Regulating health services — Regulating medical exposure to ionising radiation. ? Monitoring services — Monitoring the safety and quality of health services and children’s social services, and investigating as necessary serious concerns about the health and welfare of people who use these services. ? Health technology (...) , HSE- Health Protection Surveillance Centre (HPSC) Prof Mary Keogan Consultant Immunologist, Beaumont Hospital & Clinical Lead , National Clinical Programme for Pathology, HSE Dr Siobhán Kennelly Consultant Geriatrician & National Clinical & Advisory Group Lead, Older Persons, HSE Ms Sarah Lennon Executive Director, SAGE Advocacy Advice to the National Public Health Emergency Team: Reduction of the minimum age for the application of mask wearing requirements and recommendations Health Information

2021 Health Information and Quality Authority

10. The HEAR-VA Pilot Study: Hearing Assistance Provided to Older Adults in the Emergency Department

benefit of providing a simple hearing assistance device during an emergency department (ED) visit, for people who reported difficulty hearing. Design: Randomized controlled pilot study. Setting: The ED of New York Harbor Manhattan Veterans Administration Medical Center. Participants: One hundred and thirty-three Veterans aged 60 and older, presenting to the ED, likely to be discharged to home, who either (1) said that they had difficulty hearing, or (2) scored 10 or greater (range 0-40) on the Hearing (...) BE, Ventry IM. Hearing impairment and social isolation in the elderly. J Speech Hear Res. 1982;25(4):593-599. Arlinger S. Negative consequences of uncorrected hearing loss - a review. Int J Audiol. 2003;42(suppl 2):2S17-2S20. Mick P, Kawachi I, Lin FR. The association between hearing loss and social isolation in older adults. Otolaryngol Head Neck Surg. 2014;150(3):378-384. Capella-McDonnall ME. The effects of single and dual sensory loss on symptoms of depression in the elderly. Int J Geriatr Psychiatry

2021 EvidenceUpdates

11. Effect of Telephone Cognitive Behavioral Therapy for Insomnia in Older Adults With Osteoarthritis Pain: A Randomized Clinical Trial

Effect of Telephone Cognitive Behavioral Therapy for Insomnia in Older Adults With Osteoarthritis Pain: A Randomized Clinical Trial Effect of Telephone Cognitive Behavioral Therapy for Insomnia in Older Adults With Osteoarthritis Pain: A Randomized Clinical Trial - PubMed This site needs JavaScript to work properly. Please enable it to take advantage of the complete set of features! Clipboard, Search History, and several other advanced features are temporarily unavailable. COVID-19 (...) Your RSS Feed Name of RSS Feed: Number of items displayed: Create RSS Cancel RSS Link Copy Actions Cite Display options Display options Format Share Permalink Copy Page navigation JAMA Intern Med Actions . 2021 Feb 22;e209049. doi: 10.1001/jamainternmed.2020.9049. Online ahead of print. Effect of Telephone Cognitive Behavioral Therapy for Insomnia in Older Adults With Osteoarthritis Pain: A Randomized Clinical Trial , , , , , , , Affiliations Expand Affiliations 1 Department of Child, Family

2021 EvidenceUpdates

12. Effectiveness of Periarticular Injection After Bipolar Hemiarthroplasty for Displaced Femoral Neck Fracture in Elderly Patients: A Double Blinded Randomized, Controlled Stud

Effectiveness of Periarticular Injection After Bipolar Hemiarthroplasty for Displaced Femoral Neck Fracture in Elderly Patients: A Double Blinded Randomized, Controlled Stud Effectiveness of Periarticular Injection After Bipolar Hemiarthroplasty for Displaced Femoral Neck Fracture in Elderly Patients: A Double Blinded Randomized, Controlled Study - PubMed This site needs JavaScript to work properly. Please enable it to take advantage of the complete set of features! Clipboard, Search History (...) Create a file for external citation management software Create file Cancel Your RSS Feed Name of RSS Feed: Number of items displayed: Create RSS Cancel RSS Link Copy Actions Cite Display options Display options Format Share Permalink Copy Page navigation J Arthroplasty Actions . 2021 Jan 16;S0883-5403(21)00035-8. doi: 10.1016/j.arth.2021.01.017. Online ahead of print. Effectiveness of Periarticular Injection After Bipolar Hemiarthroplasty for Displaced Femoral Neck Fracture in Elderly Patients

2021 EvidenceUpdates

13. Safety, Reactogenicity, and Health-Related Quality of Life After Trivalent Adjuvanted vs Trivalent High-Dose Inactivated Influenza Vaccines in Older Adults: A Randomized Clinical Trial Full Text available with Trip Pro

