keyword
MENU ▼
Read by QxMD icon Read
search

Elderly fall medication

keyword
https://www.readbyqxmd.com/read/29658484/complexity-of-syncope-in-elderly-people-a-comprehensive-geriatric-approach
#1
C W Wong
Syncope is a prevalent health problem among elderly people. It may be neurally mediated or caused by conditions such as orthostatic hypotension, postprandial hypotension, and cardiac disorders. A combination of different aetiologies is not uncommon in the elderly people. Many pathophysiological processes, including age-related physiological changes, co-morbidities, concomitant medication use, and prolonged bedrest, coexist and predispose elderly people to syncope; advanced age and cardiac syncope are associated with increased mortality...
April 2018: Hong Kong Medical Journal, Xianggang Yi Xue za Zhi
https://www.readbyqxmd.com/read/29626048/dabigatran-persistence-and-adherence-in-new-zealand-a-nationwide-retrospective-observational-study
#2
Paul Harper, Daryl Pollock, Matt Stephens
OBJECTIVE: To determine the effect of age and gender on persistence and adherence in patients taking dabigatran for atrial fibrillation. DESIGN: A retrospective observational study over 4 years using refill prescription data from the National Pharmaceutical Database. SETTING: All patients in New Zealand who received dabigatran from July 2011 to September 2015. POPULATION: 43 339 people filled at least one prescription of dabigatran...
April 5, 2018: BMJ Open
https://www.readbyqxmd.com/read/29625874/peripheral-neuropathy-is-associated-with-more-frequent-falls-in-parkinson-s-disease
#3
Mélanie L Beaulieu, Martijn L T M Müller, Nicolaas I Bohnen
INTRODUCTION: Peripheral neuropathy is a common condition in the elderly that can affect balance and gait. Postural imbalance and gait difficulties in Parkinson's disease (PD), therefore, may stem not only from the primary neurodegenerative process but also from age-related medical comorbidities. Elucidation of the effects of peripheral neuropathy on these difficulties in PD is important to provide more targeted and effective therapy. The purpose of this study was to investigate the association between lower-limb peripheral neuropathy and falls and gait performance in PD while accounting for disease-specific factors...
April 3, 2018: Parkinsonism & related Disorders
https://www.readbyqxmd.com/read/29625707/-atropinic-burden-and-anticholinergic-drugs-interest-and-application-in-clinical-practice-in-the-elderly
#4
Sibylle de Germay, Maryse Lapeyre-Mestre, Jean-Louis Montastruc, François Montastruc
Anticholinergic drugs (also called antimuscarinics or atropinics) increase the risk of falls, cognitive impairment and/or mortality in older patients. These drugs belong to the lists of potentially inappropriate medications in the elderly. The aim of this review was to present and discuss the different tools available to measure the atropinic risk in drug exposure of older patients. Several scales, developed from biological and/or clinical criteria, allow to classify anticholinergic drugs according to their atropinic potency and to assign to them an atropinic burden...
March 7, 2018: Thérapie
https://www.readbyqxmd.com/read/29621156/real-life-real-time-elderly-fall-detection-with-a-triaxial-accelerometer
#5
Angela Sucerquia, José David López, Jesús Francisco Vargas-Bonilla
The consequences of a fall on an elderly person can be reduced if the accident is attended by medical personnel within the first hour. Independent elderly people often stay alone for long periods of time, being in more risk if they suffer a fall. The literature offers several approaches for detecting falls with embedded devices or smartphones using a triaxial accelerometer. Most of these approaches have not been tested with the target population or cannot be feasibly implemented in real-life conditions. In this work, we propose a fall detection methodology based on a non-linear classification feature and a Kalman filter with a periodicity detector to reduce the false positive rate...
