Geriatrics
Case–Crossover Study: Association Between Home Care Visits and Same-Day Emergency Department Use
3 May, 2018 | 18:44h | UTCCommentaries: Seniors more likely to visit the ER after nurse’s home care visit – McMaster University (free) AND Seniors visit ER’s more frequently after nurse’s home care visit – UPI (free)
Polypharmacy Guidance, Realistic Prescribing
27 Apr, 2018 | 02:58h | UTCPolypharmacy Guidance, Realistic Prescribing 3 rd Edition, 2018 – Scottish Government Polypharmacy Model of Care Group (free PDF) (via @trishgreenhalgh)
Related Reviews: Current and future perspectives on the management of polypharmacy – BMC Family Medicine (free) AND Routine deprescribing of chronic medications to combat polypharmacy – Therapeutic Advances in Drug Safety (free) AND Polypharmacy—an Upward Trend with Unpredictable Effects – Deutsches Ärzteblatt international (free) AND Clinical Consequences of Polypharmacy in Elderly – Expert Opinion on Drug Safety (free)
Perspective: The Mediterranean Diet’s Fight Against Frailty
27 Apr, 2018 | 02:54h | UTCThe Mediterranean Diet’s Fight Against Frailty – JAMA (free for a limited period)
Review: Optimised Care of Elderly Patients with Acute Coronary Syndrome
27 Apr, 2018 | 02:39h | UTCOptimised care of elderly patients with acute coronary syndrome – European Heart Journal: Acute Cardiovascular Care (free) (via @krychtiukmd see Tweet)
USPSTF Draft Recommendation: Screening for Intimate Partner Violence, Elder Abuse, and Abuse of Vulnerable Adults
27 Apr, 2018 | 01:31h | UTCUSPSTF Draft Recommendation Statement: Intimate Partner Violence, Elder Abuse, and Abuse of Vulnerable Adults: Screening (free)
Commentaries: USPSTF urges abuse screening for reproductive-aged women – MedicalXpress (free) AND USPSTF Recommends Screening for Partner Violence in Reproductive-Aged Women – Clinical Advisor (free)
“The USPSTF recommends that clinicians screen for intimate partner violence (IPV) in women of reproductive age and provide or refer women who screen positive to ongoing support services.”
Meta-Analysis: Case Managers Improve Outcomes for People with Dementia and Their Carers
27 Apr, 2018 | 01:23h | UTCCase managers improve outcomes for people with dementia and their carers – NIHR Signal (free)
Original Article: The effectiveness of community-based coordinating interventions in dementia care: a meta-analysis and subgroup analysis of intervention components – BMC Health Services Research (free)
“The review suggests that nurses may be particularly well placed to act as case managers for people with dementia, perhaps because they have the skills to perform the broad range of tasks associated with the role.” (via @NIHR_DC see Tweet)
Retrospective Cohort: Recent Opioid Use and Fall-related Injury Among Older Patients With Trauma
25 Apr, 2018 | 13:48h | UTCCommentary: Opioid use linked to increased risk of falls, death in older adults – CMAJ, via EurekAlert (free)
Viewpoint: Tube Feeding and Deteriorating Patients
25 Apr, 2018 | 12:54h | UTCDavid Oliver: Tube feeding and deteriorating patients—guidelines can take us only so far – The BMJ (free)
Related Guidelines: American Geriatrics Society Feeding Tubes in Advanced Dementia Position Statement (free) AND ESPEN guideline on ethical aspects of artificial nutrition and hydration (free)
Related Reviews: Artificial nutrition and hydration in advanced dementia – Canadian Family Physician (free) AND End-of-life issues in advanced dementia: Part 1: goals of care, decision-making process, and family education – Canadian Family Physician (free) AND End-of-life issues in advanced dementia: Part 2: management of poor nutritional intake, dehydration, and pneumonia – Canadian Family Physician (free) AND Advanced Dementia – New England Journal of Medicine (free)
Multimorbidity: A Priority for Global Health Research
20 Apr, 2018 | 01:49h | UTCReport: Multimorbidity: a priority for global health research – The Academy of Medical Sciences (free) (via @equitylist)
News Release: Global burden of multiple serious illnesses must be urgently addressed (free)
Commentaries: Burden of patients with multiple diseases could sink health systems around the world, warn medical experts – Independent (free) AND People with multiple health conditions get raw deal, says report – OnMedica (free)
See also: related articles on the Caring for High-Need, High-Cost Patients (free reports, articles and commentaries)
Position Statement: Pain Management at the End of Life
17 Apr, 2018 | 20:01h | UTCSource: Medscape (free registration required)
USPSTF Statement: Interventions to Prevent Falls in Community-Dwelling Older Adults
17 Apr, 2018 | 15:19h | UTCEditorials: Preventing Fractures and Falls: A Limited Role for Calcium and Vitamin D Supplements? (free) AND New Prevention Guidelines for Falls and Fractures—Looking Beyond the Letters (free)
Perspective: “There’s a shocking lack of data on effective treatments for older people”
