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Geriatrics

Systematic review: Prognostic variables and scores identifying the end of life in COPD

7 Oct, 2017 | 22:07h | UTC

Prognostic variables and scores identifying the end of life in COPD: a systematic review – International Journal of Chronic Obstructive Pulmonary Disease (free)

 


Review – Strategies for dementia prevention: latest evidence and implications

7 Oct, 2017 | 22:01h | UTC

Strategies for dementia prevention: latest evidence and implications – Therapeutic Advances in Chronic Disease (free)

 


Research: Development and validation of QMortality risk prediction algorithm to estimate short term risk of death and assess frailty

3 Oct, 2017 | 21:58h | UTC

Development and validation of QMortality risk prediction algorithm to estimate short term risk of death and assess frailty: cohort study – The BMJ (free)

Editorial: Identifying frailty in primary care (free)

Commentary: Frailty calculator to support GPs in targeting patients for better care – MyScience (free)

See calculators: QMortality®-2017 risk calculator (free) AND QFrailty®-2017 risk calculator (free)

“the tool can reliably estimate risk of dying within 12 months and risk of unplanned admissions among patients aged between 65 and 100 years old” (from MyScience).

 


International Day of Older Persons – 1st October 2017

1 Oct, 2017 | 16:06h | UTC

International Day of Older Persons – 1st October 2017: Health services must stop leaving older people behind – World Health Organization (free)

Related Guideline: WHO Guidelines on Integrated Care for Older People (ICOPE) – World Health Organization (free)

See also WHO’s work on ageing

 


Systematic Review: Impact of Transitional Care Services for Chronically Ill Older Patients

1 Oct, 2017 | 15:19h | UTC

Impact of Transitional Care Services for Chronically Ill Older Patients: A Systematic Evidence Review – Journal of The American Geriatrics Society (link to abstract – $ for full-text)

Source: Review: In older patients with chronic disease, transitional care reduces mortality and readmissions – ACP Journal Club ($)

 


Research: Lorazepam With Haloperidol vs Haloperidol Alone on Agitated Delirium in Patients Receiving Palliative Care

1 Oct, 2017 | 15:04h | UTC

Effect of Lorazepam With Haloperidol vs Haloperidol Alone on Agitated Delirium in Patients With Advanced Cancer Receiving Palliative Care: A Randomized Clinical Trial – JAMA (link to abstract – $ for full-text)

Commentaries: Lorazepam, Haloperidol, and Delirium – Pallimed (free) AND Drug Combo Found Helpful in End-of-Life Delirium – MedPage Today (free registration required) AND Lorazepam Plus Haloperidol Improves Agitation in Cancer-Related Delirium – OncologyNurse Advisor (free)

 


Review: Delirium in hospitalized patients: Risks and benefits of antipsychotics

1 Oct, 2017 | 14:43h | UTC

Delirium in hospitalized patients: Risks and benefits of antipsychotics – Cleveland Clinic Journal of Medicine (free)

 


Randomized Trial: Effect of Systematic Intensive Care Unit Triage Among Critically Ill Elderly Patients

30 Sep, 2017 | 13:35h | UTC

#LIVES2017 – Effect of Systematic Intensive Care Unit Triage on Long-term Mortality Among Critically Ill Elderly Patients in France: A Randomized Clinical Trial – JAMA (free)

Editorial: Admitting Elderly Patients to the Intensive Care Unit—Is it the Right Decision? (free)

 


Guidelines for the prevention of travel-associated illness in older adults

27 Sep, 2017 | 14:25h | UTC

Guidelines for the prevention of travel-associated illness in older adults – Tropical Diseases, Travel Medicine and Vaccines (free)

 


Draft Recommendation Statement: Falls Prevention in Community-Dwelling Older Adults

27 Sep, 2017 | 14:07h | UTC

Falls Prevention in Community-Dwelling Older Adults: Interventions – U.S. Preventive Services Task Force (free)

Commentaries: USPSTF Draft Recommendations for Falls and Fracture Prevention – Medscape (free registration required) AND USPSTF Draft Statement: Vitamin D Supplements No Longer Recommended to Prevent Falls in Seniors – Physician’s First Watch (free)

