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Geriatric assessment

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https://www.readbyqxmd.com/read/29457361/cognitive-function-and-unsafe-driving-acts-during-an-on-road-test-among-community-dwelling-older-adults-with-cognitive-impairments
#1
Ryo Hotta, Hyuma Makizako, Takehiko Doi, Kota Tsutsumimoto, Sho Nakakubo, Keitaro Makino, Hiroyuki Shimada
AIM: To examine the relationship between cognitive function and unsafe driving acts among community-dwelling older adults with cognitive impairments. METHODS: Participants (n = 160) were older residents of Obu, Japan, aged ≥65 years with cognitive impairments. They regularly drove and were assessed for the number of unsafe driving acts without adequate verification during an on-road test. We also evaluated cognitive function (attention, executive function and processing speed)...
February 19, 2018: Geriatrics & Gerontology International
https://www.readbyqxmd.com/read/29457334/establishing-a-successful-perioperative-geriatric-service-in-an-australian-acute-surgical-unit
#2
Lauren Styan, Skyle Murphy, Aisling Fleury, Brian McGowan, Martin Wullschleger
BACKGROUND: The purpose of this study was to assess the impact of a perioperative geriatric service (PGS) in an acute surgical unit (ASU) on patient and organizational outcomes. METHODS: Single centre retrospective cohort study. Inclusion criteria were patients over the age of 65 admitted to the ASU between January and June 2014 (pre-PGS) and 2015 (post-PGS). Chart reviews were performed to identify outcomes of interest including in-hospital morbidity and mortality, length of stay (LOS), 30-day representation and mortality...
February 18, 2018: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/29456638/biobran-mgn-3-an-arabinoxylan-rice-bran-enhances-nk-cell-activity-in-geriatric-subjects-a-randomized-double-blind-placebo-controlled-clinical-trial
#3
Ahmed F Elsaid, Magda Shaheen, Mamdooh Ghoneum
Aging is associated with a decline in natural killer (NK) and natural killer T (NKT) cell function that may contribute to increased susceptibility to malignancy and infection. A preliminary investigation was conducted examining the hypothesis that arabinoxylan rice bran (Biobran/MGN-3), a denatured hemicellulose with known immunomodulatory activity, could counteract this decline in NK/NKT cell activity in geriatrics. A total of 12 healthy geriatric subjects of both sexes and over 56 years old, participated in a randomized, double-blind, placebo-controlled clinical trial...
March 2018: Experimental and Therapeutic Medicine
https://www.readbyqxmd.com/read/29456030/acute-phase-nutritional-screening-tool-associated-with-functional-outcomes-of-hip-fracture-patients-a-longitudinal-study-to-compare-mna-sf-must-nrs-2002-and-gnri
#4
Tatsuro Inoue, Shogo Misu, Toshiaki Tanaka, Tetsuya Kakehi, Rei Ono
BACKGROUND & AIMS: Several hip fracture patients are malnourished, but no study has attempted to determine the optimal nutritional screening tool for predicting functional outcomes. We investigated the association between each nutritional status assessed by four nutritional screening tools at admission and functional outcomes during the postoperative acute phase in hip fracture patients. METHODS: The Mini Nutritional Assessment-Short Form (MNA-SF), the Malnutrition Universal Screening Tool (MUST), the Nutritional Risk Score 2002 (NRS-2002) and the Geriatric Nutritional Risk Index (GNRI) were assessed at admission before surgery...
February 15, 2018: Clinical Nutrition: Official Journal of the European Society of Parenteral and Enteral Nutrition
https://www.readbyqxmd.com/read/29455436/older-adults-in-jail-high-rates-and-early-onset-of-geriatric-conditions
#5
Meredith Greene, Cyrus Ahalt, Irena Stijacic-Cenzer, Lia Metzger, Brie Williams
BACKGROUND: The number of older adults in the criminal justice system is rapidly increasing. While this population is thought to experience an early onset of aging-related health conditions ("accelerated aging"), studies have not directly compared rates of geriatric conditions in this population to those found in the general population. The aims of this study were to compare the burden of geriatric conditions among older adults in jail to rates found in an age-matched nationally representative sample of community dwelling older adults...
February 17, 2018: Health & Justice
https://www.readbyqxmd.com/read/29452780/gender-differences-in-the-association-of-cognitive-impairment-with-the-risk-of-hip-fracture-in-the-older-population
#6
Elena Lobo, Guillermo Marcos, Javier Santabárbara, Luis Lobo-Escolar, Helena Salvador-Rosés, Concepción De la Cámara, Raul Lopez-Anton, Patricia Gracia-García, Antonio Lobo-Escolar
OBJECTIVES: To test the hypothesis that differences by gender will be observed in the association of hip fracture risk with stages of cognitive impairment; and to explore the association between Petersen's "mild cognitive impairment" (MCI) and DSM-5 "mild neurocognitive disorder" (MND). STUDY DESIGN: A community sample of 4803 individuals aged 55+ years was assessed in a two-phase case-finding enquiry in Zaragoza, Spain, and was followed up for 16 years...