High-Dose Inactivated Influenza Vaccines in Older Adults: A Randomized Clinical Trial , , , , , , , , , , , , Affiliations Expand Affiliations 1 Center for the Study of Aging, Division of Geriatrics, Department of Medicine, Duke University School of Medicine, Durham, North Carolina. 2 Geriatric Research Education and Clinical Center, Durham VA Health Care System, Durham, North Carolina. 3 Section of Geriatrics, Division of Primary Care and Population Health, Stanford University, Stanford (...) of Life After Trivalent Adjuvanted vs Trivalent High-Dose Inactivated Influenza Vaccines in Older Adults: A Randomized Clinical Trial Kenneth E Schmader et al. JAMA Netw Open . 2021 . Free PMC article Show details Display options Display options Format JAMA Netw Open Actions . 2021 Jan 4;4(1):e2031266. doi: 10.1001/jamanetworkopen.2020.31266. Authors , , , , , , , , , , , , Affiliations 1 Center for the Study of Aging, Division of Geriatrics, Department of Medicine, Duke University School of Medicine

2021 EvidenceUpdates

14. Cast immobilization is non-inferior to volar locking plates in relation to QuickDASH after one year in patients aged 65 years and older: a randomized controlled trial of displaced distal radius fractures

Cast immobilization is non-inferior to volar locking plates in relation to QuickDASH after one year in patients aged 65 years and older: a randomized controlled trial of displaced distal radius fractures Cast immobilization is non-inferior to volar locking plates in relation to QuickDASH after one year in patients aged 65 years and older: a randomized controlled trial of displaced distal radius fractures - PubMed This site needs JavaScript to work properly. Please enable it to take advantage (...) to QuickDASH after one year in patients aged 65 years and older: a randomized controlled trial of displaced distal radius fractures , , , , , , , Affiliations Expand Affiliations 1 Division of Orthopaedic Surgery, Oslo University Hospital Ullevaal, Oslo, Norway. 2 Institute of Clinical Medicine, University of Oslo, Oslo, Norway. 3 Department for Radiology and Nuclear Medicine, Oslo University Hospital Ullevaal, Oslo, Norway. 4 Oslo Centre of Biostatistics and Epidemiology, Oslo University Hospital Ullevaal

2021 EvidenceUpdates

15. Intraoperative dexmedetomidine for prevention of postoperative delirium in elderly patients with mild cognitive impairment

of RSS Feed: Number of items displayed: Create RSS Cancel RSS Link Copy Actions Cite Display options Display options Format Share Permalink Copy Page navigation Int J Geriatr Psychiatry Actions . 2021 Jan;36(1):143-151. doi: 10.1002/gps.5406. Epub 2020 Nov 10. Intraoperative dexmedetomidine for prevention of postoperative delirium in elderly patients with mild cognitive impairment , , , Affiliations Expand Affiliations 1 Department of Anesthesiology, The Third Central Hospital of Tianjin, Tianjin Key (...) Laboratory of Extracorporeal Life Support for Critical Diseases, Artificial Cell Engineering Technology Research Center, Tianjin Institute of Hepatobiliary Disease, Tianjin, China. 2 Department of Anesthesiology, Tianjin Baodi Hospital, Baodi Clinical College of Tianjin Medical University, Tianjin, China. PMID: 33411362 DOI: Item in Clipboard Intraoperative dexmedetomidine for prevention of postoperative delirium in elderly patients with mild cognitive impairment Xi Xin et al. Int J Geriatr Psychiatry

2021 EvidenceUpdates

16. Intravenous versus Volatile Anesthetic Effects on Postoperative Cognition in Elderly Patients Undergoing Laparoscopic Abdominal Surgery Full Text available with Trip Pro

hypothesis is that there were blood biomarkers for predicting delayed neurocognitive recovery to occur. Methods: A randomized, double-blind, parallel, controlled study was performed at four hospitals in China. Elderly patients (60 yr and older) undergoing laparoscopic abdominal surgery that was likely longer than 2 h were randomized to a propofol- or sevoflurane-based regimen to maintain general anesthesia. A minimum of 221 patients was planned for each group to detect a one-third decrease in delayed (...) Actions Multicenter Study Actions Randomized Controlled Trial Actions Research Support, Non-U.S. Gov't Actions MeSH terms Abdomen / surgery* Actions Aged Actions Anesthetics, Inhalation / adverse effects* Actions Anesthetics, Inhalation / blood Actions Anesthetics, Intravenous / adverse effects* Actions Anesthetics, Intravenous / blood Actions Biomarkers / blood Actions China / epidemiology Actions Double-Blind Method Actions Female Actions Geriatric Assessment / methods Actions Geriatric Assessment

