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https://www.readbyqxmd.com/read/29676874/-screening-of-frailty-in-the-emergency-unit-myth-or-reality
#1
A A Zulfiqar
At present, it is recognized that screening for frailty in the elderly is a major public health issue. Frailty screening in emergency unit is essential to optimize the management of elderly patients in hospital. Ideally, the role of a mobile geriatric team seems essential, taking over the frailty screening carried out in the emergency department, in order to optimize intra-hospital management and consequently reduce further intra-hospital visits and possible risks of decompensation of geriatric syndromes.
April 2018: Revue Médicale de Liège
https://www.readbyqxmd.com/read/29673895/direct-costs-of-very-old-persons-with-subsyndromal-depression-a-5-year-prospective-study
#2
Mikael Ludvigsson, Lars Bernfort, Jan Marcusson, Ewa Wressle, Anna Milberg
OBJECTIVES: This study aimed to compare, over a 5-year period, the prospective direct healthcare costs and service utilization of persons with subsyndromal depression (SSD) and non-depressive persons (ND), in a population of very old persons. A second aim was to develop a model that predicts direct healthcare costs in very old persons with SSD. DESIGN AND SETTING: A prospective population-based study was undertaken on 85-year-old persons in Sweden. MEASUREMENTS: Depressiveness was screened with the Geriatric Depression Scale at baseline and at 1-year follow-up, and the results were classified into ND, SSD, and syndromal depression...
March 15, 2018: American Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/29673832/effects-of-physical-training-with-the-nintendo-wii-fit-plus-%C3%A2-and-protein-supplementation-on-musculoskeletal-function-and-the-risk-of-falls-in-pre-frail-older-women-protocol-for-a-randomized-controlled-clinical-trial-the-wiiprotein-study
#3
Audrin Said Vojciechowski, Simone Biesek, Jarbas Melo Filho, Estela Iraci Rabito, Maryelle Paula do Amaral, Anna Raquel Silveira Gomes
BACKGROUND: Frailty is one of the key geriatric syndromes and is related to the loss of functional independence. However, the practice of physical training (PT) combined with protein supplementation (PS) may improve musculoskeletal function (MF). OBJECTIVE: To verify the effect of PT using 'exergames' with or without PS on MF, nutritional status, and risk of falls in pre-frail older women. METHOD: The protocol is for a randomized controlled clinical trial with a sample of pre-frail older women, divided into 5 groups: control group; PT using exergames; PS; PT using exergames combined with PS; PT using exergames combined with isoenergetic supplementation...
May 2018: Maturitas
https://www.readbyqxmd.com/read/29671037/-geriatric-intensive-care-patients-perspectives-and-limits-of-geriatric-intensive-care-medicine
#4
REVIEW
U Müller-Werdan, H-J Heppner, G Michels
Critically ill geriatric patients are vitally endangered due to the aging processes of organs, the frequently existing multimorbidity with subsequent polypharmacy and the typical geriatric syndrome of functional impairments. Aging processes in organs lower the clinical threshold for organ dysfunction and organ failure. Physiological organ aging processes with practical consequences for intensive care medicine are atypical manifestion of sepsis in immunosenescence, altered pharmacokinetics, reduced tolerance to hypovolemia due to proportionally reduced water compartment of the body in old age, the frequently only apparently normal function of the kidneys and the continuous reduction in pulmonary function in old age...
April 18, 2018: Medizinische Klinik, Intensivmedizin und Notfallmedizin
https://www.readbyqxmd.com/read/29662881/the-continuum-of-aging-and-age-related-diseases-common-mechanisms-but-different-rates
#5
REVIEW
Claudio Franceschi, Paolo Garagnani, Cristina Morsiani, Maria Conte, Aurelia Santoro, Andrea Grignolio, Daniela Monti, Miriam Capri, Stefano Salvioli
Geroscience, the new interdisciplinary field that aims to understand the relationship between aging and chronic age-related diseases (ARDs) and geriatric syndromes (GSs), is based on epidemiological evidence and experimental data that aging is the major risk factor for such pathologies and assumes that aging and ARDs/GSs share a common set of basic biological mechanisms. A consequence is that the primary target of medicine is to combat aging instead of any single ARD/GSs one by one, as favored by the fragmentation into hundreds of specialties and sub-specialties...
