5,507 results match your criteria Age and ageing[Journal]


Preventative strategies and interventions to improve outcomes during heatwaves.

Age Ageing 2020 Jul 7. Epub 2020 Jul 7.

Department of Geriatric Medicine, Saolta University Health Care Group (SUHCG), University Hospital Galway, Co. Galway, Ireland.

Extreme weather events including recently experienced prolonged heatwaves are predicted to increase in frequency and intensity as a result of climate change. Vulnerable groups, and particularly older persons, are at increased risk of heat-related illness and mortality. Multimodal interventions that incorporate community, primary and secondary care programmes are required. Read More

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http://dx.doi.org/10.1093/ageing/afaa125DOI Listing

Establishment of variation source and age-related reference interval models for 22 common biochemical analytes in older people using real-world big data mining.

Age Ageing 2020 Jul 7. Epub 2020 Jul 7.

Department of Laboratory Medicine, Peking Union Medical College Hospital, Peking Union Medical College & Chinese Academy of Medical Science, Beijing 100730, China.

Background: the ageing population has increased in many countries, including China. However, reference intervals (RIs) for older people are rarely established because of difficulties in selecting reference individuals. Here, we aimed to analyse the factors affecting biochemical analytes and establish RI and age-related RI models for biochemical analytes through mining real-world big data. Read More

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http://dx.doi.org/10.1093/ageing/afaa096DOI Listing

Cost-effectiveness of a preventive self-care health management program for community-dwelling older adults: a randomised controlled trial.

Age Ageing 2020 Jul 7. Epub 2020 Jul 7.

School of Optometry, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong.

Objective: To examine the cost-effectiveness of a preventive self-care health management program for community-dwelling older adults as compared to usual care.

Design/intervention: A cost-effectiveness analysis was executed alongside a randomised controlled trial. Nurse case managers provided interventions, including holistic assessment, empowerment of self-care, preventive health behaviours and self-efficacy with co-produced care planning, supported by nursing students. Read More

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http://dx.doi.org/10.1093/ageing/afaa127DOI Listing

Attracting, recruiting and retaining nurses and care workers working in care homes: the need for a nuanced understanding informed by evidence and theory.

Age Ageing 2020 Jul 1. Epub 2020 Jul 1.

School of Healthcare, University of Leeds, Leeds, UK.

The care home sector relies on nurses and care workers to deliver care to residents living with frailty and complex needs. However, attracting, recruiting and retaining staff is one of the biggest challenges facing this sector. There is evidence available that describes factors that influence staff decisions to join and/or remain in the care home workforce, for example, individual rewards (such as feeling valued at work or training opportunities), relationships with colleagues and residents, supportive management or working arrangements (including flexible hours). Read More

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http://dx.doi.org/10.1093/ageing/afaa109DOI Listing

Should we still monitor QTc duration in frail older patients on low-dose haloperidol? A prospective observational cohort study.

Age Ageing 2020 Jul 2. Epub 2020 Jul 2.

Cardiology Department, Maastricht University Medical Centre, Maastricht 6229 HX, The Netherlands.

Background: Haloperidol at high dosage is associated with QTc prolongation and polymorphic ventricular arrhythmia but the effects of low-dose haloperidol remain unknown.

Objective: To evaluate the effects of low-dose haloperidol on QTc-duration in frail hospitalized elderly patients with delirium.

Methods: A prospective observational study including hospitalized patients aged ≥70 years with Groningen Frailty Index-score > 3. Read More

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http://dx.doi.org/10.1093/ageing/afaa066DOI Listing

Relationship between sarcopenia and orthostatic hypotension.

Age Ageing 2020 Jul 2. Epub 2020 Jul 2.

Department of Geriatric Medicine, Faculty of Medicine, Dokuz Eylul University, Izmir, Turkey.

Background: The relationship between sarcopenia and orthostatic hypotension (OH) is unclear.

Objectives: The aim of the present study was to investigate associations between sarcopenia/sarcopenia severity and OH.