2021 EvidenceUpdates

17. Surgical Plating vs Closed Reduction for Fractures in the Distal Radius in Older Patients: A Randomized Clinical Trial

fractures in older people. Trial registration: http://anzctr.org.au identifier: ACTRN12616000969460. Conflict of interest statement Conflict of Interest Disclosures: None reported. Comment in doi: 10.1001/jamasurg.2020.5673 Similar articles Lawson A, Na M, Naylor JM, Lewin AM, Harris IA. Lawson A, et al. JBJS Rev. 2021 Jan 20;9(1):e20.00022. doi: 10.2106/JBJS.RVW.20.00022. JBJS Rev. 2021. PMID: 33512973 Williksen JH, Husby T, Hellund JC, Kvernmo HD, Rosales C, Frihagen F. Williksen JH, et al. J Hand (...) Surgical Plating vs Closed Reduction for Fractures in the Distal Radius in Older Patients: A Randomized Clinical Trial Surgical Plating vs Closed Reduction for Fractures in the Distal Radius in Older Patients: A Randomized Clinical Trial - PubMed This site needs JavaScript to work properly. Please enable it to take advantage of the complete set of features! Clipboard, Search History, and several other advanced features are temporarily unavailable. COVID-19 is an emerging, rapidly evolving

2021 EvidenceUpdates

18. The State of Ageing in 2020

highlighted more than ever the inequalities in how we age.The State of Ageing in 2020 4 Even before the pandemic, progress on improving life expectancy was stalling – and disability-free life expectancy was going backwards. Rates of increases in life expectancy seen in previous decades have slowed and people are living longer in poor health than in the past. A man who turned 65 in 2010 could expect to live two years longer than someone who reached the same age in 2001. Over the same period, 65-year-old (...) at 65 Life expectancy (LE) and Disability-free life expectancy (DFLE) (years) by gender and index of Multiple Deprivation Decile, England, 2016-2018 Least deprived Most deprived 73.9 78.6 15.8 18.3 52.9 51.3 6.2 6.3 83.4 86.3 21 23.3 69.5 67.7 12.2 12The State of Ageing in 2020 8 More than two million million people aged 55 or older are living in a home that endangers their health or wellbeing. During this pandemic, many of us are spending more time in our homes than ever before. For some, this has

2021 The Centre for Ageing Better

19. Effect of Cognitive Prehabilitation on the Incidence of Postoperative Delirium Among Older Adults Undergoing Major Noncardiac Surgery: The Neurobics Randomized Clinical Trial

Effect of Cognitive Prehabilitation on the Incidence of Postoperative Delirium Among Older Adults Undergoing Major Noncardiac Surgery: The Neurobics Randomized Clinical Trial Effect of Cognitive Prehabilitation on the Incidence of Postoperative Delirium Among Older Adults Undergoing Major Noncardiac Surgery: The Neurobics Randomized Clinical Trial - PubMed This site needs JavaScript to work properly. Please enable it to take advantage of the complete set of features! Clipboard, Search History (...) Among Older Adults Undergoing Major Noncardiac Surgery: The Neurobics Randomized Clinical Trial , , , , , , , , , Affiliations Expand Affiliations 1 Department of Anesthesiology, The Ohio State University Wexner Medical Center, Columbus. 2 Renaissance School of Medicine, Department of Anesthesiology, Stony Brook University, Stony Brook, New York. 3 Boonshoft School of Medicine, Wright State University, Dayton, Ohio. 4 Department of Psychiatry and Behavioral Health, The Ohio State University Wexner

2021 EvidenceUpdates

20. Neuromuscular exercise for chronic musculoskeletal pain in older people: a randomised controlled trial in primary care in Hong Kong Full Text available with Trip Pro

to healthy aging: a report for the 2015 World Health Organization World Report on Ageing and Health. Gerontologist. 2016;56(suppl 2):243S–255S. - Blyth FM, Noguchi N. Chronic musculoskeletal pain and its impact on older people. Best Pract Res Clin Rheumatol. 2017;31(2):160–168. - GBD 2017 Disease and Injury Incidence and Prevalence Collaborators Global, regional, and national incidence, prevalence, and years lived with disability for 354 diseases and injuries for 195 countries and territories, 1990–2017 (...) Neuromuscular exercise for chronic musculoskeletal pain in older people: a randomised controlled trial in primary care in Hong Kong Neuromuscular exercise for chronic musculoskeletal pain in older people: a randomised controlled trial in primary care in Hong Kong - PubMed This site needs JavaScript to work properly. Please enable it to take advantage of the complete set of features! Clipboard, Search History, and several other advanced features are temporarily unavailable. COVID-19

2021 EvidenceUpdates