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Latest & greatest articles for geriatrics
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ED Prevention of Geriatric Falls Emergency Medicine > Journal Club > Archive > November 2014 Toggle navigation November 2014 ED Prevention of Geriatric Falls Vignette Mrs. C., an 86-year old female, presents to your academic emergency department (ED) via ambulance after an accidental fall at home. She is a recent widower and lives alone, but she reports that she has two adult “children” that live nearby and check on her every day either in-person or by telephone. About 12-hours prior to ED (...) podcast about geriatric adult fall-risk stratification in the post-ED period. The podcast discusses a prognostic systematic review on this topic, which you decide to read to learn more. The systematic review provides you with a search strategy to find more published research on this topic. PICO Question #1 Population: Geriatric patients in the ED Intervention: Risk-stratification for falls and injurious falls in the months following an episode of ED care Comparison: None Outcome: Sensitivity
Thromboprophylaxis in geriatric patients with hip, pelvic, and acetabular fractures: a systematic review Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. CRD bears no responsibility or liability for the content of this registration record, any associated files or external websites. Email salutation (e.g. "Dr Smith" or "Joanne") for correspondence: Organisation web
Management of geriatric depression identified in the acute care setting Management of geriatric depression identified in the acute care setting Management of geriatric depression identified in the acute care setting Lavenberg JG, Trotta RL, Umscheid CA Record Status This is a bibliographic record of a published health technology assessment. No evaluation of the quality of this assessment has been made for the HTA database. Citation Lavenberg JG, Trotta RL, Umscheid CA. Management of geriatric
Prevention of dehydration in geriatric patients in long-term care: guidelines Prevention of dehydration in geriatric patients in long-term care: guidelines Prevention of dehydration in geriatric patients in long-term care: guidelines CADTH Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation CADTH. Prevention of dehydration in geriatric (...) patients in long-term care: guidelines. Ottawa: Canadian Agency for Drugs and Technologies in Health (CADTH). Rapid Response. 2014 Authors' conclusions Four evidence-based guidelines were identified regarding the prevention or identification of dehydration in geriatric patients in long-term care. Final publication URL Indexing Status Subject indexing assigned by CRD MeSH Aged; Dehydrations; Fluid Therapy; Long-Term Care; Nursing Homes; Primary Prevention Language Published English Country
BODE index or geriatric multidimensional assessment for the prediction of very-long-term mortality in elderly patients with chronic obstructive pulmonary disease? A prospective cohort study a multidimensional approach-the BODE index-has been proposed for prognostic purposes in chronic obstructive pulmonary disease (COPD) and theoretically seems to be well suited for elderly people, but there is a lack of data in this population, especially with respect to long-term survival. The objective (...) of this study is to evaluate whether the BODE index can predict both long (5 years) and very-long (10 and 15 years)-term mortality in an unselected population of elderly people with COPD better than a set of variables commonly taken into account in a geriatric multidimensional assessment (MDA).: this was a multicentre, prospective, population study. We used data from the SaRA study, which included 563 elderly people with COPD whose vital status was ascertained for up to 15 years after enrolment
Ortho-geriatric care models and outcomes in hip fracture patients: a systematic review and meta-analysis Untitled Document The CRD Databases will not be available from 08:00 BST on Friday 4th October until 08:00 BST on Monday 7th October for essential maintenance. We apologise for any inconvenience.