Related guidelines: Falls in older people: assessing risk and prevention – NICE (free) AND Evidence-based guidelines for fall prevention in Korea (free) AND Summary of the Updated American Geriatrics Society/British Geriatrics Society Clinical Practice Guideline for Prevention of Falls in Older Persons (free PDF) AND Management of Falls in Community-Dwelling Older Adults: Clinical Guidance Statement From the Academy of Geriatric Physical Therapy of the American Physical Therapy Association (free) AND Prevention of fall-related injuries in the elderly: An Eastern Association for the Surgery of Trauma practice management guideline (free)

 


Systematic Review: Comprehensive geriatric assessment for older adults admitted to hospital

20 Sep, 2017 | 22:26h | UTC

Comprehensive geriatric assessment for older adults admitted to hospital – Cochrane Library (free)

Original article: Comprehensive geriatric assessment for older adults admitted to hospital – Cochrane Library (link to abstract – $ for full-text)

Related: Comprehensive assessment may reduce risk of delirium after hip fracture – NIHR Signal (free)

“Older patients are more likely to be alive and in their own homes at follow-up if they received comprehensive geriatric assessment on admission to hospital”.

 


Review: Common Drug Side Effects and Drug-Drug Interactions in Elderly Adults in Primary Care

20 Sep, 2017 | 20:44h | UTC

Common Drug Side Effects and Drug-Drug Interactions in Elderly Adults in Primary Care – Journal of The American Geriatrics Society, via Medscape (free registration required)

 


Guidelines on perioperative venous thromboembolism prophylaxis: Surgery in the elderly

18 Sep, 2017 | 14:05h | UTC

European guidelines on perioperative venous thromboembolism prophylaxis: Surgery in the elderly – European Journal of Anaesthesiology (free PDF)

 


Study: Menopausal Hormone Therapy and Long-term All-Cause and Cause-Specific Mortality

16 Sep, 2017 | 18:23h | UTC

Menopausal Hormone Therapy and Long-term All-Cause and Cause-Specific Mortality: The Women’s Health Initiative Randomized Trials – JAMA (link to abstract – $ for full-text)

Commentaries: Taking Hormones for Menopause Doesn’t Raise Early Death Risk – The New York Times (free) AND Menopause hormone therapy not linked to premature death – Reuters (free) AND Menopause hormones don’t shorten lives, long follow-up says – STAT (free)

 


Review: Erectile dysfunction in the elderly male

16 Sep, 2017 | 17:57h | UTC

Erectile dysfunction in the elderly male – Turkish Journal of Urology (free)

 


Review: Adverse effects of proton-pump inhibitor use in older adults

12 Sep, 2017 | 20:58h | UTC

Adverse effects of proton-pump inhibitor use in older adults: a review of the evidence – Therapeutic Advances in Drug Safety (free)

 


Free Online Course: Living with Dementia: Impact on Individuals, Caregivers, Communities and Societies

11 Sep, 2017 | 01:01h | UTC

Starts Today! Free Online Course: Living with Dementia: Impact on Individuals, Caregivers, Communities and Societies – Johns Hopkins University and Coursera

 


11 Drugs You Should Seriously Consider Deprescribing

11 Sep, 2017 | 00:24h | UTC

11 Drugs You Should Seriously Consider Deprescribing – Medscape Slideshow (free registration required)

Related: Canadian Deprescribing Network (CaDeN) (free) AND CaDeN Deprescribing Guidelines and Algorithms (free) AND Deprescribing guidelines for the elderly – Ontario Pharmacy Evidence Network (free) AND Deprescribing proton pump inhibitors: Evidence-based clinical practice guideline – Canadian Family Physician (free) AND Too Many Meds? America’s Love Affair With Prescription Medication – Consumer Reports (free) AND Patient often prescribed potentially futile drugs in their final months of life – Science Daily AND The Challenge of Polypharmacy: From Rhetoric to Reality – Royal Pharmaceutical Society and Royal College of General Practitioners Partnership (free PDF) Current and future perspectives on the management of polypharmacy – BMC Family Practice (free)

 