April 5, 2018: Sensors
https://www.readbyqxmd.com/read/29619274/evaluating-postoperative-complications-and-outcomes-of-orthopedic-fracture-repair-in-nonagenarian-patients
#6
Kyle A Scarano, Frances H Philp, Edward R Westrick, Gregory T Altman, Daniel T Altman
Introduction: The United States and the world are currently experiencing a tremendous growth in the elderly population. Moreover, individuals surpassing the ages of 80 and 90 are also continuing to increase. As this unique division of society expands, it is critical that the medical community best understands how to assess, diagnose, and treat this population. The purpose of this study was to analyze morbidity, mortality, and overall outcome of patients aged 90 years and older after orthopedic surgical fracture repair...
2018: Geriatric Orthopaedic Surgery & Rehabilitation
https://www.readbyqxmd.com/read/29618421/awareness-of-medication-related-falls-and-preferred-interventions-among-the-elderly
#7
Mun Yee Loke, Lydia Lay Yen Gan, Farida Islahudin
Falls are a major problem among the elderly and can lead to serious injury. Adults older than 65 years suffer the greatest number of severe falls. This study aims to evaluate the knowledge and perception of medication related falls as well as preferred medication related fall prevention programs in the local population. A cross-sectional survey was conducted among the elderly patients in a tertiary hospital. A total of 86 patients (n=86) were interviewed. Approximately 23.3% (20 patients) of the elderly had a history of falls over the past 6 months...
March 2018: Pakistan Journal of Pharmaceutical Sciences
https://www.readbyqxmd.com/read/29581817/medications-polypharmacy-influence-on-recurrent-fallers-in-community-a-systematic-review
#8
REVIEW
Yu Ming, Aleksandra Zecevic
The purpose of this systematic review is to summarize information about the impact different classes of medications and polypharmacy have on recurrent falls, defined as two or more falls in a 12-month period, in community-dwelling older adults. After adjustment for confounders such as age, gender, weight or depression symptoms, the reviewed studies suggested that older adults who use antidepressants, sedatives or hypnotics and anti-epileptics were more likely to experience recurrent falls than non-users. Polypharmacy (use of four or more prescription medications daily) caused 1...
March 2018: Canadian Geriatrics Journal: CGJ
https://www.readbyqxmd.com/read/29575248/a-high-yield-fall-risk-and-adverse-events-screening-questions-from-the-stopping-elderly-accidents-death-and-injuries-steadi-guideline-for-older-emergency-department-fall-patients
#9
Jiraporn Sri-On, Gregory Philip Tirrell, Anucha Kamsom, Keith A Marill, Kalpana Narayan Shankar, Shan W Liu
OBJECTIVES: The objectives were to examine whether responses to the Stopping Elderly Accidents, Death, and Injuries (STEADI) questions responses predicted adverse events after an older adult emergency department (ED) fall visits and to identify factors associated with such recurrent fall. METHODS: We conducted a prospective study at 2 urban, teaching hospitals. We included patients aged ≥ 65 who presented to the ED for an accidental fall. Data were gathered for fall relevant co-morbidities, high-risk medications for falls and the responses to 12 questions from the STEADI guideline recommendation...
March 25, 2018: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/29560332/complications-and-socioeconomic-costs-associated-with-falls-in-the-elderly-population
#10
Yeong Guk Lee, Seung Chan Kim, Misoo Chang, Eunwoo Nam, Seul Gi Kim, Sung-Il Cho, Dong Hee Ryu, Sin Kam, Bo Youl Choi, Si-Bog Park, Mi Jung Kim
Objective: To explore the incidence, characteristics, complications and socioeconomic impacts associated with falls in community-dwelling elderly. Methods: From September 1, 2015 to October 12, 2015, a questionnaire-based survey was conducted involving a total of 2,012 elderly who lived in Guro-gu (Seoul), Yeongdeungpo-gu (Seoul), Yangpyeong-gu (Gyeonggi-do), Dalseong-gu (Daegu), and Jung-gu (Daegu). The subjects were interviewed using a structured questionnaire to obtain demographic characteristics and comprehensive falling histories...