2018: Frontiers in Medicine
https://www.readbyqxmd.com/read/29652197/relationship-between-locomotive-syndrome-and-body-composition-among-community-dwelling-middle-age-and-elderly-individuals-in-japan-the-yakumo-study
#6
Satoshi Tanaka, Kei Ando, Kazuyoshi Kobayashi, Tetsuro Hida, Taisuke Seki, Koji Suzuki, Kenyu Ito, Mikito Tsushima, Masayoshi Morozumi, Masaaki Machino, Kyotaro Ota, Naoki Ishiguro, Yukiharu Hasegawa, Shiro Imagama
OBJECTIVES: Locomotive syndrome (LS) is a condition requiring nursing care for musculoskeletal disorders. Our aim was to evaluate the correlation between body composition, measured by bioelectrical impedance analysis (BIA), and LS, measured using the 25-question Geriatric Locomotive Functional Scale (GLFS-25). METHODS: We enrolled 286 individuals who were undergoing regular health follow-up. All individuals completed the GLFS-25, body composition analysis by BIA, and five physical performance tests related to LS: Timed up-and-go test, 10-m gait time, maximum stride length, back strength, and grip strength...
April 13, 2018: Modern Rheumatology
https://www.readbyqxmd.com/read/29643004/association-between-mediterranean-diet-and-hand-grip-strength-in-older-adult-women
#7
Luigi Barrea, Giovanna Muscogiuri, Carolina Di Somma, Giovanni Tramontano, Vincenzo De Luca, Maddalena Illario, Annamaria Colao, Silvia Savastano
BACKGROUND & AIMS: Mediterranean Diet (MD) is an eating pattern associated with multiple healthy benefits, including the conservation of skeletal muscle. Frailty is a major geriatric syndrome characterized by low muscle strength. The Hand Grip Strength (HGS) is the most frequently used indicator of muscle functional capacity for clinical purposes. The association between the adherence to the MD and HGS in elderly has not yet fully investigated. The goal of this study was to examine the association between the adherence to the MD and HGS in a not hospitalized elderly who participated in the project PERsonalised ict Supported Services for Independent Living and Active Ageing (PERSSILAA)...
April 3, 2018: Clinical Nutrition: Official Journal of the European Society of Parenteral and Enteral Nutrition
https://www.readbyqxmd.com/read/29623160/geriatric-basics-for-the-neurohospitalist
#8
REVIEW
Josef G Heckmann, Jörg Kraus, Christoph J G Lang
Due to the increasing age of the population, neurohospitalists are more frequently caring for old and very old people. Fundamental definitions and topics related to geriatric medicine are therefore of particular importance. In this review, common issues encountered in geriatric patients hospitalized on the neurology service are discussed. Focus is put on the geriatric assessment, multiprofessional diagnostic and therapeutic procedures, geriatric syndromes, pharmacotherapy of the aged, delirium, pain, and palliative management as they are relevant for the neurohospitalist...
April 2018: Neurohospitalist
https://www.readbyqxmd.com/read/29621057/controlling-for-frailty-in-pharmacoepidemiologic-studies-of-older-adults-validation-of-an-existing-medicare-claims-based-algorithm
#9
Carmen C Cuthbertson, Anna Kucharska-Newton, Keturah R Faurot, Til Stürmer, Michele Jonsson Funk, Priya Palta, B Gwen Windham, Sydney Thai, Jennifer L Lund
BACKGROUND: Frailty is a geriatric syndrome characterized by weakness and weight loss, and is associated with adverse health outcomes. It is often an unmeasured confounder in pharmacoepidemiologic and comparative effectiveness studies using administrative claims data. METHODS: Among the Atherosclerosis Risk in Communities (ARIC) Study Visit 5 participants (2011-2013; n=3146), we conducted a validation study to compare a Medicare claims-based algorithm of dependency in activities of daily living (or dependency) developed as a proxy for frailty with a reference standard measure of phenotypic frailty...
April 4, 2018: Epidemiology
https://www.readbyqxmd.com/read/29616624/invasive-strategy-and-frailty-in-very-elderly-patients-with-acute-coronary-syndromes
#10
Isaac Llaó, Albert Ariza-Solé, Juan Sanchis, Oriol Alegre, Ramon López-Palop, Francesc Formiga, Francisco Marín, María T Vidán, Manuel Martínez-Sellés, Alessandro Sionis, Miguel Vives-Borrás, Joan Antoni Gómez-Hospital, Josep Gómez-Lara, Gerard Roura, Pablo Díez-Villanueva, Iván Núñez-Gil, Jaume Maristany, Lluis Asmarats, Héctor Bueno, Emad Abu-Assi, Àngel Cequier
AIMS: Current guidelines recommend an early invasive strategy in patients with non-ST segment elevation acute coronary syndromes (NSTEACS). The role of an invasive strategy in frail elderly patients remains controversial. METHODS AND RESULTS: The LONGEVO-SCA registry included unselected NSTEACS patients aged ≥80 years. A geriatric assessment was performed during hospitalization, including frailty. We evaluated the impact of an invasive strategy during the admission on the incidence of cardiac death, reinfarction or new revascularisation at 6-months...
