Tag: geriatrics

1. Among older adults with urinary tract infections, antibiotic prophylaxis was associated with an increased risk of ED visit or hospitalization for UTI, sepsis, or bacteremia. Evidence Level Rating: 2 (Good) Urinary tract infections (UTI) are the most common bacterial infections prompting the utilization of health care services. They exert a...
1. Older adults with prediabetes were more likely to regress to normoglycemia or pass away than progress to diabetes. 2. Prediabetes may be a weak indicator of risk for diabetes among older adults. Evidence Rating Level: 2 (Good) Prediabetes is known as a risk factor for progression to diabetes, often used to...
1. Single Medicare beneficiaries with Alzheimer’s disease and related dementias (ADRD) were more likely to make late credit account payments and develop suboptimal credit scores compared to those without ADRD. 2. Adverse financial events among those with ADRD occurred as early as six months prior to diagnosis, worsening over time...
1. In this pragmatic, randomized clinical trial, exercise or a multifactorial fall prevention strategy did not significantly affect fracture rates in the elderly 2. Exercise was cost effective at improving strength and top-level balance Evidence Rating Level: 2 (Good) Study Rundown: The elderly are at high risk of falls. Prevention of falls...
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...