The risk of adverse outcomes in hospitalized older patients in relation to a frailty index based on a comprehensive geriatric assessment prognostication for frail older adults is complex, especially when they become seriously ill.to test the measurement properties, especially the predictive validity, of a frailty index based on a comprehensive geriatric assessment (FI-CGA) in an acute care setting in relation to the risk of death, length of stay and discharge destination.prospective cohort
Specialist geriatric medical assessment for patients discharged from hospital acute assessment units: randomised controlled trial. To evaluate the effect of specialist geriatric medical management on the outcomes of at risk older people discharged from acute medical assessment units.Individual patient randomised controlled trial comparing intervention with usual care.Two hospitals in Nottingham and Leicester, UK.433 patients aged 70 or over who were discharged within 72 hours of attending (...) an acute medical assessment unit and at risk of decline as indicated by a score of at least 2 on the Identification of Seniors At Risk tool.Assessment made on the acute medical assessment unit and further outpatient management by specialist physicians in geriatric medicine, including advice and support to primary care services.The primary outcome was the number of days spent at home (for those admitted from home) or days spent in the same care home (if admitted from a care home) in the 90 days after
Head-to-head comparison of disaster triage methods in pediatric, adult, and geriatric patients A variety of methods have been proposed and used in disaster triage situations, but there is little more than expert opinion to support most of them. Anecdotal disaster experiences often report mediocre real-world triage accuracy. The study objective was to determine the accuracy of several disaster triage methods when predicting clinically important outcomes in a large cohort of trauma (...) victims.Pediatric, adult, and geriatric trauma victims from the National Trauma Data Bank were assigned triage levels, using each of 6 disaster triage methods: simple triage and rapid treatment (START), Fire Department of New York (FDNY), CareFlight, Glasgow Coma Scale (GCS), Sacco Score, and Unadjusted Sacco Score. Methods for approximating triage systems were vetted by subject matter experts. Triage assignments were compared against patient mortality at hospital discharge with area under the receiver operator
Predicting outcome after hip fracture: using a frailty index to integrate comprehensive geriatric assessment results hip fracture is expensive in terms of mortality, hospital length of stay (LOS) and consequences for independence. Poor outcome reflects the vulnerability of patients who typically sustain this injury, but the impact of different comorbidities and impairments is complex to understand. We consider this in a prospective cohort study designed to examine how a patients' frailty index (...) (FI) predicts outcome.consecutive patients with low trauma hip fracture were assessed, excluding only those unfit for surgery. Comprehensive Geriatric Assessment (CGA) findings were used to derive a FI for each patient, which was examined alongside other assessment and outcome data from our National Hip Fracture Database (NHFD) submission for these individuals.we describe 178 patients; mean age 81 years, 73.5% female. The mean FI was 0.34 (SD = 0.16), and logistic regression identified abbreviated
Geriatric Patient Care by U.S. Pharmacists in Healthcare Teams: Systematic Review and Meta-Analyses To conduct a systematic review and meta-analyses to examine the effects of pharmacists' care on geriatric patient-oriented health outcomes in the United States (U.S.).Studies examining U.S. pharmacists' patient care services from inception of the databases through July 2012 were searched. The databases searched include PubMed/MEDLINE, Ovid/MEDLINE, ABI/INFORM, Health Business Fulltext Elite (...) , Academic Search Complete, International Pharmaceutical Abstracts, PsycINFO, Cochrane Database, and Clinical Trials.gov. Studies reporting pharmacists' intervention for geriatric patients, comparison groups, and patient-oriented outcomes were assessed. Dual review for inclusion and data extraction were performed.University of Arizona College of Pharmacy.Study and participant characteristics, pharmacist intervention, and outcomes with data for meta-analyses were collected. A forest plot was constructed
Efficacy of Chlorhexidine Varnish In Treating Root Caries Of Geriatric Patients UTCAT2411, Found CAT view, CRITICALLY APPRAISED TOPICs University: | | ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM View the CAT / Title Efficacy of Chlorhexidine Varnish In Treating Root Caries of Geriatric Patients Clinical Question Will the application of a chlorhexidine varnish prevent or reduce the progression of root caries in a geriatric population versus a placebo group? Clinical Bottom Line Chlorhexidine (...) varnish can aid in the reduction of the occurrence and progression of root caries in geriatric patients. Best Evidence (you may view more info by clicking on the PubMed ID link) PubMed ID Author / Year Patient Group Study type (level of evidence) #1) Banting/2000 236 Subjects Randomized control Trial Key results Treatment with 10% chlohexidine varnish demonstrated a significant reduction in root caries (p=0.02) and total caries (p=0.03) versus the placebo groups. The chlorhexidine varnish treatment
Advanced age affects the outcome-predictive power of RIFLE classification in geriatric patients with acute kidney injury The RIFLE (risk, injury, failure, loss, and end-stage) classification is widely used to gauge the severity of acute kidney injury, but its efficacy has not been formally tested in geriatric patients. To correct this we conducted a prospective observational study in a multicenter cohort of 3931 elderly patients (65 years of age or older) who developed acute kidney injury
