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Age and Ageing

U M Ali, A Judge, C Foster, A Brooke, K James, T Marriott, S E Lamb
Background: falls can negatively affect patients, resulting in loss of independence and functional decline and have substantial healthcare costs. Hospitals are a high-risk falls environment and regularly introduce, but seldom evaluate, policies to reduce inpatient falls. This study evaluated whether introducing portable nursing stations in ward bays to maximise nurse-patient contact time reduced inpatient falls. Methods: inpatient falls data from local hospital incident reporting software (Datix) were collected monthly (April 2014-December 2017) from 17 wards in Stoke Mandeville and Wycombe General Hospitals, the UK...
July 16, 2018: Age and Ageing
Sarah T Pendlebury
No abstract text is available yet for this article.
July 11, 2018: Age and Ageing
Catherine Pennington, Katie Davey, Ruud Ter Meulen, Elizabeth Coulthard, Patrick Gavin Kehoe
Background: dementia is a common cause of altered decision-making capacity. Determining whether an individual has the ability to make a specific decision can be very challenging for both clinicians and researchers. The UK legislation requires that we both promote residual capacity where possible, and protect vulnerable adults who cannot make independent decisions. We evaluated published instruments designed to aid in the assessment of capacity, focussing on those meeting the UK legal requirements...
July 11, 2018: Age and Ageing
Barbara Hanratty, Daniel Stow, Danni Collingridge Moore, Nicole K Valtorta, Fiona Matthews
Background: loneliness has an adverse effect on health and well-being, and is common at older ages. Evidence that it is a risk factor for care home admission is sparse. Objective: to investigate the association between loneliness and care home admission. Setting: English Longitudinal Study of Ageing (ELSA). Participants: two-hundred fifty-four individuals across seven waves (2002-15) of ELSA who moved into care homes were age, sex matched to four randomly selected individuals who remained in the community...
July 10, 2018: Age and Ageing
Shyh Poh Teo, Jia Xin Chong, Munikumar Ramasamy Venkatasalu
No abstract text is available yet for this article.
July 10, 2018: Age and Ageing
S Damanti, C Abbate, I Chiodini, M Cesari, T Nestola, G Belloni, C Mandelli, D Mari, T Lucchi
An 81-year-old woman was hospitalised for behavioural disorders that had been progressively emerging over a period of few weeks. The symptoms appeared to worsen over time. A diagnosis of vascular dementia, complicated by psychosis, was initially hypothesised. The inefficacy of the antipsychotic/benzodiazepine medications used, along with the presence of hypertension, hypokalaemia and metabolic alkalosis (resistant to pharmacological attempts of correction), as well as the hirsutism and the development of several infections, led us to consider Cushing's syndrome...
July 10, 2018: Age and Ageing
Cheryl L Craigs, Michael I Bennett, Adam Hurlow, Robert M West, Lucy E Ziegler
Background: making informed decisions about cancer care provision for older cancer patients can be challenging and complex. Evidence suggests cancer care varies by age, however the relationship between age and care experiences from diagnosis to death for cancer patients within the UK has not previously been examined in detail. Patients and methods: retrospective cohort linking cancer registry and secondary care data for 13,499 adult cancer patients who died between January 2005 and December 2011...
July 4, 2018: Age and Ageing
Huiying Liu, Vivian W Q Lou
Background: both caregiving intensity and caregivers' multiple chronic conditions (MCCs) are important aspects of caregiving that might affect the health and well-being of older spousal caregivers, but few investigations have simultaneously modelled their impact during the transition into spousal caregiving. Objective: to examine the differential effects of caregiving intensity and caregivers' MCCs on functional health over time among individuals entering the spousal caregiver role...
July 4, 2018: Age and Ageing
Roger H Jay, Daniel Hipps
The National Institute for Health and Care Excellence (NICE) updated its Clinical Guideline and its Quality Standard on hip fracture in 2017. Three quality statements relate to the organisation of care-having a multidisciplinary hip fracture programme, and both operating and starting rehabilitation without delay-while three relate to surgical aspects, the most recent being the requirement to offer total hip replacement rather than hemiarthroplasty for those with displaced intracapsular fractures who could mobilise outdoors with a stick...
July 4, 2018: Age and Ageing
Iain Moppett
No abstract text is available yet for this article.
July 4, 2018: Age and Ageing
Jennifer N Baldwin, Sara Napier, Stephen Neville, Valerie A Wright-St Clair
Background: patient and public involvement (PPI) in research has been linked with numerous beneficial impacts, however, evidence for older people's involvement is limited. Objectives: to evaluate the impacts of involving older people in health and social care research on older co-researchers, academic researchers, and research processes and outcomes. A secondary aim was to explore critical success factors and future considerations for PPI. Design: systematic review...
June 25, 2018: Age and Ageing
Jennifer M Whateley, Alice J Huffman, Emily J Henderson
Donepezil is a commonly prescribed cholinesterase inhibitor in Alzheimer's dementia. We present a case of probable donepezil-induced generalised myoclonus causing total inability to mobilise in a 93-year-old woman.
