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https://www.readbyqxmd.com/read/27916393/changes-in-frailty-status-and-risk-of-depression-results-from-the-progetto-veneto-anziani-longitudinal-study
#1
Marina De Rui, Nicola Veronese, Caterina Trevisan, Sara Carraro, Linda Berton, Stefania Maggi, Sabina Zambon, Maria Chiara Corti, Giovannella Baggio, Brendon Stubbs, Egle Perissinotto, Gaetano Crepaldi, Enzo Manzato, Giuseppe Sergi
OBJECTIVE: To evaluate whether prefrailty was associated with the risk of developing depression and if longitudinal changes in frailty status corresponded to changes in incident depression during follow up. METHODS: A population-based, prospective cohort study was conducted for 4.4 years in two separate geographic areas near the city of Padua in the Veneto Region of Northern Italy. In 891 nondepressed, nonfrail, community-dwelling Italian subjects aged ≥ 65 (46...
November 9, 2016: American Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/27913511/treatment-of-the-elderly-patient-with-mantle-cell-lymphoma
#2
Pierre Soubeyran, Rémy Gressin
Treatment options for mantle cell lymphomas have expanded considerably over recent years, offering hematologists solutions for older patients with an appropriate risk-to-benefit ratio. Indeed, unfit older patients are exposed to a higher risk of toxicity with a standard treatment. Although new treatments have generally good safety profiles, they may lead to unexpected consequences in unfit older patients. Involving geriatricians and a comprehensive geriatric assessment in patient care could help hematologists address these vulnerabilities...
December 2, 2016: Hematology—the Education Program of the American Society of Hematology
https://www.readbyqxmd.com/read/27911313/challenges-in-screening-and-recruitment-for-a-neuroimaging-study-in-cognitively-impaired-geriatric-inpatients
#3
Ivayla Apostolova, Catharina Lange, Anna Roberts, Hans Joachim Igel, Anja Mäurer, Stephanie Liese, Melanie Estrella, Vikas Prasad, Elisabeth Stechl, Gernot Lämmler, Elisabeth Steinhagen-Thiessen, Ralph Buchert
BACKGROUND: Neuroimaging-based biomarkers have the potential to improve etiological diagnosis of cognitive impairment in elderly inpatients. However, there is a relative lack of studies on neuroimaging-based biomarkers in hospitalized geriatric patients, as the vast majority of neuroimaging studies in dementia have focused on memory clinic outpatients. An important aspect of study planning is a priori estimation of the rate of screen failures. OBJECTIVE: To report on the rate and causes of screen failures in a prospective study on the utility of neuroimaging (PET, MRI) for the etiological diagnosis of newly manifested cognitive impairment in acutely hospitalized geriatric patients...
November 28, 2016: Journal of Alzheimer's Disease: JAD
https://www.readbyqxmd.com/read/27900929/main-effects-and-interactions-of-cerebral-hemispheres-gender-and-age-in-the-calculation-of-volumes-and-asymmetries-of-selected-structures-of-episodic-memory
#4
Rocio Ramirez-Carmona, Haydee Guadalupe Garcia-Lazaro, Brenda Dominguez-Corrales, Erika Aguilar-Castañeda, Ernesto Roldan-Valadez
The aim of this study was to clarify the influence of anatomical (cerebral hemisphere) and demographic (age and gender) variables on the gray matter (GM) volumes and volumetric asymmetry indices (VAIs) of selected structures involved in episodic memory. A cross-sectional study was performed in 47 healthy volunteers. Neuropsychological evaluation revealed similar IQs across the sample. Using SPM-based software, brain segmentation, labeling and volume measurements of the hippocampus, amygdala, middle temporal gyrus and parahippocampal gyrus were performed in each cerebral hemisphere...
