keyword
MENU ▼
Read by QxMD icon Read
search

Geriatric Emergency

keyword
https://www.readbyqxmd.com/read/29446038/preoperative-evaluation-of-the-elderly-surgical-patient-and-anesthesia-challenges-in-the-xxi-century
#1
Gabriella Bettelli
Universally recognized goals of preoperative anesthesia assessment are the evaluation of patient's health status to define the entity of the surgical risk, and the anticipation of possible complications while optimizing and planning preventive strategies. Data obtained by Comprehensive Geriatric Assessment (CGA) and frailty evaluation are of extreme usefulness in surgical risk evaluation in older patients and in the decision about surgery. It is from the team-based discussion of such results that the most appropriate treatment can be individuated, surgery invasiveness and duration critically analyzed and if needed modified, and the best perioperative strategy carefully tailored...
February 14, 2018: Aging Clinical and Experimental Research
https://www.readbyqxmd.com/read/29445266/are-frail-elderly-patients-treated-in-a-cga-unit-more-satisfied-with-their-hospital-care-than-those-treated-in-conventional-acute-medical-care
#2
Niklas Ekerstad, Göran Östberg, Maria Johansson, Björn W Karlson
Objectives: Our aim was to study whether the acute care of frail elderly patients directly admitted to a comprehensive geriatric assessment (CGA) unit is superior to the care in a conventional acute medical care unit in terms of patient satisfaction. Design: TREEE (Is the TReatment of frail Elderly patients Effective in an Elderly care unit?) is a clinical, prospective, controlled, one-center intervention trial comparing acute treatment in CGA units and in conventional wards...
2018: Patient Preference and Adherence
https://www.readbyqxmd.com/read/29438504/potentially-inappropriate-medication-and-hospitalization-emergency-department-visits-among-the-elderly-in-korea
#3
Ha-Lim Jeon, Juhee Park, Euna Han, Dong-Sook Kim
Objective: To investigate the association between potentially inappropriate medicine (PIM) use, defined using the American Geriatric Society (AGS) 2012 Beers criteria, and the risk of hospitalization or emergency department (ED) visits in elderly patients, and to examine the most frequently used PIMs among patients with adverse outcomes. Design/Setting: This was a retrospective study using National Health Insurance claims data from 2010 to 2012. Intervention(s): Elderly patients who took PIMs are compared to those who were not taking PIMs...
February 1, 2018: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/29438210/hemangioma-of-the-hard-palate-in-an-elderly-patient-as-a-life-threatening-surgical-emergency
#4
Sinan Uluyol
Hemangiomas of the head and neck are common benign tumors usually in childhood. They are rarely seen in hard palate. The authors present a geriatric patient with abundant hemorrhage due to a capillary hemangioma of the hard palate. Management and treatment approaches of this rare, urgent, and life-threatening situation is discussed.
February 12, 2018: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29438193/defining-and-assessing-geriatric-risk-factors-and-associated-health-care-utilization-among-older-adults-using-claims-and-electronic-health-records
#5
Hong J Kan, Hadi Kharrazi, Bruce Leff, Cynthia Boyd, Ashwini Davison, Hsien-Yen Chang, Joe Kimura, Shannon Wu, Laura Anzaldi, Tom Richards, Elyse C Lasser, Jonathan P Weiner
BACKGROUND: Using electronic health records (EHRs), in addition to claims, to systematically identify patients with factors associated with adverse outcomes (geriatric risk) among older adults can prove beneficial for population health management and clinical service delivery. OBJECTIVE: To define and compare geriatric risk factors derivable from claims, structured EHRs, and unstructured EHRs, and estimate the relationship between geriatric risk factors and health care utilization...