March 2018: Maturitas
https://www.readbyqxmd.com/read/29451619/increase-of-10-in-the-rate-of-adverse-drug-reactions-for-each-drug-administered-in-hospitalized-patients
#7
Marisa Rosimeire Ribeiro, Antonio Abílio Motta, Luiz Augusto Marcondes-Fonseca, Jorge Kalil-Filho, Pedro Giavina-Bianchi
OBJECTIVE: To assess the risk factors, incidence and severity of adverse drug reactions in in-patients. METHODS: This prospective study evaluated 472 patients treated at a teaching hospital in Brazil between 2010 and 2013 by five medical specialties: Internal Medicine, General Surgery, Geriatrics, Neurology, and Clinical Immunology and Allergy. The following variables were assessed: patient age, gender, comorbidities, family history of hypersensitivity, personal and family history of atopy, number of prescribed drugs before and during hospitalization, hospital diagnoses, days of hospitalization...
2018: Clinics
https://www.readbyqxmd.com/read/29448875/screening-for-cognitive-impairment-in-an-australian-aged-care-assessment-team-as-part-of-comprehensive-geriatric-assessment
#8
Roger Clarnette, Ming Goh, Sneha Bharadwaj, Jillian Ryan, Suzanne Ellis, Anton Svendrovski, D William Molloy, Rónán O'Caoimh
Accurate detection of mild cognitive impairment (MCI) is important to stratify and address risk. Yet, few short cognitive screening instruments are validated for this. . In Australia, all clients referred to an Aged Care Assessment Team (ACAT) receive comprehensive geriatric assessment (CGA) including the Standardized Mini-Mental State Examination (SMMSE). We compared the accuracy of the quick mild cognitive impairment (Qmci) screen to the SMMSE in 283 participants: 195 with dementia, 47 with MCI, and 41 with subjective cognitive decline (SCD) in an Australian community-based ACAT...
February 15, 2018: Neuropsychology, Development, and Cognition. Section B, Aging, Neuropsychology and Cognition
https://www.readbyqxmd.com/read/29446038/preoperative-evaluation-of-the-elderly-surgical-patient-and-anesthesia-challenges-in-the-xxi-century
#9
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
#10
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/29444785/longitudinal-changes-in-intraocular-pressure-and-association-with-systemic-factors-and-refractive-error-lingtou-eye-cohort-study
#11
Xiaotong Han, Tangjian Yang, Jian Zhang, Sha Yu, Xinxing Guo, William Yan, Yin Hu, Mingguang He
OBJECTIVES: To investigate the longitudinal changes in intraocular pressure (IOP) and its associations with refractive error and systemic determinants in a Chinese geriatric population. DESIGN: Prospective cohort study. SETTING: Guangzhou Government Servant Physical Check-up Center, Guangzhou, China. PARTICIPANTS: 4413 government employees aged no less than 40 years (41.9% female) attending annual physical and eye examinations were included in this study...
February 14, 2018: BMJ Open
https://www.readbyqxmd.com/read/29444584/complication-rates-and-short-term-outcomes-after-operative-hammertoe-correction-in-older-patients
#12
Claire Mackenzie Mueller, Stephanie Ann Boden, Allison Lee Boden, Samuel David Maidman, Anya Cutler, Danielle Mignemi, Jason Bariteau
BACKGROUND: Hammertoe deformities are the most common lesser toe deformity. To date, no studies have looked at outcomes of operative management in the geriatric population, which may be at greater risk for complications or functional compromise because of comorbidities. METHODS: Data on 58 patients undergoing operative correction of hammertoe deformities were prospectively collected. Clinical outcomes were assessed using preoperative and postoperative visual analogue scale (VAS) and Short Form Health Survey (SF-36) scores with a minimum of 6-month follow-up...
February 1, 2018: Foot & Ankle International
https://www.readbyqxmd.com/read/29444179/capability-beliefs-on-and-use-of-evidence-based-practice-among-four-health-professional-and-student-groups-in-geriatric-care-a-cross-sectional-study
#13
Anne-Marie Boström, Disa K Sommerfeld, Annika W Stenhols, Anna Kiessling
Implementation of evidence-based practice (EBP) is a complex task. This study, conducted in an acute geriatric setting, aims to compare self-reported capability beliefs on EBP between health professionals and students, and to compare the use of EBP between health professional groups. Occupational therapists, physicians, physiotherapists and registered nurses with three or more months' employment, and all students from the occupational therapy, medical, physiotherapy and nursing programs, who had conducted workplace learning at the department, were invited...