November 30, 2016: Functional Neurology
https://www.readbyqxmd.com/read/27896467/audit-of-geriatric-hip-fracture-care-a%C3%A2-slovenian-trauma-center-analysis
#5
Dejan Krušič, Drago Brilej, Colin Currie, Radko Komadina
BACKGROUND: The aim was to describe an audit of hip fracture patient care and outcomes in a Slovenian healthcare setting prior to the implementation of the Geriatric Fracture Center (GFC) model of care. METHODS: The Fragility Fracture Network (FFN) hip fracture audit database was used to collect data on hip fracture care in elderly patients. Epidemiological data were submitted as well as fracture type, prefracture residence and mobility prior to the fracture. The timeline of events and acute care data were also collected...
November 28, 2016: Wiener Klinische Wochenschrift
https://www.readbyqxmd.com/read/27890974/senior-friendly-hospitals-development-and-application-of-criteria-a-descriptive-study
#6
M R Rashmi, Arvind Kasthuri, Rashmi J Rodrigues
BACKGROUND: The world's population is rapidly aging. Between 2000 and 2050, the proportion of the world's population over the age of 60 will double from about 11% to 22%; more so in the developing countries. The prevalence of frailty and morbidity among the elderly is high. There is a need to assess the "preparedness" of the health care system including hospitals to respond to the needs of the elderly. AIM: 1. To develop criteria for a senior friendly hospital and 2...
October 2016: Indian Journal of Community Medicine
https://www.readbyqxmd.com/read/27886691/pharmacotherapy-pearls-for-the-geriatrician-focus-on-oral-disease-modifying-antirheumatic-drugs-including-newer-agents
#7
REVIEW
Ann J Biehl, James D Katz
Providing safe and effective pharmacotherapy to the geriatric patients with rheumatological disorders is an ongoing struggle for the rheumatologist and geriatrician alike. Cohesive communication and partnership can improve the care of these patients and subvert adverse outcomes. Disease-modifying antirheumatic drugs, including methotrexate, hydroxychloroquine, sulfasalazine, and leflunomide, and the newest oral agent for treatment of rheumatoid arthritis, tofacitinib, have distinctive monitoring and adverse effect profiles...
February 2017: Clinics in Geriatric Medicine
https://www.readbyqxmd.com/read/27875490/impact-of-an-integrated-hip-fracture-inpatient-program-on-length-of-stay-and-costs
#8
Christine Soong, Peter Cram, Ksenia Chezar, Faiqa Tajammal, Kathleen Exconde, John Matelski, Samir K Sinha, Howard B Abrams, Christopher Fan-Lun, Christina Fabbruzzo-Cota, David Backstein, Chaim M Bell
BACKGROUND: Hip fractures are associated with significant morbidity and mortality. Co-management models pairing orthopaedic surgeons with hospitalists or geriatricians may be effective at improving processes of care and outcomes such as length of stay (LOS) and cost. We set out to determine the effect of an integrated hip fracture co-management model on LOS, cost, and process measures. METHODS: We conducted a single-center pre-post study of 571 patients admitted to an academic medical center with hip fractures between January 2009 and December 2013...
December 2016: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/27860143/ageing-acute-surgical-population-the-auckland-experience
#9
Hannah Linkhorn, Li Hsee
BACKGROUND: This study provides data supporting the supposition that more elderly patients are requiring surgical care and illustrates the risks associated with acute surgical illness in elderly patients. METHODS: The clinical records database was accessed to identify all patients discharged from general surgery and acute surgical unit (ASU) during 2013 and 2014. These groups were stratified by age (over 80 years). Data were collected on number of patients discharged per year, length of stay, number of intensive care unit admissions and number of procedures and mortality rates...
November 15, 2016: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/27860034/understanding-help-seeking-in-older-people-with-urinary-incontinence-an-interview-study
#10
Natalie Vethanayagam, Alison Orrell, Lena Dahlberg, Kevin J McKee, Susan Orme, Stuart G Parker, Mary Gilhooly
The prevalence of urinary incontinence (UI) increases with age and can negatively affect quality of life. However, relatively few older people with UI seek treatment. The aim of this study was to explore the views of older people with UI on the process of seeking help. Older people with UI were recruited to the study from three continence services in the north of England: a geriatrician-led hospital outpatient clinic (n = 18), a community-based nurse-led service (n = 22) and a consultant gynaecologist-led service specialising in surgical treatment (n = 10)...
