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Latest & greatest articles for geriatrics
The Trip Database is a leading resource to help health professionals find trustworthy answers to their clinical questions. Users can access the latest research evidence and guidance to answer their clinical questions. We have a large collection of systematic reviews, clinical guidelines, regulatory guidance, clinical trials and many other forms of evidence. If you wanted the latest trusted evidence on geriatrics or other clinical topics then use Trip today.
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Geriatrics Top results for geriatrics - Trip Database or use your Google+ account Liberating the literature ALL of these words: Title only Anywhere in the document ANY of these words: Title only Anywhere in the document This EXACT phrase: Title only Anywhere in the document EXCLUDING words: Title only Anywhere in the document Timeframe: to: Combine searches by placing the search numbers in the top search box and pressing the search button. An example search might look like (#1 or #2) and (#3 (...) or #4) Loading history... Population: Intervention: Comparison: Outcome: Population: Intervention: Latest & greatest articles for geriatrics The Trip Database is a leading resource to help health professionals find trustworthy answers to their clinical questions. Users can access the latest research evidence and guidance to answer their clinical questions. We have a large collection of systematic reviews, clinical guidelines, regulatory guidance, clinical trials and many other forms of evidence
A nutritional intervention program improves the nutritional status of geriatric patients at nutritional risk-a randomized controlled trial To investigate the effect of a nutrition intervention program for geriatric nutritional at-risk patients.A randomized controlled trial.Department of geriatric medicine in a university hospital and in the primary healthcare sector, Copenhagen.Geriatric patients ( N = 144) at nutritional risk.The intervention consisted of an individual dietary plan for home (...) health in geriatric patients.
CRACKCast E182 – Drug Therapy in the Geriatric Patient CRACKCast E182 - Drug Therapy in the Geriatric Patient - CanadiEM CRACKCast E182 – Drug Therapy in the Geriatric Patient In , by Chris Lipp May 31, 2018 This episode of CRACKCast covers Rosen’s chapter 185, Drug Therapy in the Geriatric Patient. Although short, this post contains vital information that will help you optimize the care of yours elderly patients in the ED. Take some time to commit this information to memory
CRACKCast E181 – Approach to the Geriatric Patient CRACKCast E181 - Approach to the Geriatric Patient - CanadiEM CRACKCast E181 – Approach to the Geriatric Patient In , , by Adam Thomas May 28, 2018 This episode of CRACKCast covers Rosen’s chapter 183, approach to the geriatric patient. Our geriatric patients can often mask serious diagnoses with vague presentations and multiple co-morbidities. Shownotes– Rosen’s In Perspective Taking care of the elderly is hard! Given the Silver-Tsunami (...) day? (yes) Each “yes” response counts as 1 point, for a total score ranging from 0 to 6. A patient is considered at high risk when the score is 2 or more. Adapted from McCusker J, Bellavance F, Cardin S, et al: Detection of older people at increased risk of adverse health outcomes after an emergency visit: the ISAR screening tool. J Am Geriatr Soc 47:1229–1237, 1999. bCAM Assessment (Brief Confusion Assessment Method) Figure 183.2 Need both of: Acute altered mental status or fluctuating course
Global Geriatric Assessment and In-Hospital Bleeding Risk in Elderly Patients with Acute Coronary Syndromes: Insights from the LONGEVO-SCA Registry Bleeding risk scores have shown a limited predictive ability in elderly patients with acute coronary syndromes (ACS). No study explored the role of a comprehensive geriatric assessment to predict in-hospital bleeding in this clinical setting.The prospective multicentre LONGEVO-SCA registry included 532 unselected patients with non-ST segment (...) elevation ACS (NSTEACS) aged 80 years or older. Comorbidity (Charlson index), frailty (FRAIL scale), disability (Barthel index and Lawton-Brody index), cognitive status (Pfeiffer test) and nutritional risk (mini nutritional assessment-short form test) were assessed during hospitalization. CRUSADE score was prospectively calculated for each patient. In-hospital major bleeding was defined by the CRUSADE classification. The association between geriatric syndromes and in-hospital major bleeding was assessed
Comprehensive geriatric assessment for older people admitted to a surgical service. Aging populations are at increased risk of postoperative complications. New methods to provide care for older people recovering from surgery may reduce surgery-related complications. Comprehensive geriatric assessment (CGA) has been shown to improve some outcomes for medical patients, such as enabling them to continue living at home, and has been proposed to have positive impacts for surgical patients. CGA
