keyword
https://read.qxmd.com/read/38533419/integrating-fall-prevention-strategies-into-ems-services-to-reduce-falls-and-associated-healthcare-costs-for-older-adults
#1
JOURNAL ARTICLE
Kathlene Camp, Sara Murphy, Brandon Pate
PURPOSE: The purpose of this study is to detail the implementation of fall prevention initiatives through emergency medical services (EMS) and associated outcomes. METHODS: Paramedics with MedStar Mobile Healthcare utilized the Stopping Elderly Accidents, Deaths, and Injuries (STEADI) fall prevention model to screen and direct intervention through 9-1-1 emergency response, High Utilization Group (HUG), and 30-day Hospital Readmission Avoidance (HRA) programs. Outcomes from 9-1-1 calls measured the number of older adults screened for falls and identified risk factors...
2024: Clinical Interventions in Aging
https://read.qxmd.com/read/38527830/joe-s-story-how-a-capitated-payment-model-lets-me-be-the-physician-i-want-to-be
#2
JOURNAL ARTICLE
Amy C Denham
For many years I cared for Joe, following him through diagnoses of strokes, end-stage renal disease, and metastatic prostate cancer. Gaining his trust, coordinating his care across specialist visits and hospitalizations, and helping him and his family clarify goals of care took an investment of time and relationship-building. I was able to spend this time with Joe, and all of my medically complex patients, because I had taken a job in a Program of All-Inclusive Care for the Elderly (PACE), a fully capitated model of care...
2024: Annals of Family Medicine
https://read.qxmd.com/read/38505209/effective-risk-assessment-for-distal-radius-fractures-a-rigorous-multivariable-regression-analysis-using-a-novel-8-item-modified-frailty-index
#3
JOURNAL ARTICLE
David Momtaz, Abdullah Ghali, Farhan Ahmad, Rishi Gonuguntla, Travis Kotzur, Rebecca J Wang, Umar Ghilzai, Adam Abbas, Chia Wu
Introduction  Distal radius fractures (DRFs) are among the most common orthopaedic injuries. The prevalence of DRFs is increasing across all age groups but remains the second most common fracture in the elderly. The modified frailty index (MFI) often predicts morbidity and mortality in orthopaedic injuries. This study aims to determine the predictive value of MFI on complication rates following DRF and the patient length of stay and discharge outcomes. Methods  We utilized our MFI to perform a retrospective analysis of the American College of Surgeons National Surgical Quality Improvement Program database...
April 2024: Journal of Wrist Surgery
https://read.qxmd.com/read/38407015/-fragility-and-quality-of-life-the-benefits-of-physical-activity-for-the-elderly
#4
JOURNAL ARTICLE
Julien Vejux, Solenn le Bruchec, Valérie Bernat, Gérard Beauvais, Nathalie Beauvais, Gilles Berrut
Frailty and quality of life are concepts that emerged in the second half of the 20th century. Frailty can be defined as a clinical syndrome of decreased physiological reserves and resistance against stressful events conferring high risk for adverse health outcomes, including loss of independence, falls, hospitalization, institutionalization and mortality. However, it is considered that frailty can potentially be prevented or treated with specific modalities. Quality of life has various definitions because of its subjective nature...
June 26, 2024: Gériatrie et Psychologie Neuropsychiatrie du Vieillissement
https://read.qxmd.com/read/38367545/effect-of-hospital-elder-life-program-on-the-incidence-of-delirium-a-systematic-review-and-meta-analysis-of-clinical-trials
#5
JOURNAL ARTICLE
Huili Shen, Xuening Liu, Linna Wu, Jiahua Jia, Xueqin Jin
OBJECTIVE: This meta-analysis aims to investigate the effect of the Hospital Elder Life Program (HELP) on the incidence of delirium, delirium scores, length of hospital stay, and incidence of falls. METHODS: Four databases (PubMed, Embase, Cochrane Library, and Web of Science) were searched from inception until January 18, 2024. The search specifically targeted randomized controlled trials (RCTs). Two independent researchers conducted literature screening, quality assessment, and data extraction...
February 16, 2024: Geriatric Nursing
https://read.qxmd.com/read/38247705/determinants-of-quality-of-life-qol-in-female-caregivers-in-elderly-care-facilities-in-korea
#6
JOURNAL ARTICLE
Hee-Kyung Kim, Hye-Suk Oh
BACKGROUND: The purpose of this study was to analyze the effects of general characteristics, fatigue, depression, self-efficacy, job stress and interpersonal relationships on the quality of life (QoL) of caregivers in nursing hospitals and use them as basic data for intervention programs to improve the quality of life of caregivers. METHODS: The participants in the study were 137 caregivers, aged 52-76, who were actively working in nursing hospitals. Data were collected from caregivers by visiting 9 hospitals in 6 cities, with a questionnaire of fatigue, depression, self-efficacy, job stress, interpersonal relationship, quality of life...