2018: PloS One
https://www.readbyqxmd.com/read/29442099/prescribing-or-deprescribing-in-older-persons-what-are-the-real-life-concerns-in-geriatric-practice
#14
Barbara Bień, Katarzyna Bień-Barkowska
INTRODUCTION Multimorbidity in older adults leads to polypharmacy with all its hazardous outcomes and drug related problems. OBJECTIVES We assess the difference in the number of drugs between admission to and discharge from a geriatric ward and identify the patient-related factors associated with changes in the drug regimen. PATIENTS AND METHODS This retrospective cross-sectional study covered 301 geriatric patients who underwent drug optimization in line with the Beers and STOPP/START criteria. The numbers of drugs per individual at hospital admission and discharge were compared using the Wilcoxon signed-rank test...
February 14, 2018: Polish Archives of Internal Medicine
https://www.readbyqxmd.com/read/29441517/association-between-knee-pain-impaired-function-and-development-of-depressive-symptoms
#15
Keiko Sugai, Fujimi Takeda-Imai, Takehiro Michikawa, Takahiro Nakamura, Toru Takebayashi, Yuji Nishiwaki
OBJECTIVES: To examine the association between knee pain and function and depressive symptoms in older Japanese adults. DESIGN: Community-based prospective cohort study. SETTING: Kurabuchi Town, Gumma Prefecture, Japan. PARTICIPANTS: Individuals aged 65 and older (N = 573; n = 260 men, n = 313 women) without depressive symptoms participated in baseline examinations in 2005 and 2006; 95.6% participated in follow-up interviews (2007-08)...
February 14, 2018: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29440911/should-frail-older-adults-be-in-long-term-care-facilities
#16
Liv Wergeland Sørbye, Sidsel Sverdrup, Birgit Brunborg Pay
Aim: Home-based nursing care is relatively easy to access in Norway compared to the rest of Europe, and the threshold for applying for assistance is relatively low. The aim of the present study was to analyze factors that enable frail older adults to live in their own homes, with a low level of care burden stress. Methodology: In 2015 and 2016, eight municipalities from different parts of Norway participated in a cross-sectional study. The quantitative part of the project consisted of assessing care of 71 older adults, aged ≥80 years, using a geriatric comprehensive assessment...
2018: Journal of Multidisciplinary Healthcare
https://www.readbyqxmd.com/read/29440878/functionality-and-outcome-in-older-patients-with-severe-aortic-stenosis-foopas-an-interdisciplinary-study-concept-for-a-prospective-trial
#17
Ferdinand Vogt, Susanne Wicklein, Markus Gosch, Jürgen Jessl, Wolfgang Hitzl, Theodor Fischlein, Matthias Pauschinger, Steffen Pfeiffer, Dennis Eckner
Background: Frailty is a geriatric syndrome that can influence mortality and functional recovery after treatment of severe aortic stenosis (AS). The integration of standardized geriatric assessment (GA) in clinical practice is limited by a lack of consensus on how to measure it. Objectives: This study aims to compare the incremental predictive value of different frailty scales to predict the outcomes following surgical aortic valve replacement, transcatheter aortic valve implantation, and conservative treatment of severe AS...
2018: Clinical Interventions in Aging
https://www.readbyqxmd.com/read/29440681/a-sarcopenia-screening-test-predicts-mortality-in-hospitalized-older-adults
#18
Tianjiao Tang, Linna Wu, Ling Yang, Jiaojiao Jiang, Qiukui Hao, Birong Dong, Ming Yang
The aim of this study is to investigate the validation of a sarcopenia screening test (Ishii's formula) for predicting long-term mortality among older adult inpatients. A prospective, observational study was conducted in acute geriatric wards at three hospitals in western China. Sarcopenia was estimated using Ishii's formula. Survival status was assessed at 12, 24, and 36 months after the baseline investigation. Cox proportional-hazard models were applied to calculate the hazard ratio for mortality associated with sarcopenia...
February 13, 2018: Scientific Reports
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
#19
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/29436734/risk-of-malnutrition-evaluated-by-mini-nutritional-assessment-and-sarcopenia-in-noninstitutionalized-elderly-people
#20
Ilaria Liguori, Francesco Curcio, Gennaro Russo, Michele Cellurale, Luisa Aran, Giulia Bulli, David Della-Morte, Gaetano Gargiulo, Gianluca Testa, Francesco Cacciatore, Domenico Bonaduce, Pasquale Abete
BACKGROUND: Malnutrition indices and muscle mass and strength in the elderly are poorly investigated. Moreover, malnutrition seems to be 1 of the more important factors in the cause of sarcopenia. The presence of sarcopenia and its relationship with malnutrition indices were studied in noninstitutionalized elderly people who underwent Comprehensive Geriatric Assessment (CGA). METHODS: A total of 473 elderly subjects (mean age, 80.9 ± 6.6 years) admitted to CGA were studied...
February 13, 2018: Nutrition in Clinical Practice
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