Frailty as an outcome in geriatrics research: not ready for prime time? 29310132 2019 03 13 2019 03 13 1539-3704 168 5 2018 03 06 Annals of internal medicine Ann. Intern. Med. Frailty as an Outcome in Geriatrics Research: Not Ready for Prime Time? 361-362 10.7326/M17-3048 Brown Rebecca T RT Division of Geriatrics, University of California, San Francisco, and San Francisco VA Medical Center, San Francisco, California (R.T.B., K.E.C.). Covinsky Kenneth E KE Division of Geriatrics, University (...) of California, San Francisco, and San Francisco VA Medical Center, San Francisco, California (R.T.B., K.E.C.). eng K23 AG045290 AG NIA NIH HHS United States K24 AG029812 AG NIA NIH HHS United States KL2 TR001870 TR NCATS NIH HHS United States P30 AG044281 AG NIA NIH HHS United States Editorial Comment 2018 01 09 United States Ann Intern Med 0372351 0003-4819 AIM IM Ann Intern Med. 2018 Mar 6;168(5):309-316 29310138 Exercise Frail Elderly Frailty Geriatric Assessment Geriatrics Humans 2018 1 9 6 0 2019 3 14
Patient Empowerment Reduces Pain in Geriatric Patients After Gynecologic Onco-Surgery: Subgroup Analysis ofÂ aÂ Prospective Randomized ControlledÂ Clinical Trial. This study aimed to determine the effect of patient empowerment on acute postoperative pain. This research was part of the Patient Empowerment and Risk-Assessed Treatment to Improve Outcome in the Elderly After Onco-Surgery Trial.This research was a prospective randomized controlled interventional study.Patients who underwent
American Geriatrics Society White Paper on Healthy Aging American Geriatrics Society White Paper on Healthy Aging Logging In... × Welcome to GeriatricsCareOnline! AGS or ADGAP MEMBER Attention AGS Members! As an AGS Member, you already have an account automatically set up on GeriatricsCareOnline.org. Your username and password are the same that you use to log onto MyAGS. (If you do not remember your MyAGS credentials, ). Please do not register for a new user account if you are an AGS member (...) - if you create a new account, you will not be recognized as a member in the system. Username Password remember Remember me Login NON-AGS MEMBER Username Password Remember me Login Search: Toggle navigation Search: American Geriatrics Society White Paper on Healthy Aging PRODUCT DETAILS × PIN Subscriprion Validating... Product Titile : American Geriatrics Society White Paper on Healthy Aging Enter PIN * × PIN Subscriprion Subscription is completed successfully. Click OK button to go to MyLibrary page
American Geriatrics Society Beers Criteria and Anticoagulant Use in Older Adults With Renal Impairment 29340340 2018 11 13 2468-0249 3 1 2018 Jan Kidney international reports Kidney Int Rep American Geriatrics Society Beers Criteria and Anticoagulant Use in Older Adults With Renal Impairment. 222-223 10.1016/j.ekir.2017.11.006 Foody JoAnne J Janssen Pharmaceuticals, Inc, Titusville, New Jersey, USA. Moore Kenneth Todd KT Janssen Pharmaceuticals, Inc, Titusville, New Jersey, USA. eng Journal (...) Article 2017 12 05 United States Kidney Int Rep 101684752 2468-0249 2017 10 19 2017 11 06 2017 11 13 2018 1 18 6 0 2018 1 18 6 0 2018 1 18 6 1 epublish 29340340 10.1016/j.ekir.2017.11.006 S2468-0249(17)30441-2 PMC5762967 Br J Clin Pharmacol. 2010 Nov;70(5):703-12 21039764 J Am Geriatr Soc. 2015 Nov;63(11):2227-46 26446832 Am J Nephrol. 2016;43(4):229-36 27100875
International practice settings, interventions and outcomes of nurse practitioners in geriatric care: A scoping review To identify and summarize the common clinical settings, interventions, and outcomes of nurse practitioner care specific to older people.Scoping review of the international published and grey literature.A structured literature search was conducted of CINAHL, EMBASE, MEDLINE, Google Scholar, and Cochrane Collaboration and Joanna Briggs Institute databases.Following the Arksey
Comprehensive geriatric assessment for older adults admitted to hospital. Comprehensive geriatric assessment (CGA) is a multi-dimensional, multi-disciplinary diagnostic and therapeutic process conducted to determine the medical, mental, and functional problems of older people with frailty so that a co-ordinated and integrated plan for treatment and follow-up can be developed. This is an update of a previously published Cochrane review.We sought to critically appraise and summarise current (...) evidence on the effectiveness and resource use of CGA for older adults admitted to hospital, and to use these data to estimate its cost-effectiveness.We searched CENTRAL, MEDLINE, Embase, three other databases, and two trials registers on 5 October 2016; we also checked reference lists and contacted study authors.We included randomised trials that compared inpatient CGA (delivered on geriatric wards or by mobile teams) versus usual care on a general medical ward or on a ward for older people, usually
Integration of Geriatric Assessment in the Care of Patients with Gastrointestinal Malignancies The majority of patients with gastrointestinal (GI) malignancies are older. Recently, it has become evident that elements from a geriatric assessment (GA) are powerful predictors of outcomes such as postoperative morbidity and mortality, length of stay, type of treatment received, and survival across several GI tumor types in older adults. A GA is a systematic evaluation of functional status (...) findings.Increasing data shows that elements from a GA and frailty are consistently associated with negative short- and long-term treatment outcomes in older patients with GI malignancies. Future studies should investigate the impact of geriatric interventions on outcomes.
