journal
https://read.qxmd.com/read/36947740/impact-of-midmed-a-general-practitioner-led-modified-comprehensive-geriatric-assessment-for-patients-with-frailty
#1
JOURNAL ARTICLE
Helen E Jones, Atul Anand, Iain Morrison, Simon Hurding, Sarah H Wild, Stewart W Mercer, Susan D Shenkin
INTRODUCTION: the identification and management of frailty occurs mostly in primary care. Several different models of care exist. This study aimed to assess the impact of a new General Practitioner (GP)-led modified Comprehensive Geriatric Assessment (CGA) on service delivery, healthcare utilisation and patient outcomes. METHOD: patients with moderate-severe frailty (electronic Frailty Index score > 0.24) in Newbattle Medical Practice, Scotland, were eligible for a novel intervention (MidMed) in which an additional GP performed a modified CGA and was directly accessible for appointments...
March 1, 2023: Age and Ageing
https://read.qxmd.com/read/36939279/editor-s-view
#2
JOURNAL ARTICLE
Emma Vardy
No abstract text is available yet for this article.
March 1, 2023: Age and Ageing
https://read.qxmd.com/read/36934341/cluster-randomised-trial-of-a-complex-interprofessional-intervention-interprof-act-to-reduce-hospital-admission-of-nursing-home-residents
#3
JOURNAL ARTICLE
Ana Mazur, Britta Tetzlaff, Tina Mallon, Berit Hesjedal-Streller, Vivien Wei, Martin Scherer, Sascha Köpke, Katrin Balzer, Linda Steyer, Tim Friede, Sebastian Pfeiffer, Eva Hummers, Christiane Müller
BACKGROUND: Some hospital admissions of nursing home residents (NHRs) might be attributed to inadequate interprofessional collaboration. To improve general practitioner-nurse collaboration in nursing homes (NHs), we developed an intervention package (interprof ACT) in a previous study. OBJECTIVE: To assess the impact of interprof ACT on the proportion of hospitalisation and other clinical parameters within 12 months from randomisation among NHRs. METHODS: Multicentre, cluster randomised controlled trial in 34 German NHs...
March 1, 2023: Age and Ageing
https://read.qxmd.com/read/36934340/cost-effectiveness-of-physical-activity-programs-and-services-for-older-adults-a-scoping-review
#4
JOURNAL ARTICLE
Marina B Pinheiro, Kirsten Howard, Juliana S Oliveira, Wing S Kwok, Anne Tiedemann, Belinda Wang, Jennifer Taylor, Adrian Bauman, Catherine Sherrington
BACKGROUND: Evidence supporting physical activity for older adults is strongly positive. Implementation and scale-up of these interventions need to consider the value for money. This scoping review aimed to assess the volume of (i) systematic review evidence regarding economic evaluations of physical activity interventions, and (ii) of cost utility analysis (CUA) studies (trial- or model-based) of physical activity interventions for older people. METHODS: We searched five databases (January 2010 to February 2022) for systematic reviews of economic evaluations, and two databases (1976 to February 2022) for CUA studies of physical activity interventions for any population of people aged 60+ years...
March 1, 2023: Age and Ageing
https://read.qxmd.com/read/36934339/comparing-the-risk-of-dementia-in-subjects-with-atrial-fibrillation-using-non-vitamin-k-antagonist-oral-anticoagulants-versus-vitamin-k-antagonists-a-belgian-nationwide-cohort-study
#5
JOURNAL ARTICLE
Maxim Grymonprez, Mirko Petrovic, Tine L De Backer, M Arfan Ikram, Stephane Steurbaut, Lies Lahousse
BACKGROUND: Atrial fibrillation (AF) is associated with cognitive decline, with anticoagulated subjects potentially having a reduced risk compared with non-anticoagulated subjects. However, whether non-vitamin K antagonist oral anticoagulants (NOACs) may reduce the risk of dementia compared with vitamin K antagonists (VKAs) is unclear yet. Therefore, the risk of dementia was compared between AF subjects on NOACs versus VKAs. METHODS: AF subjects initiating anticoagulation between 2013 and 2019 were identified in Belgian nationwide data...
March 1, 2023: Age and Ageing
https://read.qxmd.com/read/36934338/experiences-and-understanding-of-apathy-in-people-with-neurocognitive-disorders-and-their-carers-a-qualitative-interview-study
#6
JOURNAL ARTICLE
Clare Burgon, Sarah Goldberg, Veronika van der Wardt, Rowan H Harwood
BACKGROUND: apathy, defined as reduced goal-directed activity, interests and emotion, is highly prevalent in neurocognitive disorders (NCDs). Apathy has important consequences for the individuals who experience it and their carers, yet the lived experiences of apathy in this population are not well understood. OBJECTIVE: to explore how people with NCDs and their carers understand and experience apathy. METHOD: in-depth semi-structured interviews were conducted in participants' homes...
