Latest & greatest articles for geriatrics

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Top results for geriatrics

81. A systematic review of comprehensive geriatric assessment to improve outcomes for frail older people being rapidly discharged from acute hospital: 'interface geriatrics'

A systematic review of comprehensive geriatric assessment to improve outcomes for frail older people being rapidly discharged from acute hospital: 'interface geriatrics' A systematic review of comprehensive geriatric assessment to improve outcomes for frail older people being rapidly discharged from acute hospital: 'interface geriatrics' A systematic review of comprehensive geriatric assessment to improve outcomes for frail older people being rapidly discharged from acute hospital: 'interface (...) geriatrics' Conroy SP, Stevens T, Parker SG, Gladman JR CRD summary The authors concluded there was no clear evidence of a benefit for comprehensive geriatric assessment of frail older people being discharged from emergency departments or hospital settings. However few trials have been carried out and their overall quality was poor. The authors' cautious conclusions reflect the evidence presented, but the potential for selection bias should be considered. Authors' objectives To assess the role

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2012 DARE.

82. Effectiveness of acute geriatric unit care using Acute Care for Elders components: a systematic review and meta-analysis

Effectiveness of acute geriatric unit care using Acute Care for Elders components: a systematic review and meta-analysis Effectiveness of acute geriatric unit care using Acute Care for Elders components: a systematic review and meta-analysis Effectiveness of acute geriatric unit care using Acute Care for Elders components: a systematic review and meta-analysis Fox MT, Persaud M, Maimets I, O'Brien K, Brooks D, Tregunno D, Schraa E CRD summary The authors concluded that acute geriatric unit care (...) , with one or more elements of the Acute Care for Elders model, for older patients with acute illness or injury, had beneficial effects, over usual care, in reducing falls, delirium, functional decline, length of hospital stay, and costs. This was a well-conducted review; the conclusions reflect the evidence and seem reliable. Authors' objectives To compare the effectiveness of acute geriatric unit care, versus usual care, for acutely ill or injured older adults. Searching Seventeen databases, including

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2012 DARE.

83. Frailty screening methods for predicting outcome of a comprehensive geriatric assessment in elderly patients with cancer: a systematic review

Frailty screening methods for predicting outcome of a comprehensive geriatric assessment in elderly patients with cancer: a systematic review Frailty screening methods for predicting outcome of a comprehensive geriatric assessment in elderly patients with cancer: a systematic review Frailty screening methods for predicting outcome of a comprehensive geriatric assessment in elderly patients with cancer: a systematic review Hamaker ME, Jonker JM, de Rooij SE, Vos AG, Smorenburg CH, van Munster BC (...) CRD summary This review concluded that available frailty screening methods had insufficient discriminative power to select patients for further assessment and that it may be beneficial for all elderly patients with cancer to receive a comprehensive geriatric assessment. These cautious conclusions reflect the available data and are likely to be reliable. Authors' objectives To assess the diagnostic performance of frailty screening methods to predict the presence of impairments on a comprehensive

2012 DARE.

84. Effectiveness of acute geriatric unit care using acute care for elders components: a systematic review and meta-analysis (PubMed)

Effectiveness of acute geriatric unit care using acute care for elders components: a systematic review and meta-analysis To compare the effectiveness of acute geriatric unit care, based on all or part of the Acute Care for Elders (ACE) model and introduced in the acute phase of illness or injury, with that of usual care.Systematic review and meta-analysis of 13 randomized controlled and quasi-experimental trials with parallel comparison groups retrieved from multiple sources.Acute care (...) geriatric and nongeriatric hospital units.Acutely ill or injured adults (N = 6,839) with an average age of 81.Acute geriatric unit care characterized by one or more ACE components: patient-centered care, frequent medical review, early rehabilitation, early discharge planning, prepared environment.Falls, pressure ulcers, delirium, functional decline at discharge from baseline 2-week prehospital and hospital admission statuses, length of hospital stay, discharge destination (home or nursing home

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2012 EvidenceUpdates

85. Systematic review with meta-analysis: Review: comprehensive geriatric assessment increases a patient's likelihood of being alive and in their own home at up to 12 months

Systematic review with meta-analysis: Review: comprehensive geriatric assessment increases a patient's likelihood of being alive and in their own home at up to 12 months Review: comprehensive geriatric assessment increases a patient's likelihood of being alive and in their own home at up to 12 months | Evidence-Based Nursing We use cookies to improve our service and to tailor our content and advertising to you. You can manage your cookie settings via your browser at any time. To learn more (...) about how we use cookies, please see our . Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? Search for this keyword Search for this keyword Main menu Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? You are here Review: comprehensive geriatric assessment increases a patient's likelihood of being alive