February 2018: Annals of Rehabilitation Medicine
https://www.readbyqxmd.com/read/29534531/comparative-effectiveness-of-published-interventions-for-elderly-fall-prevention-a-systematic-review-and-network-meta-analysis
#11
REVIEW
Peixia Cheng, Liheng Tan, Peishan Ning, Li Li, Yuyan Gao, Yue Wu, David C Schwebel, Haitao Chu, Huaiqiong Yin, Guoqing Hu
BACKGROUND: Falls are a major threat to older adults worldwide. Although various effective interventions have been developed, their comparative effectiveness remains unreported. METHODS: A systematic review and network meta-analysis was conducted to determine the most effective interventions to prevent falls in community-dwelling adults aged 60 and over. Combined odds ratio (OR) and 95% credible interval (95% CrI) were calculated. RESULTS: A total of 49 trials involving 27,740 participants and 9271 fallers were included...
March 12, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29530604/-risk-of-falls-and-consumption-of-medicines-in-an-elderly-population
#12
M Fernández, C Valbuena, C Natal
OBJECTIVES: To describe the risk factors and the effect of medication use on the risk of falls in a population of 65 years or older. MATERIAL AND METHODS: Descriptive study of falls in the elderly population. The risk factors and consequences of the fall were recorded. Hypnotic and sedative risk drugs, opioids, and the simultaneous consumption of six or more drugs were considered. Diuretics were also included. The cumulative incidence for each group and the corresponding relative risks of falls were analysed from the cases registered between June and November 2016...
March 9, 2018: Revista de Calidad Asistencial: Organo de la Sociedad Española de Calidad Asistencial
https://www.readbyqxmd.com/read/29504015/physical-and-occupational-therapy-practice-improvement-following-interprofessional-evidence-based-falls-prevention-training
#13
Emma Wheeler, Constance L Coogle, Robert C Fix, Myra G Owens, Leland H Waters
AIMS: Evaluate changes in physical therapy (PT) and occupational therapy (OT) practice following evidence-based practice (EBP) interprofessional modules that teach assessments and interventions to reduce falls in community-dwelling older adults. METHODS: Medical records of post-fall patients in three Programs of All-Inclusive Care for the Elderly (PACE) sites were analyzed to assess differences in documented falls and the OT and PT use of EBP assessment and interventions implemented following fall prevention training...
2018: Journal of Allied Health
https://www.readbyqxmd.com/read/29467571/vitrectomy-in-patients-85-years-of-age-and-older-surgical-outcomes-and-visual-prognosis
#14
Roi Anteby, Aya Barzelay, Adiel Barak
Purpose: To evaluate visual and surgical outcomes in very elderly patients (above 85 years of age) undergoing pars plana vitrectomy (PPV). Patients and methods: A single-center, retrospective study was carried out on the medical records of 82 patients aged 85 years and older who had undergone PPV from 2006 to 2013. Patients ranged in age from 86 to 99 years, with a mean age of 88.9 years (±2.88). Visual results and intraoperative and postoperative complications were the main outcome measures...
2018: Clinical Interventions in Aging
https://www.readbyqxmd.com/read/29451109/-orthostatic-hypotension-in-elderly-patients
#15
J A H R Claassen
- Orthostatic hypotension is a condition in which there is insufficient recovery of the blood pressure drop which occurs after getting up, which causes a temporary reduction of cerebral perfusion. This increases the risk of falls resulting in injuries.- Orthostatic hypotension is most common in the elderly. The cause is usually multifactorial (including reduced circulating volume, reduced peripheral resistance and limited heart rate increase). Orthostatic hypotension caused by autonomic dysfunction is called neurogenic orthostatic hypotension...
2018: Nederlands Tijdschrift Voor Geneeskunde
https://www.readbyqxmd.com/read/29443923/on-the-comparison-of-wearable-sensor-data-fusion-to-a-single-sensor-machine-learning-technique-in-fall-detection
#16
Panagiotis Tsinganos, Athanassios Skodras
In the context of the ageing global population, researchers and scientists have tried to find solutions to many challenges faced by older people. Falls, the leading cause of injury among elderly, are usually severe enough to require immediate medical attention; thus, their detection is of primary importance. To this effect, many fall detection systems that utilize wearable and ambient sensors have been proposed. In this study, we compare three newly proposed data fusion schemes that have been applied in human activity recognition and fall detection...