March 1, 2023: Age and Ageing
https://read.qxmd.com/read/36929844/availability-and-quality-of-assessment-instruments-on-patient-centredness-in-older-adults-with-multimorbidity-a-systematic-review
#7
JOURNAL ARTICLE
Manuela Glattacker, Juergen M Giesler, Isabella Bablok, Laura Kivelitz, Jonas Schaefer, Manuela Kanat, Jil Mohr, Edith Motschall, Sebastian Voigt-Radloff, Thomas Kienbaum, Joerg Dirmaier
OBJECTIVE: Patient-centredness (PC) is central to the health care of older adults with multimorbidity, but knowledge about the psychometric quality of instruments measuring it in this group is scarce. Based on an integrative model of PC, we aimed to identify assessment instruments of PC for this particular group and evaluate their psychometric properties. METHODS: We systematically searched six electronic databases (MEDLINE, CINAHL, EMBASE, PsycINFO, Web of Science and PSYNDEX), initially covering research published up to 2018 and updated later to include work up to July 2022...
March 1, 2023: Age and Ageing
https://read.qxmd.com/read/36929843/guideline-commentary-on-updated-nice-guidelines-for-urinary-tract-infections
#8
JOURNAL ARTICLE
Manu P Bilsen, Merel Lambregts, Simon Conroy
No abstract text is available yet for this article.
March 1, 2023: Age and Ageing
https://read.qxmd.com/read/36928116/freedom-and-loneliness-dementia-caregiver-experiences-of-the-nursing-home-transition
#9
JOURNAL ARTICLE
Eimile Holton, Neasa Bernadette Boyle, Rachel Simons, Austin Warters, Laura O'Philbin, Brian Lawlor, Matthew Gibb, Roger O'Sullivan, Maria Pertl, Kevin Quaid, Ruth Forrest, Joanna McHugh Power
BACKGROUND: the transition to nursing home care has previously been linked to negative outcomes for spousal caregivers of persons with dementia (PwD). However, little is known about the experience or trajectory of loneliness in spousal caregivers during this time. OBJECTIVES: to explore experiences of loneliness in caregivers during the nursing home admission of their spouse or partner with dementia. METHODS: semi-structured interviews were conducted with 11 individuals living in Ireland between Oct 2020 and June 2021, who were married to/partnered with a PwD who had, in the past 7 years, moved to full-time nursing home care...
March 1, 2023: Age and Ageing
https://read.qxmd.com/read/36928115/the-quality-of-geriatric-rehabilitation-from-the-patients-perspective-a-scoping-review
#10
JOURNAL ARTICLE
Anne L Lubbe, Marjon van Rijn, Wim G Groen, Sophie Hilhorst, George L Burchell, Cees M P M Hertogh, Margriet C Pol
BACKGROUND: the efficacy and outcomes of geriatric rehabilitation (GR) have previously been investigated. However, a systematic synthesis of the aspects that are important to patients regarding the quality of GR does not exist. OBJECTIVE: the aim of this scoping review was to systematically synthesise the patients' perspective on the quality of GR. METHODS: we followed the Scoping Review framework and gathered literature including a qualitative study design from multiple databases...
March 1, 2023: Age and Ageing
https://read.qxmd.com/read/36866420/correction-to-the-power-of-poetry
#11
(no author information available yet)
No abstract text is available yet for this article.
March 1, 2023: Age and Ageing
https://read.qxmd.com/read/36866419/more-data-can-help-us-better-understand-covid-19-outbreaks-but-nuanced-and-critical-reflection-is-required
#12
JOURNAL ARTICLE
Adam Lee Gordon, Jemima T Collins
No abstract text is available yet for this article.
March 1, 2023: Age and Ageing
https://read.qxmd.com/read/36864651/genetic-risk-muscle-strength-and-risk-of-incident-major-depressive-disorder-results-from-the-uk-biobank
#13
JOURNAL ARTICLE
Yeqing Gu, Tingjing Zhang, Jinhan Wang, Yanqi Song, Ge Meng, Hongmei Wu, Shunming Zhang, Xuena Wang, Juanjuan Zhang, Xinran Lu, Qiang Liu, Tao Huang, Jian Yang, Kaijun Niu
BACKGROUND: Genetic factors and muscle strength both contribute to the risk of major depressive disorder (MDD), but whether high muscle strength can offset the risk of MDD with different genetic risk is unknown. This study aims to examine whether a higher muscle strength is associated with lower risk of MDD regardless of genetic risk among middle-aged and older adults. METHODS: This cohort study obtained data from the UK Biobank, which includes 345,621 individuals aged 40-69 years (mean (standard deviation): 56...
March 1, 2023: Age and Ageing
https://read.qxmd.com/read/36861184/the-differential-risk-of-severe-hyponatraemia-based-on-the-use-patterns-of-hyponatraemia-inducing-medications-in-older-adults
#14
JOURNAL ARTICLE
Kwanghee Jun, Young-Mi Ah, Jaekyu Shin, Ju-Yeun Lee
BACKGROUND: the identification and minimization of hyponatraemia-inducing medication (HIM) usage is among the effective strategies for preventing hyponatraemia. However, the differential risk of severe hyponatraemia is unknown. OBJECTIVE: to evaluate the differential risk of severe hyponatraemia associated with newly started and concurrently used HIMs in older people. DESIGN AND SETTING: a case-control study using national claims databases...
