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https://www.readbyqxmd.com/read/29783261/epidemiology-of-acute-myocardial-infarction-in-ukraine-and-poltava-region
#1
Viacheslav M Zhdan, Grigory А Oksak, Oleh V Radomskyi, Denis I Shaposhnikov
OBJECTIVE: Introduction: The number of elderly people in society is increasing. Alike in all European countries, ageing population in Ukraine is observed, which affects the structure and dynamics of morbidity and mortality of the population towards the increase of chronic non-communicable diseases, which is the epidemic of the 21st century civilization. In 2010 in Ukraine, the proportion of people over the age of 60 was 20.6% of the total. The prevalence of all diseases among the elderly in 2010 amounted to 283522,8, and among the general population - 186746,4...
2018: Wiadomości Lekarskie: Organ Polskiego Towarzystwa Lekarskiego
https://www.readbyqxmd.com/read/29769026/cost-effectiveness-of-a-multicomponent-primary-care-program-targeting-frail-elderly-people
#2
Franca G H Ruikes, Eddy M Adang, Willem J J Assendelft, Henk J Schers, Raymond T C M Koopmans, Sytse U Zuidema
BACKGROUND: Over the last 20 years, integrated care programs for frail elderly people aimed to prevent functional dependence and reduce hospitalization and institutionalization. However, results have been inconsistent and merely modest. To date, evidence on the cost-effectiveness of these programs is scarce. We evaluated the cost-effectiveness of the CareWell program, a multicomponent integrated care program for frail elderly people. METHODS: Economic evaluation from a healthcare perspective embedded in a cluster controlled trial of 12 months in 12 general practices in (the region of) Nijmegen...
May 16, 2018: BMC Family Practice
https://www.readbyqxmd.com/read/29744608/a-theory-of-planned-behavior-based-intervention-to-improve-quality-of-life-in-patients-with-knee-hip-osteoarthritis-a-randomized-controlled-trial
#3
Mohsen Saffari, Mohammad Kazem Emami Meybodi, Hormoz Sanaeinasab, Ali Karami, Amir H Pakpour, Harold G Koenig
Osteoarthritis (OA) is a common chronic disorder among elderly people that affects joints such as the knee and hip in particular. The objective of the current study was to examine the efficacy of an intervention based on a theory of planned behavior (TPB) in improving health-related quality of life in middle-age and older adults with this condition. One hundred twenty patients diagnosed with knee/hip OA were recruited from a general hospital. Measures administered at baseline were the SF-12, EuroQol (EQ-5D), Osteoarthritis Knee and Hip Quality of Life (OAKHQoL), and TPB questionnaire...
May 10, 2018: Clinical Rheumatology
https://www.readbyqxmd.com/read/29729455/the-5-item-modified-frailty-index-is-predictive-of-30-day-postoperative-complications-in-patients-undergoing-kyphoplasty-vertebral-augmentation
#4
Dale Segal, Jacob M Wilson, Christopher Staley, Keith W Michael
BACKGROUND: Vertebral compression fractures are the most common spine injury seen in elderly patients. Vertebral augmentation is considered a safe and effective treatment. The ability to predict outcomes based on comorbidities is lacking. The modified frailty index has been used to predict complications after orthopedic and surgical procedures. We hypothesized that despite a low rate of adverse outcomes, postoperative complications following kyphoplasty would be higher in frail patients...
May 2, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29720290/effectiveness-of-a-home-based-missing-incident-prevention-program-for-community-dwelling-elderly-patients-with-dementia
#5
Wing Man Lau, Tak Yeung Chan, Sze Lok Szeto
ABSTRACTBackground:Getting lost is a recognized complication in patients with dementia. Preventive measures are lacking. This study aims to investigate the effectiveness of a home-based missing incident prevention program (HMIPP) in reducing missing incidents, time of searching, and caregivers' stress. METHODS: The design was a pre- and post-intervention study. Patients were recruited from a hospital-based Geriatric Memory Clinic. Inclusion criteria were as follows: aged 60 years or above, established dementia, and Modified Functional Ambulation Categories score VI or VII...
