keyword
MENU ▼
Read by QxMD icon Read
search

Geriatric ER

keyword
https://www.readbyqxmd.com/read/27299902/a-comprehensive-fracture-prevention-strategy-in-older-adults-the-european-union-geriatric-medicine-society-eugms-statement
#1
H Blain, T Masud, P Dargent-Molina, F C Martin, E Rosendahl, N van der Velde, J Bousquet, A Benetos, C Cooper, J A Kanis, J Y Reginster, R Rizzoli, B Cortet, M Barbagallo, K E Dreinhöfer, B Vellas, S Maggi, T Strandberg
Prevention of fragility fractures in older people has become a public health priority, although the most appropriate and cost-effective strategy remains unclear. In the present statement, the Interest Group on Falls and Fracture Prevention of the European Union Geriatric Medicine Society, in collaboration with the International Association of Gerontology and Geriatrics for the European Region, the European Union of Medical Specialists, and the International Osteoporosis Foundation-European Society for Clinical and Economic Aspects of Osteoporosis and Osteoarthritis, outlines its views on the main points in the current debate in relation to the primary and secondary prevention of falls, the diagnosis and treatment of bone fragility, and the place of combined falls and fracture liaison services for fracture prevention in older people...
August 2016: Aging Clinical and Experimental Research
https://www.readbyqxmd.com/read/27273355/a-comprehensive-fracture-prevention-strategy-in-older-adults-the-european-union-geriatric-medicine-society-eugms-statement
#2
H Blain, T Masud, P Dargent-Molina, F C Martin, E Rosendahl, N van der Velde, J Bousquet, A Benetos, C Cooper, J A Kanis, J Y Reginster, R Rizzoli, B Cortet, M Barbagallo, K E Dreinhöfer, B Vellas, S Maggi, T Strandberg
Prevention of fragility fractures in older people has become a public health priority, although the most appropriate and cost-effective strategy remains unclear. In the present statement, the Interest Group on Falls and Fracture Prevention of the European Union Geriatric Medicine Society (EUGMS), in collaboration with the International Association of Gerontology and Geriatrics for the European Region (IAGG-ER), the European Union of Medical Specialists (EUMS), the International Osteoporosis Foundation - European Society for Clinical and Economic Aspects of Osteoporosis and Osteoarthritis, outlines its views on the main points in the current debate in relation to the primary and secondary prevention of falls, the diagnosis and treatment of bone fragility, and the place of combined falls and fracture liaison services for fracture prevention in older people...
2016: Journal of Nutrition, Health & Aging
https://www.readbyqxmd.com/read/26111287/-dimensions-of-agitation-based-on-the-cohen-mansfield-agitation-inventory-in-patients-with-dementia
#3
Umut Altunöz, Erguvan Tuğba Özel Kızıl, Sevinç Kırıcı, Gülbahar Baştuğ, Bilgen Biçer Kanat, Ayşegül Sakarya, Okan Er, Engin Turan
OBJECTIVE: The aim of this study was to investigate the dimensions of agitation in dementia patients using the Turkish version of the Cohen-Mansfield Agitation Inventory (CMAI-T). MATERIALS AND METHODS: The study included 100 patients diagnosed as dementia, according to the DSM-IV-TR. The CMAI-T was administered to the patients' caregivers via face-to-face interviews. The Standardized Mini Mental State Examination (SMMSE) was used to assess cognitive functions. The severity of depression and the functional state of the patients were assessed using the Cornell Scale for Depression in Dementia (CSDD) and the Functional Activities Questionnaire (FAQ)...
2015: Türk Psikiyatri Dergisi, Turkish Journal of Psychiatry
https://www.readbyqxmd.com/read/26108734/healthcare-professionals-preferences-for-surgery-or-primary-endocrine-therapy-to-treat-older-women-with-operable-breast-cancer
#4
J L Morgan, K Collins, T G Robinson, K-L Cheung, R Audisio, M W Reed, L Wyld
INTRODUCTION: Primary endocrine therapy (PET) is an alternative treatment to surgery for oestrogen receptor (ER) positive operable breast cancer in older women. However, there is variable use of PET in the UK, with up to 40% of patients aged over 70 receiving PET instead of surgery in some regions. Treatment options offered to patients rely heavily on healthcare professional (HCP) assessment and opinion on which treatments are appropriate. MATERIALS AND METHODS: This was a mixed methods study combining semi-structured interviews with HCPs working in high and low PET regions in the UK, followed by a postal questionnaire survey distributed via the Association of Breast Surgery (ABS)...
