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    1471 results match your criteria BMC Geriatrics [Journal]

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    Perceived acceptability and preferences for low-intensity early activity interventions of older hospitalized medical patients exposed to bed rest: a cross sectional study.
    BMC Geriatr 2018 Feb 20;18(1):53. Epub 2018 Feb 20.
    Institute for Social Research, DB 5064, York University, 4700 Keele Street, Toronto, ON, M3J 1P3, Canada.
    Background: Hospitalized older patients spend most of their time in bed, putting them at risk of experiencing orthostatic intolerance. Returning persons to their usual upright activity level is the most effective way to prevent orthostatic intolerance but some older patients have limited activity tolerance, supporting the need for low-intensity activity interventions. Consistent with current emphasis on patient engagement in intervention design and evaluation, this study explored older hospitalized patients' perceived acceptability of, and preference for, two low-intensity early activity interventions (bed-to-sitting and sitting-to-walking), and characteristics (gender, illness severity, comorbidity, illnesses and medications with orthostatic effects, and baseline functional capacity) associated with perceived acceptability and preference. Read More

    TEAM-UP for quality: a cluster randomized controlled trial protocol focused on preventing pressure ulcers through repositioning frequency and precipitating factors.
    BMC Geriatr 2018 Feb 20;18(1):54. Epub 2018 Feb 20.
    Division of Geriatrics, School of Medicine, Duke University, Durham, NC, USA.
    Background: Pressure ulcers/injuries (PrUs), a critical concern for nursing homes (NH), are responsible for chronic wounds, amputations, septic infections, and premature deaths. PrUs occur most commonly in older adults and NH residence is a risk factor for their development, with at least one of every nine U.S. Read More

    Gait pattern in patients with peripheral artery disease.
    BMC Geriatr 2018 Feb 20;18(1):52. Epub 2018 Feb 20.
    Clinic of Rheumatology and Rehabilitation, Poznan University of Medical Sciences, Poznań, Poland.
    Background: The aim of the present paper is to assess the gait pattern of patients with Peripheral Artery Disease (PAD). A more specific aim is to compare the gait pattern of PAD patients before and after the appearance of intermittent claudication symptoms.

    Methods: The study involved 34 PAD patients with a claudication distance ≥200 m and 20 participants without PAD, who formed the control group. Read More

    The theoretical and empirical basis of a BioPsychoSocial (BPS) risk screener for detection of older people's health related needs, planning of community programs, and targeted care interventions.
    BMC Geriatr 2018 Feb 17;18(1):49. Epub 2018 Feb 17.
    Department of Patient & Care, Maastricht University Medical Center, Maastricht, the Netherlands.
    Background: This study introduces the conceptual basis and operational measure, of BioPyschoSocial (BPS) health and related risk to better understand how well older people are managing and to screen for risk status. The BPS Risk Screener is constructed to detect vulnerability at older ages, and seeks to measure dynamic processes that place equal emphasis on Psycho-emotional and Socio-interpersonal risks, as Bio-functional ones. We validate the proposed measure and describe its application to programming. Read More

    Association between residual teeth number in later life and incidence of dementia: A systematic review and meta-analysis.
    BMC Geriatr 2018 Feb 17;18(1):48. Epub 2018 Feb 17.
    Departmemnt of Internal Medicine, University of Nevada Las Vegas School of Medicine, 1701 W Charleston Blvd. #230, Las Vegas, Nevada, 89102, USA.
    Background: It has been suggested that tooth loss in later life might increase dementia incidence. The objective of this analysis is to systematically review the current evidence on the relationship between the number of remaining teeth and dementia occurrence in later life.