January 15, 2024: Behavioral Sciences
https://read.qxmd.com/read/38216880/quality-of-life-and-nutritional-status-in-peritoneal-dialysis-patients-a-cross-sectional-study-from-palestine
#7
JOURNAL ARTICLE
Iyad Ali, Dania Haddad, Mostafa A Soliman, Ahmed Al-Sabi, Kamel Jebreen, Dana Abuzahra, Bakrieh Shrara, Diana Ghanayem, Nihal Natour, Mohanad Hassan, M Yasser Alsedfy, Duha Shellah, Inad Nawajah
BACKGROUND: End-stage renal disease (ESRD) is a growing cause of morbidity worldwide. Protein malnutrition is common among patients with ESRD. Peritoneal dialysis (PD) offers greater lifestyle flexibility and independence compared to the widely used treatments for ESRD. This study aimed to assess the nutritional status and the quality of life (QOL) of Palestinian patients undergoing PD, as well as the variables affecting these two outcomes. METHODS: A cross-sectional study was conducted on patients receiving PD at An-Najah National University Hospital, Palestine...
January 12, 2024: BMC Nephrology
https://read.qxmd.com/read/38178330/exploration-on-the-value-of-circulation-quality-control-intervention-mode-in-percutaneous-coronary-intervention-in-patients-with-coronary-heart-disease-and-chronic-heart-failure
#8
JOURNAL ARTICLE
Xuemian Yang, Songna Ren, Yiqing Liu, Xia Wu, Xiaohui Hao, Xiaowei Bai, Runze Li
BACKGROUND: Patients with coronary heart disease (CHD) often have other diseases due to organ dysfunction, among which chronic heart failure (CHF) is the most common. Percutaneous coronary intervention (PCI) is the mainstream method for the treatment of such diseases. Because most of the patients are the elderly and the functions of various organs are declining, it is necessary to implement scientific and efficient management methods. OBJECTIVE: To explore the application value of circulation quality control intervention (CQCI) mode in PCI of patients with CHD and CHF...
December 28, 2023: Heart Surgery Forum
https://read.qxmd.com/read/38094121/safety-and-effects-of-a-home-based-tai-chi-exercise-rehabilitation-program-in-patients-with-chronic-heart-failure-study-protocol-for-a-randomized-controlled-trial
#9
JOURNAL ARTICLE
Qian Jiao, Chao Meng, Haoqiang He, Shanshan Li, Fan Xu, Weilu Cui, Yuqing Lou, Zining Li, Jing Ma, Di Sun, Huidong Wu, Haixia Li
INTRODUCTION: Chronic heart failure (CHF), as the final stage of the progression of many cardiovascular disorders, is one of the main causes of hospitalization and death in the elderly and has a substantial impact on patients' quality of life (QOL). Exercise-based cardiac rehabilitation (CR) has been shown to considerably enhance QOL and prognosis. Given the barriers to center-based CR faced by most developing countries in the form of expensive instruments, the development of home-based CR is necessary...
2023: Frontiers in Cardiovascular Medicine
https://read.qxmd.com/read/38056861/-indication-and-perioperative-management-for-esophagectomy-in-elderly-patients-of-esophageal-cancer
#10
JOURNAL ARTICLE
Akinori Miura, Koudai Ueno, Hajime Sinohara, Katsumasa Saito, Kunihito Suzuki
Esophagectomy is a highly invasive surgery for elderly patients. The incidence of esophageal cancer is relatively high among the aging population in Japan. Therefore, it is crucial to determine the indications for esophagectomy and implement effective pre- and post-operative management strategies, considering the reduced physical function often observed in elderly patients. In our study, approximately 20% of patients with stageⅡ/Ⅲ esophageal cancer underwent esophagectomy. When we assessed thesepatients using the estimation of physiologic ability and surgical stress (E-PASS) scoring system, we found that the E-PASS score was significantly lower in the group that underwent surgery compared to those who received chemotherapy, radiation, or palliative treatment...