April 3, 2018: EuroIntervention
https://www.readbyqxmd.com/read/29607855/factors-associated-with-sarcopenia-among-older-patients-attending-a-geriatric-clinic-in-nigeria
#11
L A Adebusoye, A M Ogunbode, O O Olowookere, S A Ajayi, M M Ladipo
Context: Aging is characterized by progressive and generalized loss of skeletal muscle mass and strength called sarcopenia which causes poor health and disability. There is paucity of data on this syndrome of public health importance among older Nigerians. Aim: This study determined the prevalence and factors associated with sarcopenia among persons aged 60 years and above at a geriatric center in Nigeria. Materials and Methods: A cross-sectional study of 642 persons aged ≥60 years who attended the geriatric center between March and July 2014...
April 2018: Nigerian Journal of Clinical Practice
https://www.readbyqxmd.com/read/29593022/hospital-at-home-care-for-older-patients-with-cognitive-impairment-a-protocol-for-a-randomised-controlled-feasibility-trial
#12
Maaike A Pouw, Agneta H Calf, Barbara C van Munster, Jan C Ter Maaten, Nynke Smidt, Sophia E de Rooij
INTRODUCTION: An acute hospital admission is a stressful life event for older people, particularly for those with cognitive impairment. The hospitalisation is often complicated by hospital-associated geriatric syndromes, including delirium and functional loss, leading to functional decline and nursing home admission. Hospital at Home care aims to avoid hospitalisation-associated adverse outcomes in older patients with cognitive impairment by providing hospital care in the patient's own environment...
March 27, 2018: BMJ Open
https://www.readbyqxmd.com/read/29587829/how-do-we-define-and-measure-sarcopenia-protocol-for-a-systematic-review
#13
Paulo Roberto Carvalho do Nascimento, Stéphane Poitras, Martin Bilodeau
BACKGROUND: The loss of muscle mass is a natural aging consequence. A reduction of muscle mass that surpasses the physiological rate is considered the key factor responsible for the development of a geriatric syndrome called sarcopenia. However, a new understanding of the importance of muscle quality over quantity is rising; as a result, different definitions for sarcopenia has been used. Due to the negative impact on elder's health and quality of life, the number of research investigating the causes, prevalence, and management of sarcopenia is increasing, although a consensus on sarcopenia definition is still missing...
March 27, 2018: Systematic Reviews
https://www.readbyqxmd.com/read/29581815/inter-rater-reliability-of-the-retrospectively-assigned-clinical-frailty-scale-score-in-a-geriatric-outreach-population
#14
Jasmine Davies, Jennifer Whitlock, Iris Gutmanis, Sheri-Lynn Kane
Background: Frailty, a common clinical syndrome in older adults associated with increased risk of poor health outcomes, has been retrospectively calculated in previous publications; however, the reliability of retrospectively assigned frailty scores has not been established. The aim of this study was to see if frailty scores, based on chart review data, agreed with clinician-determined scores based on a comprehensive geriatric assessment. Methods: Per standard practice, all patients seen by one nurse clinician (JW) from the Southwestern Ontario Regional Geriatric Program, a tertiary care-based outreach service, between August 15, 2013 and December 31, 2015 received a comprehensive geriatric assessment which included the assignment of an interview-based Clinical Frailty Scale score (CFS-I)...
March 2018: Canadian Geriatrics Journal: CGJ
https://www.readbyqxmd.com/read/29578939/diminished-dynamic-physical-performance-is-associated-with-orthostatic-hypotension-in-geriatric-outpatients
#15
Eline S de Bruïne, Esmee M Reijnierse, Marijke C Trappenburg, Jantsje H Pasma, Oscar J de Vries, Carel G M Meskers, Andrea B Maier
BACKGROUND AND PURPOSE: Orthostatic hypotension (OH), a blood pressure drop after postural change, is a highly prevalent and disabling syndrome in older adults. Yet, the association between physical performance and OH is not clearly established. The aim of this study was to determine whether different types of physical performance are associated with OH in a clinically relevant population of geriatric outpatients. METHODS: This cross-sectional study included 280 geriatric outpatients (mean age: 82...