Design: A total of 511 patients attending a geriatric outpatient clinic were included. Read More

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http://dx.doi.org/10.1093/ageing/afaa077DOI Listing

Utilisation of general practice health assessments around an aged care assessment is associated with lower mortality risk in older Australians.

Age Ageing 2020 Jul 2. Epub 2020 Jul 2.

Healthy Ageing Research Consortium, Registry of Senior Australians (ROSA), South Australian Health and Medical Research Institute (SAHMRI), Adelaide, South Australia, Australia.

Objective: (i) to describe the general practitioner utilisation of health assessments, management plans, coordination of team care arrangements and medication review item numbers within 6 months of an aged care eligibility assessment for home care packages (HCP) and (ii) investigate the impact of health assessments on the risk of mortality and entry into permanent residential aged care (PRAC) of individuals accessing HCP.

Design And Setting: retrospective cohort study utilising data from the Registry of Senior Australians (ROSA) was conducted.

Subjects: 75,172 individuals aged ≥75 years who received HCP between 2011 and 2015. Read More

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http://dx.doi.org/10.1093/ageing/afaa091DOI Listing

Anticholinergic drugs and incident dementia, mild cognitive impairment and cognitive decline: a meta-analysis.

Age Ageing 2020 Jun 29. Epub 2020 Jun 29.

University of East Anglia, Norwich, UK.

Background: the long-term effect of the use of drugs with anticholinergic activity on cognitive function remains unclear.

Methods: we conducted a systematic review and meta-analysis of the relationship between anticholinergic drugs and risk of dementia, mild cognitive impairment (MCI) and cognitive decline in the older population. We identified studies published between January 2002 and April 2018 with ≥12 weeks follow-up between strongly anticholinergic drug exposure and the study outcome measurement. Read More

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http://dx.doi.org/10.1093/ageing/afaa090DOI Listing

Radiation-induced 'pancarditis'.

Age Ageing 2020 Jun 27. Epub 2020 Jun 27.

Cardiology Department, Laiko General Hospital, Athens, Greece.

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http://dx.doi.org/10.1093/ageing/afaa074DOI Listing

Why choose geriatric medicine? A national survey among French postgraduate medical students.

Age Ageing 2020 Jun 27. Epub 2020 Jun 27.

CHU de Rennes, Rennes, France.

Since 2017, geriatric medicine has been available as a postgraduate specialty to French year 7 medical students. We investigated the incentives of the 171 French medical students who opted for geriatric medicine as a postgraduate specialty subsequent to year 6 national qualifying examinations in 2017. A prospective quantitative survey-based study was conducted by means of a questionnaire compiled online and sent by email between December 2017 and May 2018. Read More

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http://dx.doi.org/10.1093/ageing/afaa120DOI Listing

Driving in Parkinson's disease: a retrospective study of driving and mobility assessments.

Age Ageing 2020 Jun 25. Epub 2020 Jun 25.

Population Health Sciences, University of Bristol, Bristol, UK.

Background: To guide decision-making about driving ability, some patients with Parkinson's disease (PD) undergo specialist driving assessment. However, decisions about driving safety in most patients need to be made without this definitive test. There is no consensus on what predicts unsafe driving in PD nor a validated prediction tool to guide clinician decision-making and the need to refer for further assessment. Read More

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http://dx.doi.org/10.1093/ageing/afaa098DOI Listing

Diagnosing serious infections in older adults presenting to ambulatory care: a systematic review.

Age Ageing 2020 Jun 25. Epub 2020 Jun 25.

Department of Public Health and Primary Care, KU Leuven, Leuven, Belgium.

Objectives: to summarise all available evidence on the accuracy of clinical features and blood tests for diagnosing serious infections in older patients presenting to ambulatory care.