Top 5 Things I’ve Learned About Geriatric Emergency Medicine Top 5 Things I've Learned About Geriatric Emergency Medicine - CanadiEM Top 5 Things I’ve Learned About Geriatric Emergency Medicine In by Thom Ringer August 1, 2017 My medical school dean urged our class to “think not just about what interests you, but about who needs you.” Few patients I’ve encountered in healthcare have struck me as more in need than the frail elderly. As I’ve learned, the ED lies at the heart of the elder care (...) ecosystem, a hub connecting seniors to resources, investigations, specialists, and acute care. In this post, I’d like to share the Top Five things I’ve found interesting about geriatric emergency medicine, as well as some practical advice for learners. 1. Older adults come to the ED often, and are more unwell when they do. In Ontario, persons over the age of 75 have the highest ED visit rate (73.1 per 100 of the population, compared to an average of 39.7). 1 In 2015, adults aged 65 or better accounted
Prevention of Dehydration in Geriatric Patients in Long-Term Care: Guidelines Prevention of Dehydration in Geriatric Patients in Long-Term Care: Guidelines | CADTH.ca Find the information you need Prevention of Dehydration in Geriatric Patients in Long-Term Care: Guidelines Prevention of Dehydration in Geriatric Patients in Long-Term Care: Guidelines Published on: June 28, 2017 Project Number: RB1114-000 Product Line: Research Type: Devices and Systems Report Type: Summary of Abstracts Result (...) type: Report Question What are the evidence-based guidelines regarding the prevention and identification of dehydration in geriatric patients in long-term care? Key Message Five systematic reviews (two with meta-analyses) and three evidence-based guidelines were identified regarding hydration management procedures or dehydration assessment for geriatric patients in the long-term care setting. Tags aged, dehydration, geriatrics, housing for the elderly, nursing homes, rehydration solutions, thirst
The effectiveness of optimised clinical medication reviews for geriatric patients: Opti-Med a cluster randomised controlled trial Inappropriate drug use is a frequent problem in older patients and associated with adverse clinical outcomes and an important determinant of geriatric problems. Clinical medication reviews (CMR) may reduce inappropriate drug use.The aim of this study is to investigate the effectiveness of CMR on quality of life (QoL) and geriatric problems in comparison with usual (...) care in older patients with geriatric problems in the general practice.We performed a cluster randomised controlled trial in 22 Dutch general practices. Patients of ≥65 years were eligible if they newly presented with pre-specified geriatric symptoms in general practice and the chronic use of ≥1 prescribed drug. The intervention consisted of CMRs which were prepared by an independent expert team and discussed with the patient by the general practitioner. Primary outcomes: QoL and the presence
Prognostic Impact of the Geriatric Nutritional Risk Index on Long-Term Outcomes in Patients Who Underwent Percutaneous Coronary Intervention Malnutrition has been identified as an important predictor of poor clinical outcomes in patients with heart failure. The aim of this study is to examine the prognostic impact of nutritional status in patients with coronary artery disease (CAD) who underwent percutaneous coronary intervention (PCI). The impact of nutrition, assessed using the geriatric
Evaluation of Renal Function in Alzheimerâ€™s Disease and Geriatric Patients: Results from a Turkish Two-center Study Alzheimer's disease (AD) is a severe multifactorial neurodegenerative proteopathy associated with advanced age. Discrepancies in the renal function of these patients compared to geriatric patients with dementia have rarely been reported. In this study, we aimed to disclose the importance of associated renal changes for the pathogenesis of AD.Patients with AD (n=107 (...) ) and geriatric patients with dementia and without dementia (n=124) (231 patients in total) from Dokuz Eylul and Cukurova University Hospitals were enrolled in the study. We measured serum Na, K, Cl, Ca, BUN, creatinine, total protein levels and MDRD [eGFR] in all groups.From Izmir Center, the first study arm consisted of patients with AD dementia (n=74), and the second arm included geriatric patients with dementia (n=79). From Adana, 78 patients were recruited to the study, of which 33 were with AD and 45
Structured interdisciplinary bedside rounds (SIBR) in sub-acute geriatric evaluation management and rehabilitation Rapid Review 1 Structured interdisciplinary bedside rounds (SIBR) in sub-acute geriatric evaluation management and rehabilitation Citation Structured interdisciplinary bedside rounds (SIBR) in geriatric evaluation management and rehabilitation: An Evidence Review. Centre for Clinical Effectiveness, Monash Health, Melbourne, Australia. Background The Director of Nursing, Operations (...) Director (Kingston) requested for a review of literature to inform the effectiveness of structured interdisciplinary bedside rounds (SIBR) in the subacute setting. Objectives To determine the effectiveness of structured interdisciplinary bedside rounds (SIBR) in the subacute rehabilitation or geriatric evaluation management setting. Definitions SIBR is a process for rounding that ensures effective communication between team members and the patient occurs regularly. All relevant healthcare team members