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BMC Geriatrics

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https://www.readbyqxmd.com/read/29149866/prevalence-and-risk-factors-of-frailty-among-home-care-clients
#1
Minna Miettinen, Miia Tiihonen, Sirpa Hartikainen, Irma Nykänen
BACKGROUND: Frailty is a common problem among older people and it is associated with an increased risk of death and long-term institutional care. Early identification of frailty is necessary to prevent a further decline in the health status of home care clients. The aims of the present study were to determine the prevalence of frailty and associated factors among 75-year-old or older home care clients. METHODS: The study participants were 75-year-old or older home care clients living in three cities in Eastern and Central Finland...
November 17, 2017: BMC Geriatrics
https://www.readbyqxmd.com/read/29145806/computer-and-telephone-delivered-interventions-to-support-caregivers-of-people-with-dementia-a-systematic-review-of-research-output-and-quality
#2
Amy Waller, Sophie Dilworth, Elise Mansfield, Rob Sanson-Fisher
BACKGROUND: To assess the scope, volume and quality of research on the acceptability, utilisation and effectiveness of telephone- and computer-delivered interventions for caregivers of people living with dementia. METHODS: Medline, EMBASE, CINAHL and Cochrane databases were searched (Jan 1990 - Dec 2016). Eligible papers were classified as data-based descriptive, measurement or intervention studies. Intervention studies were first categorised according to mode of delivery (e...
November 16, 2017: BMC Geriatrics
https://www.readbyqxmd.com/read/29132305/associations-between-skin-barrier-characteristics-skin-conditions-and-health-of-aged-nursing-home-residents-a-multi-center-prevalence-and-correlational-study
#3
Elisabeth Hahnel, Ulrike Blume-Peytavi, Carina Trojahn, Jan Kottner
BACKGROUND: Geriatric patients are affected by a range of skin conditions and dermatological diseases, functional limitations and chronic diseases. Skin problems are highly prevalent in elderly populations. Aim of this study was to investigate possible associations between health, functional and cutaneous variables in aged long-term care residents. METHODS: This observational, cross-sectional, descriptive prevalence study was conducted in a random sample of 10 institutional long-term care facilities in Berlin...
November 13, 2017: BMC Geriatrics
https://www.readbyqxmd.com/read/29132301/measuring-frailty-in-clinical-practice-a-comparison-of-physical-frailty-assessment-methods-in-a-geriatric-out-patient-clinic
#4
J M Pritchard, C C Kennedy, S Karampatos, G Ioannidis, B Misiaszek, S Marr, C Patterson, T Woo, A Papaioannou
BACKGROUND: The objectives of this study were to determine: 1) the prevalence of frailty using Fried's phenotype method and the Short Performance Physical Battery (SPPB), 2) agreement between frailty assessment methods, 3) the feasibility of assessing frailty using Fried's phenotype method and the SPPB. METHODS: This cross-sectional study was conducted at a geriatric out-patient clinic in Hamilton, Canada. A research assistant conducted all frailty assessments. Patients were classified as non-frail, pre-frail or frail according to Fried's phenotype method and the SPPB...
November 13, 2017: BMC Geriatrics
https://www.readbyqxmd.com/read/29126383/predictive-performance-of-four-frailty-screening-tools-in-community-dwelling-elderly
#5
Bienvenu Bongue, Aurélie Buisson, Caroline Dupre, François Beland, Régis Gonthier, Émilie Crawford-Achour
BACKGROUND: This study compares the performance of four frailty screening tools in predicting relevant adverse outcome (disability, institutionalization and mortality) in community-dwelling elderly. METHODS: Our study involved a secondary analysis of data from the FréLE cohort study. We focused on the following four frailty screening tools: the abbreviated Comprehensive Geriatric Assessment (aCGA), the Groningen Frailty Indicator (GFI), the Vulnerable Elders Survey-13 (VES-13) and the Fried scale...