Methods: systematic review, searching seven databases using a comprehensive search strategy. We included cross-sectional prospective diagnostic studies on (1) clinical features, (2) diagnostic prediction rules based on clinical features alone, (3) blood tests and (4) diagnostic prediction rules combining clinical features and blood tests. Read More

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http://dx.doi.org/10.1093/ageing/afaa108DOI Listing

Prevention and infection control of COVID-19 in Nursing Homes: experience from China.

Age Ageing 2020 Jun 25. Epub 2020 Jun 25.

School of nursing, Harbin Medical University (Daqing) Harbin Medical University (Daqing), Daqing 163319, China.

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http://dx.doi.org/10.1093/ageing/afaa148DOI Listing

Research with older people in a world with COVID-19: identification of current and future priorities, challenges and opportunities.

Age Ageing 2020 Jun 25. Epub 2020 Jun 25.

AGE Research Group, Translational and Clinical Research Institute, Biomedical Research Building, Campus for Ageing & Vitality, Newcastle University, Newcastle upon Tyne, NE4 5PL; NIHR Newcastle Biomedical Research Centre, Faculty of Medical Sciences, Newcastle University and Newcastle upon Tyne Hospitals NHS Foundation Trust.

Older people are disproportionately affected by the COVID-19 pandemic, which has had a profound impact on research as well as clinical service delivery. This commentary identifies key challenges and opportunities in continuing to conduct research with and for older people, both during and after the current pandemic. It shares opinions from responders to an international survey, a range of academic authors and opinions from specialist societies. Read More

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http://dx.doi.org/10.1093/ageing/afaa149DOI Listing
June 2020
3.642 Impact Factor

Epidemiology of COVID-19 in older persons, Wuhan, China.

Age Ageing 2020 Jun 25. Epub 2020 Jun 25.

School of Medicine, Wuhan University of Science and Technology, Wuhan, China.

Background: The epidemiological characteristics of older patients with COVID-19 was far from clear.

Objective: To explore the epidemiology of older patients with COVID-19 in Wuhan, China.

Design: A retrospective cross-sectional study. Read More

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http://dx.doi.org/10.1093/ageing/afaa145DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7337701PMC

Covid-19 in dementia: an insidious pandemic.

Age Ageing 2020 Jun 25. Epub 2020 Jun 25.

Hoboken University Medical Center, Hoboken, New Jersey, United States.

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http://dx.doi.org/10.1093/ageing/afaa136DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7337638PMC

Medical assistance in dying and older persons in Belgium: trends, emerging issues and challenges.

Age Ageing 2020 Jun 22. Epub 2020 Jun 22.

Department of Geriatric Medicine, Ghent University Hospital, Ghent, Belgium.

In 2002, the Belgian Act on euthanasia came into effect, regulating the intentional ending of life by a physician at the patient's explicit request. Subsequently, the number of reported euthanasia deaths increased every year. Specifically, the proportion of euthanasia deaths in older persons has risen significantly in the last few years. Read More

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http://dx.doi.org/10.1093/ageing/afaa116DOI Listing

Special needs of frail people undergoing emergency laparotomy surgery.

Age Ageing 2020 Jul;49(4):540-543

North Bristol NHS Trust, Bristol, UK and Department of Population Medicine, Cardiff University, Cardiff, South Glamorgan.

There are now over 30 000 emergency laparotomies under taken in the UK every year, a figure that is increasing year on year. Over half of these people are aged over 70 years old. Frailty is commonly seen in this population and becomes increasingly common with age and is seen in over 50% of elderly emergency laparotomies in people aged over 85 years old. Read More

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http://dx.doi.org/10.1093/ageing/afaa058DOI Listing

Dual decline in gait speed and cognition is associated with future dementia: evidence for a phenotype.

Age Ageing 2020 Jun 18. Epub 2020 Jun 18.

Division of Neurology and Department of Medicine, University of Alberta, Edmonton, AB, Canada.

Background: concurrent declines in gait speed and cognition have been associated with future dementia. However, the clinical profile of 'dual decliners', those with concomitant decline in both gait speed and cognition, has not been yet described. We aimed to describe the phenotype and the risk for incident dementia of those who present with dual decline in comparison with non-dual decliners. Read More

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http://dx.doi.org/10.1093/ageing/afaa106DOI Listing

Dermoscopic diagnosis of common scabies in an older man.