March 2018: Medical Care
https://www.readbyqxmd.com/read/29432041/qualitative-evaluation-of-the-coach-training-within-a-community-paramedicine-care-transitions-intervention
#6
Hunter Singh Lau, Matthew M Hollander, Jeremy T Cushman, Eva H DuGoff, Courtney M C Jones, Amy J H Kind, Michael T Lohmeier, Eric A Coleman, Manish N Shah
OBJECTIVE: The Care Transitions Intervention (CTI) has potential to improve the emergency department (ED)-to-home transition for older adults. Community paramedics may function as the CTI coaches; however, this requires the appropriate knowledge, skills, and attitudes, which they do not receive in traditional emergency medical services (EMS) education. This study aimed to define community paramedics' perceptions regarding their training needs to serve as CTI coaches supporting the ED-to-home transition...
February 12, 2018: Prehospital Emergency Care
https://www.readbyqxmd.com/read/29429847/the-impact-of-geriatric-focused-nurse-assessment-and-intervention-in-the-emergency-department-a-systematic-review
#7
REVIEW
M Malik, Z Moore, D Patton, T O'Connor, L E Nugent
BACKGROUND: Nursing assessment of elderly patients is imperative in Emergency Departments (ED) while providing interventions that increase independence facilitating discharge to primary healthcare. AIMS: To systematically review the impact of geriatric focused nurse assessment and intervention in the ED on hospital utilisation in terms of admission rate, ED revisits and length of hospital stay (LOHS). METHODS: Search strategy used following databases; Cochrane, Medline, CINAHL, Embase, Scopus and Web of Knowledge; And terms; geriatric nurse assessment, nurse discharge planning, geriatric nurse specialist, nurse intervention, emergency department, accident and emergency, patient outcomes, discharge, admissions, readmissions, hospital utilization, hospitalization, length of stay/hospital stay...
February 8, 2018: International Emergency Nursing
https://www.readbyqxmd.com/read/29427050/transcranial-magnetic-stimulation-tms-in-the-elderly
#8
REVIEW
Ilva G Iriarte, Mark S George
PURPOSE OF REVIEW: This article aims to review select applications of Transcranial Magnetic Stimulation (TMS) that have significant relevance in geriatric psychiatry. RECENT FINDINGS: Small study sizes and parameter variability limit the generalizability of many TMS studies in geriatric patients. Additionally, geriatric patients have unique characteristics that can moderate the efficacy of TMS. Nonetheless, several promising experimental applications in addition to the FDA-approved indication for major depression have emerged...
February 10, 2018: Current Psychiatry Reports
https://www.readbyqxmd.com/read/29423259/comprehensive-geriatric-assessment-pilot-of-a-randomized-control-study-in-a-swedish-acute-hospital-a-feasibility-study
#9
Theresa Westgård, Isabelle Ottenvall Hammar, Eva Holmgren, Anna Ehrenberg, Aase Wisten, Anne W Ekdahl, Synneve Dahlin-Ivanoff, Katarina Wilhelmson
Background: Comprehensive geriatric assessment (CGA) represent an important component of geriatric acute hospital care for frail older people, secured by a multidisciplinary team who addresses the multiple needs of physical health, functional ability, psychological state, cognition and social status. The primary objective of the pilot study was to determine feasibility for recruitment and retention rates. Secondary objectives were to establish proof of principle that CGA has the potential to increase patient safety...
2018: Pilot and Feasibility Studies
https://www.readbyqxmd.com/read/29414018/assessment-of-oral-formulation-dependent-characteristics-of-orodispersible-tablets-using-texture-profiles-and-multivariate-data-analysis
#10
Tibor Casian, Cătălina Bogdan, Diana Tarta, Mirela Moldovan, Ioan Tomuta, Sonia Iurian
Orodispersible tablets (ODTs) emerged as dosage forms recommended for special groups of patients like pediatrics or geriatrics, due to their multiple advantages. Among their critical quality attributes, palatability determines patient acceptance, with high impact on treatment efficacy. The aim of this study was to develop an instrumental method to assess in vivo disintegration time and palatability of ODTs. The formulation factors that can influence palatability were refined through an experimental design. The most important ones were taken forward and a calibration set was prepared for multivariate calibration model development...
