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https://www.readbyqxmd.com/read/29224055/peri-operative-antibiotic-treatment-of-bacteriuria-reduces-early-deep-surgical-site-infections-in-geriatric-patients-with-proximal-femur-fracture
#1
Ronny Langenhan, Stefanie Bushuven, Niklas Reimers, Axel Probst
PURPOSE: The aim of this study was to conduct a re-evaluation of current strategies for peri-operative prophylaxis of infections in orthopaedic surgery of geriatric patients (≥65 years) with proximal femoral fractures (PFF). METHODS: Between 01/2010 and 08/2014 all post-operative infections after stabilization of PFF of 1,089 geriatric patients were recorded retrospectively. All patients pre-operatively received a single dose of 1.5 g cefuroxime (group 1). These were compared to prospectively determined post-operative rates of surgical site infection (SSI) of 441 geriatric patients, which were operated on between 09/2014 and 03/2017 due to PFF...
December 9, 2017: International Orthopaedics
https://www.readbyqxmd.com/read/29223403/older-adults-undergoing-total-hip-or-knee-arthroplasty-chronicling-changes-in-their-multimorbidity-profile-in-the-last-two-decades
#2
Siran M Koroukian, Nicholas K Schiltz, David F Warner, Alison K Klika, Carlos A Higuera-Rueda, Wael K Barsoum
BACKGROUND: Despite the ubiquitous use of total hip arthroplasty (THA) and total knee arthroplasty (TKA) in older adults, little is known about the multimorbidity (MM) profile of this patient population. This study evaluates the temporal trends of MM, hypothesizing that patients with MM have had an increasingly greater representation in THA and TKA patients over time. METHODS: Data on a US representative sample of older adults from the linked Health and Retirement Study and Medicare data from 1993 to 2012 were used...
November 13, 2017: Journal of Arthroplasty
https://www.readbyqxmd.com/read/29223180/the-relationship-between-gait-dynamics-and-future-cognitive-decline-a-prospective-pilot-study-in-geriatric-patients
#3
Lisette H J Kikkert, Nicolas Vuillerme, Jos P van Campen, Bregje A Appels, Tibor Hortobágyi, Claudine J C Lamoth
BACKGROUND: Walking ability recently emerged as a sub-clinical marker of cognitive decline. Hence, the relationship between baseline gait and future cognitive decline was examined in geriatric patients. Because a "loss of complexity" (LOC) is a key phenomenon of the aging process that exhibits in multiple systems, we propose the idea that age- and cognition-related LOC may also become manifested in gait function. The LOC theory suggests that even healthy aging is associated with a (neuro)physiological breakdown of system elements that causes a decline in variability and an overall LOC...
December 10, 2017: International Psychogeriatrics
https://www.readbyqxmd.com/read/29222883/the-geriatric-nutritional-risk-index-predicts-mortality-in-nonagenarians-and-centenarians-receiving-home-care
#4
Hui Wang, Shan Hai, Yan Zhou, Ping Liu, Bi-Rong Dong
BACKGROUND AND OBJECTIVES: The increasing prevalence of malnutrition in old people is related to the risk of illness and death. A number of screening tools to detect malnutrition have been used in the elderly to assess nutritional status and predict prognosis. The aim of the present study was to investigate the ability of the Geriatric Nutritional Risk Index (GNRI) to assess nutritional status and predict mortality in very old home-care people by using a cross-sectional study of Chinese older people aged 90-105 years...
2018: Asia Pacific Journal of Clinical Nutrition
https://www.readbyqxmd.com/read/29222035/carriage-of-esbl-producing-enterobacteriaceae-in-french-hospitals-the-portablse-study
#5
B Pilmis, V Cattoir, D Lecointe, A Limelette, I Grall, A Mizrahi, G Marcade, I Poilane, T Guillard, N Bourgeois Nicolaos, J-R Zahar, A Le Monnier
BACKGROUND: Currently, contact precautions are recommended for patients colonized or infected with extended spectrum beta-lactamase producing enterobacteriaceae (ESBL-PE). Recent studies have challenged this strategy. This study aimed to assess the rate of ESBL-PE faecal carriage among hospitalized patients according to type of hospital ward, and to identify risk factors associated with carriage. METHODS: We conducted a point prevalence study in five different types of hospital wards (medical, surgical, intensive care unit (ICU), after care and rehabilitation and geriatric) in 8 French hospitals...