    Methods: A search of multiple databases of scientific literature was conducted with relevant parameters for articles published up to March 25th, 2017. Read More

    Psychotropic and anti-dementia treatment in elderly persons with clinical signs of dementia with Lewy bodies: a cross-sectional study in 40 nursing homes in Sweden.
    BMC Geriatr 2018 Feb 17;18(1):50. Epub 2018 Feb 17.
    Clinical Memory Research Unit, Department of Clinical Sciences, Lund University, Malmö, Sweden.
    Background: Elderly persons with a dementia diagnosis often suffer from different neuropsychiatric symptoms (NPS) such as delusions, hallucinations, depression, anxiety, irritability and agitation. Currently, the medical treatment for NPS consists mostly of psychotropic medication such as hypnotics/sedatives, anxiolytics and antipsychotics. In elderly persons with dementia, usage of antipsychotics is less appropriate because of the risk of side effects such as parkinsonism, rapid cognitive decline, cerebrovascular events and finally mortality. Read More

    First and second eye cataract surgery and driver self-regulation among older drivers with bilateral cataract: a prospective cohort study.
    BMC Geriatr 2018 Feb 17;18(1):51. Epub 2018 Feb 17.
    Sir Charles Gairdner Hospital, Perth, WA, Australia.
    Background: Driving a car is the most common form of transport among the older population. Common medical conditions such as cataract, increase with age and impact on the ability to drive. To compensate for visual decline, some cataract patients may self-regulate their driving while waiting for cataract surgery. Read More

    How to achieve the desired outcomes of advance care planning in nursing homes: a theory of change.
    BMC Geriatr 2018 02 14;18(1):47. Epub 2018 Feb 14.
    End-of-life Care Research Group, Vrije Universiteit Brussel (VUB) & Ghent University, Laarbeeklaan 103, 1090 Brussels, Belgium.
    Background: Advance care planning (ACP) has been identified as particularly relevant for nursing home residents, but it remains unclear how or under what circumstances ACP works and can best be implemented in such settings. We aimed to develop a theory that outlines the hypothetical causal pathway of ACP in nursing homes, i.e. Read More

    Older adults' perceptions and informational needs regarding frailty.
    BMC Geriatr 2018 02 13;18(1):46. Epub 2018 Feb 13.
    The Johns Hopkins University School of Medicine, 5200 Eastern Avenue, Mason F. Lord Building Center Tower, Room 711, Baltimore, MD, 21224, USA.
    Background: Frailty has been recognized as an important medical syndrome in older adults. Growing literature supports the clinical application of frailty but US older adults' perceptions of frailty have not been explored. We aim to examine perceptions and informational needs about frailty among older adults. Read More

    The delirium and population health informatics cohort study protocol: ascertaining the determinants and outcomes from delirium in a whole population.
    BMC Geriatr 2018 02 9;18(1):45. Epub 2018 Feb 9.
    University of Edinburgh, Edinburgh, UK.
    Background: Delirium affects 25% of older inpatients and is associated with long-term cognitive impairment and future dementia. However, no population studies have systematically ascertained cognitive function before, cognitive deficits during, and cognitive impairment after delirium. Therefore, there is a need to address the following question: does delirium, and its features (including severity, duration, and presumed aetiologies), predict long-term cognitive impairment, independent of cognitive impairment at baseline?

    Methods: The Delirium and Population Health Informatics Cohort (DELPHIC) study is an observational population-based cohort study based in the London Borough of Camden. Read More

    Delirium in older hospitalized patients-signs and actions: a retrospective patient record review.
    BMC Geriatr 2018 02 6;18(1):43. Epub 2018 Feb 6.
    Skaraborg Hospital, Skövde, Sweden.
    Background: Delirium is common in older hospitalized patients, and is associated with negative consequences for the patients, next of kin, healthcare professionals and healthcare costs. It is important to understand its clinical features, as almost 40% of all cases in hospitals may be preventable. Yet, delirium in hospitalized patients is often unrecognized and untreated. Read More

    Overweight or obese BMI is associated with earlier, but not later survival after common acute illnesses.
    BMC Geriatr 2018 02 6;18(1):42. Epub 2018 Feb 6.
    Department of Social and Behavioral Sciences, NYU College of Global Public Health, New York, NY, USA.
    Background: Obesity has been associated with improved short-term mortality following common acute illness, but its relationship with longer-term mortality is unknown.

