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BMC Geriatrics

Matti Aronen, Laura Viikari, Ia Kohonen, Tytti Vuorinen, Mira Hämeenaho, Maarit Wuorela, Mohammadreza Sadeghi, Maria Söderlund-Venermo, Matti Viitanen, Tuomas Jartti
BACKGROUND: In children suffering from severe lower airway illnesses, respiratory virus detection has given good prognostic information, but such reports in the elderly are scarce. Therefore, our aim was to study whether the detection of nasopharyngeal viral pathogens and conventional inflammatory markers in the frail elderly correlate to the presence, signs and symptoms or prognosis of radiographically-verified pneumonia. METHODS: Consecutive episodes of hospital care of patients 65 years and older with respiratory symptoms (N = 382) were prospectively studied as a cohort...
April 16, 2019: BMC Geriatrics
Olga Gelonch, Mireia Ribera, Núria Codern-Bové, Sílvia Ramos, Maria Quintana, Gloria Chico, Noemí Cerulla, Paula Lafarga, Petia Radeva, Maite Garolera
BACKGROUND: The main objective of this research was to evaluate the acceptance of technology based on a wearable lifelogging camera in a sample of older adults diagnosed with mild cognitive impairment (MCI). METHODS: A mixed-method design was used, consisting of a self-report questionnaire, numerous images taken by users, and a series of focus group discussions. The patients were involved in an individualized training programme. RESULTS: Nine MCI patients and their caregiver relatives were included...
April 16, 2019: BMC Geriatrics
Marjan Abbasi, Sheny Khera, Julia Dabravolskaj, Ben Vandermeer, Olga Theou, Darryl Rolfson, Andrew Clegg
BACKGROUND: An electronic frailty index (eFI) has been developed and validated in the UK; it uses data from primary care electronic medical records (EMR) for effective frailty case-finding in primary care. This project examined the convergent validity of the eFI from Canadian primary care EMR data with a validated frailty index based on comprehensive geriatric assessment (FI-CGA), in order to understand its potential use in the Canadian context. METHODS: A cross-sectional validation study, using data from an integrated primary care research program for seniors living with frailty in Edmonton, AB...
April 16, 2019: BMC Geriatrics
Sion Scott, Allan Clark, Carol Farrow, Helen May, Martyn Patel, Michael J Twigg, David J Wright, Debi Bhattacharya
BACKGROUND: Deprescribing is a partnership between practitioners, patients and caregivers. External characteristics including age, comorbidities and polypharmacy are poor predictors of attitude towards deprescribing. This hospital-based study aimed to describe the desire of patients and caregivers to be involved in medicine decision-making, and identify attitudinal predictors of desire to try stopping a medicine. METHODS: Patients and caregivers recruited from seven Older People's Medicine wards across two UK hospitals completed the revised Patients'Attitudes Towards Deprescribing (rPATD) questionnaire...
April 15, 2019: BMC Geriatrics
John R Green, Jane Smith, Elizabeth Teale, Michelle Collinson, Michael S Avidan, Eva M Schmitt, Sharon K Inouye, John Young
BACKGROUND: Delirium occurs commonly in older adults and is associated with adverse outcomes. Multicentre clinical trials evaluating interventions to prevent delirium are needed. The Confusion Assessment Method (CAM) is a validated instrument for delirium detection. We hypothesised it would be possible for a large feasibility study to train a large number of research assistants, with varying experience levels, to conduct CAM assessments reliably in multiple hospital sites. METHODS: A standardised training programme was followed, incorporating structured training at a central location and at study sites...
April 15, 2019: BMC Geriatrics
Chen Mao, Jin-Qiu Yuan, Yue-Bin Lv, Xiang Gao, Zhao-Xue Yin, Virginia Byers Kraus, Jie-Si Luo, Choy-Lye Chei, David Bruce Matchar, Yi Zeng, Xiao-Ming Shi
BACKGROUND: Oxidative stress is an important theory of aging but population-based evidence has been lacking. This study aimed to evaluate the associations between biomarkers of oxidative stress, including plasma superoxide dismutase (SOD) activity and malondialdehyde (MDA), with all-cause mortality in older adults. METHODS: This is a community-based cohort study of 2224 participants (women:1227, median age: 86 years). We included individuals aged 65 or above and with plasma SOD activity and/or MDA tests at baseline...