December 5, 2017: Journal of Hospital Infection
https://www.readbyqxmd.com/read/29221697/prevalence-of-mental-health-disorders-in-elderly-u-s-military-veterans-a-meta-analysis-and-systematic-review
#6
Victoria Williamson, Sharon A M Stevelink, Karla Greenberg, Neil Greenberg
OBJECTIVE: Older veterans may be vulnerable to mental health problems. Meta-analytic and systematic review methods sought to determine the prevalence rate of mental health disorders in older military veterans (≥65 years). METHODS: Eleven studies were eligible, and meta-analyses of veteran depression, substance abuse, post-traumatic stress disorder (PTSD), anxiety, dementia, bipolar disorder, and schizophrenia were conducted. RESULTS: Although conducted exclusively with U...
November 8, 2017: American Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/29221501/lean-methodology-reduces-inappropriate-use-of-antipsychotics-for-agitation-at-a-psychiatric-hospital
#7
Joshana K Goga, Antonio Depaolo, Sunil Khushalani, J Ken Walters, Robert Roca, Marc Zisselman, Christopher Borleis
OBJECTIVE: To Evaluate the Effects of Applying Lean Methodology-Improving Quality Increasing Efficiency by Eliminating Waste and Reducing Costs-An Approach To Decrease the Prescribing Frequency of Antipsychotics for The Indication of Agitation. DESIGN: Historically Controlled Study. SETTING: Bheppard Pratt Health System is the Largest Private Provider of Psychiatric Care in Maryland With a Total Bed Capacity of 300. There Were 4 337 Patient Days From November 1 2012 to October 31 2013 on the Dementia Unit...
January 1, 2017: Consultant Pharmacist: the Journal of the American Society of Consultant Pharmacists
https://www.readbyqxmd.com/read/29220541/yoga-for-stroke-rehabilitation
#8
REVIEW
Maggie Lawrence, Francisco T Celestino Junior, Hemilianna Hs Matozinho, Lindsay Govan, Jo Booth, Jane Beecher
BACKGROUND: Stroke is a major health issue and cause of long-term disability and has a major emotional and socioeconomic impact. There is a need to explore options for long-term sustainable interventions that support stroke survivors to engage in meaningful activities to address life challenges after stroke. Rehabilitation focuses on recovery of function and cognition to the maximum level achievable, and may include a wide range of complementary strategies including yoga.Yoga is a mind-body practice that originated in India, and which has become increasingly widespread in the Western world...
December 8, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29220063/preventive-care-screening-in-the-puerto-rican-geriatric-population-a-formative-evaluation-of-patient-knowledge
#9
Vanessa Sepúlveda-Rivera, Christian Donato-Santana, Gil Diaz-Vega
OBJECTIVE: This study was meant to be the first step in bridging a gap in the literature concerning Puerto Rican geriatric patients' levels of knowledge concerning 4 preventive care screening tests: mammography, bone densitometry, colonoscopy, and lipid panels. METHODS: Patients 65 years old and older were interviewed at the University of Puerto Rico (UPR), Medical Sciences Campus, primary care clinics. Fisher's exact test was used to assess knowledge status for each screening test...
December 2017: Puerto Rico Health Sciences Journal
https://www.readbyqxmd.com/read/29219829/prevalence-of-iron-deficiency-in-a-dutch-geriatric-migrant-population
#10
C L Brederveld, J P van Campen, N van der Velde
BACKGROUND: The prevalence of iron deficiency anaemia (IDA) rises with age. Migrants are potentially at higher risk for IDA because of differences in intake and uptake as well as their higher comorbid status. We assessed whether geriatric Turkish and Moroccan migrants have a higher prevalence of low iron status and IDA. METHODS: Retrospective case-control study in a geriatric outpatient clinic (2012-2015). In total, 188 consecutive Turkish and Moroccan migrants aged ≥ 65 years were included and matched with 188 Dutch controls...
