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Elderly fall medication

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https://www.readbyqxmd.com/read/29467571/vitrectomy-in-patients-85-years-of-age-and-older-surgical-outcomes-and-visual-prognosis
#1
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
#2
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
#3
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
#4
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
#5
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
#6
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
#7
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
https://www.readbyqxmd.com/read/29360675/validation-of-a-falls-risk-screening-tool-derived-from-interrai-acute-care-assessment
#8
Nancye May Peel, Lee Vanessa Jones, Katherine Berg, Leonard Charles Gray
OBJECTIVES: This study aimed to develop and validate a falls risk screening tool derived from interRAI Acute Care (AC) Assessment. METHODS: For derivation and validation, two prospective cohorts were recruited from AC hospitals in Australia. The derivation cohort comprised 1418 patients from 11 hospitals. In the validation cohort, 393 patients were recruited from four hospitals. The interRAI AC tool was used to collect comprehensive geriatric assessment data at admission...
January 22, 2018: Journal of Patient Safety
https://www.readbyqxmd.com/read/29337859/effects-of-pharmacists-interventions-on-inappropriate-drug-use-and-drug-related-readmissions-in-people-with-dementia-a-secondary-analysis-of-a-randomized-controlled-trial
#9
Maria Gustafsson, Maria Sjölander, Bettina Pfister, Jörn Schneede, Hugo Lövheim
Age-associated physiological changes and extensive drug treatment including use of potentially inappropriate medications (PIMs) pose a significant risk of drug-drug interactions and adverse drug events among elderly people with dementia. This study aimed at analysing the effects of clinical pharmacists' interventions on use of PIMs, risk of emergency department visits, and time to institutionalization. Furthermore, a descriptive analysis was conducted of circumstances associated with drug-related readmissions...
January 16, 2018: Pharmacy (Basel, Switzerland)
https://www.readbyqxmd.com/read/29326189/period-prevalence-risk-factors-and-consequent-injuries-of-falling-among-the-saudi-elderly-living-in-riyadh-saudi-arabia-a-cross-sectional-study
#10
Faisal Yousef Almegbel, Ibrahim Muthyib Alotaibi, Faisal Ahmed Alhusain, Emad M Masuadi, Salma Lafyan Al Sulami, Amairah Fahad Aloushan, Bashayer Ibrahim Almuqbil
OBJECTIVES: Approximately 28% to 35% of people aged 65 and over fall each year. The consequent injuries of falls are considered a major public health problem. Falls account for more than half of injury-related hospitalisations among old people. The aim of this study was to measure a 1-year period prevalence of falling among old people in Riyadh, Saudi Arabia. In addition, this study described the most common risk factors and consequent injuries of falls. SETTING AND PARTICIPANTS: A cross-sectional survey was carried out in Riyadh, using a convenient sampling...
January 10, 2018: BMJ Open
https://www.readbyqxmd.com/read/29282000/the-association-between-anemia-and-falls-in-community-living-women-and-men-aged-65-years-and-older-from-the-fifth-troms%C3%A3-study-2001-02-a-replication-study
#11
Laila Arnesdatter Hopstock, Elisabeth Bøe Utne, Alexander Horsch, Tove Skjelbakken
BACKGROUND: Falls are common among elderly people, and the risk increase with age. Falls are associated with both health and social consequences for the patient, and major societal costs. Identification of risk factors should be investigated to prevent falls. Previous studies have shown anemia to be associated with increased risk of falling, but the results are inconsistent. The aim of this study was to investigate the association between anemia and self-reported falls among community-living elderly people...
December 27, 2017: BMC Geriatrics
https://www.readbyqxmd.com/read/29260237/-anticoagulation-in-geriatric-patients-with-atrial-fibrillation-with-what-and-for-whom-no-more
#12
REVIEW
P Bahrmann, M Christ
Based on established risk scores, such as the CHA 2 DS 2 -VASc score, the indications for oral anticoagulation are given for patients over 65 years old with atrial fibrillation and even more so for patients over 75 years old. Before beginning anticoagulation a geriatric assessment for evaluation of the cognitive ability, the activities of daily living and the risk of falling should be made because of the known complications of anticoagulation. Geriatric patients with non-valvular atrial fibrillation (AF) are increasingly being treated with non-vitamin K antagonist oral anticoagulants (NOAC) to prevent ischemic stroke...
December 19, 2017: Herz
https://www.readbyqxmd.com/read/29240661/physical-restraint-use-with-elderly-patients-perceptions-of-nurses-and-nursing-assistants-in-spanish-acute-care-hospitals
#13
Emilio Fariña-López, Gabriel J Estévez-Guerra, M Luz Polo-Luque, Alica Hanzeliková Pogrányivá, Eva Penelo
BACKGROUND: Physical restraint is often used during the hospitalization of elderly people. However, this procedure is associated with adverse outcomes; therefore, it is necessary to be aware of the circumstances that promote restraint use, such as the perceptions of professionals who use it. OBJECTIVES: The purpose of the research was to determine the situations in which nursing staff considered the use of physical restraint as most important and to evaluate the possible associations with the sociodemographic and professional variables...