April 15, 2019: BMC Geriatrics
Sabrina Gabriel, Elisabeth Hahnel, Ulrike Blume-Peytavi, Jan Kottner
BACKGROUND: In geriatric and long-term care settings, intertrigo seems to be common, but generalizable epidemiological estimates are lacking. Aim of this study was to measure the prevalence of intertrigo in aged nursing home residents and to identify possible relationships with demographic and health characteristics. METHODS: A cross-sectional prevalence study was conducted between September 2014 and May 2015 in a random sample of ten institutional long-term care facilities in Berlin, Germany...
April 15, 2019: BMC Geriatrics
Thamara Tapia Muñoz, Andrea Slachevsky, María O León-Campos, Michel Madrid, Alejandra Caqueo-Urízar, Gustav C Rohde, Claudia Miranda-Castillo
BACKGROUND: The needs of people with dementia (PWD) have not been assessed in any Latin American country. Several European countries have already related unmet needs with quality of life, caregiver's age, burden, stress, anxiety and depression. The aim of this study was to identify met and unmet needs in Chilean older adults with dementia and to determine if those needs were associated with PWD's, their informal caregivers' and social factors. METHOD: This was a cross-sectional study...
April 15, 2019: BMC Geriatrics
Su Jin Lee, Eun Young Lee, Jung Hyun Lee, Jong Eun Kim, Kwang Jun Kim, Yumie Rhee, Hyeon Chang Kim, Yoosik Youm, Chang Oh Kim
BACKGROUND: Many studies have investigated the association between vitamin D and metabolic syndrome (MetS). However, few studies have investigated the association stratified by sex in the elderly. Therefore, we aimed to evaluate the association between vitamin D, MetS, and its components in Korean elderly men and women. METHODS: A total of 987 men and 1949 women aged ≥65 years were recruited through Korean Urban Rural Elderly cohort study. Serum 25-hydroxyvitamin D (25(OH)D) levels were categorized into 4 quartiles and all data were analyzed separately by sex...
April 11, 2019: BMC Geriatrics
Yun Wang, Qiuli Zhang, Erica S Spatz, Yan Gao, Sheila Eckenrode, Florence Johnson, Shih-Yieh Ho, Shuang Hu, Chao Xing, Harlan M Krumholz
BACKGROUND: Availability of nursing home care has declined and national efforts have been initiated to improve the quality of nursing home care in the U.S. Yet, data are limited on whether there are geographic variations in declines of availability and quality of nursing home care, and whether variations persist over time. We sought to assess geographic variation in availability and quality of nursing home care. METHODS: Retrospective study using Medicaid/Medicare-certified nursing home data from the Centers for Medicare & Medicaid Services, 1996-2016...
April 11, 2019: BMC Geriatrics
Aina Soler, Guillem Amer, Alicia Leiva, Joana Ripoll, María Angeles Llorente, Alfonso Leiva, Joana Maria Taltavull, Rosa Molina, Joan Llobera
BACKGROUND: Previous observational studies and clinical trials have shown that cholinesterase inhibitors (with or without memantine) provide benefit for patients with mild-to-moderate Alzheimer's disease. However, the impact of treatment continuation after progression to severe disease is unknown. The main aim of this study is to evaluate the effect and safety of continuing treatment with ChEIs (with or without memantine) for patients with severe dementia. METHODS: This randomized, pragmatic, open-label clinical trial with blinded evaluators will evaluate the efficacy of continuing drug treatment in patients with advanced dementia...
April 11, 2019: BMC Geriatrics
Ryan McGrath, Soham Al Snih, Kyriakos Markides, Orman Hall, Mark Peterson
BACKGROUND: Many adults are living longer with health conditions in the United States. Understanding the disability-adjusted life years (DALYs) for such health conditions may help to inform healthcare providers and their patients, guide health interventions, reduce healthcare costs, improve quality of life, and increase longevity for aging Americans. The purpose of this study was to determine the burden of 10 health conditions for a nationally-representative sample of adults aged 50 years and older in the United States...
April 8, 2019: BMC Geriatrics
Julia E Moore, Barbara Liu, Sobia Khan, Charmalee Harris, Joycelyne E Ewusie, Jemila S Hamid, Sharon E Straus
BACKGROUND: Bed rest for older hospitalized patients places them at risk for hospital-acquired morbidity. We previously evaluated an early mobilization intervention and found it to be effective at improving mobilization rates and decreasing length of stay on internal medicine units. The aim of this study was to conduct a replication study evaluating the impact of the evidence-informed mobilization intervention on surgery, psychiatry, medicine, and cardiology inpatient units. METHODS: A multi-component early mobilization intervention was tailored to the local context at seven hospitals in Ontario, Canada...