February 14, 2018: Sensors
https://www.readbyqxmd.com/read/29412440/precipitants-of-delirium-in-older-inpatients-admitted-in-surgery-for-post-fall-hip-fracture-an-observational-study
#17
E Levinoff, A Try, J Chabot, L Lee, D Zukor, O Beauchet
BACKGROUND: Hip fractures precipitate several acute adverse outcomes in elderly people, thus leading to chronic adverse outcomes. OBJECTIVES: The objective of our study was to examine the clinical characteristics associated with incident delirium in community dwelling elderly individuals who have a hip fracture. DESIGN: Retrospective observational cohort study. SETTING: Data was collected from an academic tertiary hospital affiliated with McGill University...
2018: Journal of Frailty & Aging
https://www.readbyqxmd.com/read/29392076/the-study-of-rhabdomyolysis-in-the-elderly-an-epidemiological-study-and-single-center-experience
#18
Supakanya Wongrakpanich, Christos Kallis, Prithiv Prasad, Janani Rangaswami, Andrew Rosenzweig
Rhabdomyolysis is a syndrome caused by injury to skeletal muscle. There is limited data of rhabdomyolysis in the elderly. The objective of this study is to investigate demographic data, etiologies, laboratory values, prognostic factors, and mortality of rhabdomyolysis in the geriatric population. A 4-years retrospective chart review study was conducted. Our inclusion criteria were age above 65 years and creatinine kinase level excess five times of normal upper limit. Among 167 patients, 47.3% were male. The median age at diagnosis was 80...
February 2018: Aging and Disease
https://www.readbyqxmd.com/read/29372842/decreased-daytime-light-intensity-at-nonwindow-hospital-beds-comparisons-with-light-intensity-at-window-hospital-beds-and-light-exposure-in-nonhospitalized-elderly-individuals
#19
Junko Iwamoto, Kenji Obayashi, Miwa Kobayashi, Toshimichi Kotsuji, Rie Matsui, Kyoko Ito, Osamu Yoshida, Norio Kurumatani, Keigo Saeki
Light is crucial for the synchronization of internal biological rhythms with environmental rhythms. Hospitalization causes a range of unfavorable medical conditions, including delirium, sleep disturbances, depressed mood, and increased fall, especially in elderly people. The hospital room environment contributes significantly to patients' circadian physiology and behavior; however, few studies have evaluated light intensity in hospital settings. In this study, bedside light intensity during the daytime (6:00-21:00) was measured at 1-min intervals using a light meter on 4869 bed-days at the Inabe General Hospital in Mie, Japan (latitude 35°N), for approximately 1 month in each season...
January 26, 2018: Chronobiology International
https://www.readbyqxmd.com/read/29372598/risk-of-hospitalization-associated-with-anticholinergic-medication-for-patients-with-dementia
#20
Shuichi Watanabe, Takahide Fukatsu, Kosuke Kanemoto
BACKGROUND: With the ageing of the general population, demand has grown for measures to prevent hospitalization for dementia, which can exacerbate problems associated with activities of daily living in elderly individuals. Anticholinergic medication has been shown to cause falls, delirium, and cognitive impairment in aged patients. However, the risk of hospitalization associated with the administration of anticholinergics is unclear. METHODS: We analyzed the records of 61 outpatients (26 men, 35 women; mean age: 78 ± 7 years; mean follow-up period: 420 days) diagnosed with dementia (Alzheimer's disease: n = 45; dementia with Lewy bodies: n = 3; undifferentiated n = 13) and prescribed anti-dementia drugs between May 2013 and December 2014...
January 2018: Psychogeriatrics: the Official Journal of the Japanese Psychogeriatric Society
keyword
keyword
27484
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"