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https://www.readbyqxmd.com/read/28087677/incorporating-persistent-pain-in-phenotypic-frailty-measurement-and-prediction-of-adverse-health-outcomes
#1
Matthew C Lohman, Karen L Whiteman, Rebecca L Greenberg, Martha L Bruce
BACKGROUND: Frailty, a syndrome of physiological deficits, is prevalent among older adults and predicts elevated risk of adverse health outcomes. Although persistent pain predicts similar risk, it is seldom considered in frailty measurement. This article evaluated the construct and predictive validity of including persistent pain in phenotypic frailty measurement. METHODS: Frailty and persistent pain were operationalized using data from the Health and Retirement Study (2006-2012 waves)...
February 2017: Journals of Gerontology. Series A, Biological Sciences and Medical Sciences
https://www.readbyqxmd.com/read/28079635/influences-of-age-obesity-and-adverse-drug-effects-on-balance-and-mobility-testing-scores-in-ambulatory-older-adults
#2
Eric Anson, Elizabeth Thompson, Brian L Odle, John Jeka, Zachary F Walls, Peter C Panus
BACKGROUND AND PURPOSE: The adverse effects of drugs may influence results on tests of mobility and balance, but the drug-specific impact is not identified when using these tests. We propose that a quantitative drug index (QDI) will assist in assessing fall risk based on these tests, when combined with other fall risk variables. METHODS: Fifty-seven community-dwelling older adults who could walk independently on a treadmill and had Mini-Mental State Examination (MMSE) scores equal to or greater than 24 participated...
January 10, 2017: Journal of Geriatric Physical Therapy
https://www.readbyqxmd.com/read/28079632/interrater-and-test-retest-reliability-and-minimal-detectable-change-of-the-balance-evaluation-systems-test-bestest-and-subsystems-with-community-dwelling-older-adults
#3
Elizabeth Wang-Hsu, Susan S Smith
BACKGROUND AND PURPOSE: Falls are a common cause of injuries and hospital admissions in older adults. Balance limitation is a potentially modifiable factor contributing to falls. The Balance Evaluation Systems Test (BESTest), a clinical balance measure, categorizes balance into 6 underlying subsystems. Each of the subsystems is scored individually and summed to obtain a total score. The reliability of the BESTest and its individual subsystems has been reported in patients with various neurological disorders and cancer survivors...
January 10, 2017: Journal of Geriatric Physical Therapy
https://www.readbyqxmd.com/read/28079616/evaluation-of-an-outpatient-rehabilitative-program-to-address-mobility-limitations-among-older-adults
#4
Lorna G Brown, Meng Ni, Catherine T Schmidt, Jonathan F Bean
Live Long Walk Strong is a clinical demonstration program for community-dwelling older patients. It was designed to be consistent with current fall prevention guidelines and reimbursed under the Medicare model. Patients were screened within primary care and referred to a physiatrist followed by systematic assessment and treatment within an outpatient rehabilitative care setting. The treatment included behavioral modification, fall prevention education, community/home exercise integration, and exercise targeting strength, power, flexibility, balance, and endurance...
January 11, 2017: American Journal of Physical Medicine & Rehabilitation
https://www.readbyqxmd.com/read/28077603/influence-of-focus-of-attention-reinvestment-and-fall-history-on-elderly-gait-stability
#5
Jonathan L A de Melker Worms, John F Stins, Erwin E H van Wegen, Ian D Loram, Peter J Beek
Falls represent a substantial risk in the elderly. Previous studies have found that a focus on the outcome or effect of the movement (external focus of attention) leads to improved balance performance, whereas a focus on the movement execution itself (internal focus of attention) impairs balance performance in elderly. A shift toward more conscious, explicit forms of motor control occurs when existing declarative knowledge is recruited in motor control, a phenomenon called reinvestment. We investigated the effects of attentional focus and reinvestment on gait stability in elderly fallers and nonfallers...