September 2023: Kyobu Geka. the Japanese Journal of Thoracic Surgery
https://read.qxmd.com/read/37996234/effectiveness-of-an-online-management-platform-joint-cloud-versus-standard-process-for-patients-undergoing-total-knee-arthroplasty-study-protocol-for-a-prospective-randomised-controlled-trial
#11
JOURNAL ARTICLE
Shuhao Zhang, He Ma, Lei Wang, Maopeng Wang, Bing Li, Jun Liu
INTRODUCTION: Osteoarthritis (OA) is one of the main causes of mobility impairment in the elderly worldwide. Therefore, total knee arthroplasty (TKA) is often performed and is one of the most successful surgery and has resulted in substantial quality-of-life gains for people with end-stage arthritis. There is still room for improvement in the standard treatment process in the preoperative, intraoperative and postoperative period of TKA. Telerehabilitation has the potential to become a positive alternative to face-to-face rehabilitation nowadays...
November 23, 2023: BMJ Open
https://read.qxmd.com/read/37994178/health-locus-of-control-resilience-and-self-efficacy-among-elderly-patients-with-psychiatric-disorders
#12
JOURNAL ARTICLE
Safaa Abdeazem Osman Ali, Atallah Alenezi, Farida Kamel, Mona Hamdy Mostafa
This study aimed to assess the relationship between health locus control, resilience and self-efficacy in older adults with psychiatric disorders. This study was conducted using a cross-sectional design. Sample: A purposive sample of 291 older adults receiving psychiatric outpatient care at Alabbasya Hospital for Mental Health in Cairo was recruited for this study. The data were collected by the following tools: sociodemographic data sheet, the multidimensional health locus of control scale, the general self-efficacy scale, the brief resilience scale and the general health questionnaire...
November 22, 2023: International Journal of Mental Health Nursing
https://read.qxmd.com/read/37978092/prevalence-of-osteosarcopenic-obesity-and-related-factors-among-iranian-older-people-bushehr-elderly-health-beh-program
#13
JOURNAL ARTICLE
Mozhgan Ahmadinezhad, Mohammad Ali Mansournia, Noushin Fahimfar, Gita Shafiee, Iraj Nabipour, Mahnaz Sanjari, Kazem Khalagi, Mohammad Javad Mansourzadeh, Bagher Larijani, Afshin Ostovar
UNLABELLED: Osteosarcopenic obesity is a new syndrome that has been recently discussed in the scientific community. It is a condition that affects the elderly and involves the loss of bone, muscle, and fat tissue. The few studies that have been done on this disease showed that it has a high prevalence among the elderly and can cause various complications. This study was the first one to investigate this syndrome in Iran, and found that its prevalence was 19.83%. BACKGROUND: Osteosarcopenic obesity syndrome (OSO) is a condition that involves osteopenia/osteoporosis, sarcopenia, and obesity...
November 17, 2023: Archives of Osteoporosis
https://read.qxmd.com/read/37950216/effectiveness-of-a-cardiac-rehabilitation-program-on-biomechanical-imaging-and-physiological-biomarkers-in-elderly-patients-with-heart-failure-with-preserved-ejection-fraction-hfpef-funnel%C3%A2-%C3%A2-study-protocol
#14
JOURNAL ARTICLE
Antonio Ignacio Cuesta-Vargas, Iván José Fuentes-Abolafio, Celia García-Conejo, Estíbaliz Díaz-Balboa, Manuel Trinidad-Fernández, Daniel Gutiérrez-Sánchez, Adrián Escriche-Escuder, Lidia Cobos-Palacios, Almudena López-Sampalo, Jose Maria Pérez-Ruíz, Cristina Roldán-Jiménez, Miguel Angel Pérez-Velasco, Javier Mora-Robles, Mª Dolores López-Carmona, David Pérez-Cruzado, Jaime Martín-Martín, Luis Miguel Pérez-Belmonte
BACKGROUND: Patients with heart failure with preserved ejection fraction (HFpEF) have a low functional status, which in turn is a risk factor for hospital admission and an important predictor of survival in HFpEF. HFpFE is a heterogeneous syndrome and recent studies have suggested an important role for careful, pathophysiological-based phenotyping to improve patient characterization. Cardiac rehabilitation has proven to be a useful tool in the framework of secondary prevention in patients with HFpEF...
November 10, 2023: BMC Cardiovascular Disorders
https://read.qxmd.com/read/37950197/evaluation-of-a-newly-developed-first-aid-training-programme-adapted-for-older-people
#15
JOURNAL ARTICLE
Eva Dolenc Šparovec, Damjan Slabe, Ivan Eržen, Uroš Kovačič
BACKGROUND: Older people need to acquire knowledge and skills at first aid (FA) training tailored to them. Our research aimed to evaluate an FA training programme adapted for older people. We assumed that satisfaction with FA training, as well as knowledge of FA, would be higher among older people who received training according to an adapted programme compared to those who received training according to the existing programme for the general public. METHODS: We trained older people according to the existing FA programme for the general public and according to a new FA training programme adapted for older people...