    Methods: Observational study of U.S. Read More

    Experiences of fear of falling in persons with Parkinson's disease - a qualitative study.
    BMC Geriatr 2018 02 6;18(1):44. Epub 2018 Feb 6.
    Department of Health Sciences, Lund University, Box 157, 221 00, Lund, Sweden.
    Background: Fear of falling is common among persons with Parkinson's disease and is negatively associated with quality of life. However a lack of in-depth understanding of fear of falling as a phenomenon persists. This qualitative study aimed to explore the experiences of fear of falling in persons with Parkinson's disease. Read More

    Economic evaluation of an extended nutritional intervention in older Australian hospitalized patients: a randomized controlled trial.
    BMC Geriatr 2018 02 5;18(1):41. Epub 2018 Feb 5.
    Health Economics Unit, Flinders University, Adelaide, South Australia, Australia.
    Background: Prevalence of malnutrition in older hospitalized patients is 30%. Malnutrition is associated with poor clinical outcomes in terms of high morbidity and mortality and is costly for hospitals. Extended nutrition interventions improve clinical outcomes but limited studies have investigated whether these interventions are cost-effective. Read More

    A comparison of symptoms in older hospitalised cancer and non-cancer patients in need of palliative care: a secondary analysis of two cross-sectional studies.
    BMC Geriatr 2018 02 5;18(1):40. Epub 2018 Feb 5.
    University Centre for Nursing and Midwifery, Department of Public Health, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium.
    Background: Evidence on the differences in symptom patterns between older palliative cancer and non-cancer patients is lacking. The purpose of the study was to determine the differences in symptoms between older hospitalised palliative cancer and non-cancer patients.

    Methods: A secondary analysis of two multi-centre cross-sectional studies was performed. Read More

    Diabetic kidney disease in the elderly: prevalence and clinical correlates.
    BMC Geriatr 2018 02 2;18(1):38. Epub 2018 Feb 2.
    Department of Medicine, University of Padua, Padua, Italy.
    Background: Diabetic kidney disease (DKD) is a major burden in elderly patients with type 2 diabetes (T2DM). Low estimated glomerular filtration rate (eGFR+, < 60 mL/min/1.73 m2) and albuminuria (Alb+) are essential for the diagnosis of DKD, but their association with clinical variables and quality of care may be influenced by ageing. Read More

    Standard set of health outcome measures for older persons.
    BMC Geriatr 2018 02 2;18(1):36. Epub 2018 Feb 2.
    University Hospitals of Leicester NHS Trust, Leicester, UK.
    Background: The International Consortium for Health Outcomes Measurement (ICHOM) was founded in 2012 to propose consensus-based measurement tools and documentation for different conditions and populations.This article describes how the ICHOM Older Person Working Group followed a consensus-driven modified Delphi technique to develop multiple global outcome measures in older persons. The standard set of outcome measures developed by this group will support the ability of healthcare systems to improve their care pathways and quality of care. Read More

    Clinical characteristics associated with the onset of delirium among long-term nursing home residents.
    BMC Geriatr 2018 02 2;18(1):39. Epub 2018 Feb 2.
    Department of Medicine, McMaster University, IHB/HSC-McMaster 3016, Victoria 10B St. S., Kitchener, ON, N2G 1C5, Canada.
    Background: Nursing home residents are frail, have multiple medical comorbidities, and are at high risk for delirium. Most of the existing evidence base on delirium is derived from studies in the acute in-patient population. We examine the association between clinical characteristics and medication use with the incidence of delirium during the nursing home stay. Read More

    Effects of tai chi on cognition and instrumental activities of daily living in community dwelling older people with mild cognitive impairment.
    BMC Geriatr 2018 02 2;18(1):37. Epub 2018 Feb 2.
    The Nethersole School of Nursing, Chinese University of Hong Kong, Hong Kong, SAR, People's Republic of China.
    Background: Cognitive impairment places older adults at high risk of functional disability in their daily-life activities, and thus affecting their quality of life. This study aimed to examine the effects of Tai Chi on general cognitive functions and instrumental activities of daily living (IADL) in community-dwelling older people with mild cognitive impairment (MCI) in Hong Kong.