January 29, 2018: Journal of Pharmaceutical and Biomedical Analysis
https://www.readbyqxmd.com/read/29409381/moving-towards-novel-multidisciplinary-approaches-for-improving-elderly-quality-of-life-the-emerging-role-of-telemedicine-in-sicily
#11
Giuseppa Maresca, Maria C De Cola, Santina Caliri, Rosaria De Luca, Alfredo Manuli, Ileana Scarcella, Giuseppe Silvestri, Placido Bramanti, Michele Torrisi, Rocco S Calabrò, Alessia Bramanti
Introduction Elderly care is a worldwide social and economic challenge for the public health system, and it requires the development of new management strategies. Telemedicine provides an innovative approach towards elderly care, especially for those with chronic diseases. In this study, we aimed to evaluate the potential role of a multidisciplinary telemedicine approach for improving elderly quality of life. Methods Twenty-two participants received weekly vital parameter monitoring and nutritional counselling, biweekly psychological counselling and a monthly consultation with a neurologist...
January 1, 2018: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/29396192/management-of-nursing-home-residents-following-acute-hospitalization-efficacy-of-the-regular-early-assessment-post-discharge-reap-intervention
#12
Nicholas J Cordato, Mary Kearns, Peter Smerdely, Katrin M Seeher, Matthew D Gardiner, Henry Brodaty
OBJECTIVES: Rehospitalization of nursing home (NH) residents is frequent, costly, potentially avoidable and associated with diminished quality of life and poor survival. This study aims to evaluate the impact and cost-effectiveness of the Regular Early Assessment Post-Discharge (REAP) protocol of coordinated specialist geriatrician and nurse practitioner visits on rates of rehospitalization, hospital length of stay, and emergency department presentations for NH residents recently discharged from hospital...
January 30, 2018: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/29395938/geriatrician-performed-comprehensive-geriatric-care-in-older-adults-referred-to-an-outpatient-community-rehabilitation-unit-a-randomized-controlled-trial
#13
Dmitri Zintchouk, Merete Gregersen, Torsten Lauritzen, Else Marie Damsgaard
BACKGROUND: Older adults make increasing demands on all sectors of the healthcare system. We investigated the effect of geriatrician-performed comprehensive geriatric care (CGC) in older adults referred to an outpatient community rehabilitation unit. DESIGN: Randomized controlled trial. SETTING: Two Danish non-hospital based rehabilitation units. PARTICIPANTS: Persons aged 65 or older admitted from home or hospital. INTERVENTION: CGC performed by a geriatrician at the rehabilitation unit...
January 29, 2018: European Journal of Internal Medicine
https://www.readbyqxmd.com/read/29389841/emergency-general-surgery-in-geriatric-patients-a-statewide-analysis-of-surgeon-and-hospital-volume-with-outcomes
#14
Ambar Mehta, Linda A Dultz, Bellal Joseph, Joseph K Canner, Kent Stevens, Christian Jones, Elliot R Haut, David T Efron, Joseph V Sakran
INTRODUCTION: Geriatric patients undergoing emergency general surgery (EGS) face significant morbidity and mortality. We assessed how surgeon and hospital volumes affected these outcomes. METHODS: We identified patients at least 65 years old in Maryland's Health Services Cost Review Commission database from 2012-2014 who underwent one of 12 EGS procedures, as defined by the American Association for the Surgery of Trauma, and then calculated four outcomes: mortality rate, the incidence of at least one of eight common in-hospital EGS complications, failure-to-rescue (death after experiencing a postoperative complication), and the 30-day readmission rate...
January 31, 2018: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/29384275/-femoral-hernia-in-geriatric-patient
#15
Doriane Ischer, Charlotte Renoult, Benjamin Gold, Jean-Marie Mégevand
When facing an elderly patient with cognitive impairment and unspecific digestive symptoms, the physical examination should include the research of a groin hernia. Additional radiological exam may be required to confirm the diagnosis. Femoral hernia is a diagnostic pitfall, as clinical signs are not always obvious. It occurs late in life and is often found to be already complicated when the patient seeks attention. While the elective surgical treatment is simple, it needs an emergency surgical repair when it is incarcerated that is often associated with intestinal resection and post-operative complications including death...