Age Ageing 2020 Jun 18. Epub 2020 Jun 18.

Department of Dermatology, Affiliated Hospital of Guangdong Medical University, Zhanjiang, Guangdong, China.

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http://dx.doi.org/10.1093/ageing/afaa115DOI Listing

The effect of multimorbidity on functional limitations and depression amongst middle-aged and older population in China: a nationwide longitudinal study.

Age Ageing 2020 Jun 17. Epub 2020 Jun 17.

School of Health Services Management, Southern Medical University, Guangzhou, China.

Background: multimorbidity contributes to a large portion of the disease burden in low- and middle-income countries. However, limited research has been undertaken in China. This study has investigated the prevalence of multimorbidity and the associations of multimorbidity with activities of daily living (ADL), instrumental activities of daily living (IADL) and depression in China. Read More

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http://dx.doi.org/10.1093/ageing/afaa117DOI Listing
June 2020
3.642 Impact Factor

Frailty, a multisystem ageing syndrome.

Age Ageing 2020 Jun 15. Epub 2020 Jun 15.

Centre for Education and Research on Ageing (CERA) and Department of Geriatric Medicine, The University of Sydney and Concord Hospital, Sydney, Australia.

The management of frail older people is a key component of aged care. There has been a plethora of tools developed for the diagnosis and screening of frailty. Some of these tools are entering routine clinical practice at a time when the higher healthcare costs involved in caring for older people who are frail have become a potential target for cost-cutting. Read More

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http://dx.doi.org/10.1093/ageing/afaa112DOI Listing

Effect of intravenous iron on functional outcomes in hip fracture: a randomised controlled trial.

Age Ageing 2020 Jun 15. Epub 2020 Jun 15.

Faculty of Biomedical and Health Sciences, Department of Medicine, Universidad Europea de Madrid, Madrid, Spain.

Objectives: to determine the safety and effect of intravenous iron sucrose on functional outcomes, delirium, nosocomial infections and transfusion requirements in older patients with hip fracture.

Design: single-centre randomised, double-blind, placebo-controlled clinical trial.

Setting And Participants: orthogeriatric share care service at an academic tertiary care hospital. Read More

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http://dx.doi.org/10.1093/ageing/afaa107DOI Listing

Risk from low blood pressure in frail older adults: diastolic pressure and pulse pressure are important.

Authors:
J David Spence

Age Ageing 2020 Jun 10. Epub 2020 Jun 10.

Neurology & Clinical Pharmacology, Western University, and Director, Stroke Prevention & Atherosclerosis Research Centre, Robarts Research Institute 1400 Western Road, London, ON N6G 2V4, Canada.

Blood pressure measurement with a cuff in patients with stiff arteries can be misleading, with false elevation of the diastolic pressure. Coronary flow, and most of the cerebral blood flow occur during diastole. There is a marked diastolic J curve in patients with diastolic pressure <60 mmHg and pulse pressure >60 mmHg. Read More

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http://dx.doi.org/10.1093/ageing/afaa084DOI Listing

Cervical spine fragility fractures in older people: 5-year experience at a regional spine centre.

Age Ageing 2020 Jun 10. Epub 2020 Jun 10.

Department of Healthcare of Older People, Nottingham University Hospitals NHS Trust, Nottingham, UK.

Background: cervical spine fractures are particularly prevalent in older people and commonly occur following a fall from standing height or less. Atlanto-axial complex (AAC) and, particularly, odontoid process (OP) fractures are the most prevalent injuries.

Objective: to investigate the incidence and characteristics of cervical spine fractures in older patients presenting to a regional spine centre. Read More

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http://dx.doi.org/10.1093/ageing/afaa088DOI Listing

Effect of various exercises on frailty among older adults with subjective cognitive concerns: a randomised controlled trial.

