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Geriatrics

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)

 


Review: Prevention of Alzheimer’s Disease

1 Sep, 2017 | 17:35h | UTC

Prevention of Alzheimer’s Disease: Lessons Learned and Applied – Journal of The American Geriatrics Society (free)

Source: PracticeUpdate

 


Study: Resistance training may prevent obese older people becoming frail when losing weight

30 Aug, 2017 | 19:12h | UTC

Resistance training may prevent obese older people becoming frail when losing weight – NIHR Signal (free)

Original article: Aerobic or Resistance Exercise, or Both, in Dieting Obese Older Adults – New England Journal of Medicine (link to abstract – $ for full-text) AND Video Summary: Exercise and Dieting in Obese Older Adults (free)

 


Study: Lack of REM sleep may lead to higher risk for dementia

30 Aug, 2017 | 19:08h | UTC

Sleep architecture and the risk of incident dementia in the community – Neurology (link to abstract – $ for full-text)

Commentaries: Lack of REM sleep may lead to higher risk for dementia – Boston University School of Medicine, via EurekAlert (free) AND Less REM Sleep May Significantly Boost Dementia Risk – Medscape (free registration required) AND Dreaming may keep dementia at bay – Medical News Today (free) AND Lack of REM sleep tied to increased risk of dementia – Reuters (free)

 


Study: Effectiveness of a Timing and Coordination Group Exercise Program to Improve Mobility in Older Adults

30 Aug, 2017 | 18:04h | UTC

Effectiveness of a Timing and Coordination Group Exercise Program to Improve Mobility in Community-Dwelling Older Adults: A Randomized Clinical Trial – JAMA Internal Medicine (free)

Commentary: On the Move exercise program improved mobility in older adults – 2 Minute Medicine (free)

 


Meta-analysis: Effectiveness of Light Therapy in Cognitively Impaired Persons

29 Aug, 2017 | 14:52h | UTC

Effectiveness of Light Therapy in Cognitively Impaired Persons: A Metaanalysis of Randomized Controlled Trials – Journal of The American Geriatric Society (link to abstract – $ for full-text)

Source: ACP Journal Wise ($)

 


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