November 10, 2017: BMC Geriatrics
https://www.readbyqxmd.com/read/29115922/the-prevalence-of-dementia-in-a-portuguese-community-sample-a-10-66-dementia-research-group-study
#6
Manuel Gonçalves-Pereira, Ana Cardoso, Ana Verdelho, Joaquim Alves da Silva, Manuel Caldas de Almeida, Alexandra Fernandes, Cátia Raminhos, Cleusa P Ferri, A Matthew Prina, Martin Prince, Miguel Xavier
BACKGROUND: Dementia imposes a high burden of disease worldwide. Recent epidemiological studies in European community samples are scarce. In Portugal, community prevalence data is very limited. The 10/66 Dementia Research Group (DRG) population-based research programmes are focused in low and middle income countries, where the assessments proved to be culture and education fair. We applied the 10/66 DRG prevalence survey methodology in Portugal, where levels of illiteracy in older populations are still high...
November 7, 2017: BMC Geriatrics
https://www.readbyqxmd.com/read/29115921/identifying-protective-and-risk-factors-for-injurious-falls-in-patients-hospitalized-for-acute-care-a-retrospective-case-control-study
#7
Emmanuel Aryee, Spencer L James, Guenola M Hunt, Hilary F Ryder
BACKGROUND: Admitted patients who fall and injure themselves during an acute hospitalization incur increased costs, morbidity, and mortality, but little research has been conducted on identifying inpatients at high risk to injure themselves in a fall. Falls risk assessment tools have been unsuccessful due to their low positive predictive value when applied broadly to entire hospital populations. We aimed to identify variables associated with the risk of or protection against injurious fall in the inpatient setting...
November 7, 2017: BMC Geriatrics
https://www.readbyqxmd.com/read/29096630/trajectories-of-physical-function-prior-to-death-and-brain-neuropathology-in-a-community-based-cohort-the-act-study
#8
Andrea Z LaCroix, Rebecca A Hubbard, Shelly L Gray, Melissa L Anderson, Paul K Crane, Joshua A Sonnen, Oleg Zaslavsky, Eric B Larson
BACKGROUND: Mechanisms linking cognitive and physical functioning in older adults are unclear. We sought to determine whether brain pathological changes relate to the level or rate of physical performance decline. METHODS: This study analyzed data from 305 participants in the autopsy subcohort of the prospective Adult Changes in Thought (ACT) study. Participants were aged 65+ and free of dementia at enrollment. Physical performance was measured at baseline and every two years using the Short Physical Performance Battery (SPPB)...
November 2, 2017: BMC Geriatrics
https://www.readbyqxmd.com/read/29096612/relationships-between-cognitive-function-and-body-composition-among-community-dwelling-older-adults-a-cross-sectional-study
#9
Hye-Mi Noh, Sohee Oh, Hong Ji Song, Eun Young Lee, Jin-Young Jeong, Ohk-Hyun Ryu, Kyung-Soon Hong, Dong-Hyun Kim
BACKGROUND: Previous studies reported mixed results regarding the association between cognition and body weight in late life. We evaluated the relationships between cognitive function and body composition among community-dwelling older adults. METHODS: Three hundred twenty subjects (≥65 years, women 53%) with available data of cognitive function and body composition from 2010 Hallym Aging Study. Cognitive function was assessed using Korean Mini-Mental State Examination (K-MMSE)...
November 2, 2017: BMC Geriatrics
https://www.readbyqxmd.com/read/29096611/measurement-properties-feasibility-and-clinical-utility-of-the-doloplus-2-pain-scale-in-older-adults-with-cognitive-impairment-a-systematic-review
#10
Hanne Marie Rostad, Inger Utne, Ellen Karine Grov, Martine Puts, Liv Halvorsrud
BACKGROUND: The Doloplus-2 is a pain assessment scale for assessing pain in older adults with cognitive impairment. It is used in clinical practice and research. However, evidence for its measurement properties, feasibility and clinical utility remain incomplete. This systematic review synthesizes previous research on the measurement properties, feasibility and clinical utility of the scale. METHOD: We conducted a systematic search in three databases (CINAHL, Medline and PsycINFO) for studies published in English, French, German, Dutch/Flemish or a Scandinavian language between 1990 and April 2017...