Age Ageing 2020 Jun 10. Epub 2020 Jun 10.

Department of Community Healthcare and Geriatrics, Nagoya University Graduate School of Medicine, Nagoya, Japan.

Background: Physical exercise has been linked to reduced frailty, but there is insufficient evidence of beneficial effects in community-dwelling older adults with subjective cognitive concerns.

Objective: This study aimed to clarify the effects of physical exercise in this population.

Design: Single-blind randomised controlled trial. Read More

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http://dx.doi.org/10.1093/ageing/afaa086DOI Listing

Growing research in geriatric medicine: a trainee perspective.

Authors:
Carly Welch

Age Ageing 2020 Jun 9. Epub 2020 Jun 9.

University of Birmingham Research Laboratories, Edgbaston, Birmingham B15 2GW, UK.

Growing research in geriatric medicine is a priority area. Currently, involvement of geriatricians in research lags behind other specialties. The reasons for this are multifactorial, but a lack of training infrastructure within geriatric medicine higher specialist training is contributory. Read More

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http://dx.doi.org/10.1093/ageing/afaa052DOI Listing

Deprescribing in the last years of life-it's hard to STOPP.

Age Ageing 2020 Jun 5. Epub 2020 Jun 5.

Department of Pharmacy and Pharmacology, University of Bath, Bath BA2 7AY, UK.

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http://dx.doi.org/10.1093/ageing/afaa081DOI Listing

Frailty status predicts futility of cardiopulmonary resuscitation in older adults.

Age Ageing 2020 Jun 5. Epub 2020 Jun 5.

North Bristol NHS Trust, University of Bristol, Bristol, UK.

Aim: To determine if frailty is associated with poor outcome following in-hospital cardiac arrest; to find if there is a "frailty threshold" beyond which cardiopulmonary resuscitation (CPR) becomes futile.

Methods: Retrospective review of patients aged over 60 years who received CPR between May 2017 and December 2018, in a tertiary referral hospital, which does not provide primary coronary revascularisation. Clinical Frailty Scale (CFS) and Charlson Comorbidity Index were retrospectively assigned. Read More

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http://dx.doi.org/10.1093/ageing/afaa104DOI Listing

Older patients undergoing emergency laparotomy: observations from the National Emergency Laparotomy Audit (NELA) years 1-4.

Age Ageing 2020 Jul;49(4):656-663

Perioperative Care of Older People undergoing Surgery (POPS), Department of Ageing and Health, Guy's and St Thomas' NHS Foundation Trust, London, UK.

Background: older patients aged ≥65 years constitute the majority of the National Emergency Laparotomy Audit (NELA) population. To better understand this group and inform future service changes, this paper aims to describe patient characteristics, outcomes and process measures across age cohorts and temporally in the 4-year period (2014-2017) since NELA was established.

Methods: patient-level data were populated from the NELA data set years 1-4 and linked with Office of National Statistics mortality data. Read More

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http://dx.doi.org/10.1093/ageing/afaa075DOI Listing

Computer-generated STOPP/START recommendations for hospitalised older adults: evaluation of the relationship between clinical relevance and rate of implementation in the SENATOR trial.

Age Ageing 2020 Jul;49(4):615-621

Pharmaceutical Care Research Group, School of Pharmacy, University College Cork, Cork, Ireland.

Background: findings from a recent qualitative study indicate that the perceived clinical relevance of computer-generated STOPP/START recommendations was a key factor affecting their implementation by physician prescribers caring for hospitalised older adults in the SENATOR trial.

Aim: to systematically evaluate the clinical relevance of these recommendations and to establish if clinical relevance significantly affected the implementation rate.

Methods: a pharmacist-physician pair retrospectively reviewed the case records for all SENATOR trial intervention patients at Cork University Hospital and assigned a degree of clinical relevance for each STOPP/START recommendation based on a previously validated six-point scale. Read More

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http://dx.doi.org/10.1093/ageing/afaa062DOI Listing

Prevention of adverse drug reactions in hospitalized older patients with multi-morbidity and polypharmacy: the SENATOR* randomized controlled clinical trial.