2012 Evidence-Based Nursing

86. Geriatric Trauma, Evaluation and Management of

Geriatric Trauma, Evaluation and Management of Geriatric Trauma, Evaluation and Management of - Practice Management Guideline Search » Geriatric Trauma, Evaluation and Management of Published 2012 Citation: Authors Calland, James Forrest MD; Ingraham, Angela M. MD; Martin, Niels MD; Marshall, Gary T. MD; Schulman, Carl I. MD, PhD, MSPH; Stapleton, Tristan; Barraco, Robert D. MD, MPH Author Information From the Department of Surgery (J.F.C.), University of Virginia, Charlottesville, Virginia (...) of evaluation afforded to younger patients. Among academic trauma surgeons, a substantial difference of opinion seems to exist on whether falls from standing or hip fractures qualify as a “geriatric trauma” worthy of admission to a dedicated trauma service. This ambivalence seems to extend into the community where there exists substantial evidence that elderly patients are less likely to be referred to trauma centers—perhaps because of conflicting experimental evidence on the survival of the elderly injured

2012 Eastern Association for the Surgery of Trauma

87. A systematic review of comprehensive geriatric assessment to improve outcomes for frail older people being rapidly discharged from acute hospital: `interface geriatrics` (PubMed)

A systematic review of comprehensive geriatric assessment to improve outcomes for frail older people being rapidly discharged from acute hospital: `interface geriatrics` many frail older people who attend acute hospital settings and who are discharged home within short periods (up to 72 h) have poor outcomes. This review assessed the role of comprehensive geriatric assessment (CGA) for such people.standard bibliographic databases were searched for high-quality randomised controlled trials (RCTs

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2011 EvidenceUpdates

88. Evidence summary: systematic review of surgical treatments for geriatric hip fractures (PubMed)

Evidence summary: systematic review of surgical treatments for geriatric hip fractures There is a growing body of literature on surgical treatments for elderly patients with a hip fracture and the effects of various surgical procedures on complications and postoperative outcomes. No single review has previously summarized the literature on the effects of surgical procedures on outcomes after treatment across all types of hip fractures. We conducted a comprehensive systematic literature review (...) to organize the clinical evidence for patient-centered outcomes across all types of geriatric hip fractures.We searched MEDLINE, the Cochrane Database of Systematic Reviews, Scirus, and ClinicalTrials.gov for randomized clinical trials and observational studies published between 1985 and 2008. We also manually searched reference lists from relevant systematic reviews.We found eighty-four [corrected] articles representing seventy-four [corrected] unique, randomized, controlled trials, including thirty

2011 EvidenceUpdates

89. The Six-Item Screener and AD8 for the Detection of Cognitive Impairment in Geriatric Emergency Department Patients (PubMed)

The Six-Item Screener and AD8 for the Detection of Cognitive Impairment in Geriatric Emergency Department Patients We evaluate the diagnostic test characteristics of the Six-Item Screener and the AD8 to detect cognitive dysfunction in adults older than 65 years and using the emergency department (ED) for any reason.We conducted an observational cross-sectional cohort study at a single academic urban university-affiliated hospital. Subjects were consenting, non--critically ill, English-speaking

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2011 EvidenceUpdates

90. Summary of the Updated American Geriatrics Society/British Geriatrics Society clinical practice guideline for prevention of falls in older persons (PubMed)

Summary of the Updated American Geriatrics Society/British Geriatrics Society clinical practice guideline for prevention of falls in older persons The following article is a summary of the American Geriatrics Society/British Geriatrics Society Clinical Practice Guideline for Prevention of Falls in Older Persons (2010). This article provides additional discussion of the guideline process and the differences between the current guideline and the 2001 version and includes the guidelines (...) ' recommendations, algorithm, and acknowledgments. The complete guideline is published on the American Geriatrics Society's Web site (http://www.americangeriatrics.org/health_care_professionals/clinical_practice/clinical_guidelines_recommendations/2010/).© 2011, Copyright the Authors. Journal compilation © 2011, The American Geriatrics Society.