March 23, 2018: Journal of Geriatric Physical Therapy
https://www.readbyqxmd.com/read/29575947/the-utility-of-25-question-geriatric-locomotive-function-scale-for-evaluating-functional-ability-and-disease-activity-in-japanese-rheumatoid-arthritis-patients-a-cross-sectional-study-using-ninja-database
#16
Naohiro Izawa, Jun Hirose, Tomoko Fujii, Hiroyuki Oka, Kosuke Uehara, Masashi Naito, Takumi Matsumoto, Sakae Tanaka, Shigeto Tohma
OBJECTIVES: To investigate the distribution of 25-question Geriatric Locomotive Function Scale (GLFS-25) scores in Japanese rheumatoid arthritis (RA) patients and evaluate relationships with clinical variables. METHODS: Among 15,115 patients registered in the NinJa database for fiscal year 2015, 1,710 with complete GLFS-25 and Disease Activity Score-28 (DAS28) data were analyzed. Correlations between GLFS-25 score and clinical variables were assessed by Spearman coefficients...
March 26, 2018: Modern Rheumatology
https://www.readbyqxmd.com/read/29575094/the-relationship-between-frailty-and-polypharmacy-in-older-people-a-systematic-review
#17
REVIEW
M Gutiérrez-Valencia, M Izquierdo, M Cesari, Á Casas-Herrero, M Inzitari, N Martínez-Velilla
AIM: Frailty is a complex geriatric syndrome resulting in decreased physiological reserves. Frailty and polypharmacy are common in older adults and the focus of extensive studies, although little is known about the impact they may have on each other. This is the first systematic review analyzing the available evidence on the relationship between frailty and polypharmacy in older adults. METHODS: Systematic review of quantitative studies. A comprehensive literature search for publications in English or Spanish was performed on MEDLINE, CINAHL, the Cochrane Database and PsycINFO in September 2017 without applying restrictions on the date of publication...
March 25, 2018: British Journal of Clinical Pharmacology
https://www.readbyqxmd.com/read/29573769/-delirium-the-7th-vital-sign
#18
REVIEW
Rita Prayce, Filipa Quaresma, Isabel Galriça Neto
INTRODUCTION: Delirium is an acute, transient and fluctuating neuropsychiatric syndrome that is common in medical wards, particularly in the geriatric and palliative care population. MATERIAL AND METHODS: We present a brief literature review of the definition, pathophysiology, aetiology, diagnosis, prevention and treatment of delirium and its social and economic impact. RESULTS AND DISCUSSION: Delirium is under-recognized, especially by health professionals, and is associated with higher morbidity, mortality and economic burden...
January 31, 2018: Acta Médica Portuguesa
https://www.readbyqxmd.com/read/29564905/-geriatric-palliative-care
#19
Ladislav Kabelka
Geriatric palliative care must be based on quality geriatric medicine. This applies in particular the multidisciplinary care of patients with geriatric frailty syndrome, most often associated with the polymorbidity of chronic diseases. The model of early indication of the needs of fragile geriatric patients is not more widely available in the current Czech health and social system. Therefore, the necessary early indication of specialized palliative care is not available in hospital facilities. Regional models of conceptual solutions are a necessary next step in development...
2018: Casopís Lékar̆ů C̆eských
https://www.readbyqxmd.com/read/29558320/severity-of-sarcopenia-is-associated-with-postural-balance-and-risk-of-falls-in-community-dwelling-older-women
#20
André Bonadias Gadelha, Silvia Gonçalves Ricci Neri, Ricardo Jacó de Oliveira, Martim Bottaro, Ana Cristina de David, Baruch Vainshelboim, Ricardo M Lima
Background/Study context: Falls represent the leading cause of accidental deaths in the elderly. Sarcopenia is a geriatric syndrome defined as the loss of muscle mass and strength. However, the association between falls and sarcopenia is still unclear. Thus, the aim of the present study was to investigate the association between different stages of sarcopenia and postural balance, risk of falls, and fear of falling in community-dwelling older women. METHODS: A total of 196 women (68.6 ± 6...
March 20, 2018: Experimental Aging Research
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