    Methods: The study adopted a multi-site nonequivalent control-group pretest-posttest design. Read More

    Community service provider perceptions of implementing older adult fall prevention in Ontario, Canada: a qualitative study.
    BMC Geriatr 2018 02 1;18(1):34. Epub 2018 Feb 1.
    Simcoe Muskoka District Health Unit, 15 Sperling Drive, Barrie, ON, L4M 6K9, Canada.
    Background: Despite evidence for effective fall prevention interventions, measurable reductions in older adult (≥ 65 years) fall rates remain unrealized. This study aimed to describe the perceived barriers to and effective strategies for the implementation of evidence-based fall prevention practices within and across diverse community organizations. This study is unique in that it included community service providers who are not generally thought to provide fall prevention services to older adults, such as retail business, community support, volunteer services, community foundations, recreation centres, and various emergency services. Read More

    The experience of lived space in persons with dementia: a systematic meta-synthesis.
    BMC Geriatr 2018 02 1;18(1):33. Epub 2018 Feb 1.
    Norwegian National Advisory Unit on Ageing and Health, Tønsberg, Norway.
    Background: Identifying how persons with dementia experience lived space is important for enabling supportive living environments and creating communities that compensate for the fading capabilities of these persons. Several single studies have explored this topic; however, few studies have attempted to explicitly review and synthesize this research literature. The aim of this systematic meta-synthesis was therefore to interpret and synthesize knowledge regarding persons with dementia's experience of space. Read More

    Fractures among patients with dizziness - a ten-year follow-up.
    BMC Geriatr 2018 02 2;18(1):35. Epub 2018 Feb 2.
    Department of Clinical Sciences in Malmö/General Practice, Lund University, Malmö, Sweden.
    Background: The number of elderly people persons suffering from dizziness is substantial, and dizziness is a risk factor for falls and fractures. Fall-related fractures represent a major public health issue. Longitudinal studies can help find ways of predicting fall-related fractures among frail elderly persons with multisensory dizziness. Read More

    Cost-effectiveness of comprehensive geriatric assessment at an ambulatory geriatric unit based on the AGe-FIT trial.
    BMC Geriatr 2018 01 31;18(1):32. Epub 2018 Jan 31.
    Department of Neurobiology, Care Sciences and Society (NVS), Division of Clinical geriatrics, Karolinska Institute (KI), Stockholm, Sweden.
    Background: Older people with multi-morbidity are increasingly challenging for today's healthcare, and novel, cost-effective healthcare solutions are needed. The aim of this study was to assess the cost-effectiveness of comprehensive geriatric assessment (CGA) at an ambulatory geriatric unit for people ≥75 years with multi-morbidity.

    Method: The primary outcome was the incremental cost-effectiveness ratio (ICER) comparing costs and quality-adjusted life years (QALYs) of a CGA strategy with usual care in a Swedish setting. Read More

    Mobility and cognition at admission to the nursing home - a cross-sectional study.
    BMC Geriatr 2018 01 30;18(1):30. Epub 2018 Jan 30.
    Norwegian National Advisory Unit on Ageing and Health, Vestfold Hospital Trust, Tønsberg, Norway.
    Background: Earlier studies show that the main reasons for admission to long-term nursing home care are cognitive impairment and functional impairments of activities of daily life. However, descriptive evidence of mobility is scant. The aims of this study were to describe mobility at admission to nursing homes and to assess the association between mobility and degree of dementia. Read More

    The effects of an 8-week computerized cognitive training program in older adults: a study protocol for a randomized controlled trial.
    BMC Geriatr 2018 01 30;18(1):31. Epub 2018 Jan 30.
    Aging, Mobility, and Cognitive Neuroscience Laboratory, Department of Physical Therapy, Djavad Mowafaghian Centre for Brain Health, Centre for Hip Health and Mobility, University of British Columbia, 2215 Wesbrook Mall, Vancouver, BC, V6T 1Z3, Canada.
    Background: Given the world's aging population, it is important to identify strategies that promote healthy cognitive aging and minimize cognitive decline. Currently, no curative pharmaceutical therapy exists for cognitive impairment and dementia. As a result, there is much interest in lifestyle approaches. Read More

    Frail-VIG index: a concise frailty evaluation tool for rapid geriatric assessment.
    BMC Geriatr 2018 01 26;18(1):29. Epub 2018 Jan 26.
    Department of Medicine for the Elderly, Addenbrooke's Hospital, Cambridge, UK.
    Background: Demographic changes have led to an increase in the number of elderly frail persons and, consequently, systematic geriatric assessment is more important than ever. Frailty Indexes (FI) may be particularly useful to discriminate between various degrees of frailty but are not routinely assessed due, at least in part, to the large number of deficits assessed (from 30 to 70). Therefore, we have developed a new, more concise FI for rapid geriatric assessment (RGA)-the Frail-VIG index ("VIG" is the Spanish/Catalan abbreviation for Comprehensive Geriatric Assessment), which contains 22 simple questions that assess 25 different deficits. Read More