January 2017: Physiological Reports
https://www.readbyqxmd.com/read/28077269/association-of-an-individual-s-ability-to-overcome-desire-to-fall-asleep-with-a-higher-anterior-posterior-gradient-in-electroencephalographic-indexes-of-sleep-pressure
#6
Arcady A Putilov, Olga G Donskaya
Individual differences in ability to overcome desire to fall asleep cannot be accurately predicted from subjective and objective measurements of sleepiness level. Previously, we showed that an exponential buildup of sleep pressure during prolonged wakefulness can be accurately traced with electroencephalographic (EEG) indexes, such as Spectral Sleep Pressure Component (SSPC) score and score on the 2nd principal component (2PC) of the EEG spectrum. The anterior-posterior gradients in SSPC and 2PC scores were calculated as the differences between frontal and occipital scores and examined as possible correlates of individual's ability to overcome desire of falling asleep...
January 7, 2017: International Journal of Psychophysiology
https://www.readbyqxmd.com/read/28076861/potential-applications-of-smart-multifunctional-wearable-materials-to-gerontology
#7
David G Armstrong, Bijan Najafi, Mohsen Shahinpoor
Smart multifunctional materials can play a constructive role in addressing some very important aging-related issues. Aging affects the ability of older adults to continue to live safely and economically in their own residences for as long as possible. Thus, there will be a greater need for preventive, acute, rehabilitative, and long-term health care services for older adults as well as a need for tools to enable them to function independently during daily activities. The objective of this paper is, thus, to present a comprehensive review of some potential smart materials and their areas of applications to gerontology...
January 12, 2017: Gerontology
https://www.readbyqxmd.com/read/28070457/the-concurrent-validity-and-reliability-of-the-leg-motion-system-for-measuring-ankle-dorsiflexion-range-of-motion-in-older-adults
#8
Carlos Romero Morales, César Calvo Lobo, David Rodríguez Sanz, Irene Sanz Corbalán, Beatriz Ruiz Ruiz, Daniel López López
BACKGROUND: New reliable devices for range of motion (ROM) measures in older adults are necessary to improve knowledge about the functional capability in this population. Dorsiflexion ROM limitation is associated with ankle injuries, foot pain, lower limb disorders, loss of balance, gait control disorders and fall risk in older adults. The aim of the present study was to assess the validity and reliability of the Leg Motion device for measuring ankle dorsiflexion ROM in older adults. METHODS: Adescriptive repeated-measures study was designed to test the reliability of Leg Motion in thirty-three healthy elderly patients older than 65 years...
2017: PeerJ
https://www.readbyqxmd.com/read/28069915/increasing-incidence-of-chronic-subdural-haematoma-in-the-elderly
#9
Vedamurthy Adhiyaman, Indrajit Chattopadhyay, Fahd Irshad, David Curran, Samuel Abraham
BackgroundChronic subdural haematoma (CSDH) is a condition predominantly affecting the elderly. We reported an incidence of 8.2 per 100,000 per year in people above the age of 65 in 2002.AimSince recent studies have demonstrated a higher incidence, we repeated our study to estimate the current incidence of CSDH amongst people above the age of 65 in North Wales.DesignWe used radiological reports to identify patients with CSDH over a one-year period.MethodsWe collected data on demographics, clinical presentations, indications for brain imaging, drug history and 30-day outcome from the case notes and electronic records...
January 9, 2017: QJM: Monthly Journal of the Association of Physicians
https://www.readbyqxmd.com/read/28068906/cherish-collaboration-for-hospitalised-elders-reducing-the-impact-of-stays-in-hospital-protocol-for-a-multi-site-improvement-program-to-reduce-geriatric-syndromes-in-older-inpatients
#10
Alison M Mudge, Merrilyn D Banks, Adrian G Barnett, Irene Blackberry, Nicholas Graves, Theresa Green, Gillian Harvey, Ruth E Hubbard, Sharon K Inouye, Sue Kurrle, Kwang Lim, Prue McRae, Nancye M Peel, Jessica Suna, Adrienne M Young
BACKGROUND: Older inpatients are at risk of hospital-associated geriatric syndromes including delirium, functional decline, incontinence, falls and pressure injuries. These contribute to longer hospital stays, loss of independence, and death. Effective interventions to reduce geriatric syndromes remain poorly implemented due to their complexity, and require an organised approach to change care practices and systems. Eat Walk Engage is a complex multi-component intervention with structured implementation, which has shown reduced geriatric syndromes and length of stay in pilot studies at one hospital...