14 Apr, 2018 | 20:17h | UTCThe Clinical Trial Is Open. The Elderly Need Not Apply – The New York Times (10 articles per month are free)
Related: Cardiac Patients in Trials Don’t Reflect Real-World Populations (link to abstract and commentaries on the subject)
“There’s a shocking lack of data on effective treatments for older people. So what do doctors do? Make guesses”. (via @NYTHealth see Tweet)
SEOM position statement: management of older patients with cancer
13 Apr, 2018 | 01:25h | UTC
Cohort study: vegetable consumption associated with reduced subclinical atherosclerosis in older women
13 Apr, 2018 | 01:09h | UTCCruciferous and Total Vegetable Intakes Are Inversely Associated With Subclinical Atherosclerosis in Older Adult Women – Journal of the American Heart Association (free for a limited period)
Commentaries: Broccoli and sprouts linked to healthier arteries for older women – NHS Choices (free) AND These vegetables may promote artery health – Medical News Today (free)
Cohort study: multidrug-resistant organisms in newly admitted nursing facility patients
13 Apr, 2018 | 00:59h | UTCCommentaries: Study finds high rate of MDRO colonization in new nursing home patients – CIDRAP (free)
Systematic review: percutaneous vertebroplasty for osteoporotic vertebral compression fracture
12 Apr, 2018 | 01:07h | UTCPercutaneous vertebroplasty for osteoporotic vertebral compression fracture – Cochrane Library (link to abstract – $ for full-text)
Summary: Featured Review: Vertebroplasty for treating spinal fractures due to osteoporosis – Cochrane Library (free)
“High quality evidence shows that vertebroplasty does not provide more clinically important benefits than placebo but may cause people harm”.
Cohort study: socioeconomic status, non-communicable disease risk factors, and walking speed in older adults
6 Apr, 2018 | 01:37h | UTC“New work in @bmj_latest shows poverty increases ageing. Measured by walking speed. 60 y.o. men of lower social class walk like 66 y.o. men of higher social class. As important as physical inactivity, obesity or diabetes. Worse than smoking”. (via @astaines see Tweet)
WHO guideline: integrated care for older people
6 Apr, 2018 | 01:09h | UTC
Meta-analysis: reducing falls in older adults recently discharged from hospital
5 Apr, 2018 | 18:49h | UTCReducing falls in older adults recently discharged from hospital: a systematic review and meta-analysis – Age and Ageing (link to abstract – $ for full-text)
Commentary: Fall prevention gets harder when elderly leave hospital – Reuters (free)
Perspective: ‘aggressive’ new advance directive would let dementia patients refuse food
3 Apr, 2018 | 17:59h | UTC‘Aggressive’ New Advance Directive Would Let Dementia Patients Refuse Food – Kaiser Health News (free)
See website: End of Life Choices
Related initiatives: This Startup Makes End-Of-Life Planning A Piece Of Cake (free) AND New Document for Patients: Advanced Health Directive for Dementia (free document and commentaries)
Perspective: robots may have role in future of elder care
3 Apr, 2018 | 15:14h | UTCAging Japan: Robots may have role in future of elder care – Reuters (free)
Related: Japan faces its old age with robots and virtual reality – STAT (free)
The Assessment of Pain in Older People: UK National Guidelines
30 Mar, 2018 | 04:43h | UTCThe Assessment of Pain in Older People: UK National Guidelines – Age and Ageing (free)
Metabolic Slowing and Reduced Oxidative Damage with Sustained Caloric Restriction Support the Rate of Living and Oxidative Damage Theories of Aging
30 Mar, 2018 | 03:43h | UTCMetabolic Slowing and Reduced Oxidative Damage with Sustained Caloric Restriction Support the Rate of Living and Oxidative Damage Theories of Aging – Cell Metabolism (free for a limited period)
Commentaries: Reduced-calorie diet shows signs of slowing ageing in people – Nature News (free) AND Will Cutting Calories Make You Live Longer? – Wired (free) AND Calorie restriction trial in humans suggests benefits for age-related disease – Cell Press, via ScienceDaily (free)
Research: Effect of Protein Intake on Lean Body Mass in Functionally Limited Older Men
30 Mar, 2018 | 03:33h | UTCEffect of Protein Intake on Lean Body Mass in Functionally Limited Older Men: A Randomized Clinical Trial – JAMA Internal Medicine (link to abstract – $ for full-text)
Commentaries: Does Protein Intake Beyond Recommended Dietary Allowance Increase Lean Body Mass? – NEJM Journal Watch (free for a limited period) AND More Protein No Benefit to Older Men – MedPage Today (free)
Social isolation and loneliness as risk factors for myocardial infarction, stroke and mortality
30 Mar, 2018 | 03:30h | UTCCommentaries: Loneliness itself appears not to raise risk of heart attack/stroke – OnMedica (free) AND Association Between Loneliness, CV Events Often Explained by Conventional Risk Factors – Physician’s First Watch (free)