November 2, 2017: BMC Geriatrics
https://www.readbyqxmd.com/read/29089044/association-between-serum-25-hidroxyvitamin-d-concentrations-and-ultraviolet-index-in-portuguese-older-adults-a-cross-sectional-study
#11
Sofia Cardoso, Alejandro Santos, Rita S Guerra, Ana S Sousa, Patrícia Padrão, Pedro Moreira, Cláudia Afonso, Teresa F Amaral, Nuno Borges
BACKGROUND: The older population is a risk group for hypovitaminosis D. The Ultraviolet Index (UVI) can be an indicator of potential for cutaneous synthesis of vitamin D but physiological and other environmental factors also influence vitamin D synthesis and status. Knowledge about vitamin D status in Portuguese older adults is limited. This study aims to explore the association between Ultraviolet Index and serum 25-hidroxyvitamin D3 [25(OH)D] levels accounting for other potential influential factors...
October 31, 2017: BMC Geriatrics
https://www.readbyqxmd.com/read/29084525/association-of-multiple-chronic-conditions-and-pain-among-older-black-and-white-adults-with-diabetes-mellitus
#12
Tamara A Baker, Olivio J Clay, Vicki Johnson-Lawrence, Jacquelyn A Minahan, Chivon A Mingo, Roland J Thorpe, Fernando Ovalle, Michael Crowe
BACKGROUND: Aging is often associated with the challenge of navigating daily tasks with a painful chronic medical illness. Yet, there is concern of the number of older adults impacted with more than one chronic condition. Despite the increasing number of adults diagnosed with diabetes and comorbid chronic illnesses, there remains a lack of understanding in how multiple illnesses relate to experiences of pain. To assess the association between multiple chronic conditions and pain, this study aimed to identify clusters of chronic medical conditions and their association with pain among a sample of older Black and White adults diagnosed with diabetes...
October 30, 2017: BMC Geriatrics
https://www.readbyqxmd.com/read/29084511/crucial-aspects-promoting-meaning-and-purpose-in-life-perceptions-of-nursing-home-residents
#13
Jorunn Drageset, Gørill Haugan, Oscar Tranvåg
BACKGROUND: Meaning and purpose in life are fundamental to human beings. In changing times, with an aging population and increased life expectancy, the need for health care services and long-term care is likely to grow. More deeply understanding how older long-term care residents perceive meaning and purpose in life is critical for improving the quality of care and the residents' quality of life. The purpose of this study was to explore crucial aspects promoting nursing home residents' experience of meaning and purpose in everyday life...
October 30, 2017: BMC Geriatrics
https://www.readbyqxmd.com/read/29078755/clinically-significant-discrepancies-between-sleep-problems-assessed-by-standard-clinical-tools-and-actigraphy
#14
Kjersti Marie Blytt, Bjørn Bjorvatn, Bettina Husebo, Elisabeth Flo
BACKGROUND: Sleep disturbances are widespread among nursing home (NH) patients and associated with numerous negative consequences. Identifying and treating them should therefore be of high clinical priority. No prior studies have investigated the degree to which sleep disturbances as detected by actigraphy and by the sleep-related items in the Cornell Scale for Depression in Dementia (CSDD) and the Neuropsychiatric Inventory - Nursing Home version (NPI-NH) provide comparable results. Such knowledge is highly needed, since both questionnaires are used in clinical settings and studies use the NPI-NH sleep item to measure sleep disturbances...
October 27, 2017: BMC Geriatrics
https://www.readbyqxmd.com/read/29078750/blood-pressure-at-age-60-65-versus-age-70-75-and-vascular-dementia-a-population-based-observational-study
#15
Mingkai Peng, Guanmin Chen, Karen L Tang, Hude Quan, Eric E Smith, Peter Faris, Vladimir Hachinski, Norm R C Campbell
BACKGROUND: Vascular dementia (VaD) is the second most common form of dementia. However, there were mixed evidences about the association between blood pressure (BP) and risk of VaD in midlife and late life and limited evidence on the association between pulse pressure and VaD. METHODS: This is a population-based observational study. 265,897 individuals with at least one BP measurement between the ages of 60 to 65 years and 211,116 individuals with at least one BP measurement between the ages of 70 to 75 years were extracted from The Health Improvement Network in United Kingdom...