November 10, 2023: BMC Emergency Medicine
https://read.qxmd.com/read/37909706/optimizing-delirium-care-in-the-era-of-age-friendly-health-system
#16
JOURNAL ARTICLE
Min Ji Kwak, Sharon K Inouye, Donna M Fick, Alice Bonner, Terry Fulmer, Emily Carter, Victor Tabbush, Kerri Maya, Nicholas Reed, Christine Waszynski, Esther S Oh
Delirium is a significant geriatric condition associated with adverse clinical and economic outcomes. The cause of delirium is usually multifactorial, and person-centered multicomponent approaches for proper delirium management are required. In 2017, the John A. Hartford Foundation and the Institute for Healthcare Improvement (IHI) launched a national initiative, Age-Friendly Health System (AFHS), promoting the use of a framework called 4Ms (what matters, medication, mentation, and mobility). The 4Ms framework's primary goal is to provide comprehensive and practical person-centered care for older adults and it aligns with the core concepts of optimal delirium management...
November 1, 2023: Journal of the American Geriatrics Society
https://read.qxmd.com/read/37907537/cost-effectiveness-of-quadrivalent-influenza-vaccines-in-the-elderly-population-of-malaysia
#17
JOURNAL ARTICLE
Syed Mohamed Aljunid, Nur Syazana Mad Tahir, Aniza Ismail, Aznida Firzah Abdul Aziz, Amirah Azzeri, S A Zafirah, Azimatun Noor Aizuddin
The economic burden of influenza is a significant issue within healthcare system, related to higher medical costs particularly among the elderly. Yet, influenza vaccination rates in the elderly in Malaysia were considerably low as it is not part of Malaysia's national immunization program, with substantial mortality and morbidity consequences. Therefore, we conducted a cost-effectiveness analysis of quadrivalent influenza vaccine (QIV) for the elderly in Malaysia compared with the current no-vaccination policy...
October 31, 2023: Scientific Reports
https://read.qxmd.com/read/37808422/healthcare-delivery-to-elderly-and-unfit-patients-with-breast-disease-and-comorbidities-under-an-outpatient-regime-a-report-of-a-personal-surgical-technique-named-cut-sew
#18
JOURNAL ARTICLE
Pier Carlo Rassu
INTRODUCTION: A growing need for proper geriatric assessment and short-stay surgical programs supported by the availability of less invasive approaches, even in ambulatory settings, is being recognized as a feasible option for breast cancer patients with comorbidities who are usually distressed after standard surgery with ordinary hospitalization. Few studies have been conducted in Italian breast centers with dedicated techniques and approach for frail patients with breast diseases due to a jeopardized approach to ambulatory surgery among institutions...
December 2023: Surgery open science
https://read.qxmd.com/read/37790724/a-novel-smart-somatosensory-wearable-assistive-device-for-older-adults-home-rehabilitation-during-the-covid-19-pandemic
#19
JOURNAL ARTICLE
Chien-Hsiang Chang, Wei-Chih Lien, Tseng-Ping Chiu, Tai-Hua Yang, Chun-Chun Wei, Yu-Liang Kuo, Chung-Hsing Yeh, Bo Liu, Pin-Jun Chen, Yang-Cheng Lin
BACKGROUND: Due to the Coronavirus disease 19 (COVID-19) related social distancing measures and health service suspension, physical activity has declined, leading to increased falling risk and disability, and consequently, compromising the older adult health. How to improve the quality of older adult life has become a crucial social issue. OBJECTIVE: In traditional rehabilitation, manual and repetitive muscle training cannot identify the patient's rehabilitation effect, and increasing the willingness to use it is not easy...
2023: Frontiers in Public Health
https://read.qxmd.com/read/37779568/prevention-and-treatment-of-noncognitive-complications
#20
REVIEW
André van Zundert, Stephen P Gatt, Tom Christophe van Zundert
Patients aged 65 and older are the fastest growing segment in the population of many countries. Based on evolving demographics showing increasing life expectancies, it is expected that there will be a concurrent rise in the demand for a large variety of surgical and anesthesia services. Surgery offers definitive management of many age-related diseases and provides symptom-relieving (morbidity) and life-extending (mortality) benefits. However, elderly adult surgical patients, especially the frail ones, often require a different level of care than younger patients during the perioperative period...
2023: Saudi Journal of Anaesthesia
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