January 2018: Nursing Research
https://www.readbyqxmd.com/read/29220069/traumatic-brain-injury-profile-of-an-elderly-population-in-puerto-rico
#14
Jose A Fernández-Abinader, Karolyn González-Colón, Caleb E Feliciano, Ana María Mosquera-Soler
OBJECTIVE: Describe the types of traumatic brain injury secondary to falls sustained by the members of an elderly population who received services at the Puerto Rico Medical Center and the demographic profile of that population. METHODS: A group of 332 adults (60 years and over) assessed for traumatic brain injury secondary to falls suffered in 2013 were included in the analysis. The cases were retrieved from the computerized database of the Neurosurgery Section...
December 2017: Puerto Rico Health Sciences Journal
https://www.readbyqxmd.com/read/29211166/-factors-associated-with-the-use-of-wheelchairs-by-institutionalized-elderly-people
#15
Elysama Fernandes Alves, Poliana Penasso Bezerra
Due to the high prevalence of wheel-chair use by institutionalized elderly people, the scope of this research was to verify whether factors involving gender, age, education, length of institutionalization, comorbidities, cognition and functionality are associated with the use of such equipment, as well as ascertain the reasons for use according to the perceptions of the elderly. It is a cross-sectional descriptive study that included 55 elderly people subdivided into G1 (locomotion without assistance) and G2 (wheelchair users)...
November 2017: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/29203430/optimization-of-perioperative-management-of-proximal-femoral-fracture-in-the-elderly
#16
REVIEW
P Merloz
Proximal femoral fracture in elderly subjects is a major event that is life-threatening in the medium-to-long term. Advanced age, male gender and number of comorbidities largely account for high mortality and require geriatric expertise. Protein-energy malnutrition and bone demineralization increase mortality. Mortality can, on the other hand, be reduced by acting on two variables accessible to medical intervention: daily activities and nutritional status. Functional and neurocognitive assessment allow the risk of dependency to be evaluated, and global geriatric work-up can prevent sudden breakdown of homeostasis...
January 17, 2018: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/29202811/high-prevalence-of-prescription-of-psychotropic-drugs-for-older-patients-in-a-general-hospital
#17
Inken Arnold, Kati Straube, Wolfgang Himmel, Stephanie Heinemann, Vivien Weiss, Laura Heyden, Eva Hummers-Pradier, Roland Nau
BACKGROUND: Many elderly patients receive psychotropic drugs. Treatment with psychotropic agents is associated with serious side effects including an increased risk of falls and fractures. Several psychotropic drugs are considered potentially inappropriate for treatment of the elderly. METHODS: A retrospective chart review was conducted covering all patients aged ≥ 65 years who were admitted to Evangelisches Krankenhaus Göttingen-Weende between 01/01/2013 and 03/31/2013...
December 4, 2017: BMC Pharmacology & Toxicology
https://www.readbyqxmd.com/read/29201368/medication-use-and-falls-applying-beers-criteria-to-medication-review-in-parkinson-s-disease
#18
Eleanor Yusupov, Davina Chen, Bhuma Krishnamachari
Objectives: Our goal was to assess the association between potentially inappropriate medication use and risk of falls in the Parkinson's disease population. Methods: This was a retrospective cohort study conducted at an outpatient Parkinson's Disease Treatment Center. Individuals 65 years of age or older, diagnosed with Parkinson's disease who attended at least three visits in 2015 for physical, occupational therapy, or physician's visits were included in the study...
2017: SAGE Open Medicine
https://www.readbyqxmd.com/read/29191108/a-screening-tool-using-five-risk-factors-was-developed-for-fall-risk-prediction-in-chinese-community-dwelling-elderly-individuals
#19
Li Kang, Xiaoyu Chen, Peipei Han, Yixuan Ma, Liye Jia, Liyuan Fu, Hairui Yu, Lu Wang, Lin Hou, Xing Yu, Zongyang An, Xuetong Wang, Lu Li, Yuanyuan Zhang, Peng Zhao, Qi Guo
OBJECTIVE: The objective of this study was to determine falls risk profiles to derive a falls risks prediction score and establish a simple and practical clinical screening tool for Chinese community-dwelling elderly individuals. METHOD: This was a prospective cohort study (N=619) among adults aged 60 years and older. Falls were ascertained at a 1-year follow-up appointment. Sociodemographic information, medical history and physical performance data were collected...
November 30, 2017: Rejuvenation Research
https://www.readbyqxmd.com/read/29186306/antihypertensive-medications-and-injurious-falls-in-the-elderly
#20
Anping Cai, David A Calhoun
No abstract text is available yet for this article.
November 22, 2017: American Journal of Hypertension
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