January 31, 2018: Revue Médicale Suisse
https://www.readbyqxmd.com/read/29381526/the-modified-otago-exercises-prevent-grip-strength-deterioration-among-older-fallers-in-the-malaysian-falls-assessment-and-intervention-trial-myfait
#16
Lin Kiat Liew, Maw Pin Tan, Pey June Tan, Sumaiyah Mat, Lokman A Majid, Keith D Hill, Mazlina Mazlan
BACKGROUND AND PURPOSE: Exercise-based interventions, such as the Otago Exercise Program (OEP), are effective in preventing falls in the older adult. Previous studies evaluating the OEP have determined falls, lower limb strength, or balance outcomes but with lack of assessment of hand grip strength. The objective of this study is to evaluate the effect of OEP on hand grip strength alongside mobility and balance outcomes. METHODS: This was a single-center, prospective, and single-blind randomized controlled trial conducted at the University Malaya Medical Centre...
January 29, 2018: Journal of Geriatric Physical Therapy
https://www.readbyqxmd.com/read/29358101/the-validity-and-reliability-of-the-arabic-version-of-the-confusion-assessment-method-for-the-intensive-care-unit-cam-icu-a-prospective-cohort-study
#17
Abeer Selim, Nahed Kandeel, Mohamed Elokl, Mohamed Shawky Khater, Ashraf Nabil Saleh, Rami Bustami, E Wesley Ely
BACKGROUND: Accurate diagnosis for Arabic speaking critically ill patients suffering from delirium is limited by the need for a valid/reliable translation of a standardized delirium instrument such as the Confusion Assessment Method for the ICU (CAM-ICU). OBJECTIVE: To determine the validity and reliability of the Arabic version of the CAM-ICU. DESIGN: A prospective cohort study design was used to conduct the current study. SETTINGS: Data collection took place in Geriatric, Emergency and Surgical intensive care units...
December 28, 2017: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/29357950/statement-on-minimum-standards-for-the-care-of-older-people-in-emergency-departments-by-the-geriatric-emergency-medicine-special-interest-group-of-the-international-federation-for-emergency-medicine
#18
Brittany Ellis, Christopher Carpenter, Judy Lowthian, Simon Mooijaart, Christian Nickel, Don Melady
No abstract text is available yet for this article.
January 23, 2018: CJEM
https://www.readbyqxmd.com/read/29357815/the-effect-of-a-gerontology-nurse-specialist-for-high-needs-older-people-in-the-community-on-healthcare-utilisation-a-controlled-before-after-study
#19
A I I King, M L Boyd, D L Raphael, A Jull
BACKGROUND: Nurse-led models of comprehensive geriatric assessment and care coordination can improve health management as well as reduce hospitalisations for high risk community dwelling older people. This study investigated the effect on healthcare utilisation of systematic case finding to identify high risk older people in the community with a subsequent comprehensive assessment and care coordination intervention by a Gerontology Nurse Specialist based in primary care. METHODS: This was a controlled before-after study design located within primary healthcare practices in Auckland, New Zealand...
January 22, 2018: BMC Geriatrics
https://www.readbyqxmd.com/read/29350340/poem-in-the-treatment-of-esophageal-disorders
#20
REVIEW
Nasim Parsa, Mouen A Khashab
OPINION STATEMENT: PURPOSE OF THE REVIEW: Peroral endoscopic myotomy (POEM) is a novel minimally invasive technique that has emerged as the preferred option for the treatment of achalasia and spastic esophageal disorders (SED) at many centers around the world. In this article, we review and summarize the recent literature on POEM in patients with achalasia and SED. The current article is largely focused on the new developments and findings, extended applications, and long-term outcomes of POEM in patients with achalasia and SED...
January 19, 2018: Current Treatment Options in Gastroenterology
keyword
keyword
26815
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"