June 23, 2018: Age and Ageing
Camilla Strøm, Lars Simon Rasmussen, Anne-Sophie Löwe, Anne Kathrine Lorentzen, Nicolai Lohse, Kim Hvid Benn Madsen, Søren Wistisen Rasmussen, Thomas Andersen Schmidt
Background: the effect of hospitalisation in emergency department-based short-stay units (SSUs) has not been studied in older patients. We compared SSU hospitalisation with standard care at an Internal Medicine Department (IMD) in acutely admitted older internal medicine patients. Methods: pragmatic randomised clinical trial. We randomly assigned patients aged 75 years or older, acutely admitted for an internal medicine disease and assessed to be suitable for SSU hospitalisation to SSU hospitalisation or IMD hospitalisation...
June 13, 2018: Age and Ageing
Giola Santoni, Sara B Angleman, Stina Ek, Emerald G Heiland, Mårten Lagergren, Laura Fratiglioni, Anna-Karin Welmer
Background: a trend towards decline in disability has been reported in older adults, but less is known about corresponding temporal trends in measured physical functions. Objective: to verify these trends during 2001-16 in an older Swedish population. Methods: functional status was assessed at three occasions: 2001-04 (n = 2,266), 2007-10 (n = 2,033) and 2013-16 (n = 1,476), using objectively measured balance, chair stands and walking speed...
June 8, 2018: Age and Ageing
Kieran Dalton, Gary O'Brien, Denis O'Mahony, Stephen Byrne
Background: computerised interventions have been suggested as an effective strategy to reduce potentially inappropriate prescribing (PIP) for hospitalised older adults. This systematic review and meta-analysis examined the evidence for efficacy of computerised interventions designed to reduce PIP in this patient group. Methods: an electronic literature search was conducted using eight databases up to October 2017. Included studies were controlled trials of computerised interventions aiming to reduce PIP in hospitalised older adults (≥65 years)...
June 8, 2018: Age and Ageing
Carmen Benitez, Javier Pérez-Jara, Luis Garcia-Paino, Teresa Montenegro, Encarnacion Martin, Arturo Vilches-Moraga
Intrapelvic mass formation as a result of particulate wear debris induced osteolysis is a recognised late complication of cementless total hip arthroplasty. Clinical presentation typically involves hip and/or leg pain resulting in functional impairment, and obstructive urinary symptoms developing 3-20 years after surgery. An acute confusional state has never been described in this scenario. We report the case of an 86-year-old gentleman with a diagnosis of dementia brought to our emergency department with an acute confusional state...
June 8, 2018: Age and Ageing
Rose Miranda, Yolanda W H Penders, Tinne Smets, Luc Deliens, Guido Miccinesi, Tomás Vega Alonso, Sarah Moreels, Lieve Van den Block
Background: measuring the quality of primary palliative care for older people with dementia in different countries is important to identify areas where improvements can be made. Objective: using quality indicators (QIs), we systematically investigated the overall quality of primary palliative care for older people with dementia in three different countries. Design/setting: a mortality follow-back survey through nation- and region-wide representative Sentinel Networks of General Practitioners (GPs) in Belgium, Italy and Spain...
June 8, 2018: Age and Ageing
Benjumin Hsu, Vasant Hirani, Louise M Waite, Vasi Naganathan, Fiona M Blyth, David G Le Couteur, Markus J Seibel, Robert G Cumming, David J Handelsman
Background: previous cross-sectional studies have reported bidirectional associations between sexual activity and cognitive function among older people. However, the temporal associations have not been studied. Methods: community-dwelling men aged 70+ from the Concord Health and Ageing in Men Project were assessed. This study was based on 986 men at baseline, 829 men at 2 year and 595 men at 5-year follow-up. Sexual function using a standardised questionnaire (erectile function, sexual activity, sexual satisfaction, sexual desire) was analysed by generalised estimating equations to examine associations between changes in sexual function and changes in mini-mental state examination (MMSE) across three time points over 5 years...
June 8, 2018: Age and Ageing
Andria Mousa, George M Savva, Arnold Mitnitski, Kenneth Rockwood, Carol Jagger, Carol Brayne, Fiona E Matthews
Background: age-specific mortality reduction has been accompanied by a decrease in the prevalence of some diseases and an increase in others. Whether populations are becoming 'healthier' depends on which aspect of health is being considered. Frailty has been proposed as an integrative measure to quantify health status. Objective: to investigate changes in the near-term lethality of frailty before and after a 20-year interval using the frailty index (FI), a summary of age-related health deficit accumulation...
June 6, 2018: Age and Ageing
Pedro L Valenzuela, Javier S Morales, Alejandro Santos-Lozano, Alejandro Lucia
No abstract text is available yet for this article.
May 30, 2018: Age and Ageing
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