Age Ageing 2020 Jul;49(4):605-614

University College Cork, National University of Ireland-Clinical Research Facility, Cork, Ireland.

Background: Multi-morbidity and polypharmacy increase the risk of non-trivial adverse drug reactions (ADRs) in older people during hospitalization. Despite this, there are no established interventions for hospital-acquired ADR prevention.

Methods: We undertook a pragmatic, multi-national, parallel arm prospective randomized open-label, blinded endpoint (PROBE) controlled trial enrolling patients at six European medical centres. Read More

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http://dx.doi.org/10.1093/ageing/afaa072DOI Listing

Effect of an integrated care model for pre-frail and frail older people living in community.

Age Ageing 2020 Jun 1. Epub 2020 Jun 1.

Jockey Club Institute of Ageing, The Chinese University of Hong Kong, Hong Kong, SAR, China.

Objectives: to evaluate the effect of an integrated care model for pre-frail and frail community-dwelling older people.

Design: a quasi-experimental design.

Setting And Participants: we enrolled people aged ≥60 years from a community care project. Read More

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http://dx.doi.org/10.1093/ageing/afaa087DOI Listing

Potentially inappropriate medication use in older adults with mild-moderate Alzheimer's disease: prevalence and associations with adverse events.

Age Ageing 2020 Jul;49(4):580-587

Department of Age-Related Healthcare, Tallaght University Hospital, Dublin, Ireland.

Aim: Potentially inappropriate medication (PIM) use is prevalent in older adults and is associated with adverse events, hospitalisation and mortality. We assessed the patterns and associations of PIM use in older adults with mild-to-moderate Alzheimer's Disease (AD), who may represent a particularly vulnerable group.

Design: Analysis of data from NILVad, an 18-month Randomised Control Trial of Nilvadapine in mild-to-moderate AD. Read More

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http://dx.doi.org/10.1093/ageing/afaa067DOI Listing

Reducing medication errors and transitions of care.

Authors:
Karen Cardwell

Age Ageing 2020 Jul;49(4):537-539

Queen's University Belfast - Northern Ireland Centre for Pharmacy Learning and Development, United Kingdom of Great Britain and Northern Ireland, Belfast, Belfast.

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http://dx.doi.org/10.1093/ageing/afaa065DOI Listing

The COVID-19 Rehabilitation Pandemic.

Age Ageing 2020 May 29. Epub 2020 May 29.

Chartered Society of Physiotherapy.

The COVID-19 pandemic and the response to the pandemic are combining to produce a tidal wave of need for rehabilitation. Rehabilitation will be needed for survivors of COVID-19, many of whom are older, with underlying health problems. In addition, rehabilitation will be needed for those who have become deconditioned as a result of movement restrictions, social isolation, and inability to access healthcare for pre-existing or new non-COVID-19 illnesses. Read More

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http://dx.doi.org/10.1093/ageing/afaa118DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7314277PMC

Quinine exposure and the risk of acute kidney injury: a population-based observational study of older people.

Age Ageing 2020 May 28. Epub 2020 May 28.

Renal Unit, Ninewells Hospital and Medical School, Dundee DD1 9SY, UK.

Objectives: to establish and quantify any observable association between the exposure to community prescriptions for quinine and acute kidney injury (AKI) events in a population of older adults.

Design: two observational studies using the same dataset, a retrospective longitudinal cohort study and a self-controlled case series (SCCS).

Setting: NHS health board in Scotland. Read More

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http://dx.doi.org/10.1093/ageing/afaa079DOI Listing

Does the public feel prepared to be substitute decision-makers? Gaps in preparedness and support for a high school curriculum: a national survey.

Age Ageing 2020 May 27. Epub 2020 May 27.

Department of Emergency Medicine, University of Ottawa, Ottawa, Canada.