September 2015: European Journal of Surgical Oncology
https://www.readbyqxmd.com/read/25944281/measures-of-acute-physiology-comorbidity-and-functional-status-to-differentiate-illness-severity-and-length-of-stay-among-acute-general-medical-admissions-a-prospective-cohort-study
#5
P J Huggan, F Akram, B H D Er, L S J Christen, L Weixian, V Lim, Y Huang, R A Merchant
BACKGROUND: Simple measures of acute physiologic compromise, functional status and comorbidity may help clinicians to make decisions relating to clinical care and resource utilisation. AIMS: To explore the usefulness of common assessment tools in predicting outcomes of (i) death or intensive care unit (ICU) admission and (ii) length of hospital stay at a busy tertiary hospital in Singapore. METHODS: Three hundred and ninety-eight consecutive admissions to two general medicine teams were prospectively assessed during 2 months in 2011...
July 2015: Internal Medicine Journal
https://www.readbyqxmd.com/read/25559722/impact-of-removable-dentures-on-oral-health-related-quality-of-life-among-elderly-adults-in-taiwan
#6
COMPARATIVE STUDY
Yea-Yin Yen, Huey-Er Lee, Yi-Min Wu, Shou-Jen Lan, Wen-Chen Wang, Je-Kang Du, Shun-Te Huang, Kun-Jung Hsu
BACKGROUND: Although the use of removable dentures can improve oral function and esthetics for elderly people, compared to those who do not wear removable dentures, those wearing removable dentures could have worse oral health related-quality of life (OHRQoL). Additional information is required to assess which factors related to denture wearing influence the OHRQoL of elderly individuals. The purpose of this study is to evaluate the association between denture wearing and OHRQoL in a sample of elderly individuals in Taiwan...
2015: BMC Oral Health
https://www.readbyqxmd.com/read/24768443/axillary-dissection-versus-no-axillary-dissection-in-older-t1n0-breast-cancer-patients-15-year-results-of-trial-and-out-trial-patients
#7
RANDOMIZED CONTROLLED TRIAL
G Martelli, P Boracchi, A Orenti, L Lozza, I Maugeri, G Vetrella, R Agresti
BACKGROUND: Our randomized trial found no survival advantage for axillary dissection (AD) compared observation only (no AD) in older patients with early breast cancer and a clinically negative axilla, indicating that AD is unnecessary. We compared characteristics and outcomes in out-trial patients with those in trial patients to provide indications as to whether AD can be safely omitted outside the trial setting. METHODS: The trial started in 1996, recruiting 238 patients age 65-80 years with cT1cN0 breast cancer, randomized to conservative surgery with or without AD...
July 2014: European Journal of Surgical Oncology
https://www.readbyqxmd.com/read/24734206/the-psychogeriatric-patient-in-the-emergency-room-focus-on-management-and-disposition
#8
Sherry Tang, Priyanka Patel, Jagdish Khubchandani, George T Grossberg
Background. The growing geriatric population in the United States (US) has prompted better understanding of treatment of the elderly in the hospital and emergency room (ER) settings. This study examines factors influencing the disposition of psychogeriatric patients after their initial presentation in the ER. Methods. Data was collected on patients 65 years of age or older arriving at the ER of a large urban hospital in the USA (January 2009-December 2010). Results. Of the total subjects (n = 95) included in the study, majority were females (66...
2014: ISRN Psychiatry
https://www.readbyqxmd.com/read/24508325/a-new-model-for-end-of-life-care-in-nursing-homes
#9
Elsie Hui, Hon Ming Ma, Wing Han Tang, Wai Sze Lai, Ka Ming Au, Mei Tak Leung, Joey S W Ng, Winnie W L Ng, Jenny S W Lee, Philip K T Li, Jean Woo
OBJECTIVES: This study aimed to promote quality end-of-life (EOL) care for nursing home residents, through the establishment of advance care plan (ACP) and introduction of a new care pathway. This pathway bypassed the emergency room (ER) and acute medical wards by facilitating direct clinical admission to an extended-care facility. DESIGN: An audit on a new clinical initiative that entailed the Community Geriatrics Outreach Service, ER, acute medical wards, and an extended-care facility during winter months in Hong Kong...
April 2014: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/24241772/masticatory-factors-as-predictors-of-oral-health-related-quality-of-life-among-elderly-people-in-kaohsiung-city-taiwan
#10
Kun-Jung Hsu, Huey-Er Lee, Yi-Min Wu, Shou-Jen Lan, Shun-Te Huang, Yea-Yin Yen
OBJECTIVE: This study aimed to evaluate which masticatory factor is the best predictor of oral health-related quality of life (OHRQoL) in elderly Taiwanese individuals aged 65 years and older. METHODS: Subjects were 332 community-dwelling, independently living elderly adults (mean age, 76.0 ± 0.4 years) in Kaohsiung City, Taiwan. Information concerning age, gender, and socioeconomic status was collected via face-to-face interview questionnaires; the number of food groups rated 'easy to chew' was determined by using food intake questionnaires; and OHRQoL data were obtained by using the Taiwanese version of the Geriatric Oral Health Assessment Index (GOHAI-T)...