May 3, 2018: International Psychogeriatrics
https://www.readbyqxmd.com/read/29643802/the-beneficial-effects-of-cognitive-training-with-simple-calculation-and-reading-aloud-scra-in-the-elderly-postoperative-population-a-pilot-randomized-controlled-trial
#6
Kay Kulason, Rui Nouchi, Yasushi Hoshikawa, Masafumi Noda, Yoshinori Okada, Ryuta Kawashima
Background: There has been little research conducted regarding cognitive treatments for the elderly postsurgical population. Patients aged ≥60 years have an increased risk of postoperative cognitive decline, a condition in which cognitive functions are negatively affected. This cognitive decline can lead to a decline in quality of life. In order to maintain a high quality of life, the elderly postsurgical population may benefit from treatment to maintain and/or improve their cognitive functions. This pilot study investigates the effect of simple calculation and reading aloud (SCRA) cognitive training in elderly Japanese postsurgical patients...
2018: Frontiers in Aging Neuroscience
https://www.readbyqxmd.com/read/29607051/comprehensive-home-based-care-coordination-for-vulnerable-elders-with-dementia-maximizing-independence-at-home-plus-study-protocol
#7
Quincy M Samus, Karen Davis, Amber Willink, Betty S Black, Melissa Reuland, Jeannie Leoutsakos, David L Roth, Jennifer Wolff, Laura N Gitlin, Constantine G Lyketsos, Deirdre Johnston
Introduction: Despite availability of effective care strategies for dementia, most health care systems are not yet organized or equipped to provide comprehensive family-centered dementia care management. Maximizing Independence at Home-Plus is a promising new model of dementia care coordination being tested in the U.S. through a Health Care Innovation Award funded by the Centers for Medicare and Medicaid Services that may serve as a model to address these delivery gaps, improve outcomes, and lower costs...
December 2017: International Journal of Care Coordination
https://www.readbyqxmd.com/read/29596083/the-scope-of-extra-professional-caregiving-challenges-among-early-career-faculty-findings-from-a-university-medical-center
#8
Katherine E Hartmann, Alexandra C Sundermann, Rebecca Helton, Helen Bird, Ashley Wood
PURPOSE: Academic scientists work in competitive environments and many institutions invest in career development supports. These investments may be imperiled when extra-professional demands challenge a faculty member's reserve capacity. This research assessed prevalence of caregiving challenges and estimated incidence of stressful life events. METHOD: In 2015-2016, the authors surveyed recipients of career development awards supporting ≥ 75% effort and individuals within the funding period of their first National Institutes of Health R01 or equivalent at Vanderbilt University Medical Center...
March 27, 2018: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29584720/cost-effectiveness-of-multidisciplinary-care-in-mild-to-moderate-chronic-kidney-disease-in-the-united-states-a-modeling-study
#9
Eugene Lin, Glenn M Chertow, Brandon Yan, Elizabeth Malcolm, Jeremy D Goldhaber-Fiebert
BACKGROUND: Multidisciplinary care (MDC) programs have been proposed as a way to alleviate the cost and morbidity associated with chronic kidney disease (CKD) in the US. METHODS AND FINDINGS: We assessed the cost-effectiveness of a theoretical Medicare-based MDC program for CKD compared to usual CKD care in Medicare beneficiaries with stage 3 and 4 CKD between 45 and 84 years old in the US. The program used nephrologists, advanced practitioners, educators, dieticians, and social workers...
March 2018: PLoS Medicine
https://www.readbyqxmd.com/read/29576345/a-review-of-the-validity-of-malnutrition-screening-tools-used-in-older-adults-in-community-and-healthcare-settings-a-manuel-study
#10
REVIEW
Lauren Power, Deirdre Mullally, Eileen R Gibney, Michelle Clarke, Marjolein Visser, Dorothee Volkert, Laura Bardon, Marian A E de van der Schueren, Clare A Corish
BACKGROUND: Older adults are at increased risk of malnutrition compared to their younger counterparts. Malnutrition screening should be conducted using a valid malnutrition screening tool. An aim of the Healthy Diet for a Healthy Life (HDHL) Joint Programming Initiative (JPI) 'Malnutrition in the Elderly Knowledge Hub' (MaNuEL) was to review the reported validity of existing malnutrition screening tools used in older adults. METHODS: A literature search was conducted to identify validation studies of malnutrition screening tools in older populations in community, rehabilitation, residential care and hospital settings...