November 16, 2016: Health & Social Care in the Community
https://www.readbyqxmd.com/read/27827489/early-diagnosis-of-alzheimer-s-disease-using-infrared-spectroscopy-of-isolated-blood-samples-followed-by-multivariate-analyses
#11
S Mordechai, E Shufan, B S Porat Katz, A Salman
Alzheimer's disease (AD) is the most common cause of dementia, particularly in the elderly. The disease is characterized by cognitive decline that typically starts with insidious memory loss and progresses relentlessly to produce global impairment of all higher cortical functions. Due to better living conditions and health facilities in developed countries, which result in higher overall life spans, these countries report upward trends of AD among their populations. There are, however, no specific diagnostic tests for AD and clinical diagnosis is especially difficult in the earliest stages of the disease...
November 9, 2016: Analyst
https://www.readbyqxmd.com/read/27807536/specific-aspects-of-breast-cancer-therapy-of-elderly-women
#12
REVIEW
Petra Tesarova
Breast cancer is the leading cause of death among women, and its incidence increases with age. The average age at diagnosis is 61 years, and the majority of deaths occurs after the age of 65 years. Optimal approach to elderly women with breast cancer is still a major challenge. Elderly patients with cancer should have at least a brief geriatric assessment to detect potentially treatable problems not always adequately evaluated by the oncologists. Therapeutic nihilism should be avoided and effective treatment provided, unless there are compelling reasons against it...
2016: BioMed Research International
https://www.readbyqxmd.com/read/27799451/web-based-online-comprehensive-geriatric-assessment-is-more-time-efficient-and-as-reliable-as-reading-patient-medical-records-and-conducting-traditional-in-person-consultations
#13
Melinda G Martin-Khan, Helen Edwards, Richard Wootton, Paul Varghese, Kwang Lim, Peteris Darzins, Lucy Dakin, Leonard C Gray
The aim of this study was to report the time taken by geriatricians to reach triage decisions using an online assessment format compared with face-to-face (FTF) assessment. Patients (N = 166) were randomly allocated to two groups: online and FTF assessments (OF group); and dual FTF assessments (FF group). Case preparation was conducted by trained nurse assessors using a web-enabled clinical decision support system. Geriatricians allocated to perform an 'online' assessment had access to this information only...
December 2016: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/27791223/non-pharmacological-interventions-to-prevent-or-treat-delirium-in-older-patients-clinical-practice-recommendations-the-senator-ontop-series
#14
I Abraha, J M Rimland, F Trotta, V Pierini, A Cruz-Jentoft, R Soiza, D O'Mahony, A Cherubini
DESCRIPTION: The ONTOP project aims to undertake a literature search of systematic reviews concerning evidence-based non-pharmacological interventions of prevalent medical conditions affecting older people, including delirium. OBJECTIVES: To develop explicit and transparent recommendations for non-pharmacological interventions in older subjects at risk of developing delirium, as well as in older subjects with delirium, based on the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) approach to rating the quality of evidence and the strength of recommendations...
2016: Journal of Nutrition, Health & Aging
https://www.readbyqxmd.com/read/27774584/montefiore-einstein-center-for-the-aging-brain-preliminary-data
#15
Joe Verghese, Rubina Malik, Jessica Zwerling
Given the multifaceted nature of dementia care management, an interdisciplinary comprehensive clinical approach is necessary. We describe our one-year experience with outpatient based dementia care at the Montefiore-Einstein Center for the Aging Brain (CAB) involving an multispecialty team of geriatricians, neurologists, and neuropsychologists, supported by geriatric psychiatrists, physiatrists, and social services. The goals of the CAB is to maximize dementia outcomes, including regular monitoring of patient's health and cognition, education and support to patients, their families and caregivers; initiation of pharmacological and non-pharmacological treatments as appropriate, and the facilitation of access to clinical trials...