October 2017: Netherlands Journal of Medicine
https://www.readbyqxmd.com/read/29219828/improving-care-for-older-patients-in-the-acute-setting-a-qualitative-study-with-healthcare-providers
#11
C Brouwers, H Merten, M Willems, D J Habraken, F W Bloemers, T H Biesheuvel, L S van Galen, P W B Nanayakkara, C Wagner
BACKGROUND: The proportion of older people needing acute care is rapidly growing, thereby posing an increased burden on the acute care chain. The aim of this study is to gain more insight into the obstacles and potential improvement opportunities of the acute care process for older patients arriving at the hospital. METHODS: Semi-structured interviews were conducted to determine the experiences of 18 different primary (i.e. general practitioner, community nurse) and secondary healthcare professionals (i...
October 2017: Netherlands Journal of Medicine
https://www.readbyqxmd.com/read/29219810/optimising-the-isar-hp-to-screen-efficiently-for-functional-decline-in-older-patients
#12
J de Gelder, E Haenen, J A Lucke, H G Klop, L C Blomaard, R A J Smit, K Mesri, B de Groot, A J Fogteloo, S Anten, G J Blauw, S P Mooijaart
INTRODUCTION: The Identification of Seniors At Risk-Hospitalised Patients (ISAR-HP) has recently been included in guidelines as a frailty indicator to identify patients for comprehensive geriatric assessment. Previous studies showed that the conventional cut-off score incorrectly classifies a high percentage of patients as high risk. We aimed to optimise the predictive value of ISAR-HP by using different cut-offs in older acutely hospitalised patients. METHODS: A prospective follow-up study was performed in two Dutch hospitals...
November 2017: Netherlands Journal of Medicine
https://www.readbyqxmd.com/read/29218839/association-between-number-of-teeth-use-of-dentures-and-musculoskeletal-frailty-among-older-adults
#13
Seoyoung Lee, Wael Sabbah
AIM: To assess whether there is a relationship between musculoskeletal frailty and number of teeth/denture use, and whether nutritional intake explains this relationship, in a sample of older Americans. METHODS: Data from the National Health and Nutrition Examination Survey 2011/2012 were used. Handgrip strength was used to show musculoskeletal frailty. Number of teeth and denture use were examined by calibrated dentists. Information on sociodemographic factors, nutrients intake and general health status were collected through interviews...
December 7, 2017: Geriatrics & Gerontology International
https://www.readbyqxmd.com/read/29218820/frequency-of-going-outdoors-and-health-related-quality-of-life-among-older-adults-examining-the-moderating-role-of-living-alone-and-employment-status
#14
Kazuhiro Harada, Kouhei Masumoto, Keiko Katagiri, Ai Fukuzawa, Makoto Chogahara, Narihiko Kondo, Shuichi Okada
AIM: Going outdoors more frequently is beneficial for maintaining and improving health-related quality of life (HRQOL) among older adults. However, individual differences can alter the effects of going outdoors. The present study aimed to examine whether relationships between going outdoors and HRQOL were moderated by living alone and employment status. METHODS: The present study was a secondary analysis of 14-month prospective data (n = 613). Variables used in this study were baseline data on the frequency of going outdoors, HRQOL (physical and mental component summary scores assessed using the Japanese version of the Medical Outcomes study Short Form 8-Item Health Survey), living alone, employment status, potential confounders (sex, age, educational level and instrumental activities of daily living) and follow-up data on HRQOL...
December 7, 2017: Geriatrics & Gerontology International
https://www.readbyqxmd.com/read/29218786/how-fast-can-treatment-with-overdentures-improve-the-masticatory-function-and-ohrqol-of-atrophic-edentulous-patients-a-1-year-longitudinal-clinical-study
#15
Raissa Micaella Marcello-Machado, Fernanda Faot, Alessandra Julie Schuster, Amália Machado Bielemann, Gustavo Giacomelli Nascimento, Altair Antoninha Del Bel Cury
OBJECTIVES: The aim of this prospective clinical study was to evaluate the masticatory function (MF) and subjective perception of patients with poor denture-bearing tissue in relation to change and the time required to identify an improvement in these parameters after rehabilitation with mandibular overdentures (MO) by two narrow-diameter two-piece implants. MATERIAL AND METHODS: Twenty-three edentulous patients were selected for MO installation. The masticatory function (MF) was evaluated with the masticatory performance (MP) and swallowing threshold (ST) tests...