January 9, 2017: BMC Geriatrics
https://www.readbyqxmd.com/read/28064172/effectiveness-of-an-intervention-to-prevent-frailty-in-pre-frail-community-dwelling-older-people-consulting-in-primary-care-a-randomised-controlled-trial
#11
M Serra-Prat, X Sist, R Domenich, L Jurado, A Saiz, A Roces, E Palomera, M Tarradelles, M Papiol
BACKGROUND: evidence on the effectiveness of interventions to prevent frailty is scarce. OBJECTIVE: to assess the effect of an intervention in preventing frailty progression in pre-frail older people. STUDY DESIGN: a randomised, open label, controlled trial with two parallel arms. POPULATION: community-dwelling pre-frail older people (≥70 years) consulting in primary care. INTERVENTION: nutritional assessment (and derivation to a Nutritional Unit for usual care in the event of nutritional risk) and a physical activity programme including aerobic exercise and a set of mixed strengthening, balance and coordination exercises CONTROL GROUP: patients receiving the usual care...
January 6, 2017: Age and Ageing
https://www.readbyqxmd.com/read/28063853/reaction-time-and-postural-sway-modify-the-effect-of-executive-function-on-risk-of-falls-in-older-people-with-mild-to-moderate-cognitive-impairment
#12
Morag E Taylor, Stephen R Lord, Kim Delbaere, Susan E Kurrle, A Stefanie Mikolaizak, Jacqueline C T Close
OBJECTIVES: To explore the relationship between cognitive performance and falls in older people with mild to moderate cognitive impairment (CI) by investigating the mediational effects of medical, medication, neuropsychological, and physiological factors. DESIGN: Secondary analysis, prospective cohort study. SETTING: Community and low-level care. PARTICIPANTS: 177 older people (aged 82 ± 7 years) with mild to moderate CI (MMSE 11-23; ACE-R < 83)...
October 25, 2016: American Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/28061839/risk-factors-for-mortality-in-tb-patients-a-10-year-electronic-record-review-in-a-south-african-province
#13
J Christo Heunis, N Gladys Kigozi, Perpetual Chikobvu, Sonja Botha, Hcj Dingie van Rensburg
BACKGROUND: Since 1990, reduction of tuberculosis (TB) mortality has been lower in South Africa than in other high-burden countries in Africa. This research investigated the influence of routinely captured demographic and clinical or programme variables on death in TB patients in the Free State Province. METHODS: A retrospective review of case information captured in the Electronic TB register (ETR.net) over the years 2003 to 2012 was conducted. Extracted data were subjected to descriptive and logistic regression analyses...
January 6, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28060445/fear-of-falling-and-mortality-among-community-dwelling-older-adults-in-the-shih-pai-study-in-taiwan-a-longitudinal-follow-up-study
#14
Hsiao-Ting Chang, Hsi-Chung Chen, Pesus Chou
AIM: Little is known about the association between fear of falling (FOF) and the risk of mortality. The aim of the present study was to investigate the association between FOF and mortality among community-dwelling older adults. METHODS: A total of 3814 older adults aged 65 years and older living in the Shih-Pai area in Taiwan participated in this 7-year follow-up longitudinal study. A structured questionnaire was used to record participants' FOF, history of falling, demographic characteristics, medical conditions, history of insomnia, depression symptoms and subjective health from 1999 to 2002...
January 6, 2017: Geriatrics & Gerontology International
https://www.readbyqxmd.com/read/28057622/seasonal-ambient-changes-influence-inpatient-falls
#15
Chie Magota, Hiroyuki Sawatari, Shin-Ichi Ando, Mari K Nishizaka, Kaoru Tanaka, Kaori Horikoshi, Izumi Hoashi, Hashiguchi Nobuko, Tomoko Ohkusa, Akiko Chishaki
BACKGROUND: falls by inpatients often result in serious injuries and deterioration in a patient's physical abilities and quality of life, especially among older individuals. Although various factors have been found to be associated with falls, the combined effects of behavioural and ambient factors are not fully evaluated. OBJECTIVE: we investigated the influence of both behavioural and ambient factors on inpatient falls, focusing on seasonal and diurnal variations...