November 2016: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/27769856/the-impact-of-helipad-designation-on-meeting-the-best-practice-tariff-for-fractured-neck-of-femur-cases-in-a-major-trauma-centre
#16
John Dabis, Aliyah Hussein, Mark Rickman
Hip fractures represent a significant burden to the NHS: the cost for all UK hip fractures is approximately £2 billion and in 2013, 64 838 people were admitted to hospital with a fractured neck of femur (FNOF). In April 2010 St George's NHS Hospital was designated one of four Major Trauma Centres (MTC) in London. Following MTC designation, in April 2014 St George's Hospital opened a helipad. This study aimed to assess the impact of the helipad designation on the Trust's ability to meet the Best Practice Tariff (BPT) criteria for FNOF patients...
October 18, 2016: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
https://www.readbyqxmd.com/read/27749199/geriatrics-fellowship-training-and-the-role-of-geriatricians-in-older-adult-cancer-care-a-survey-of-geriatrics-fellowship-directors
#17
Ronald J Maggiore, Kathryn E Callahan, Janet A Tooze, Ira R Parker, Tina Hsu, Heidi D Klepin
The number of older adults with cancer is growing, necessitating more collaborative training in both geriatric principles and cancer care. We administered a web-based survey to U.S. geriatrics program directors (PDs) addressing cancer-specific training and perspectives on optimal training content and roles for geriatricians in cancer care. Of 140 PDs contacted, 67 (48%) responded. Topics considered very important in training included cancer screening (79%) and cancer-related pain management (70%). Respondents strongly agreed that some of the geriatrician's roles in cancer care included assessing functional status (64%) and assessing physical/cognitive function for goals of care (64%)...
October 17, 2016: Gerontology & Geriatrics Education
https://www.readbyqxmd.com/read/27723900/the-challenge-of-reducing-hospital-readmissions-a-geriatrician-s-perspective
#18
Andreas Stuck
No abstract text is available yet for this article.
2016: Swiss Medical Weekly
https://www.readbyqxmd.com/read/27704367/sgim-amda-ags-consensus-best-practice-recommendations-for-transitioning-patients-healthcare-from-skilled-nursing-facilities-to-the-community
#19
Lee A Lindquist, Rachel K Miller, Wayne S Saltsman, Jennifer Carnahan, Theresa A Rowe, Alicia I Arbaje, Nicole Werner, Kenneth Boockvar, Karl Steinberg, Shahla Baharlou
We assembled a cross-cutting team of experts representing primary care physicians (PCPs), home care physicians, physicians who see patients in skilled nursing facilities (SNF physicians), skilled nursing facility medical directors, human factors engineers, transitional care researchers, geriatricians, internists, family practitioners, and three major organizations: AMDA, SGIM, and AGS. This work was sponsored through a grant from the Association of Subspecialty Physicians (ASP). Members of the team mapped the process of discharging patients from a skilled nursing facility into the community and subsequent care of their outpatient PCP...
October 4, 2016: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/27701711/filling-the-gap-improving-awareness-and-practice-in-hyponatraemia-and-the-syndrome-of-inappropriate-antidiuretic-hormone-secretion-siadh-in-the-older-patient-a-european-consensus-view
#20
M Wehling, C Ashton, E Ekpo, S Gwynn, M Laville, K Olsson, M Spring
Introduction: Causes of hyponatraemia in older patients are multivariate and in the case of SIADH may often be drug induced. Diagnostic and treatment algorithms are unclear for this important age group. Methods: The author group identified 6 broad themes for consensus and formulated 42 separate consensus statements within these 6 themes. Statements were then circulated to geriatricians, general practitioners and other doctors to test agreement at the European level. Results: 64 responses were evaluated from around Europe...
October 4, 2016: Drug Research
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