Background: Substitute decision-makers (SDMs) make decisions on behalf of patients who do not have capacity, in line with previously expressed wishes, values and beliefs. However, miscommunications and poor awareness of previous wishes often lead to inappropriate care. Increasing public preparedness to communicate on behalf of loved ones may improve care in patients requiring an SDM. Read More

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http://dx.doi.org/10.1093/ageing/afaa100DOI Listing

Are older patients with diabetes still being overtreated in French long-term care homes?

Age Ageing 2020 May 26. Epub 2020 May 26.

Department of Endocrinology, Diabetes and Metabolic Disorders, Dijon University Hospital, France.

Background: Diabetes management has not been evaluated in French nursing homes (NHs) for 10 years.

Objectives: The present study aimed to compare the management of diabetes with guidelines in older patients living in NHs.

Design: Observational, retrospective and multicentre study carried out in 13 NH in the Cote d'Or region of France. Read More

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http://dx.doi.org/10.1093/ageing/afaa051DOI Listing

Motivational factors mediate the association of general self-efficacy and performance outcomes in acutely hospitalised older patients.

Age Ageing 2020 May 26. Epub 2020 May 26.

Department of Internal Medicine, Section of Geriatric Medicine, Amsterdam Public Health Research Institute, Amsterdam University Medical Centers, Academic Medical Center, Amsterdam, the Netherlands.

Objectives: To study (i) the association of general self-efficacy (GSE) on the course of subjective (i.e. basic and instrumental activities of daily living (ADLs and IADLs) and objective physical performance outcomes (short physical performance battery (SPPB)) among older persons from discharge up to 3 months post-discharge and (ii) the extent to whether motivational factors such as depressive symptoms, apathy and fatigue mediate this association. Read More

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http://dx.doi.org/10.1093/ageing/afaa076DOI Listing

Does frailty predict post stroke mortality?

Age Ageing 2020 Jul;49(4):535-536

Brighton and Sussex University Hospitals NHS Trust, Brighton, UK.

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http://dx.doi.org/10.1093/ageing/afaa030DOI Listing
July 2020
3.642 Impact Factor

The work of older people and their informal caregivers in managing an acute health event in a hospital at home or hospital inpatient setting.

Age Ageing 2020 May 19. Epub 2020 May 19.

Nuffield Department of Population Health, University of Oxford, Oxford, UK.

Background: There is limited understanding of the contribution made by older people and their caregivers to acute healthcare in the home and how this compares to hospital inpatient healthcare.

Objectives: To explore the work of older people and caregivers at the time of an acute health event, the interface with professionals in a hospital and hospital at home (HAH) and how their experiences relate to the principles underpinning comprehensive geriatric assessment (CGA).

Design: A qualitative interview study within a UK multi-site participant randomised trial of geriatrician-led admission avoidance HAH, compared with hospital inpatient care. Read More

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http://dx.doi.org/10.1093/ageing/afaa085DOI Listing

Feasibility and acceptability of the 'Acutely Presenting Older Patient' screener in routine emergency department care.

Age Ageing 2020 May 18. Epub 2020 May 18.

Department of Emergency Medicine, Leiden University Medical Center, Leiden, The Netherlands.

Background: risk stratification tools for older patients in the emergency department (ED) have rarely been implemented successfully in routine care.

Objective: to evaluate the feasibility and acceptability of the 'Acutely Presenting Older Patient' (APOP) screener, which identifies older ED patients at the highest risk of adverse outcomes within 2 minutes at presentation.

Design And Setting: 2-month prospective cohort study, after the implementation of the APOP screener in ED routine care in the Leiden University Medical Center. Read More

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http://dx.doi.org/10.1093/ageing/afaa078DOI Listing

Giant cell arteritis: a pain in the neck.

Age Ageing 2020 May 18. Epub 2020 May 18.

Royal Berkshire NHS Foundation Trust, Reading, England.

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http://dx.doi.org/10.1093/ageing/afaa080DOI Listing

Impact of frailty on health-related quality of life 1 year after transcatheter aortic valve implantation.