December 7, 2017: Clinical Oral Implants Research
https://www.readbyqxmd.com/read/29218770/korean-adults-have-lower-physical-function-despite-longer-exercise-times-compared-with-their-japanese-counterparts-a-japan-korea-comparative-study
#16
Songee Jung, Yoshiro Okubo, Yosuke Osuka, Satoshi Seino, Joonsung Park, Hosung Nho, Kiyoji Tanaka
AIM: We aimed to compare the level of physical function (PF) and habitual exercise between older Japanese and Korean adults. METHODS: A comparative study was carried out on 1069 community-dwelling older Japanese and Korean adults (mean age 73.9 ± 5.2 years). The participants were asked to complete a self-reported questionnaire regarding habitual exercise and covariates. PF age, a composite measure of PF, was derived from the 12 items, using principal component analysis...
December 7, 2017: Geriatrics & Gerontology International
https://www.readbyqxmd.com/read/29218768/relationships-between-serum-brain-derived-neurotrophic-factor-concentration-and-parameters-for-health-scores-in-community-dwelling-older-adults
#17
Mitsugu Hachisu, Masahiro Hashizume, Hisashi Kawai, Hirohiko Hirano, Motonaga Kojima, Yoshinori Fujiwara, Shuichi Obuchi, Kazushige Ihara
AIM: Brain-derived neurotrophic factor (BDNF) have been implicated in the progression of neuronal survival, phenotyping differentiation and maintenance of various neurons, as well as neurogenesis. We studied how BDNF affects health parameters of older adults by carrying out a health examination of community-dwelling older adults. METHODS: We measured the serum BDNF concentration of 898 older adults aged 65-84 years who participated in regional health examinations in the Tokyo area and also measured various parameters, such as the thickness of the quadriceps femoris, percentage of body fat, body mass index, grip strength, frequency of walking, and use of sleeping drugs and steroidal anti-inflammatory drugs...
December 8, 2017: Geriatrics & Gerontology International
https://www.readbyqxmd.com/read/29217023/visual-impairment-as-an-independent-risk-factor-for-falls-in-hospitalized-patients
#18
Toshimitsu Kasuga, Fumiko Aruga, Koichi Ono, Yoshimune Hiratsuka, Akira Murakami
OBJECTIVE: To investigate the association between visual impairment and the risk of falls in hospitalized patients. DESIGN: Individually matched case-control study. METHODS: The medical records of patients who fell while hospitalized at Juntendo Tokyo Koto Geriatric Medical Center (JTKGMC) from January to December 2014 were reviewed retrospectively. Among them, 36 patients who were recorded as visiting the Ophthalmology Outpatient Clinic from 1 year before to 1 year after the fall were included as cases...
December 2017: Canadian Journal of Ophthalmology. Journal Canadien D'ophtalmologie
https://www.readbyqxmd.com/read/29216345/effect-of-influenza-vaccination-against-postoperative-pneumonia-and-mortality-for-geriatric-patients-receiving-major-surgery-a-nationwide-matched-study
#19
Wan-Chi Liu, Chao-Shun Lin, Chun-Chieh Yeh, Hsin-Yun Wu, Yuarn-Jang Lee, Chi-Li Chung, Yih-Giun Cherng, Ta-Liang Chen, Chien-Chang Liao
Background: Limited information is available on the association between a influenza vaccination and postoperative outcomes. Methods: Using Taiwan's National Health Insurance Research Database reimbursement claims data from 2008 to 2013, we conducted a matched cohort study of 16,903 patients over age 66 who received influenza vaccinations and later underwent major surgery. Using propensity score matching procedure adjusted for socio-demographics, medical conditions, types of surgery and anesthesia, 16,903 controls who were not vaccinated were selected...
December 5, 2017: Journal of Infectious Diseases
https://www.readbyqxmd.com/read/29215206/once-frail-always-frail-frailty-transitions-in-home-care-users-with-intellectual-and-developmental-disabilities
#20
Lynn Martin, Katherine McKenzie, Hélène Ouellette-Kuntz
AIM: Frailty is understood as a dynamic non-linear process, and used to indicate age-related decline. Recent work has shown that adults with intellectual and developmental disabilities experience higher rates of frailty at much earlier ages than the general population. The present study describes transitions in frailty status (i.e. non-frail, pre-frail, frail) over 1 year, and explores the association between baseline frailty status and worsening/death over time. METHODS: Results are based on secondary analysis of 2893 individuals with intellectual and developmental disabilities receiving community-based home care services in Ontario (Canada)...
December 7, 2017: Geriatrics & Gerontology International
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