April 5, 2019: BMC Geriatrics
Gabrielle Kelly, Lindeka Mrengqwa, Leon Geffen
BACKGROUND: As older people age, they have different health needs compared to younger people. South African elder care policy places a strong emphasis on ageing in community rather than institutional settings, but the primary healthcare system is not geared to address the health needs of older people living in community settings. METHODS: This paper presents findings of nine focus groups conducted with community-dwelling older adults in three areas (high, medium and low-income) in Cape Town, South Africa over 2 months in 2017...
April 4, 2019: BMC Geriatrics
Nazanin Abolhassani, Brigitte Santos-Eggimann, Christophe Büla, René Goy, Idris Guessous, Yves Henchoz
BACKGROUND: Quality of life (QoL) is a subjective and dynamic concept resulting from an interplay between importance of and satisfaction with different aspects of life. However, it is unclear whether social contexts experienced by individuals born at specific times in history (cohort effects) may influence QoL in old age. This study aimed to compare among older persons born before, during, and at the end of World War II: a) satisfaction with QoL, overall and per domains; b) importance of QoL domains...
April 2, 2019: BMC Geriatrics
Leo Mapira, Gabrielle Kelly, Leon N Geffen
BACKGROUND: There is lack of adequate training and policy support for employed care workers (CWs) employed in the South African (SA) older persons' sector. Existing literature neglects the influence of training and policy support on CWs' experiences in long-term care (LTC) for older adults in residential care facilities (RCFs). We investigated the ways in which CWs' experiences are rooted in the lack of adequate training and policy support. METHODS: Qualitative data was collected through focus group (FG) interviews with 32 CWs employed in RCFs in the City of Cape Town...
April 2, 2019: BMC Geriatrics
Elizabeth Manias, Tracey Bucknall, Carmel Hughes, Christine Jorm, Robyn Woodward-Kron
BACKGROUND: As older patients' health care needs become more complex, they often experience challenges with managing medications across transitions of care. Families play a major role in older patients' lives. To date, there has been no review of the role of families in older people's medication management at transitions of care. This systematic review aimed to examine family involvement in managing older patients' medications across transitions of care. METHODS: Five databases were searched for quantitative, qualitative and mixed methods empirical studies involving families of patients aged 65 years and older: Cumulative Index to Nursing and Allied Health Literature Complete, Medline, the Cochrane Central Register of Controlled Trials, PsycINFO, and EMBASE...
March 29, 2019: BMC Geriatrics
Andrew J E Harding, Hazel Morbey, Faraz Ahmed, Carol Opdebeeck, Reena Lasrado, Paula R Williamson, Caroline Swarbrick, Iracema Leroi, David Challis, Ingrid Hellstrom, Alistair Burns, John Keady, Siobhan T Reilly
BACKGROUND: Core outcome sets (COS) prioritise outcomes based on their importance to key stakeholders, reduce reporting bias and increase comparability across studies. The first phase of a COS study is to form a 'long-list' of outcomes. Key stakeholders then decide on their importance. COS reporting is described as suboptimal and this first phase is often under-reported. Our objective was to develop a 'long-list' of outcome items for non-pharmacological interventions for people with dementia living at home...
March 27, 2019: BMC Geriatrics
Wan-Chen Tsai, Chia-Yi Lien, Jun-Jun Lee, Wen-Chiu Hsiao, Chi-Ren Huang, Nai-Wen Tsai, Chiung-Chih Chang, Cheng-Hsien Lu, Wen-Neng Chang
BACKGROUND: The elderly, and especially those with an immuno-compromised status, are vulnerable to infectious diseases. The purpose of this study was to examine the clinical characteristics and therapeutic outcomes of cryptococcal meningitis (CM) in elderly patients in Taiwan. METHODS: Ninety-nine adult patients with CM were identified during a 15-year study period (2002-2016), of whom 38 elderly (≥ 65 years) patients (16 men and 22 women, median age 72.9 years; range 65-86 years) were included for analysis...
March 25, 2019: BMC Geriatrics
Elisabeth M W Eekhoff, Natasja M van Schoor, Joseph S Biedermann, Mirjam M Oosterwerff, Renate de Jongh, Nathalie Bravenboer, Mireille N M van Poppel, Dorly J H Deeg
BACKGROUND: Decreased physical function is known to raise mortality risk. Little is known about how different physical function measures compare in predicting mortality risk in older men and women. The objective of this study was to compare four, objective and self-reported, physical function measures in predicting 15-year mortality risk in older men and women. METHODS: Data were used from the Longitudinal Aging Study Amsterdam (LASA), an ongoing cohort study in a population-based sample of the older Dutch population, sampled from municipal records...
March 25, 2019: BMC Geriatrics
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