April 2018: Clinical Nutrition ESPEN
https://www.readbyqxmd.com/read/29485516/the-impact-of-advanced-age-on-the-outcomes-of-primary-total-hip-and-knee-arthroplasty-for-osteoarthritis-a-systematic-review
#11
Benjamin P d'S Murphy, Michelle M Dowsey, Peter F M Choong
BACKGROUND: Elective total hip arthroplasty (THA) and total knee arthroplasty (TKA) are effective options for the management of osteoarthritis that has not responded to conservative therapy, and they are increasing in utilization worldwide. Therefore, we sought to investigate how older age influences the outcomes of THA and TKA through a review of the current literature. METHODS: The Embase and MEDLINE databases were examined for relevant studies that assessed the role of older age in determining the outcomes of THA and TKA...
February 2018: JBJS Reviews
https://www.readbyqxmd.com/read/29473940/delirium-a-framework-to-improve-acute-care-for-older-persons
#12
Sharon K Inouye
This article is based on the M. Powell Lawton Award Lecture that I delivered at the 2016 Gerontological Society of America Annual Meeting. I provide an overview of my journey in geriatric medicine and delirium research. I created new measures, including the Confusion Assessment Method, for identification of delirium; conceptualized a multifactorial risk model; and developed and tested intervention strategies for delirium prevention. The Hospital Elder Life Program arose from this work. In addition, like Dr...
March 2018: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29416322/quality-of-life-and-psychological-consequences-in-elderly-patients-after-a-hip-fracture-a-review
#13
REVIEW
Konstantinos I Alexiou, Andreas Roushias, Sokratis E Varitimidis, Konstantinos N Malizos
Fractures due to fragility of the bone around the hip joint have become a major public health issue, presenting with an increasing incidence due to the growth of the elderly population. The purpose of this review was to evaluate the impact of hip fractures on the quality of life (QoL), health status (HS), functioning, and psychological parameters, and factors influencing the outcome and the appropriate interventions for improvement of elderly patients. A systematic electronic search of the relevant literature was carried out using the CINAHL, Cochrane, EMBASE, Medline (OvidSP), and PubMed databases spanning the time period from their establishment up to January 2017...
2018: Clinical Interventions in Aging
https://www.readbyqxmd.com/read/29392865/improving-nutritional-discharge-planning-and-follow-up-in-older-medical-inpatients-hospital-to-home-outreach-for-malnourished-elders
#14
Adrienne M Young, Alison M Mudge, Merrilyn D Banks, Lauren Rogers, Kristen Demedio, Elisabeth Isenring
AIM: Nutritional decline during and after acute hospitalisation is common amongst older people. This quality improvement initiative aimed to introduce a dietitian-led discharge planning and follow-up program (Hospital to Home Outreach for Malnourished Elders, HHOME) at two hospitals within usual resources to improve nutritional and functional recovery. METHODS: Prospective pre-post evaluation design was used. Medical patients aged 65+ years at-risk of malnutrition and discharged to independent living were eligible...
February 2, 2018: Nutrition & Dietetics: the Journal of the Dietitians Association of Australia
https://www.readbyqxmd.com/read/29313293/management-of-care-transition-and-hospital-discharge
#15
Amedeo Zurlo, Giovanni Zuliani
Current demographic and epidemiological trends highlight a growing task in surgical departments by elderly patients, characterized by high prevalence of comorbidity, complexity, and functional disability. Of consequence, discharge of an elderly patient must be considered in a new cultural perspective and should be imagined as a well-structured process starting from admission to surgical department and finishing with the patient discharge in a setting able to support her/him in the best possible way. The lack of a suitable discharge planning and of a proper transition program in the elderly subjects increases the risk of quick re-admission and may negatively affect the functional and the status quality of life of patients and caregivers...
March 2018: Aging Clinical and Experimental Research
https://www.readbyqxmd.com/read/29260234/evaluation-of-a-multidisciplinary-rehabilitation-programme-for-elderly-patients-with-hip-fracture-a-prospective-cohort-study
#16
Wing-Hoi Cheung, Wan-Yiu Shen, David Lok-Kwan Dai, Kin Bong Lee, Tracy Y Zhu, Ronald Man-Yeung Wong, Kwok-Sui Leung
OBJECTIVE: To investigate the effectiveness and cost of an 18-month multi-disciplinary Comprehensive Fragility Fracture Management Program (CFFMP) for fragility hip fracture patients. DESIGN: Prospective cohort study. PATIENTS: Elderly patients with hip fracture were recruited at their first postoperative follow-up in 2 district hospitals. The intervention group comprised patients from the hospital undergoing CFFMP, and the control group comprised patients from another hospital undergoing conventional care...
