Tag: geriatrics

1. Low dose edoxaban was superior to placebo in preventing stroke or systemic embolism for very elderly patients with nonvalvular atrial fibrillation at risk of bleeding. 2. Edoxaban did not significantly increase the incidence of major bleeding compared to placebo. Evidence Rating Level: 1 (Excellent) Study Rundown: Atrial fibrillation and age are...
1. When compared to the traditional care approach in older adults, nurse-administered interventions in community dwelling adults were not shown not to significantly lower the rate of a first serious fall injury. 2. The rates of serious adverse events were shown to be similar in the nurse-administered interventions and usual...
Migraines During Pregnancy and the Risk of Maternal Stroke 1. Women with migraines are at an increased risk of stroke during and after pregnancy compared to those without migraines. Evidence Rating Level: 2 (Good) Increased risk of maternal stroke is associated with migraines during the perinatal period, with the belief that...
1. Preclinical amyloid-β was associated with significant cognitive decline in clinically normal adults across screening and comprehensive measures. 2. Amyloid-β-positive individuals were more likely to carry at least one APOE ε4 allele and have a family history of dementia. Evidence Rating Level: 3 (Average) Amyloid-β (Aβ) pathology is known as the preclinical phase of...
1. In this retrospective study, augmentation of the Centers for Medicare & Medicaid Services Hierarchical Condition Category cost prediction model with a validated claims-based frailty index significantly improved its accuracy at different levels of frailty. 2. While its estimates were more precise on average, the improved model was still not...
1. Older adults who undergo emergency general surgeries face similar rates of hospital use, days away from home and work, and one-year mortality rates compared to other acute medical patients Evidence Rating Level: 2 (Good) Pneumonia, myocardial infarction, and heart failure are common acute medical conditions that result in hospitalization, post-discharge...
1.  Utilizing geriatric assessment in oncology clinical visits for older adults with advanced cancer improves patient-centered communication about aging-related concerns. Evidence Rating Level: 1 (Excellent) Patient-centered communication is of critical importance in oncologic care. Previous studies have demonstrated the benefits of interventions that facilitate oncologist-patient communication, but these interventions were not...
1. In this randomized clinical trial in China of a tailored, family-involved hospital elder life program (t-HELP) was linked to a substantially lower risk of post-operative delirium for patients over the age of 70 years undergoing an elective surgical procedure. 2. Compared to the usual care control population, participants in...
1. A model of dementia care management implemented through telephone and internet was shown to be more effective in improving health outcomes in patients with dementia, mood, and caregiver burden compared to standard care alone. Evidence Rating Level: 1 (Excellent) The use of dementia care management programs for patients with...
With an increasing prevalence of dementia in the elderly population and treatment strategies limited to improving symptoms, there is a need to identify at-risk patients. Hearing loss (HL) has been identified as a risk factor for dementia, contributing to social isolation, depression and lower quality of life. In this...