    Age independency of mobility decrease assessed using the Locomotive Syndrome Risk Test in elderly with disability: a cross-sectional study.
    BMC Geriatr 2018 01 26;18(1):28. Epub 2018 Jan 26.
    Department of Rehabilitation for Movement Functions, Research Institute, National Rehabilitation Center for Persons with Disabilities, 4-1, Namiki, Saitama, 359-8555, Japan.
    Background: Mobility decrease is reportedly age-dependent in community dwelling elderly, and a major factor of disability in the geriatric population. The purpose of this study is to examine whether mobility decrease, as assessed using a set of tests, is similarly age-dependent in elderly adults who already have disability.

    Methods: One hundred thirty-five community-dwelling elderly (54 men, 81 women) with disability and 1469 independent community dwellers (1009 men, 460 women) were analyzed. Read More

    Informal carers' perspectives on the delivery of acute hospital care for patients with dementia: a systematic review.
    BMC Geriatr 2018 01 25;18(1):23. Epub 2018 Jan 25.
    Patient Experience Research Centre, Imperial College London, Medical School Building, St Mary's Campus, Norfolk Place, London, W2 1PG, UK.
    Background: Providing high quality acute hospital care for patients with dementia is an increasing challenge as the prevalence of the disease rises. Informal carers of people with dementia are a critical resource for improving inpatient care, due to their insights into patients' needs and preferences. We summarise informal carers' perspectives of acute hospital care to inform best practice service delivery. Read More

    Medical and moral considerations regarding complex medical decisions in older patients with multimorbidity: a compact deliberation framework.
    BMC Geriatr 2018 01 25;18(1):25. Epub 2018 Jan 25.
    Department of Medical Ethics and Health Law, Leiden University Medical Centre, The Netherlands, Postal adres: J1-P, Postbus 9600, 2300 RC, Leiden, The Netherlands.
    In health care for older adults, patients with multimorbidity usually receive the same interventions as those patients without multimorbidity. However, standard curative or life-sustaining treatment options have to be considered carefully in view of the maximally attainable result in older and frail patients. To guide such complex medical decisions, we present a compact deliberation framework that could assist physician(s) in charge of the medical treatment of a specific elderly patient to systematize his own thinking about treatment and decisional responsibilities, in case of an intercurrent disease. Read More

    Description of an advance care planning intervention in nursing homes: outcomes of the process evaluation.
    BMC Geriatr 2018 01 25;18(1):26. Epub 2018 Jan 25.
    Centre for Elderly and Nursing Home Medicine, Department of Global Public Health and Primary Care, University of Bergen, P.O. Box: 7804, Bergen, Norway.
    Background: Advance Care Planning (ACP) is the repeated communication and decision-making process between the patient, family, and healthcare professionals. This study describes an ACP intervention in nursing homes and evaluates the outcomes of the implementation process.

    Methods: The ACP intervention was part of a 4-month complex, cluster randomized controlled trial (COSMOS). Read More

    Key components of the delirium syndrome and mortality: greater impact of acute change and disorganised thinking in a prospective cohort study.
    BMC Geriatr 2018 01 25;18(1):24. Epub 2018 Jan 25.
    Marie Curie Palliative Care Research Department, Division of Psychiatry, Faculty of Brain Sciences, University College London, Gower Street, London, WC1E 6BT, UK.
    Background: Delirium increases the risk of mortality during an acute hospital admission. Full syndromal delirium (FSD) is associated with greatest risk and subsyndromal delirium (SSD) is associated with intermediate risk, compared to patients with no delirium - suggesting a dose-response relationship. It is not clear how individual diagnostic symptoms of delirium influence the association with mortality. Read More