Guideline: Defining Optimal Brain Health in Adults

10 Sep, 2017 | 01:36h | UTC

Defining Optimal Brain Health in Adults: A Presidential Advisory From the American Heart Association/American Stroke Association (free)

See also: Advisory Highlights: Seven steps to keep your brain healthy from childhood to old age (free) AND News release: As brain problems increase, experts offer advice to keep yours healthy (free) AND Commentary: Optimal Cardiovascular Health and a Healthy Brain (free) AND Top Ten Things to Know: Defining Optimal Brain Health in Adults (free PDF)

Commentary: Heart and Stroke Groups Issue Advisory on Optimal Brain Health – Physician’s First Watch (free)

 


Chronic Health Conditions and Key Health Indicators Among Lesbian, Gay, and Bisexual Older Adults

10 Sep, 2017 | 01:28h | UTC

Chronic Health Conditions and Key Health Indicators Among Lesbian, Gay, and Bisexual Older US Adults, 2013–2014 – American Journal of Public Health (link to abstract – $ for full-text)

Commentaries: Lesbian, Gay and Bisexual Older Adults Suffer More Chronic Health Conditions Than Heterosexuals, Study Finds – The University of Washington, via NewsWise (free) AND LGB Older Adults Suffer More Chronic Health Conditions Than Heterosexuals, Study Finds – Science Magazine (free)

 


Ten Recommendations: Designing a High-Performing Health Care System for Patients with Complex Needs

6 Sep, 2017 | 18:41h | UTC

Designing a High-Performing Health Care System for Patients with Complex Needs: Ten Recommendations for Policymakers – The Commonwealth fund (free)

Related: Redesigning Care for High-Cost, High-Risk Patients – Harvard Business Review (a few articles per month are free) AND Caring for High-Need, High-Cost Patients — An Urgent Priority – New England Journal of Medicine (free) AND Multimorbidity: clinical assessment and management – NICE Guideline (free) AND Multimorbidity in Older Adults with Cardiovascular Disease – American College of Cardiology, Latest in Cardiology (free) AND Focusing on High-Cost Patients — The Key to Addressing High Costs? – NEJM Catalyst (free) AND Richard Smith: The challenge of high need, high cost patients – The BMJ Blogs (free) AND Playbook: Better Care for People with Complex Needs – Institute for Healthcare Improvement (free)

 


Comprehensive geriatric assessment may reduce risk of delirium after hip fracture

6 Sep, 2017 | 18:34h | UTC

Comprehensive assessment may reduce risk of delirium after hip fracture – NIHR Signal (free)

Original article: Comprehensive Geriatric Assessment for Prevention of Delirium After Hip Fracture: A Systematic Review of Randomized Controlled Trials – Journal of The American Geriatrics society (link to abstract – $ for full-text)

“Comprehensive geriatric assessment reduced the risk of delirium by 20% in patients having hip fracture surgery” (RT @NIHR_DC see Tweet)

 


Study: Identifying incipient dementia individuals using machine learning and amyloid imaging

4 Sep, 2017 | 15:26h | UTC

Identifying incipient dementia individuals using machine learning and amyloid imaging – Neurobiology of Aging (free)

Commentaries: A.I., Big Data Project Predicts Dementia 2 Years Before Symptoms Onset, Researchers Show – Alzheimer’s News Today (free) AND Artificial intelligence predicts dementia before onset of symptoms – Science Daily (free)

See also related article and commentaries on Elevated Brain Amyloid and Subsequent Cognitive Decline Among Cognitively Normal Persons

 


Study: A fast and frugal algorithm to strengthen diagnosis and treatment decisions for catheter-associated bacteriuria

4 Sep, 2017 | 14:36h | UTC

A fast and frugal algorithm to strengthen diagnosis and treatment decisions for catheter-associated bacteriuria – PLOS One (free)

Source: Hospital Medicine Virtual Journal Club

 


Cohort Study: Association between sedentary time and mortality across levels of frailty

1 Sep, 2017 | 20:57h | UTC

Association between sedentary time and mortality across levels of frailty – Canadian Medical Association Journal (free)

Commentary: Prolonged sitting and frailty a deadly combination – Medical News Today (free) AND Inactivity Toll Worst for Frailest Elders – Medscape (free registration required)

 


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