2011 EvidenceUpdates

91. Interventions for preventing and reducing the use of physical restraints in long-term geriatric care. (PubMed)

Interventions for preventing and reducing the use of physical restraints in long-term geriatric care. Physical restraints (PR) are commonly used in geriatric long-term care. Restraint-free care should be the aim of high quality nursing care.To evaluate the effectiveness of interventions to prevent and reduce the use of physical restraints in older people who require long-term nursing care (either in community nursing care or in residential care facilities).The Cochrane Dementia and Cognitive (...) Improvement Group's Specialized Register, MEDLINE, EMBASE, CINAHL, PsycINFO, LILACS, a number of trial registers and grey literature sources were searched on 7 September 2009. The following search terms were used: "physical restraint*", bedrail*, bedchair*, "containment measure*, elderly, "old people", geriatric*, aged, "nursing home*", "care home*", "geriatric care", "residential facilit*".Individual or cluster-randomised controlled trials comparing an intervention aimed at reducing the use of physical

2011 Cochrane

92. Models of community care for the elderly involving collaboration between specialized geriatric services and primary care practitioners

Models of community care for the elderly involving collaboration between specialized geriatric services and primary care practitioners MODELS OF COMMUNITY CARE FOR THE ELDERLY INVOLVING COLLABORATION BETWEEN SPECIALIZED GERIATRIC SERVICES AND PRIMARY CARE PRACTITIONERS For: The Regional Geriatric Program of Eastern Ontario; c/o Fara Amnizadeh From: Knowledge To Action, Ottawa Hospital Research Institute; Managing coordinator: Kristin Konnyu Submitted: September 14 th , 2011. TABLE OF CONTENTS 1 (...) available upon request. - Due to the exploratory nature of this project, a broad definition of ‘review’ was employed in capturing articles that synthesized potentially relevant information on models of interest (e.g. review, systematic review, discussion papers, etc.) COMMENTS/REFLECTIONS ON LITERATURE - As expected, there is a paucity of literature document models of collaboration between specialized geriatric services (SGS) and primary care physicians (PCPs). Where models/programs do exist, the focus

2011 OHRI Knowledge to Action

93. Comprehensive geriatric assessment for older adults admitted to hospital: meta-analysis of randomised controlled trials. (PubMed)

Comprehensive geriatric assessment for older adults admitted to hospital: meta-analysis of randomised controlled trials. To evaluate the effectiveness of comprehensive geriatric assessment in hospital for older adults admitted as an emergency.We searched the EPOC Register, Cochrane's Controlled Trials Register, the Database of Abstracts of Reviews of Effects (DARE), Medline, Embase, CINAHL, AARP Ageline, and handsearched high yield journals.Randomised controlled trials of comprehensive (...) geriatric assessment (whether by mobile teams or in designated wards) compared with usual care. Comprehensive geriatric assessment is a multidimensional interdisciplinary diagnostic process used to determine the medical, psychological, and functional capabilities of a frail elderly person to develop a coordinated and integrated plan for treatment and long term follow-up.Three independent reviewers assessed eligibility and trial quality and extracted published data. Two additional reviewers

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2011 BMJ

94. Review: the STRATIFY prediction tool has limited accuracy for predicting falls in hospital and geriatric rehabilitation inpatients

Review: the STRATIFY prediction tool has limited accuracy for predicting falls in hospital and geriatric rehabilitation inpatients Review: the STRATIFY prediction tool has limited accuracy for predicting falls in hospital and geriatric rehabilitation inpatientsCommentary | Evidence-Based Nursing We use cookies to improve our service and to tailor our content and advertising to you. You can manage your cookie settings via your browser at any time. To learn more about how we use cookies, please (...) see our . Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? Search for this keyword Search for this keyword Main menu Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? You are here Review: the STRATIFY prediction tool has limited accuracy for predicting falls in hospital and geriatric rehabilitation

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2010 Evidence-Based Nursing

95. Effectiveness of a geriatric intervention in primary care: a randomized clinical trial (PubMed)

Effectiveness of a geriatric intervention in primary care: a randomized clinical trial To assess the effectiveness of an intervention after comprehensive geriatric assessment (CGA) in reducing morbidity and mortality in patients over 74 years in primary care.Randomized controlled trial with 18 months of follow-up. Patients in the control group (CG) followed usual care. Patients in the intervention group (IG) were classified as at risk or non-risk of frailty based on the CGA. Patients at non

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2010 EvidenceUpdates

96. The effectiveness of inpatient geriatric evaluation and management units: a systematic review and meta-analysis (PubMed)

The effectiveness of inpatient geriatric evaluation and management units: a systematic review and meta-analysis To examine how geriatric evaluation and management units (GEMUs) are organized and to examine the effectiveness of admission on a GEMU.Systematic review and meta-analysis based on literature search of multiple databases and the references lists of all identified articles and by contacting authors.GEMUs.Elderly people admitted to a GEMU.Quality of the studies was assessed on 10 (...) criteria. The outcome parameters were mortality, institutionalization, functional decline, readmission, and length of stay at different follow-up points. A random-effects meta-analysis was performed using Hedges' gu and variance of relative risk (RR).GEMUs are organized in a heterogeneous way and the included studies gave no thorough description of comprehensive geriatric assessment (CGA). Involvement of a multidisciplinary team was a key element in all GEMUs. The individual trials showed