October 27, 2017: BMC Geriatrics
https://www.readbyqxmd.com/read/29073908/explaining-discrepancies-in-self-reported-quality-of-life-in-frail-older-people-a-mixed-methods-study
#16
Anne van der Vorst, G A Rixt Zijlstra, Nico De Witte, Ruth G M Vogel, Jos M G A Schols, Gertrudis I J M Kempen
BACKGROUND: Most research on multidimensional frailty focuses on deficits and risks of adverse outcomes. However, although some frail older people report a low quality of life (QoL), others still report a relatively high QoL. More knowledge about these discrepancies might give new insight into developing frailty prevention strategies. Therefore, this mixed-method study aimed (a) to identify characteristics related to QoL among frail older people; and (b) to explain discrepancies between higher and lower levels of QoL, with a specific interest in identifying strengths frail older people with a higher QoL still have...
October 26, 2017: BMC Geriatrics
https://www.readbyqxmd.com/read/29073885/cognitive-impairment-and-hypertension-in-older-adults-living-in-extreme-poverty-a-cross-sectional-study-in-peru
#17
Maria Lazo-Porras, Victor Ortiz-Soriano, Miguel Moscoso-Porras, Fernando M Runzer-Colmenares, German Málaga, J Jaime Miranda
BACKGROUND: Previous studies have shown that hypertension is a risk factor for cognitive impairment, but whether this association is also present in extremely poor populations in Low Middle Income Countries settings remains to be studied. Understanding other drivers of cognitive impairment in this unique population also merits attention. METHODS: We performed a secondary analysis using data from the "Encuesta de Salud y Bienestar del Adulto Mayor", a regional survey conducted in an extremely poor population of people older than 65 years old from 12 Peruvian cities in 2012...
October 26, 2017: BMC Geriatrics
https://www.readbyqxmd.com/read/29070019/a-95%C3%A2-year-old-suffering-circulatory-arrest-after-accidental-hypothermia-a-case-report
#18
Anders Wetting Carlsen, Anders M Winnerkvist, Guri Greiff
BACKGROUND: The elderly are vulnerable to cold and prone to accidental hypothermia, both because of environmental and endogenous factors. The incidence of severe accidental hypothermia among the elderly is poorly described, but many cases probably go unrecorded. Going through literature one finds few publications on severe hypothermia among the elderly, and, to our knowledge, nothing about extracorporeal re-warming of geriatric hypothermia victims. CASE PRESENTATION: We present a case were a 95 year-old man with severe accidental hypothermia and circulatory arrest was brought to our hospital under on-going CPR, and was successfully resuscitated with extracorporeal circulation...
October 26, 2017: BMC Geriatrics
https://www.readbyqxmd.com/read/29070036/comparing-clinician-descriptions-of-frailty-and-geriatric-syndromes-using-electronic-health-records-a-retrospective-cohort-study
#19
Laura J Anzaldi, Ashwini Davison, Cynthia M Boyd, Bruce Leff, Hadi Kharrazi
BACKGROUND: Geriatric syndromes, including frailty, are common in older adults and associated with adverse outcomes. We compared patients described in clinical notes as "frail" to other older adults with respect to geriatric syndrome burden and healthcare utilization. METHODS: We conducted a retrospective cohort study on 18,341 Medicare Advantage enrollees aged 65+ (members of a large nonprofit medical group in Massachusetts), analyzing up to three years of administrative claims and structured and unstructured electronic health record (EHR) data...
October 25, 2017: BMC Geriatrics
https://www.readbyqxmd.com/read/29070027/absolute-and-relative-reliability-of-acute-effects-of-aerobic-exercise-on-executive-function-in-seniors
#20
Lars Donath, Sebastian Ludyga, Daniel Hammes, Anja Rossmeissl, Nadin Andergassen, Lukas Zahner, Oliver Faude
BACKGROUND: Aging is accompanied by a decline of executive function. Aerobic exercise training induces moderate improvements of cognitive domains (i.e., attention, processing, executive function, memory) in seniors. Most conclusive data are obtained from studies with dementia or cognitive impairment. Confident detection of exercise training effects requires adequate between-day reliability and low day-to-day variability obtained from acute studies, respectively. These absolute and relative reliability measures have not yet been examined for a single aerobic training session in seniors...
October 25, 2017: BMC Geriatrics
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