February 28, 2018: Journal of Rehabilitation Medicine
https://www.readbyqxmd.com/read/29214290/association-of-immunotherapy-with-overall-survival-in-elderly-patients-with-melanoma
#17
Marie Perier-Muzet, Elodie Gatt, Julien Péron, Claire Falandry, Mona Amini-Adlé, Luc Thomas, Stephane Dalle, Amelie Boespflug
Importance: Melanoma treatment has been revolutionized with the development of immune-based therapies that offer durable clinical responses in a subset of patients. Clinical outcomes after treatment by immunotherapy can be influenced by the host's immune system. The immune system is modified with age by age-related immune dysfunction. Objective: To evaluate if age influences clinical outcome and immune adverse events in patients treated by immunotherapy for metastatic melanoma...
January 1, 2018: JAMA Dermatology
https://www.readbyqxmd.com/read/29109625/postoperative-delirium-in-elderly-citizens-and-current-practice
#18
REVIEW
Siddareddygari Velayudha Reddy, Jawaharlal Narayanasa Irkal, Ananthapuram Srinivasamurthy
Postoperative delirium (POD) represents an acute brain dysfunction in the postsurgical period. Perioperative physicians caring for the older adults are familiar with the care of dysfunction of organs such as lungs, heart, liver, or kidney in the perioperative setting, but they are less familiar with management of brain dysfunction. As early detection and prompt treatment of inciting factors are utmost important to prevent or minimize the deleterious outcomes of delirium. The purpose of this review is to prepare perioperative physicians with a set of current clinical practice recommendations to provide optimal perioperative care of older adults, with a special focus on specific perioperative interventions that have been shown to prevent POD...
July 2017: Journal of Anaesthesiology, Clinical Pharmacology
https://www.readbyqxmd.com/read/29063527/high-participation-rate-among-25-721-patients-with-broad-age-range-in-a-hospital-based-research-project-involving-whole-genome-sequencing-the-lausanne-institutional-biobank
#19
Murielle Bochud, Christine Currat, Laurence Chapatte, Cindy Roth, Vincent Mooser
AIMS: We aimed to evaluate the interest of adult inpatients and selected outpatients in engaging in a large, real-life, hospital-based, genomic medicine research project and in receiving clinically actionable incidental findings. METHODS: Within the framework of the cross-sectional Institutional Biobank of Lausanne, Switzerland, a total of 25721 patients of the CHUV University Hospital were systematically invited to grant researchers access to their biomedical data and to donate blood for future analyses, including whole-genome sequencing...
October 24, 2017: Swiss Medical Weekly
https://www.readbyqxmd.com/read/28973065/effect-of-systematic-intensive-care-unit-triage-on-long-term-mortality-among-critically-ill-elderly-patients-in-france-a-randomized-clinical-trial
#20
RANDOMIZED CONTROLLED TRIAL
Bertrand Guidet, Guillaume Leblanc, Tabassome Simon, Maguy Woimant, Jean-Pierre Quenot, Olivier Ganansia, Maxime Maignan, Youri Yordanov, Samuel Delerme, Benoit Doumenc, Muriel Fartoukh, Pierre Charestan, Pauline Trognon, Bertrand Galichon, Nicolas Javaud, Anabela Patzak, Maïté Garrouste-Orgeas, Caroline Thomas, Sylvie Azerad, Dominique Pateron, Ariane Boumendil
Importance: The high mortality rate in critically ill elderly patients has led to questioning of the beneficial effect of intensive care unit (ICU) admission and to a variable ICU use among this population. Objective: To determine whether a recommendation for systematic ICU admission in critically ill elderly patients reduces 6-month mortality compared with usual practice. Design, Setting, and Participants: Multicenter, cluster-randomized clinical trial of 3037 critically ill patients aged 75 years or older, free of cancer, with preserved functional status (Index of Independence in Activities of Daily Living ≥4) and nutritional status (absence of cachexia) who arrived at the emergency department of one of 24 hospitals in France between January 2012 and April 2015 and were followed up until November 2015...
October 17, 2017: JAMA: the Journal of the American Medical Association
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