2010 EvidenceUpdates

97. The Relationship Between Vitamin D Deficiency and Cognitive Decline in the Geriatric Population

The Relationship Between Vitamin D Deficiency and Cognitive Decline in the Geriatric Population "The Relationship Between Vitamin D Deficiency and Cognitive Decline in" by Erin Walker < > > > > > Title Author Date of Graduation 8-14-2010 Degree Type Capstone Project Degree Name Master of Science in Physician Assistant Studies First Advisor Mary Von PA-C, MS, DFAAPA Second Advisor Annjanette Sommers MS, PAC Third Advisor Rob Rosenow PharmD, OD Rights . Abstract Background: The role that vitamin (...) medical care, and it should focus on the efficacy of using supplemental vitamin D to decrease risk of age-related cognitive decline. Recommended Citation Walker, Erin, "The Relationship Between Vitamin D Deficiency and Cognitive Decline in the Geriatric Population" (2010). School of Physician Assistant Studies . 194. https://commons.pacificu.edu/pa/194 DOWNLOADS Since August 18, 2010 Included in Share COinS Browse Search Enter search terms: Select context to search: Authors Quick Links | | | |

2010 Pacific University EBM Capstone Project

98. Inpatient rehabilitation specifically designed for geriatric patients: systematic review and meta-analysis of randomised controlled trials. (PubMed)

Inpatient rehabilitation specifically designed for geriatric patients: systematic review and meta-analysis of randomised controlled trials. To assess the effects of inpatient rehabilitation specifically designed for geriatric patients compared with usual care on functional status, admissions to nursing homes, and mortality.Systematic review and meta-analysis.Medline, Embase, Cochrane database, and reference lists from published literature. Review methods Only randomised controlled trials were (...) of general or orthopaedic geriatric rehabilitation programmes with usual care were included. Meta-analyses of effects indicated an overall benefit in outcomes at discharge (odds ratio 1.75 (95% confidence interval 1.31 to 2.35) for function, relative risk 0.64 (0.51 to 0.81) for nursing home admission, relative risk 0.72 (0.55 to 0.95) for mortality) and at end of follow-up (1.36 (1.07 to 1.71), 0.84 (0.72 to 0.99), 0.87 (0.77 to 0.97), respectively). Limited data were available on impact on health care

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2010 BMJ

99. The effectiveness of inpatient geriatric evaluation and management units: a systematic review and meta-analysis

The effectiveness of inpatient geriatric evaluation and management units: a systematic review and meta-analysis The effectiveness of inpatient geriatric evaluation and management units: a systematic review and meta-analysis The effectiveness of inpatient geriatric evaluation and management units: a systematic review and meta-analysis Van Craen K, Braes T, Wellens N, Denhaerynck K, Flamaing J, Moons P, Boonen S, Gosset C, Petermans J, Milisen K CRD summary This review examined the effectiveness (...) of inpatient geriatric evaluation and management units and found that they may add value to the care of frail older people, but that more and better quality primary research was needed. Not enough detail about the review process was provided, but the cautious conclusion appears appropriate given the evidence provided. Authors' objectives To examine the effectiveness of inpatient geriatric evaluation and management units (GEMUs). Searching Five databases were searched, including MEDLINE and EMBASE

2010 DARE.

100. Which version of the geriatric depression scale is most useful in medical settings and nursing homes? Diagnostic validity meta-analysis

Which version of the geriatric depression scale is most useful in medical settings and nursing homes? Diagnostic validity meta-analysis Which version of the geriatric depression scale is most useful in medical settings and nursing homes? Diagnostic validity meta-analysis Which version of the geriatric depression scale is most useful in medical settings and nursing homes? Diagnostic validity meta-analysis Mitchell AJ, Bird V, Rizzo M, Meader N CRD summary This review concluded that all versions (...) of the geriatric depression scale (GDS) provided potential added value in medical settings. GDS 4/5 was most efficient. In the absence of GDS 4/5 data for nursing homes, GDS 15 may be preferred. Limitations in the methods and reporting of the review mean that these conclusions should be interpreted cautiously. Authors' objectives To assess the diagnostic accuracy of different forms (long, short and ultrashort) of the Geriatric Depression Scale (GDS) in patients with and without cognitive impairment. Searching

2010 DARE.