Geriatric Trauma Management ACS TQIP GERIATRIC TRAUMA MANAGEMENT GUIDELINESTable of Contents Background and Introduction 3 Trauma Team Activation 3 Initial Evaluation 3 Specialized Geriatric Inpatient Care 5 Patient Decision-Making Capacity and Care Preferences 6 Discharge 7 Appendix I 9 Beers Criteria for Potentially Inappropriate Medication Use in Older Adults Appendix II 17 Legally Relevant Criteria for Decision-Making Capacity and Approaches for Assessment of the Patient Screening (...) for Depression Screening for Alcohol and Substance Abuse Assessing Baseline and Current Functional Status in Ambulatory Patients Assessing Gait and Mobility Impairment and Fall Risk in Ambulatory Patients Frailty Score: Operational Definition Frailty Score Screening for Nutritional Risk Bibliography 21 References 27 Expert Panel 28 2Background and Introduction Traumatic injury in the geriatric population is increasing in prevalence and is associated with higher mortality and complication rates compared
Preoperative comprehensive geriatric assessment and impact on postoperative outcomes in older patients undergoing elective surgery: a systematic review. Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. CRD bears no responsibility or liability for the content of this registration record, any associated files or external websites. Email salutation (e.g. "Dr Smith
Effectiveness of inpatient geriatric consultation teams on functional and cognitive status, mortality, readmission rate and length of stay Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. CRD bears no responsibility or liability for the content of this registration record, any associated files or external websites. Email salutation (e.g. "Dr Smith" or "Joanne
Specialized geriatric care for hospitalized inpatients Specialized geriatric care for hospitalized inpatients Specialized geriatric care for hospitalized inpatients Lavenberg JG, Williams K Record Status This is a bibliographic record of a published health technology assessment. No evaluation of the quality of this assessment has been made for the HTA database. Citation Lavenberg JG, Williams K. Specialized geriatric care for hospitalized inpatients. Philadelphia: Center for Evidence-based (...) Practice (CEP). 2013 Final publication URL Indexing Status Subject indexing assigned by CRD MeSH Geriatric Nursing; Humans; Inpatients Language Published English Country of organisation United States English summary An English language summary is available. Address for correspondence Center for Evidence-based Practice, University of Pennsylvania Health System, 3535 Market St. Suite 50, Philadelphia PA 19104 Email: Cep2@uphs.upenn.edu AccessionNumber 32014000621 Date abstract record published 17/06/2014
Australian and New Zealand Society for Geriatric Medicine position statement 13. Delirium in older people Australian and New Zealand Society for Geriatric Medicine Position Statement 13 Delirium in Older People Revised 2012 1. Delirium is a syndrome characterized by the rapid onset of impaired attention that fluctuates, together with impaired cognition and / or altered consciousness, perceptual disturbances and behaviour. It may be the only sign of serious medical illness in an older person (...) ACE units. This Position Statement represents the views of the Australian and New Zealand Society for Geriatric Medicine. This Statement was approved by the Federal Council of the ANZSGM on May 1 2012. The revision of this paper was coordinated by Drs Teck Yew and Sean Maher. The original paper was coordinated by Dr Sean Maher. BACKGROUND PAPER Delirium is a syndrome characterized by the rapid onset of impairment of attention that fluctuates, together with impaired cognition and / or altered
Frailty screening methods for predicting outcome of a comprehensive geriatric assessment in elderly patients with cancer: a systematic review Comprehensive geriatric assessment (CGA) is done to detect vulnerability in elderly patients with cancer so that treatment can be adjusted accordingly; however, this process is time-consuming and pre-screening is often used to identify fit patients who are able to receive standard treatment versus those in whom a full CGA should be done. We aimed (...) different frailty screening methods were assessed. The median sensitivity and specificity of each screening method for predicting frailty on CGA were as follows: Vulnerable Elders Survey-13 (VES-13), 68% and 78%; Geriatric 8 (G8), 87% and 61%; Triage Risk Screening Tool (TRST 1+; patient considered frail if one or more impairments present), 92% and 47%, Groningen Frailty Index (GFI) 57% and 86%, Fried frailty criteria 31% and 91%, Barber 59% and 79%, and abbreviated CGA (aCGA) 51% and 97%. However, even
Dialogue on Geriatrics: How Should We Fix the Problem? 22986387 2012 12 03 2018 12 01 1539-3704 157 6 2012 Sep 18 Annals of internal medicine Ann. Intern. Med. Dialogue on geriatrics: how should we fix the problem? 456-7; author reply 458-9 10.7326/0003-4819-157-6-201209180-00018 Madden Kenneth M KM Rockwood Kenneth K eng 77789-1 Canadian Institutes of Health Research Canada Letter Comment United States Ann Intern Med 0372351 0003-4819 AIM IM Ann Intern Med. 2012 May 1;156(9):654-6 22547474 (...) Career Choice Geriatrics education Humans Workforce CAMS3232 2012 9 19 6 0 2012 9 19 6 0 2012 12 10 6 0 ppublish 22986387 1359229 10.7326/0003-4819-157-6-201209180-00018 PMC3767604 CAMS3232 Clin Geriatr Med. 2011 Feb;27(1):17-26 21093719 BMJ. 2011;343:d6553 22034146 Ann Intern Med. 2012 May 1;156(9):654-6 22547474 Can Geriatr J. 2013;16(1):1-2 23441141