May 2014: Quality of Life Research
https://www.readbyqxmd.com/read/23818770/30-day-hospital-readmission-of-older-adults-using-care-transitions-after-hospitalization-a-pilot-prospective-cohort-study
#11
Paul Y Takahashi, Lindsey R Haas, Stephanie M Quigg, Ivana T Croghan, James M Naessens, Nilay D Shah, Gregory J Hanson
PURPOSE: Patients leaving the hospital are at increased risk of functional decline and hospital readmission. The Employee and Community Health service at Mayo Clinic in Rochester developed a care transition program (CTP) to provide home-based care services for medically complex patients. The study objective was to determine the relationship between CTP use, 30-day hospital readmission, and Emergency Room (ER) visits for adults over 60 years with high Elder Risk Assessment scores. PATIENTS AND METHODS: This was a pilot prospective cohort study that included 20 patients that used the CTP and 20 patients discharged from the hospital without using the CTP...
2013: Clinical Interventions in Aging
https://www.readbyqxmd.com/read/23348897/a-follow-up-intervention-in-severely-demented-patients-after-discharge-from-a-special-alzheimer-acute-care-unit-impact-on-early-emergency-room-re-hospitalization-rate
#12
Hélène Villars, Charlotte Dupuy, Pauline Soler, Virginie Gardette, Maria E Soto, Sophie Gillette, Fati Nourhashemi, Bruno Vellas
BACKGROUND: Emergency room (ER) re-hospitalizations are prevalent in severe Alzheimer's disease affected older patients. DESIGN: Quasi-experimental before and after study. SETTING: Discharge of severely demented patients from a Special Alzheimer Acute Care Unit. PARTICIPANTS: A total of 390 patients hospitalized in the unit from 2007 through 2009, with at least one of the following characteristics: severe disruptive behavioral and psychological symptoms of dementia (BPSD) (agitation, aggressiveness, and psychotic symptoms), change of living arrangement related to BPSD, exhaustion of the principal caregiver, and discharge of a subject with anosognosia living alone in the community...
November 2013: International Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/23264316/an-open-label-pharmacokinetic-study-of-oxymorphone-extended-release-in-the-presence-of-naltrexone-in-the-older-adult
#13
Joseph V Pergolizzi, Robert B Raffa, Robert Taylor, Swati Nagar, Sumedha Labhsetwar, Nicholas Sinclair, Errol M Gould
OBJECTIVE: The aging population generally has greater need for analgesics and is best served by having as many good therapeutic options as possible. Geriatric analgesia requires special consideration of age-associated physiologic changes that can affect drug dosing. The study of extended-release (ER) oxymorphone in older (≥ 65 years of age) versus younger (18-40 years of age) male and female volunteers was described. METHODS: In this multiple-dose, parallel-group, open-label trial, healthy volunteers received a single oral dose of 20 mg oxymorphone ER on day 1, followed by a 48-hour washout period, then two oral doses of 20 mg oxymorphone ER tablets every 12 hours from day 3 to day 8, and a single oral dose of 20 mg oxymorphone ER on day 9...
November 2012: Journal of Opioid Management
https://www.readbyqxmd.com/read/22713842/-hospitalization-of-elderly-in-an-acute-care-geriatric-department
#14
Angèle Neouze, Agnès Dechartres, Sylvie Legrain, Agathe Raynaud-Simon, Marie-Line Gaubert-Dahan, Dominique Bonnet-Zamponi
Hospital admissions following emergency visits of elderly people are frequent. This admission modality is often problematic both for the patients and the emergency healthcare professionals. Direct admission from home (or nursing home) in acute geriatric units (AGU) has been developed but has never been prospectively assessed. We conducted a 6-month prospective observational study to compare the 97 patients admitted through the emergency room (ER) in the AGU of Bichat's hospital to the 76 patients admitted directly...
June 2012: Gériatrie et Psychologie Neuropsychiatrie du Vieillissement
https://www.readbyqxmd.com/read/22658287/comparison-of-two-fall-risk-assessment-tools-frats-targeting-falls-prevention-in-sub-acute-care
#15
COMPARATIVE STUDY
Annkarin Wong Shee, Bev Phillips, Keith Hill
FRATs are designed to identify both persons at high risk of falls and to allow for cost-effective targeting of fall prevention strategies. This study compares two FRATs (BHS FRAT and TNH-STRATIFY) for accuracy of predicting falls and targeting of fall prevention strategies in a sub-acute hospital. Comparisons of retrospective audit data over two periods (use of the BHS-FRAT; post TNH-STRATIFY implementation) were used in the evaluation (n=362). Inter-rater reliability of the TNH-STRATIFY was evaluated from independent assessment by two nurses for 30 sub-acute patients and using intraclass correlation coefficient (ICC(2,1))...