Age Ageing 2020 May 18. Epub 2020 May 18.

Erasmus MC University Medical Center, Section of Geriatrics, Department of Internal Medicine, Rotterdam, The Netherlands.

Background: Transcatheter aortic valve implantation (TAVI) brings symptom relief and improvement in health-related quality of life (HRQoL) in the majority of patients treated for symptomatic, severe aortic stenosis. However, there is a substantial group of patients that do not benefit from TAVI. The aim of this study is to investigate the impact of frailty on HRQoL 1 year after TAVI. Read More

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http://dx.doi.org/10.1093/ageing/afaa071DOI Listing

Use of a digital delirium pathway and quality improvement to improve delirium detection in the emergency department and outcomes in an acute hospital.

Age Ageing 2020 Jul;49(4):672-678

Salford Royal NHS Foundation Trust, Salford Care Organisation, Part of Northern Care Alliance NHS Group, Salford, UK.

Background: delirium is a common condition associated with hospital admission. Detection and diagnosis is important to identify the underlying precipitating cause and implement effective management and treatment. Quality improvement (QI) methodology has been applied in limited publications. Read More

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http://dx.doi.org/10.1093/ageing/afaa069DOI Listing

Impact of pain on reactive balance and falls in community-dwelling older adults: a prospective cohort study.

Age Ageing 2020 May 16. Epub 2020 May 16.

Falls, Balance and Injury Research Centre, Neuroscience Research Australia, Sydney, Australia.

Background: pain is associated with increased postural sway and falls in older adults. However, the impact of pain on reactive balance induced by postural perturbations and how this might predispose older adults to falls is not known.

Objective: to investigate whether any pain, back/neck pain and lower limb pain are associated with poor reactive balance and prospective fall outcomes in older adults. Read More

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http://dx.doi.org/10.1093/ageing/afaa070DOI Listing

Commentary: COVID in Care Homes-Challenges and Dilemmas in Healthcare Delivery.

Age Ageing 2020 May 13. Epub 2020 May 13.

School of Healthcare, University of Leeds, Leeds, UK.

The COVID-19 pandemic has disproportionately affected care home residents internationally, with 19-72% of COVID-19 deaths occurring in care homes. COVID-19 presents atypically in care home residents and up to 56% of residents may test positive whilst pre-symptomatic. In this article, we provide a commentary on challenges and dilemmas identified in the response to COVID-19 for care homes and their residents. Read More

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http://dx.doi.org/10.1093/ageing/afaa113DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7239229PMC
May 2020
3.642 Impact Factor

What is the prevalence of loneliness amongst older people living in residential and nursing care homes? A systematic review and meta-analysis.

Age Ageing 2020 May 12. Epub 2020 May 12.

The University of Auckland, New Zealand.

Background: the number of older people living in residential and nursing care homes is rising. Loneliness is a major problem for older people, but little is known about the prevalence of loneliness amongst older people living in care homes.

Aim: to undertake a systematic review of literature on the prevalence of moderate and severe loneliness amongst older people living in residential and nursing care homes. Read More

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http://dx.doi.org/10.1093/ageing/afaa049DOI Listing

The role of illness acuity on the association between frailty and mortality in emergency department patients referred to internal medicine.

Age Ageing 2020 May 11. Epub 2020 May 11.

Geriatric Medicine Research, Nova Scotia Health Authority, Halifax, Nova Scotia, Canada.

Background: we investigated whether two frailty tools predicted mortality among emergency department (ED) patients referred to internal medicine and how the level of illness acuity influenced any association between frailty and mortality.

Methods: two tools, embedded in a Comprehensive Geriatric Assessment (CGA), were the clinical frailty scale (CFS) and a 57-item deficit accumulation frailty index (FI-CGA). Illness acuity was assessed using the Canadian Triage and Acuity Scale (CTAS). Read More

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http://dx.doi.org/10.1093/ageing/afaa089DOI Listing