March 1, 2023: Age and Ageing
https://read.qxmd.com/read/36861183/a-population-based-retrospective-cohort-study-of-end-of-life-emergency-department-visits-by-people-with-dementia-multilevel-modelling-of-individual-and-service-level-factors-using-linked-data
#15
JOURNAL ARTICLE
Lesley E Williamson, Javiera Leniz, Emeka Chukwusa, Catherine J Evans, Katherine E Sleeman
BACKGROUND: emergency department (ED) visits have inherent risks for people with dementia yet increase towards the end-of-life. Although some individual-level determinants of ED visits have been identified, little is known about service-level determinants. OBJECTIVE: to examine individual- and service-level factors associated with ED visits by people with dementia in the last year of life. METHODS: retrospective cohort study using hospital administrative and mortality data at the individual-level, linked to health and social care service data at the area-level across England...
March 1, 2023: Age and Ageing
https://read.qxmd.com/read/36861182/mobile-emergency-department-care-to-nursing-home-residents-a-novel-outreach-service
#16
JOURNAL ARTICLE
Stine Emilie Junker Udesen, Claus-Henrik Rasmussen, Søren Mikkelsen, Nina Andersen, Mikkel Brabrand, Annmarie Touborg Lassen
BACKGROUND: Every month, 6% of Danish nursing home residents are admitted to hospital. However, these admissions might have limited benefits and are associated with an increased risk of complications. We initiated a new mobile service comprising consultants performing emergency care in nursing homes. OBJECTIVE: Describe the new service, the recipients of this service, hospital admission patterns and 90-day mortality. DESIGN: A descriptive observational study...
March 1, 2023: Age and Ageing
https://read.qxmd.com/read/36861181/the-impact-of-the-mysupport-advance-care-planning-intervention-on-family-caregivers-perceptions-of-decision-making-and-care-for-nursing-home-residents-with-dementia-pretest-posttest-study-in-six-countries
#17
JOURNAL ARTICLE
Laura Bavelaar, Mandy Visser, Catherine Walshe, Nancy Preston, Sharon Kaasalainen, Tamara Sussman, Nicola Cornally, Irene Hartigan, Martin Loucka, Paola di Giulio, Kevin Brazil, Wilco P Achterberg, Jenny T van der Steen
BACKGROUND: the mySupport advance care planning intervention was originally developed and evaluated in Northern Ireland (UK). Family caregivers of nursing home residents with dementia received an educational booklet and a family care conference with a trained facilitator to discuss their relative's future care. OBJECTIVES: to investigate whether upscaling the intervention adapted to local context and complemented by a question prompt list impacts family caregivers' uncertainty in decision-making and their satisfaction with care across six countries...
March 1, 2023: Age and Ageing
https://read.qxmd.com/read/36860177/correction-to-genetically-downregulated-interleukin-6-signalling-is-associated-with-a-lower-risk-of-frailty
#18
(no author information available yet)
No abstract text is available yet for this article.
March 1, 2023: Age and Ageing
https://read.qxmd.com/read/36849160/building-resilience-and-reversing-frailty-a-randomised-controlled-trial-of-a-primary-care-intervention-for-older-adults
#19
RANDOMIZED CONTROLLED TRIAL
John Travers, Roman Romero-Ortuno, John Langan, Fergal MacNamara, Darren McCormack, Christopher McDermott, Jude McEntire, Joanne McKiernan, Seán Lacey, Peter Doran, Dermot Power, Marie-Therese Cooney
BACKGROUND: There is a need for effective primary care interventions that help older people combat frailty and build resilience. OBJECTIVE: To study the effectiveness of an optimised exercise and dietary protein intervention. DESIGN: Multicentre, randomised-controlled, parallel-arm trial. SETTING: Six primary care practices, Ireland. METHODS: Six general practitioners enrolled adults aged 65+ with Clinical Frailty Scale score ≤5 from December 2020 to May 2021...
February 1, 2023: Age and Ageing
https://read.qxmd.com/read/36849159/new-horizons-in-sepsis-management-in-older-patients
#20
JOURNAL ARTICLE
Alain Putot, Virginie Prendki
Sepsis is a frequent disease in older people, characterised by an inappropriate systemic inflammatory response following an infection, leading to life-threatening organ dysfunctions. In the very old, sepsis is often difficult to diagnose, given the frequent atypical presentation. While there is no gold standard for the diagnosis of sepsis, new definitions published in 2016, aided by clinical-biological scores, namely Sequential Organ Failure Assessment (SOFA) and quick SOFA scores, allow earlier recognition of septic states at risk of poor outcome...
February 1, 2023: Age and Ageing
journal
journal
23833
1
2
Fetch more papers »
Fetching more papers... Fetching...
Remove bar
Read by QxMD icon Read
×

Save your favorite articles in one place with a free QxMD account.

×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"

We want to hear from doctors like you!

Take a second to answer a survey question.