    Centre- versus home-based exercise among people with mci and mild dementia: study protocol for a randomized parallel-group trial.
    BMC Geriatr 2018 01 25;18(1):27. Epub 2018 Jan 25.
    Sunnybrook Research Institute, 2075 Bayview Ave, Toronto, ON, M4N 3M5, Canada.
    Background: Worldwide, almost 50million people lived with dementia in 2016. A cure or disease modifying pharmaceutical treatment for dementia remains elusive so alternative therapies are of critical importance. Mounting evidence supports exercise in the prevention and therapy of dementia. Read More

    Effects of resistance training on body composition and functional capacity among sarcopenic obese residents in long-term care facilities: a preliminary study.
    BMC Geriatr 2018 01 22;18(1):21. Epub 2018 Jan 22.
    Department of Nursing, College of Nursing, National Taipei University of Nursing and Health Sciences, 365 Ming Te Road, Pei-Tou, Taipei, 112, Taiwan, Republic of China.
    Background: Aging-related loss of muscle and strength with increased adiposity is prevalent among older people in long-term care (LTC) facilities. Studies have shown that people with sarcopenic obesity (SO) are at high risk of declining physical performance. At present, no interventional studies on residents with SO in nursing homes have been conducted in the literature. Read More

    Construct validity of the Dining Environment Audit Protocol: a secondary data analysis of the Making Most of Mealtimes (M3) study.
    BMC Geriatr 2018 01 22;18(1):20. Epub 2018 Jan 22.
    University of Moncton, Moncton, Canada.
    Background: Research has demonstrated the importance of physical environments at mealtimes for residents in long term care (LTC). However, a lack of a standardized measurement to assess physical dining environments has resulted in inconsistent research with potentially invalid and unreliable conclusions. The development of a standardized, construct valid instrument that assesses dining rooms is imperative to systematically examine physical environments in LTC. Read More

    The effect of a gerontology nurse specialist for high needs older people in the community on healthcare utilisation: a controlled before-after study.
    BMC Geriatr 2018 01 22;18(1):22. Epub 2018 Jan 22.
    School of Nursing, The University of Auckland, Auckland, New Zealand.
    Background: Nurse-led models of comprehensive geriatric assessment and care coordination can improve health management as well as reduce hospitalisations for high risk community dwelling older people. This study investigated the effect on healthcare utilisation of systematic case finding to identify high risk older people in the community with a subsequent comprehensive assessment and care coordination intervention by a Gerontology Nurse Specialist based in primary care.

    Methods: This was a controlled before-after study design located within primary healthcare practices in Auckland, New Zealand. Read More

    Effect of an interactive E-learning tool for delirium on patient and nursing outcomes in a geriatric hospital setting: findings of a before-after study.
    BMC Geriatr 2018 01 19;18(1):19. Epub 2018 Jan 19.
    Department of Public Health and Primary Care, Academic Centre for Nursing and Midwifery, KU Leuven, Kapucijnenvoer 35-PB 7001/4, B-3000, Leuven, Belgium.
    Background: Education of healthcare workers is a core element of multicomponent delirium strategies to improve delirium care and, consequently, patient outcomes. However, traditional educational strategies are notoriously difficult to implement. E-learning is hypothesised to be easier and more cost effective, but research evaluating effectiveness of delirium education through e-learning is scarce at present. Read More

    "I struggle to count my blessings": recovery after hip fracture from the patients' perspective.
    BMC Geriatr 2018 01 19;18(1):18. Epub 2018 Jan 19.
    Department of Medical Research, Bærum Hospital, Vestre Viken Hospital Trust, Drammen, Norway.
    Background: Recovery outlooks of physical functioning and quality of life after hip fracture have not changed significantly over the past 25 years. Previous research has mainly dealt with causalities and acute treatment, while the recovery process from the patients' perspective has been less comprehensively described. Expanded knowledge of what the patients consider important in their recovery process may have important consequences for how these patients are treated in the future and thereby on future patient outcomes. Read More