November 2012: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/21729572/-clinical-study-of-autologous-cytokine-induced-killer-cell-infusion-treating-for-elderly-patients-with-myelodysplastic-syndrome
#16
Yang Liu, Er-Ning Bao, Bo Yang, Xue-Chun Lu, Hong-Li Zhu, Wei-Dong Han, Yao Wang, Han-Ren Dai, Shan-Qian Yao
Objective of this study was to evaluate the effectiveness and safety of autologous cytokine induced killer (CIK) cells combined with IL-2 in treatment of elderly patients with myelodysplastic syndromes (MDS). Peripheral blood mononuclear cells were isolated from 6 elderly MDS patients and were stimulated by cytokines in vitro to form CIK cells. The autologous CIK cells were then infused back into the corresponding patients. The regimen was repeated every 4 weeks. Effector cell proportion changes, adverse effects, effects on inflammation, hemoglobin level and blood transfusion were assessed after treatment...
June 2011: Zhongguo Shi Yan Xue Ye Xue za Zhi
https://www.readbyqxmd.com/read/21722323/bedrails-and-vulnerable-older-adults-how-should-nurses-make-safe-and-sound-decisions-surrounding-their-use
#17
Denise J Shanahan
AIM AND OBJECTIVES: This paper examines the available evidence and uses ethical principles to answer how nurses should make safe and sound decisions surrounding the use of bedrails. BACKGROUND: Bedrails are frequently observed in practice. They are designed as safety devices but there is evidence of indiscriminate and misuse with vulnerable adults. METHODS: The OVID MEDLINE, BNI and CINAHL databases were searched using key words dignity or autonomy and old[er] or elder[s/ly]), people, adult[s], patient[s], client[s] or user[s], and bed rails, bed guards, cot sides or side rails (and associated variations)...
December 2012: International Journal of Older People Nursing
https://www.readbyqxmd.com/read/21586372/-adverse-effects-of-the-herd-immunity-or-when-childhood-vaccination-becomes-deleterious-for-the-epidemiology-of-infectious-diseases-in-adults
#18
Pierre-Olivier Lang
The irremediable ageing of the world population, the aged-related increasing in the prevalence of infectious diseases the fear of any influenza pandemic rife have recently led the European Union Geriatric Medicine Society (EUGMS) et the International Association of Geriatric and Gerontology European Regions (IAGG-ER) of establishing vaccine recommendations dedicated to individuals aged of 60 years or above and promoting a life-course vaccination programme. This approach is mainly motivated by the herd immunity-associated effect on the epidemiology of infectious diseases observed within the adult and old adult population...
March 2011: Gériatrie et Psychologie Neuropsychiatrie du Vieillissement
https://www.readbyqxmd.com/read/21450187/adverse-events-associated-with-the-res-care-intervention
#19
RANDOMIZED CONTROLLED TRIAL
Ann L Gruber-Baldini, Barbara Resnick, J Richard Hebel, Elizabeth Galik, Sheryl Zimmerman
OBJECTIVES: The purpose of this secondary data analysis was to evaluate the adverse events associated with a restorative care intervention (Res-Care) in nursing home (NH) residents. DESIGN: A randomized controlled repeated-measure design and generalized estimating equations were used to evaluate status at baseline and 4 and 12 months after initiation of the Res-Care Intervention. SETTING: Twelve NHs in Maryland. PARTICIPANTS: A total of 487 residents; 256 in treatment sites and 231 in control sites, all long-stay NH residents ages 65 and older, with an MMSE of 11 or greater...
October 2011: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/21407189/should-elderly-patients-undergo-additional-surgery-after-non-curative-endoscopic-resection-for-early-gastric-cancer-long-term-comparative-outcomes
#20
COMPARATIVE STUDY
Chika Kusano, Motoki Iwasaki, Tonya Kaltenbach, Abby Conlin, Ichiro Oda, Takuji Gotoda
OBJECTIVES: Endoscopic resection (ER) including endoscopic submucosal dissection has been widely accepted for treatment of early gastric cancer (EGC) in Japan. Additional surgery is recommended when ER is non-curative histologically. Many elderly patients, however, do not undergo radical surgery due to comorbid disease or limited life expectancy. The aim of this study is to assess the survival outcomes of radical surgery compared with observation only in elderly patients after non-curative ER...
June 2011: American Journal of Gastroenterology
keyword
keyword
111024
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"