January 4, 2017: Age and Ageing
https://www.readbyqxmd.com/read/28053509/involvement-of-the-end-user-exploration-of-older-people-s-needs-and-preferences-for-a-wearable-fall-detection-device-a-qualitative-descriptive-study
#16
Friederike Js Thilo, Selina Bilger, Ruud Jg Halfens, Jos Mga Schols, Sabine Hahn
PURPOSE: To explore the needs and preferences of community-dwelling older people, by involving them in the device design and mock-up development stage of a fall detection device, consisting of a body-worn sensor linked to a smartphone application. PATIENTS AND METHODS: A total of 22 community-dwelling persons 75 years of age and older were involved in the development of a fall detection device. Three semistructured focus group interviews were conducted. The interview data were analyzed using qualitative descriptive analysis with deductive coding...
2017: Patient Preference and Adherence
https://www.readbyqxmd.com/read/28052919/traumatic-brain-injuries-in-older-adults-6-years-of-data-for-one-uk-trauma-centre-retrospective-analysis-of-prospectively-collected-data
#17
Carol Hawley, Magdy Sakr, Sarah Scapinello, Jesse Salvo, Paul Wrenn
OBJECTIVES: Our aim was to determine the incidence of traumatic brain injury (TBI) in older adults and investigate the relationship between injury characteristics and outcomes. METHODS: Retrospective analysis of prospectively collected data submitted to Trauma Audit and Research Network (TARN) database for a major trauma centre in the West Midlands, UK, from 2008 to 2014. The Mayo Scale was used to categorise TBI. All patients were aged ≥65 years and were admitted with head or brain injuries meeting TARN inclusion criteria: injury resulting in immediate admission to hospital for 3 days, admitted to a high dependency area or death following trauma...
January 4, 2017: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/28050920/elderly-fall-risk-prediction-based-on-a-physiological-profile-approach-using-artificial-neural-networks
#18
Jafar Razmara, Mohammad Hassan Zaboli
Falls play a critical role in older people's life as it is an important source of morbidity and mortality in elders. In this article, elders fall risk is predicted based on a physiological profile approach using a multilayer neural network with back-propagation learning algorithm. The personal physiological profile of 200 elders was collected through a questionnaire and used as the experimental data for learning and testing the neural network. The profile contains a series of simple factors putting elders at risk for falls such as vision abilities, muscle forces, and some other daily activities and grouped into two sets: psychological factors and public factors...
November 1, 2016: Health Informatics Journal
https://www.readbyqxmd.com/read/28049285/evidence-based-guidelines-for-fall-prevention-in-korea
#19
Kwang-Il Kim, Hye-Kyung Jung, Chang Oh Kim, Soo-Kyung Kim, Hyun-Ho Cho, Dae Yul Kim, Yong-Chan Ha, Sung-Hee Hwang, Chang Won Won, Jae-Young Lim, Hyun Jung Kim, Jae Gyu Kim
Falls and fall-related injuries are common in older populations and have negative effects on quality of life and independence. Falling is also associated with increased morbidity, mortality, nursing home admission, and medical costs. Korea has experienced an extreme demographic shift with its population aging at the fastest pace among developed countries, so it is important to assess fall risks and develop interventions for high-risk populations. Guidelines for the prevention of falls were first developed by the Korean Association of Internal Medicine and the Korean Geriatrics Society...
January 2017: Korean Journal of Internal Medicine
https://www.readbyqxmd.com/read/28043980/fear-of-falling-and-its-association-with-life-space-mobility-of-older-adults-a-cross-sectional-analysis-using-data-from-five-international-sites
#20
Mohammad Auais, Beatriz Alvarado, Ricardo Guerra, Carmen Curcio, Ellen E Freeman, Alban Ylli, Jack Guralnik, Nandini Deshpande
BACKGROUND: fear of falling (FOF) is a major health concern among community-dwelling older adults that could restrict mobility. OBJECTIVE: to examine the association of FOF with life-space mobility (i.e. the spatial area a person moves through in daily life) of community-dwelling older adults from five diverse sites. METHODS: in total, 1,841 older adults (65-74 years) were recruited from Kingston, Canada; Saint-Hyacinthe, Canada; Tirana, Albania; Manizales, Colombia and Natal, Brazil...
January 1, 2017: Age and Ageing
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