    The preliminary effect of whole-body vibration intervention on improving the skeletal muscle mass index, physical fitness, and quality of life among older people with sarcopenia.
    BMC Geriatr 2018 01 17;18(1):17. Epub 2018 Jan 17.
    Department of Nursing, National Taipei University of Nursing and Health Sciences, No. 365, Ming Te Rd., Peitou, Taipei City, 112, Taiwan, Republic of China.
    Background: Studies have shown that sarcopenia easily leads to difficulty moving, disability, and poor quality of life. However, researches on the use of whole-body vibration for older adults with sarcopenia living in institutions have been lacking. Therefore, the main objective of the present study was to investigate the effect of whole-body vibration intervention on improving the skeletal muscle mass index, physical fitness, and quality of life of older adults with sarcopenia living in institutions. Read More

    Novel sensing technology in fall risk assessment in older adults: a systematic review.
    BMC Geriatr 2018 01 16;18(1):14. Epub 2018 Jan 16.
    Department of Kinesiology and Community Health, University of Illinois at Urbana-Champaign, 301 Freer Hall, 906 S Goodwin Ave, Urbana, 61801, USA.
    Background: Falls are a major health problem for older adults with significant physical and psychological consequences. A first step of successful fall prevention is to identify those at risk of falling. Recent advancement in sensing technology offers the possibility of objective, low-cost and easy-to-implement fall risk assessment. Read More

    Development of a physical literacy model for older adults - a consensus process by the collaborative working group on physical literacy for older Canadians.
    BMC Geriatr 2018 01 16;18(1):13. Epub 2018 Jan 16.
    Canadian Senior Games Association, Edmonton, AB, T6H 4J8, Canada.
    Background: Arguably the uptake and usability of the physical activity (PA) guidelines for older adults has not been effective with only 12% of this population meeting the minimum guidelines to maintain health. Health promoters must consider innovative ways to increase PA adoption and long-term sustainability. Physical literacy (PL) is emerging as a promising strategy to increase lifelong PA participation in younger age-groups, yet there is relatively little evidence of PL being used to support older adults in achieving the PA guidelines. Read More

    Multimorbidity patterns in the elderly: a prospective cohort study with cluster analysis.
    BMC Geriatr 2018 01 16;18(1):16. Epub 2018 Jan 16.
    Institut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), Gran Via Corts Catalanes, 587 àtic, 08007, Barcelona, Spain.
    Background: Multimorbidity is the coexistence of more than two chronic diseases in the same individual; however, there is no consensus about the best definition. In addition, few studies have described the variability of multimorbidity patterns over time. The aim of this study was to identify multimorbidity patterns and their variability over a 6-year period in patients older than 65 years attended in primary health care. Read More

    Transurethral resection of the prostate provides more favorable clinical outcomes compared with conservative medical treatment in patients with urinary retention caused by benign prostatic obstruction.
    BMC Geriatr 2018 01 16;18(1):15. Epub 2018 Jan 16.
    Department of Urology, Chang Gung Memorial Hospital-Linkou, 5 Fu-Shing Street, Kweishan, Taoyuan, 333, Taiwan, Republic of China.
    Background: To evaluate the long-term surgical outcomes of patients with urinary retention (UR) caused by a benign prostatic obstruction (BPO) who underwent transurethral resection of the prostate (TURP), and compare their outcomes with those of patients who received medication without surgical intervention.

    Methods: This retrospective cohort study analyzed claims data collected during the period of 1997-2012 from Taiwan's National Health Insurance Research Database. We examined geriatric adverse events among patients who had received a diagnosis of symptomatic benign prostatic hyperplasia and whom experienced UR, and compared those who received TURP and medication only. Read More

    Correction to: Effectiveness and safety of vitamin K antagonists and new anticoagulants in the prevention of thromboembolism in atrial fibrillation in older adults - a systematic review of reviews and the development of recommendations to reduce inappropriate prescribing.
    BMC Geriatr 2018 01 16;18(1):12. Epub 2018 Jan 16.
    Institute of General Practice and Family Medicine, University of Witten/ Herdecke, Alfred-Herrhausen-Straße 50, 58448, Witten, Germany.
    Correction: After publication of the original article [1] it was found that author Marc Krause's name had been spelt incorrectly. In the original article it is presented as Mark Krause, rather than Marc Krause. The revised spelling has been included in the author list for this Correction. Read More

    Functional health state description and valuation by people aged 65 and over: a pilot study.
    BMC Geriatr 2018 01 16;18(1):11. Epub 2018 Jan 16.
    Department of Epidemiology, University Medical Center Groningen, PO Box 30.001, 9700, RB, Groningen, The Netherlands.
    Background: Assessing quality of life among the elderly is a complex and multifaceted issue. Elderly people might find valuing and describing their personal experience of quality of life (QoL) demanding and cumbersome. This study therefore sought to determine the feasibility of administering two questionnaires in two samples of elderly people. Read More

    Blood pressure change does not associate with Center of Pressure movement after postural transition in geriatric outpatients.
    BMC Geriatr 2018 01 15;18(1):10. Epub 2018 Jan 15.
    Department of Rehabilitation Medicine, VU University Medical Center, PO Box 7057, 1007 MB, Amsterdam, The Netherlands.
    Background: Orthostatic hypotension (OH), a blood pressure drop after postural change, is associated with impaired standing balance and falls in older adults. This study aimed to assess the association between blood pressure (BP) and a measure of quality of standing balance, i.e. Read More

    Costs of potentially inappropriate medication use in residential aged care facilities.
    BMC Geriatr 2018 01 11;18(1). Epub 2018 Jan 11.
    Department of Rehabilitation, Aged and Extended Care, Faculty of Medicine, Nursing and Health Sciences, School of Health Sciences, Flinders University, Level 4, Rehabilitation Building, Flinders Medical Centre, Flinders Drive, Bedford park, SA, 5042, Australia.
    Background: The potential harms of some medications may outweigh their potential benefits (inappropriate medication use). Despite recommendations to avoid the use of potentially inappropriate medications (PIMs) in older adults, the prevalence of PIM use is high in different settings including residential aged care. However, it remains unclear what the costs of these medications are in this setting. Read More

    Osteoporotic fractures and obesity affect frailty progression: a longitudinal analysis of the Canadian multicentre osteoporosis study.
    BMC Geriatr 2018 01 5;18(1). Epub 2018 Jan 5.
    Department of Medicine, McMaster University, Hamilton, ON, Canada.
    Background: Despite knowing better how to screen older adults, understanding how frailty progression might be modified is unclear. We explored effects of modifiable and non-modifiable factors on changes in frailty in community-dwelling adults aged 50+ years who participated in the Canadian Multicentre Osteoporosis Study (CaMos).

    Methods: Rates of change in frailty over 10 years were examined using the 30-item CaMos Frailty Index (CFI). Read More

    Low patient activation levels in frail older adults: a cross-sectional study.
    BMC Geriatr 2018 01 5;18(1). Epub 2018 Jan 5.
    Department of Public Health, Erasmus MC, PO Box 2040, 3000, CA, Rotterdam, the Netherlands.
    Background: Frail older adults are increasingly expected to self-manage their health and healthcare. We assessed the extent to which this group is able to take up this responsibility by measuring their level of activation as patients (i.e. Read More

    What is the best adjustment of appendicular lean mass for predicting mortality or disability among Japanese community dwellers?
    BMC Geriatr 2018 01 5;18(1). Epub 2018 Jan 5.
    Hospital, National Center for Geriatrics and Gerontology, 7-430 Morioka-cho, Obu, Aichi, 474-8511, Japan.
    Background: Age-related declines in skeletal muscle mass and strength, representing "sarcopenia," are a growing concern in aging societies. However, the prevalence of low muscle mass based on the height-adjustment has been shown to be extremely low, and a more appropriate definition of low muscle mass is needed, particularly for Asian women. The aim of this study was to explore the most appropriate adjustment of appendicular lean mass (ALM) for predicting mortality or disability risk using ALM or any of 5 adjustments of ALM among community-dwelling Japanese. Read More

    Lower body functioning and correlates among older American Indians: The Cerebrovascular Disease and Its Consequences in American Indians Study.
    BMC Geriatr 2018 01 5;18(1). Epub 2018 Jan 5.
    College of Medicine, Institute for Research and Education to Advance Community Health, Washington State University, 1100 Olive Way, Suite 1200, Seattle, WA, 98101, USA.
    Background: More than six million American Indians live in the United States, and an estimated 1.6 million will be aged ≥65 years old by 2050 tripling in numbers since 2012. Physical functioning and related factors in this population are poorly understood. Read More

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